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COMy 2025 | Tools for monitoring bone disease in multiple myeloma

In this video, Marco Talarico, MD, University of Bologna, Bologna, Italy, briefly discusses the monitoring of bone disease in patients with multiple myeloma (MM). Dr Talarico highlights that CT scans are recommended for assessing the size of plasmacytomas and monitoring their size during treatment, while PET-CT is recommended for evaluating metabolic activity of lesions and assessing imaging measurable residual disease (MRD). Dr Talarico also mentions that whole-body diffusion-weighted MRI has shown good concordance with PET-CT in response assessment, suggesting its potential as an alternative tool. This interview took place at the 11th World Congress on Controversies in Multiple Myeloma (COMy) congress in Paris, France.

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Transcript

CT is currently recommended for the assessment of size of plasmacytomas and for the monitoring of their size during treatment, whereas PET-CT is recommended for the assessment of metabolic activity of lesions and in follow-up regarding the assessment of imaging MRD. However, the assessment of response by whole body diffusion-weighted MRI using Myeloma Response Assessment and Diagnosis (MY-RADS) criteria, and in particular the so-called response assessment categories, has proven significantly prognostic...

CT is currently recommended for the assessment of size of plasmacytomas and for the monitoring of their size during treatment, whereas PET-CT is recommended for the assessment of metabolic activity of lesions and in follow-up regarding the assessment of imaging MRD. However, the assessment of response by whole body diffusion-weighted MRI using Myeloma Response Assessment and Diagnosis (MY-RADS) criteria, and in particular the so-called response assessment categories, has proven significantly prognostic. Similarly to assessment of metabolic response by PET using IMPeTUs criteria. And in our study, early evaluation of concordance between PET-CT and whole-body diffusion-weighted MRI regarding response assessment has displayed a very good concordance between the two techniques, thus suggesting that whole-body diffusion-weighted MRI can be alternatively used to PET-CT regarding response assessment.

 

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