Illuminating the Shadows: Innovation in Advanced Imaging Techniques for Myeloma Precursor Conditions

Monoclonal gammopathy of undetermined significance (MGUS) and smoldering multiple myeloma (SMM), the asymptomatic precursors to multiple myeloma, affect up to 5% of the population over the age of 40. Bone involvement, a myeloma-defining event, represents a major source of morbidity for patients. Key...

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Main Authors: Kara I. Cicero, Rahul Banerjee, Mary Kwok, Danai Dima, Andrew J. Portuguese, Delphine Chen, Majid Chalian, Andrew J. Cowan
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Diagnostics
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Online Access:https://www.mdpi.com/2075-4418/15/2/215
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author Kara I. Cicero
Rahul Banerjee
Mary Kwok
Danai Dima
Andrew J. Portuguese
Delphine Chen
Majid Chalian
Andrew J. Cowan
author_facet Kara I. Cicero
Rahul Banerjee
Mary Kwok
Danai Dima
Andrew J. Portuguese
Delphine Chen
Majid Chalian
Andrew J. Cowan
author_sort Kara I. Cicero
collection DOAJ
description Monoclonal gammopathy of undetermined significance (MGUS) and smoldering multiple myeloma (SMM), the asymptomatic precursors to multiple myeloma, affect up to 5% of the population over the age of 40. Bone involvement, a myeloma-defining event, represents a major source of morbidity for patients. Key goals for the management of myeloma precursor conditions include (1) identifying patients at the highest risk for progression to MM with bone involvement and (2) differentiating precursor states from active myeloma requiring treatment. Computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET)-CT with [<sup>18</sup>F]fluorodeoxyglucose (FDG) have improved sensitivity for the detection of myeloma bone disease compared to traditional skeletal surveys, and such advanced imaging also provides this field with better tools for detecting early signs of progression. Herein, we review the data supporting the use of advanced imaging for both diagnostics and prognostication in myeloma precursor conditions.
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series Diagnostics
spelling doaj-art-cbd2f70318b647828ee590f9c54128892025-01-24T13:29:08ZengMDPI AGDiagnostics2075-44182025-01-0115221510.3390/diagnostics15020215Illuminating the Shadows: Innovation in Advanced Imaging Techniques for Myeloma Precursor ConditionsKara I. Cicero0Rahul Banerjee1Mary Kwok2Danai Dima3Andrew J. Portuguese4Delphine Chen5Majid Chalian6Andrew J. Cowan7Clinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA 98109, USAClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA 98109, USAClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA 98109, USAClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA 98109, USAClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA 98109, USADepartment of Radiology, University of Washington, Seattle, WA 98115, USADepartment of Radiology, University of Washington, Seattle, WA 98115, USAClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA 98109, USAMonoclonal gammopathy of undetermined significance (MGUS) and smoldering multiple myeloma (SMM), the asymptomatic precursors to multiple myeloma, affect up to 5% of the population over the age of 40. Bone involvement, a myeloma-defining event, represents a major source of morbidity for patients. Key goals for the management of myeloma precursor conditions include (1) identifying patients at the highest risk for progression to MM with bone involvement and (2) differentiating precursor states from active myeloma requiring treatment. Computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET)-CT with [<sup>18</sup>F]fluorodeoxyglucose (FDG) have improved sensitivity for the detection of myeloma bone disease compared to traditional skeletal surveys, and such advanced imaging also provides this field with better tools for detecting early signs of progression. Herein, we review the data supporting the use of advanced imaging for both diagnostics and prognostication in myeloma precursor conditions.https://www.mdpi.com/2075-4418/15/2/215multiple myelomasmoldering multiple myelomaMGUSimaging
spellingShingle Kara I. Cicero
Rahul Banerjee
Mary Kwok
Danai Dima
Andrew J. Portuguese
Delphine Chen
Majid Chalian
Andrew J. Cowan
Illuminating the Shadows: Innovation in Advanced Imaging Techniques for Myeloma Precursor Conditions
Diagnostics
multiple myeloma
smoldering multiple myeloma
MGUS
imaging
title Illuminating the Shadows: Innovation in Advanced Imaging Techniques for Myeloma Precursor Conditions
title_full Illuminating the Shadows: Innovation in Advanced Imaging Techniques for Myeloma Precursor Conditions
title_fullStr Illuminating the Shadows: Innovation in Advanced Imaging Techniques for Myeloma Precursor Conditions
title_full_unstemmed Illuminating the Shadows: Innovation in Advanced Imaging Techniques for Myeloma Precursor Conditions
title_short Illuminating the Shadows: Innovation in Advanced Imaging Techniques for Myeloma Precursor Conditions
title_sort illuminating the shadows innovation in advanced imaging techniques for myeloma precursor conditions
topic multiple myeloma
smoldering multiple myeloma
MGUS
imaging
url https://www.mdpi.com/2075-4418/15/2/215
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