General Spine

James, M, Kessler, MD, MPH
Jose, Rios, MD, PhD, Non ASSR Member
Lawrence, Tanenbaum, MD, FACR, Non ASSR Member

Paper/Mentor

Purpose

Traditional spine surveys for multiple myeloma employ a combination of T1, T2, STIR and sometimes, contrast enhanced sequences. Despite this multi-modal assessment, disease is often difficult to detect and characterize. This is particularly true in elderly patients with heterogeneous bone marrow composition/signal and when lesions occur in such locations as the pedicles, articulating facets and vertebral endplates where degenerative changes and Schmorlâ