Table 1.
DIAGNOSTIC IMAGING | PURPOSE |
---|---|
Bone density test | Useful in detecting osteopenia and osteoporosis |
Bone scan | Not a useful tool in assessing myeloma bone disease |
Magnetic resonance imaging | More sensitive than x-rays |
Used when vertebral compression fracture or spinal cord compression is suspected | |
Can detect edema and fluid surrounding active vertebral bone disease and marrow and soft tissue involvement | |
Positron-emission tomography/computed tomography | Useful in assessing presence of lytic bone lesions and detecting occult plasmacytomas |
Skeletal survey | Skeletal x-rays used to detect lytic bone lesions and bone fractures |
Also used in staging of multiple myeloma |
Note. Based on information from Durie, 2006; Roodman, 2008.