PET Imaging for Initial Staging and Therapy Assessment in Multiple Myeloma Patients

Int J Mol Sci. 2017 Feb 18;18(2):445. doi: 10.3390/ijms18020445.

Abstract

Multiple myeloma (MM) is a hematological neoplasm characterized by the clonal proliferation of malignant plasma cells in the bone marrow. MM results in diffuse or focal bone infiltration and extramedullary lesions. Over the past two decades, advances have been made with regard to the diagnosis, staging, treatment, and imaging of MM. Computed tomography (CT) and magnetic resonance imaging (MRI) are currently recommended as the most effective imaging modalities at diagnostic. Yet, recent data from the literature suggest that positron emission tomography combined with computed tomography (PET/CT) using 18F-deoxyglucose (FDG) is a promising technique for initial staging and therapeutic monitoring in this pathology. This paper reviews the recent advances as well as the potential place of a more specific radiopharmaceutical in MM.

Keywords: PET/CT; multiple myeloma; solitary plasmacytoma; therapeutic evaluation.

Publication types

  • Review

MeSH terms

  • Bone Diseases / diagnosis
  • Bone Diseases / etiology
  • Diagnosis, Differential
  • Fluorodeoxyglucose F18
  • Humans
  • Monoclonal Gammopathy of Undetermined Significance / diagnosis
  • Multiple Myeloma / complications
  • Multiple Myeloma / diagnosis*
  • Multiple Myeloma / therapy
  • Neoplasm Staging
  • Positron Emission Tomography Computed Tomography
  • Positron-Emission Tomography*
  • Prognosis
  • Radiopharmaceuticals
  • Recurrence
  • Treatment Outcome

Substances

  • Radiopharmaceuticals
  • Fluorodeoxyglucose F18