Dear Dr. Bensinger,
I have extensive bone disease. Twice since I've been diagnosed, my doctors ordered PET scans--once at the time of diagnosis, and once about eight months later. Both times, the PET has identified multiple lytic lesions throughout my skeleton. But both times, the PET failed to show any significant FDG uptake. What does this mean about my disease? (As an aside, the two PETs were performed at different centers, which leads me to believe that these results/impressions are reliable.) Thank you for your time.
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Re: Question about PET scans
Dr. William Bensinger from the Fred Hutchinson Cancer Research Center said:
"PET scans are a helpful adjunct to diagnosis and management of myeloma but as shown in your case may be negative, even with relatively aggressive disease.
I prefer to use MRI with STIR sequencing to evaluate myeloma patients for active disease. For the majority of myeloma patients it appears to provide more information on disease status."
"PET scans are a helpful adjunct to diagnosis and management of myeloma but as shown in your case may be negative, even with relatively aggressive disease.
I prefer to use MRI with STIR sequencing to evaluate myeloma patients for active disease. For the majority of myeloma patients it appears to provide more information on disease status."
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