ALMA MATER STUDIORUM

UNIVERSITÀ DI BOLOGNA

Azienda Ospedaliero-Universitaria di BolognaPoliclinico S.Orsola-Malpighi

DIAGNOSTICA PER

IMMAGINIDALLA RADIOLOGIA TRADIZIONALE ALLA PET-TC

Stefano Fanti

PESCARA 21 SETTEMBRE 2009

SCINTIGRAPHY WBSCINTIGRAPHY WB(MIBI GALLIUM MDP DMSA-V)(MIBI GALLIUM MDP DMSA-V)

MDPMDP

MIBIMIBI

MIBIMIBI DMSADMSA MDPMDP

MULTIPLE

MYELOMA

STAGING

FDG PETFDG PET

FDGFDG

POSSIBLE INDICATIONS

PET-CT AND MYELOMA

•• STAGING BEFORE TREATMENT STAGING BEFORE TREATMENT(DISEASE EXTENSION)(DISEASE EXTENSION)

•• RE-STAGING AFTER TREATMENT RE-STAGING AFTER TREATMENT

(RESPONSE TO THERAPY AND RESIDUAL DISEASE)(RESPONSE TO THERAPY AND RESIDUAL DISEASE)

•• FOLLOW-UP FOLLOW-UP

(SUSPECT OF RELAPSE)(SUSPECT OF RELAPSE)

X-Ray 07/2003:

Left scapula, rib 5

MR 08/2003:

Spine lesions

Bone scintigraphy:

Left scapula, rib 5

STAGING

•• STAGING BEFORE TREATMENT STAGING BEFORE TREATMENT(DISEASE EXTENSION)(DISEASE EXTENSION)