A bone density test (DEXA scan) is not the right tool for spotting lytic lesions. It measures bone mineral density but isn't designed to detect the holes or erosions that myeloma can cause in bones.
For identifying lytic lesions, doctors typically use:
- X-rays – can show bone loss, thinning, and lytic lesions
- CT scans Show Full Answer
A bone density test (DEXA scan) is not the right tool for spotting lytic lesions. It measures bone mineral density but isn't designed to detect the holes or erosions that myeloma can cause in bones.
For identifying lytic lesions, doctors typically use:
- X-rays – can show bone loss, thinning, and lytic lesions
- CT scans – provide more detailed, 3D images of bone damage
- MRI scans – great for soft tissue and bone marrow detail
- PET/CT scans – can show active disease throughout the body
A skeletal survey, which images all the bones in the body, is a common approach used specifically in myeloma care. If there's any concern about bone pain or lesions, it's worth having a conversation with a doctor about which imaging option is most appropriate given the current stage and treatment history. The right choice really does depend on individual circumstances.
May 1
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