The voice of medical imaging and clinical oncology

Implementation of a dual-energy CT protocol for imaging multiple myeloma

Ana Pascoal bone CT Dan Hodson Ian Honey Olwen Westerland WBLDCT

Multiple myeloma (MM) is a type of bone marrow cancer characterised by uncontrolled proliferation of malignant plasma cells in the bone marrow (BM) damaging the bones and affecting the production of healthy blood cells. MM often affects multiple parts of the body including spine, skull, pelvis and ribs. Imaging is performed for MM detection, staging, stratification and assessment of treatment response.

First-line imaging recommendation from NICE for MM is to use whole body MRI (WBMRI) owing to its excellent depiction of the bone marrow. However, if WBMRI is unsuitable or declined by a patient in suspected myeloma, whole body low dose CT (WBLDCT) is recommended. WBLDCT is also recommended in confirmed new myeloma when WBMRI cannot be performed.

The availability of state-of-the-art CT scanners with dual energy spectral imaging and dose optimisation capabilities at Guy’s and St Thomas’ NHS Foundation Trust (GSTT) has prompted the investigation of imaging techniques that may provide superior image quality (IQ) and improve the management of MM patients.

The content on this page is provided by the individuals concerned and does not represent the views or opinions of RAD Magazine.

Read more scientific articles

An audit to evaluate the quality of plain film mortise radiographs of the ankle joint in the ED against the recognised gold standard

Ankle injuries are one of the most prevalent musculoskeletal injuries presenting at A&E and correct identification is crucial due to the complex fragility of the joint. Plain film x-ray remains a primary diagnostic option for patients presenting with ankle trauma, with the mortise view being predominantly used, as the fibular fossa is clearly visible with […]

Karen Saynor and Imogen Diggens

Karen Saynor, Imogen Diggens

Broomfield Hospital, University of Suffolk

Read Article

Set-up errors to patient comfort in radiotherapy – a journey of discovery

Accuracy in positioning and immobilisation is fundamental in radiotherapy to ensure precise delivery of radiation to the intended target while minimising exposure to surrounding healthy tissues. The study and critique of accuracy or set-up errors across anatomical cancer sites is well established and has driven technique development for many years. Although patients positioned for radiotherapy […]

Simon Goldsworthy

The Beacon Centre Radiotherapy, Musgrove Park Hospital

Read Article

Thriving, not just surviving: achieving a positive work-life balance

The challenges within healthcare and the academic workplace impacting individual wellbeing are well documented. Everyone is burdened with a high workload, excessive working hours, stress, fatigue and trying to keep up with advancements within their specialism in a challenging workplace environment. Aware that we have significant staff shortages across the professions, research has shown that […]

Melanie Clarkson

Sheffield Hallam University

Read Article

Stay up to date with
RAD Magazine

Sign up for our newsletter.

We care about your data. Read our privacy policy.