Podcast
Questions and Answers
What is the preferred imaging technique for assessing the extent of bone disease?
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?
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?
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?
What role do Serum CrossLaps (CTX) play in the assessment of bone health?
What can MRI findings indicate in the context of skeletal health?
What can MRI findings indicate in the context of skeletal health?
Flashcards
Bone disease assessment
Bone disease assessment
Best assessed by low-dose WB-CT or PET/CT imaging.
MRI use (skeletal)
MRI use (skeletal)
Useful to rule out focal bone marrow lesions in suspected SMM, and assess extramedullary diseases/cord compression.
Skeletal survey sensitivity
Skeletal survey sensitivity
Less sensitive than WB-CT/PET/CT for bone disease.
Skeletal survey recommendation
Skeletal survey recommendation
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Serum CrossLaps (CTX) use
Serum CrossLaps (CTX) use
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Low-dose WB-CT
Low-dose WB-CT
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PET/CT imaging
PET/CT imaging
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MRI findings (skeletal)
MRI findings (skeletal)
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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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