What is your approach to bone imaging in MGUS?

Availability and insurance coverage of advanced imaging - whole body CT, whole body MRI, skull vertex to toes FDG PET - is sometimes limited.

Answer from: Medical Oncologist at Community Practice

Excellent question. For low-risk MGUS (M-spike <1.5 g/dL, normal serum free light chain ratio, and an IgG type protein), it is reasonable to forego any bone imaging in the absence of any relevant bone-related symptoms. The rate of bone involvement in patients with an M-spike of 1.5 g/dL was noted...

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What is your approach to bone imaging in MGUS?

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