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全身磁共振成像在多发性骨髓瘤中的应用评价。

Review of whole-body magnetic resonance imaging in multiple myeloma.

机构信息

Neuroradiology Unit, Umberto I" Hospital, Nocera Inferiore, Italy.

Department of Medicine, Surgery, and Dentistry, University of Salerno, Fisciano, Italy.

出版信息

Jpn J Radiol. 2024 Dec;42(12):1381-1391. doi: 10.1007/s11604-024-01635-y. Epub 2024 Aug 1.

Abstract

Multiple Myeloma (MM) is a hematological malignancy affecting bone marrow, most frequently in elderly men. Imaging has a crucial role in this disease. Recently, whole-body MRI has been introduced and it has gained growing interest due to is high sensitivity and specificity in evaluating bone marrow involvement in MM. Diffusion-weighted sequences (DWI) with apparent diffusion coefficient (ADC) maps have emerged as the most sensitive technique to evaluate patients with MM, both in the pre- and post-treatment setting. Aim of this review is to provide an overview of the role and main imaging findings of whole-body MRI in MM.

摘要

多发性骨髓瘤(MM)是一种影响骨髓的血液系统恶性肿瘤,最常发生于老年男性。影像学在该病中具有重要作用。最近,全身 MRI 已被引入,由于其在评估 MM 骨髓受累方面具有较高的敏感性和特异性,因此越来越受到关注。扩散加权序列(DWI)及其表观扩散系数(ADC)图已成为评估 MM 患者的最敏感技术,无论是在治疗前还是治疗后。本综述的目的是提供全身 MRI 在 MM 中的作用和主要影像学发现的概述。

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