Multiple myeloma x ray: Difference between revisions
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==X Ray== | ==X Ray== | ||
*Simple radiography is the current gold standard for the initial diagnosis and evaluation of relapses of multiple myeloma. The [[long bone]]s and the [[spine]] must always be evaluated while the evaluation of other bones merit consideration based on the symptoms | *Simple radiography is the current gold standard for the initial diagnosis and evaluation of relapses of multiple myeloma.<ref>Multiple myeloma. Radiopaedia (2015)http://radiopaedia.org/articles/multiple-myeloma-1 Accessed on September, 20th 2015</ref> | ||
*The [[long bone]]s and the [[spine]] must always be evaluated while the evaluation of other bones merit consideration based on the patient's symptoms. <ref>Multiple myeloma. Radiopaedia (2015)http://radiopaedia.org/articles/multiple-myeloma-1 Accessed on September, 20th 2015</ref> | |||
*A plain film [[skeletal survey]] is essential in not only the diagnosis of multiple myeloma, but also in assessing response, and pre-empting potential complications (e.g. pathological fracture). A typical skeletal survey consists of the following films:<ref>Multiple myeloma. Radiopaedia (2015)http://radiopaedia.org/articles/multiple-myeloma-1 Accessed on September, 20th 2015</ref> | *A plain film [[skeletal survey]] is essential in not only the diagnosis of multiple myeloma, but also in assessing response, and pre-empting potential complications (e.g. pathological fracture). A typical skeletal survey consists of the following films:<ref>Multiple myeloma. Radiopaedia (2015)http://radiopaedia.org/articles/multiple-myeloma-1 Accessed on September, 20th 2015</ref> | ||
:#Lateral [[skull]] | :#Lateral [[skull]] |
Revision as of 12:16, 23 September 2015
Multiple myeloma Microchapters |
Diagnosis |
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Treatment |
Case Studies |
Multiple myeloma x ray On the Web |
American Roentgen Ray Society Images of Multiple myeloma x ray |
Risk calculators and risk factors for Multiple myeloma x ray |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Haytham Allaham, M.D. [2]
Overview
X-ray may be helpful in the diagnosis of multiple myeloma. Findings on X-ray suggestive of multiple myeloma include punched out bony lesions, generalized osteopenia, and hair-on-end appearance.[1]
X Ray
- Simple radiography is the current gold standard for the initial diagnosis and evaluation of relapses of multiple myeloma.[2]
- The long bones and the spine must always be evaluated while the evaluation of other bones merit consideration based on the patient's symptoms. [3]
- A plain film skeletal survey is essential in not only the diagnosis of multiple myeloma, but also in assessing response, and pre-empting potential complications (e.g. pathological fracture). A typical skeletal survey consists of the following films:[4]
- The vast majority of lesions seen on plain radiography are purely lytic, sharply defined/punched out with endosteal scalloping when abutting cortex. The lesions are sclerotic in only 3% of patients.[5]
- Shown below are images depicting the involvement of skull and spinal cord respectively in a case of multiple myeloma.
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X ray showing hair on end appearance.
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X ray spine showing collapsed vertebrae.
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X ray spine showing increased space between 2 vertebrae suggestive of possible malignancy.
References
- ↑ Multiple myeloma. Radiopaedia (2015)http://radiopaedia.org/articles/multiple-myeloma-1 Accessed on September, 20th 2015
- ↑ Multiple myeloma. Radiopaedia (2015)http://radiopaedia.org/articles/multiple-myeloma-1 Accessed on September, 20th 2015
- ↑ Multiple myeloma. Radiopaedia (2015)http://radiopaedia.org/articles/multiple-myeloma-1 Accessed on September, 20th 2015
- ↑ Multiple myeloma. Radiopaedia (2015)http://radiopaedia.org/articles/multiple-myeloma-1 Accessed on September, 20th 2015
- ↑ Multiple myeloma. Radiopaedia (2015)http://radiopaedia.org/articles/multiple-myeloma-1 Accessed on September, 20th 2015