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@ARTICLE{Pianko:120132,
author = {M. J. Pianko and E. Terpos and G. D. Roodman and C. R.
Divgi and S. Zweegman and J. Hillengass$^*$ and S. Lentzsch},
title = {{W}hole-body low-dose computed tomography and advanced
imaging techniques for multiple myeloma bone disease.},
journal = {Clinical cancer research},
volume = {20},
number = {23},
issn = {1557-3265},
address = {Philadelphia, Pa. [u.a.]},
publisher = {AACR},
reportid = {DKFZ-2017-00715},
pages = {5888 - 5897},
year = {2014},
abstract = {Detection of lytic bone lesions is crucial in the workup
for multiple myeloma and very often dictates the decision to
start treatment. Conventional radiography, despite decades
of use, is often insufficient for detection of bone disease
in multiple myeloma. Modern imaging techniques such as MRI,
PET, and CT offer superior detection of myeloma bone disease
and extramedullary manifestations of plasma cell dyscrasias.
Novel whole-body low-dose computed tomography (WBLDCT)
protocols allow for collection of superior image detail of
the skeleton at doses of radiation similar to those used for
conventional planar radiography. Several studies have shown
that WBLDCT has a superior detection rate for lytic bone
lesions compared with whole-body X-ray (WBXR), potentially
leading to restaging and changes in therapy. MRI and PET
provide imaging data important for assessing disease
activity and prognostication. Because of several advantages
over WBXR, WBLDCT is already the standard imaging technique
for use in patients with multiple myeloma in many European
institutions. However, the radiographic skeletal survey or
WBXR is still the initial study of choice used to screen for
myeloma bone disease in many institutions. In this review,
we aim to explore the changing landscape of imaging for
myeloma bone disease through use of modern imaging
techniques.},
cin = {E013},
ddc = {610},
cid = {I:(DE-He78)E013-20160331},
pnm = {315 - Imaging and radiooncology (POF3-315)},
pid = {G:(DE-HGF)POF3-315},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:25294899},
doi = {10.1158/1078-0432.CCR-14-1692},
url = {https://inrepo02.dkfz.de/record/120132},
}