3D CT reconstruction
Images at CT scans can be modeled in 3D reconstruction. This technique may help the orthopedic specialist when surgery is planned. The following pictures (A: anterior view; B: posterior view) show a fracture of the right femur in a patient with multiple myeloma (my personal archive):
The bone densitometry (DEXA scan)
can give 3 possible results:
Patients with myeloma-related osteopenia or osteoporosis typically need montthly bisphosphonates, and daily supplements of calcium and vitamin D.
The following bone densitometry (my personal archive) shows osteopenia. In this particular patient, the T score is -2.1 standard deviation in the lumbar spine, and -2.4 standard deviation in the right femur. The 10-year probability of hip fracture is about 2%.
Giampaolo Talamo, M.D.