Why MRI might catch more cancer signs than PET scans

Original Title

Multiple Myeloma and Smoldering Myeloma: Prospective Evaluation of 3 T Whole Body MRI and 18F-FDG PET/CT and Their Impact on Clinical Management

Not medical advice. For informational purposes only. Always consult a healthcare professional. Terms

Summary

Doctors used two kinds of scans—MRI and PET—to look for cancer in bones and marrow in people with a blood cancer called multiple myeloma. The MRI found more hidden signs of cancer, even when the PET scan missed them, and sometimes found other serious problems like spinal cord pressure.

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Surprising Findings

WB-MRI detected clinically significant incidental findings (like spinal cord compression) that FDG-PET/CT missed.

PET/CT is widely used for cancer staging and is thought to be comprehensive—finding that MRI catches serious, life-threatening issues PET misses is unexpected.

Practical Takeaways

If you or a loved one has multiple myeloma or high-risk smoldering myeloma, ask your doctor if a whole-body MRI has been considered—especially if PET/CT was negative or inconclusive.

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Publication

Journal

Blood

Year

2024

Authors

C. Cerchione, D. Bezzi, D. Nappi, Matteo Marchesini, A. Prochowski Iamurri, P. Caroli, A. Cattabriga, D. Cangini, G. Feliciani, Emiliano Loi, Federica Matteucci, Domenico Barone, S. Ronconi, M. Ceccolini, G. Musuraca, N. Normanno, G. Martinelli, A. Rossi

Open Access
Analysis v1