Multiple myeloma x ray: Difference between revisions
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*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 of the patient.<ref>Multiple myeloma. Radiopaedia (2015)http://radiopaedia.org/articles/multiple-myeloma-1 Accessed on September, 20th 2015</ref> | *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 of the patient.<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]] | ||
:#Frontal chest film | :#Frontal [[chest]] film | ||
:#Cervico-thoraco-lumbar spine | :#Cervico-thoraco-lumbar [[spine]] | ||
:#Shoulder | :#Shoulder | ||
:#Pelvis | :#[[Pelvis]] | ||
:#Femur | :#[[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>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>Multiple myeloma. Radiopaedia (2015)http://radiopaedia.org/articles/multiple-myeloma-1 Accessed on September, 20th 2015</ref> | ||
Revision as of 12:14, 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. The long bones and the spine must always be evaluated while the evaluation of other bones merit consideration based on the symptoms of the patient.[2]
- 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:[3]
- 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.[4]
- 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. -
X ray spine showing collapsed vertebrae. -
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