Multiple Myeloma Lesion Detection With Whole Body CT Versus Radiographic Skeletal Survey

被引:41
作者
Princewill, Kelechi [1 ]
Kyere, Sampson [1 ]
Awan, Omer [1 ]
Mulligan, Michael [1 ,2 ]
机构
[1] Univ Maryland, Med Ctr, Dept Radiol, Baltimore, MD 21201 USA
[2] Univ Maryland, Med Ctr, Dept Diagnost Radiol & Nucl Med, Baltimore, MD 21201 USA
关键词
Cost effectiveness research; Detection/diagnosis; Myeloma; CLINICAL STAGING SYSTEM; MULTIDETECTOR CT; DISEASE; MRI; TOMOGRAPHY; DIAGNOSIS; PET/CT; RISK;
D O I
10.3109/07357907.2013.764565
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Objective: To compare accuracy of CT versus radiographs in detecting myeloma lesions. Materials and Methods: Retrospective review of patients who were simultaneously evaluated with radiographs and PET/CT scans. Two radiologists independently assessed each modality. Results: Total number of lesions detected with CT was 968 versus 248 for radiographs (p < .001). Nine patients (18%) had no lesions on either CT or radiographs. Of the remaining 42 patients, 39 had more lesions on CT. CT could have resulted in upstaging of disease in 31 cases (61%). Conclusion: CT is superior for detecting myeloma lesions.
引用
收藏
页码:206 / 211
页数:6
相关论文
共 20 条
  • [1] [Anonymous], 2003, COCHRANE DB SYST REV, DOI DOI 10.1002/14651858.CD004023
  • [2] Whole-body dual-modality PET/CT and whole-body MRI for tumor staging in oncology
    Antoch, G
    Vogt, FM
    Freudenberg, LS
    Nazaradeh, F
    Goehde, SC
    Barkhausen, J
    Dahmen, G
    Bockisch, A
    Debatin, JF
    Ruehm, SG
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2003, 290 (24): : 3199 - 3206
  • [3] Magnetic resonance imaging as a supplement for the clinical staging system of Durie and Salmon?
    Baur, A
    Stäbler, A
    Nagel, D
    Lamerz, R
    Bartl, R
    Hiller, E
    Wendtner, C
    Bachner, F
    Reiser, M
    [J]. CANCER, 2002, 95 (06) : 1334 - 1345
  • [4] Role of MRI for the diagnosis and prognosis of multiple myeloma
    Baur-Melnyk, A
    Buhmann, S
    Dürr, HR
    Reiser, M
    [J]. EUROPEAN JOURNAL OF RADIOLOGY, 2005, 55 (01) : 56 - 63
  • [5] Value of FDG PET in the assessment of patients with multiple myeloma
    Bredella, MA
    Steinbach, L
    Caputo, G
    Segall, G
    Hawkins, R
    [J]. AMERICAN JOURNAL OF ROENTGENOLOGY, 2005, 184 (04) : 1199 - 1204
  • [6] Comparison of imaging with FDG PET/CT with other imaging modalities in myeloma
    Breyer, Richard J., III
    Mulligan, Michael E.
    Smith, Stacy E.
    Line, Bruce R.
    Badros, Ashraf Z.
    [J]. SKELETAL RADIOLOGY, 2006, 35 (09) : 632 - 640
  • [7] International myeloma working group consensus statement and guidelines regarding the current role of imaging techniques in the diagnosis and monitoring of multiple Myeloma
    Dimopoulos, M.
    Terpos, E.
    Comenzo, R. L.
    Tosi, P.
    Beksac, M.
    Sezer, O.
    Siegel, D.
    Lokhorst, H.
    Kumar, S.
    Rajkumar, S. V.
    Niesvizky, R.
    Moulopoulos, L. A.
    Durie, B. G. M.
    [J]. LEUKEMIA, 2009, 23 (09) : 1545 - 1556
  • [8] RISK OF DISEASE PROGRESSION IN ASYMPTOMATIC MULTIPLE-MYELOMA
    DIMOPOULOS, MA
    MOULOPOULOS, A
    SMITH, T
    DELASALLE, KB
    ALEXANIAN, R
    [J]. AMERICAN JOURNAL OF MEDICINE, 1993, 94 (01) : 57 - 61
  • [9] Durie BGM, 2002, J NUCL MED, V43, P1457
  • [10] DURIE BGM, 1975, CANCER, V36, P842, DOI 10.1002/1097-0142(197509)36:3<842::AID-CNCR2820360303>3.0.CO