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. 2022 Dec 9;2022(1):539-550. doi: 10.1182/hematology.2022000404

Table 1.

Multiple myeloma diagnostic criteria

Clonal bone marrow plasma cells ≥10%
OR
Biopsy-proven plasmacytoma
AND
“CRAB” Hypercalcemia: Serum calcium >11  mg/dL or >1  mg/dL above ULN
Renal insufficiency: Serum creatinine >2  mg/dL or CrCl <40  mL/min
Anemia: Hemoglobin <10  g/dL or >2  g/dL below LLN
Bone lesions: ≥1 osteolytic lesion (on WBLDCT or PET scan)
OR
“SLiM” criteria ≥60% clonal bone marrow plasma cells
Involved to uninvolved FLC ratio ≥100 and involved FLC ≥10  mg/dL
>1 focal lesion on MRI ≥5  mm in size

FLC, free light chain; MRI, magnetic resonance imaging; PET, positron emission topography; WBLDCT, whole-body low-dose computed tomography.