Multiple myeloma x ray: Difference between revisions
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*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 name="radio">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 name="radio">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 name="radio">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 name="radio">Multiple myeloma. Radiopaedia (2015)http://radiopaedia.org/articles/multiple-myeloma-1 Accessed on September, 20th 2015</ref> | ||
: | :*Lateral [[skull]] | ||
: | :*Frontal [[chest]] film | ||
: | :*Cervico-thoraco-lumbar [[spine]] | ||
: | :*Shoulder | ||
: | :*[[Pelvis]] | ||
: | :*[[Femur]] | ||
*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.<ref name="radio">Multiple myeloma. Radiopaedia (2015)http://radiopaedia.org/articles/multiple-myeloma-1 Accessed on September, 20th 2015</ref> | *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.<ref name="radio">Multiple myeloma. Radiopaedia (2015)http://radiopaedia.org/articles/multiple-myeloma-1 Accessed on September, 20th 2015</ref> | ||
Revision as of 17:48, 23 September 2015
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Multiple myeloma Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Multiple myeloma x ray On the Web |
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American Roentgen Ray Society Images of Multiple myeloma x ray |
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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.[1]
- The long bones and the spine must always be evaluated while the evaluation of other bones merit consideration based on the patient's symptoms.[1]
- 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:[1]
- 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.[1]
- 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.
