Identification of focal lesion characteristics in MRI which indicate presence of corresponding osteolytic lesion in CT in patients with multiple myeloma
Purpose - The presence of bone marrow focal lesions and osteolytic lesions in patients with multiple myeloma (MM) is of high prognostic significance for their individual outcome. It is not known yet why some focal lesions seen in MRI, reflecting localized bone marrow infiltration of myeloma cells, r...
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| Main Authors: | , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
22 July 2023
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| In: |
Bone
Year: 2023, Volume: 175, Pages: 1-9 |
| ISSN: | 1873-2763 |
| DOI: | 10.1016/j.bone.2023.116857 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.bone.2023.116857 Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S8756328223001904 
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| Author Notes: | Nina Hildenbrand, André Klein, Klaus Maier-Hein, Markus Wennmann, Stefan Delorme, Hartmut Goldschmidt, Jens Hillengass |
| Summary: | Purpose - The presence of bone marrow focal lesions and osteolytic lesions in patients with multiple myeloma (MM) is of high prognostic significance for their individual outcome. It is not known yet why some focal lesions seen in MRI, reflecting localized bone marrow infiltration of myeloma cells, remain non-lytic, whereas others are associated with destruction of mineralized bone. In this study, we analyzed MRI characteristics of manually segmented focal lesions in MM patients to identify possible features that might discriminate lytic and non-lytic lesions. - Method - The initial cohort included a total of 140 patients with different stages of MM who had undergone both whole-body MRI and whole-body low-dose CT within 30 days, and of which 29 satisfied the inclusion criteria for this study. Focal lesions in MRI and corresponding osteolytic areas in CT were segmented manually. Analysis of the lesions included volume, location and first order texture features analysis. - Results - There were significantly more lytic lesions in the axial skeleton than in the appendicular skeleton (p = 0.037). Out of 926 focal lesions in the axial skeleton seen on MRI, 544 (59.3 %) were osteolytic. Analysis of volume and first order texture features showed differences in texture and volume between focal lesions in MRI with and without local bone destruction in CT, but these findings were not statistically significant. - Conclusions - Neither morphological imaging characteristics like size and location nor first order texture features could predict whether focal lesions seen in MRI would exhibit corresponding bone destruction in CT. Studies performing biopsies of such lesions are ongoing. |
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| Item Description: | Online verfügbar 22 July 2023, Version des Artikels 7 August 2023 Gesehen am 16.10.2023 |
| Physical Description: | Online Resource |
| ISSN: | 1873-2763 |
| DOI: | 10.1016/j.bone.2023.116857 |