Multiple Myeloma Clinical Trial
Official title:
FULIMA - A Prospective Study of Dual Time PET/CT and Diffusion Weighted MRI in Multiple Myeloma
The FULIMA study is a two-center study at Odense University Hospital and Vejle Hospital,
Denmark. The primary objective is to identify the optimal imaging technique for studies in
multiple myeloma with focus on PET/CT and MRI.
By combining early (1 hour) and late (3 hours) 18F-2-fluoro-2-deoxy-D-
fluorodeoxyglucose(18F-FDG)-PET/CT scans the investigators expect to see increased uptake of
radioactive tracer and thus an improved ability to identify malignant tissue. A second tracer
18F-natrium-fluoride is used to explore early signs of bone remodeling. By using new software
(ROVER) for interpreting PET data the investigators expect to obtain a quantitative
measurement of total disease burden with less risk of misinterpretation of data.
Diffusion weighted MRI (DWI) is a new MRI technique which, like PET/CT, makes it possible
quantitatively to calculate the overall disease activity and to give an early evaluation of
response to chemotherapy. The study examines DWI for development and standardization.
To validate imaging findings and to explore the pathogenetic heterogeneity of multiple
myeloma, the investigators perform CT guided biopsies from PET/ DWI positive sites.
Pathoanatomical and immunohistochemical findings and gene expression data from positive sites
are compared to random bone marrow. The question is whether disease heterogeneity may explain
the lack of FDG uptake in bone marrow in some patients? To the extent that the FULIMA study
produces useful data, the defined and standardized imaging techniques will form the basis of
a larger prospective study at national level in Denmark.
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