Imaging and Markers for Bone Disease

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Questions and Answers

What is the preferred imaging technique for assessing the extent of bone disease?

  • MRI of the entire body
  • Ultrasound examination
  • Low-dose WB-CT or PET/CT (correct)
  • Conventional skeletal survey

In which scenario is an MRI particularly useful?

  • When ruling out focal bone marrow lesions in suspected SMM (correct)
  • For assessing general bone density
  • To evaluate the entire skeletal system
  • For routine cancer screening

Why is a conventional skeletal survey recommended only when more advanced imaging resources are unavailable?

  • It cannot assess the effect of bisphosphonate therapy
  • It is less sensitive in detecting bone disease (correct)
  • It provides only static images with no functional assessment
  • It has a higher cost than WB-CT and PET/CT

What role do Serum CrossLaps (CTX) play in the assessment of bone health?

<p>They are used to assess bone turnover (B)</p> Signup and view all the answers

What can MRI findings indicate in the context of skeletal health?

<p>SMM possibly leading to bone lesions and cord compression (C)</p> Signup and view all the answers

Flashcards

Bone disease assessment

Best assessed by low-dose WB-CT or PET/CT imaging.

MRI use (skeletal)

Useful to rule out focal bone marrow lesions in suspected SMM, and assess extramedullary diseases/cord compression.

Skeletal survey sensitivity

Less sensitive than WB-CT/PET/CT for bone disease.

Skeletal survey recommendation

Recommended only when advanced imaging isn't available.

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Serum CrossLaps (CTX) use

Assesses bone turnover and bisphosphonate therapy adequacy.

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Low-dose WB-CT

A type of X-ray used to quickly visualize the entire skeletal system to assess bone issues.

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PET/CT imaging

A sophisticated imaging method combining positron emission tomography (PET) and computed tomography (CT) for precise assessments of bone and other tissues.

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MRI findings (skeletal)

MRI can detect skeletal marrow (SMM) involvement (before bone lesions), extramedullary disease (EMD), and potential cord compression.

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Study Notes

Imaging Study for Bone Disease

  • Low-dose WB-CT or PET/CT scans best assess the extent of bone disease
  • MRI scans helpful for suspected bone marrow lesions (before true osteolytic disease occurs) and extramedullary disease (when detailed imaging needed)
  • MRI useful for assessing cord compression

Conventional Skeletal Survey

  • Less sensitive than low-dose WB-CT or PET/CT imaging
  • Recommended only if advanced imaging resources are unavailable

Serum Markers

  • Serum CrossLaps (CTX) useful in assessing bone turnover and determining adequacy of bisphosphonate therapy.

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