Abstract

Radiation therapy is an effective way of treating osteolytic bone lesions in patients with multiple myeloma. Plain films are usually employed to detect osteolytic changes secondary to infiltrates of myeloma cells. Magnetic resonance imaging (MRI) is now known for excellent depiction of bone marrow (Vogler and Murphy 1988). Unlike on plain films, it is not bone or loss of bone mass that accounts for contrast in MRI but the cellular compounds. A higher sensitivity of MRI in detecting marrow lesions may therefore be expected. Results of MRI in different hematologic disorders have been published recently (Dohner et al. 1989). The study presented here compares results of plain films and MRI in patients with multiple myeloma.

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