Diagnostics (Feb 2023)

<sup>68</sup>Ga-Pentixafor PET/CT May Fail to Detect Recurrent Multiple Myeloma with Extramedullary Disease

  • Qingqing Pan,
  • Yaping Luo,
  • Xinxin Cao,
  • Jian Li,
  • Fang Li

DOI
https://doi.org/10.3390/diagnostics13050871
Journal volume & issue
Vol. 13, no. 5
p. 871

Abstract

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Two patients with a history of multiple myeloma experienced a recurrence of the disease.18F-FDG PET/CT revealed prominent extramedullary disease as well as multi-foci in the bone marrow, both with increased FDG uptake. However, on 68Ga-Pentixafor PET/CT, all the myeloma lesions showed significantly lower tracer uptake in comparison with 18F-FDG PET. This false-negative result of recurrent multiple myeloma with extramedullary disease may be a potential limitation of 68Ga-Pentixafor in assessing multiple myeloma.

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