Whole-body skeletal evaluation in patients with bone metastases

Clinical scenario	Preferred study
Need for comprehensive whole-body cancer staging	Integrated FDG-PET/CT; bone scan if PET not done
Multiple myeloma (lytic bone disease)	Whole-body skeletal plain radiographic survey or Low-dose whole-body CT
Multiple myeloma (sclerotic bone lesions [eg, POEMS syndrome])	Nuclear medicine bone scan
Rapidly progressive metastases associated with minimal reactive bone formation	Integrated FDG-PET/CT
Ewing sarcoma family of tumors with primary lytic tumor	Integrated FDG-PET/CT
All others	Nuclear medicine bone scan

CT: Computed tomography; POEMS: multiple myeloma with polyneuropathy, organomegaly, endocrinopathy, monoclonal spike, and skin changes; FDG-PET: 18-fluorodeoxyglucose positron emission tomography.

Graphic 97119 Version 2.0

خرید پکیج

Whole-body skeletal evaluation in patients with bone metastases