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Myeloma: diagnosis and management [NG35]

Measuring the use of this guidance

Recommendation: 1.3.2

Consider whole‑body MRI as first‑line imaging.

What was measured: Proportion of teaching hospitals reporting that whole-body MRI was the preferred first-line imaging test at their institution for suspected melanoma.
Data collection end: October 2017
17.9%
Number that met the criteria: 5 / 28
Area covered: UK
Source: Westerland Olwen Amy, Pratt Guy, Kazmi Majid, El-Najjar Inas, et al. British Society of Haematology Imaging Practice Guidelines Working, and Group . (2018). National survey of imaging practice for suspected or confirmed plasma cell malignancies. The British journal of radiology, https://doi.org/10.1259/bjr.20180462.

What was measured: Proportion of district general hospitals reporting that whole-body MRI was the preferred first-line imaging test at their institution for suspected melanoma.
Data collection end: October 2017
3.2%
Number that met the criteria: 1 / 31
Area covered: UK
Source: Westerland Olwen Amy, Pratt Guy, Kazmi Majid, El-Najjar Inas, et al. British Society of Haematology Imaging Practice Guidelines Working, and Group . (2018). National survey of imaging practice for suspected or confirmed plasma cell malignancies. The British journal of radiology, https://doi.org/10.1259/bjr.20180462.


Recommendation: 1.3.3

Consider whole‑body low‑dose CT as first‑line imaging if whole‑body MRI is unsuitable or the person declines it.

What was measured: Proportion of teaching hospitals reporting that whole-body CT was the preferred first-line imaging test at their institution for suspected melanoma.
Data collection end: October 2017
25%
Number that met the criteria: 7 / 28
Area covered: UK
Source: Westerland Olwen Amy, Pratt Guy, Kazmi Majid, El-Najjar Inas, et al. British Society of Haematology Imaging Practice Guidelines Working, and Group . (2018). National survey of imaging practice for suspected or confirmed plasma cell malignancies. The British journal of radiology, https://doi.org/10.1259/bjr.20180462.

What was measured: Proportion of district general hospitals reporting that whole-body CT was the preferred first-line imaging test at their institution for suspected melanoma.
Data collection end: October 2017
35.5%
Number that met the criteria: 11 / 31
Area covered: UK
Source: Westerland Olwen Amy, Pratt Guy, Kazmi Majid, El-Najjar Inas, et al. British Society of Haematology Imaging Practice Guidelines Working, and Group . (2018). National survey of imaging practice for suspected or confirmed plasma cell malignancies. The British journal of radiology, https://doi.org/10.1259/bjr.20180462.


Recommendation: 1.3.4

Only consider skeletal survey as first‑line imaging if whole‑body MRI and whole‑body low‑dose CT are unsuitable or the person declines them.

What was measured: Proportion of teaching hospitals reporting that skeletal survey was the preferred first-line imaging test at their institution for suspected melanoma.
Data collection end: October 2017
39.3%
Number that met the criteria: 11 / 28
Area covered: UK
Source: Westerland Olwen Amy, Pratt Guy, Kazmi Majid, El-Najjar Inas, et al. British Society of Haematology Imaging Practice Guidelines Working, and Group . (2018). National survey of imaging practice for suspected or confirmed plasma cell malignancies. The British journal of radiology, https://doi.org/10.1259/bjr.20180462.

What was measured: Proportion of district general hospitals reporting that skeletal survey was the preferred first-line imaging test at their institution for suspected melanoma.
Data collection end: October 2017
48.4%
Number that met the criteria: 15 / 31
Area covered: UK
Source: Westerland Olwen Amy, Pratt Guy, Kazmi Majid, El-Najjar Inas, et al. British Society of Haematology Imaging Practice Guidelines Working, and Group . (2018). National survey of imaging practice for suspected or confirmed plasma cell malignancies. The British journal of radiology, https://doi.org/10.1259/bjr.20180462.


Recommendation: 1.3.6

For people with newly diagnosed myeloma or smouldering myeloma who have not had whole‑body imaging with 1 of the following, consider whole‑body imaging to assess for myeloma‑related bone disease and extra‑medullary plasmacytomas with one of: - MRI - CT - fluorodeoxyglucose positron emission tomography CT (FDG PET‑CT).

What was measured: Proportion of teaching hospitals reporting that whole-body MRI was the preferred first-line imaging test at their institution for confirmed melanoma.
Data collection end: October 2017
14.3%
Number that met the criteria: 4 / 28
Area covered: UK
Source: Westerland Olwen Amy, Pratt Guy, Kazmi Majid, El-Najjar Inas, et al. British Society of Haematology Imaging Practice Guidelines Working, and Group . (2018). National survey of imaging practice for suspected or confirmed plasma cell malignancies. The British journal of radiology, https://doi.org/10.1259/bjr.20180462.

What was measured: Proportion of district general hospitals reporting that whole-body MRI was the preferred first-line imaging test at their institution for confirmed melanoma.
Data collection end: October 2017
6.5%
Number that met the criteria: 2 / 31
Area covered: UK
Source: Westerland Olwen Amy, Pratt Guy, Kazmi Majid, El-Najjar Inas, et al. British Society of Haematology Imaging Practice Guidelines Working, and Group . (2018). National survey of imaging practice for suspected or confirmed plasma cell malignancies. The British journal of radiology, https://doi.org/10.1259/bjr.20180462.

What was measured: Proportion of teaching hospitals reporting that whole-body CT was the preferred first-line imaging test at their institution for confirmed melanoma.
Data collection end: October 2017
25%
Number that met the criteria: 7 / 28
Area covered: UK
Source: Westerland Olwen Amy, Pratt Guy, Kazmi Majid, El-Najjar Inas, et al. British Society of Haematology Imaging Practice Guidelines Working, and Group . (2018). National survey of imaging practice for suspected or confirmed plasma cell malignancies. The British journal of radiology, https://doi.org/10.1259/bjr.20180462.

What was measured: Proportion of district general hospitals reporting that whole-body CT was the preferred first-line imaging test at their institution for confirmed melanoma.
Data collection end: October 2017
29%
Number that met the criteria: 9 / 31
Area covered: UK
Source: Westerland Olwen Amy, Pratt Guy, Kazmi Majid, El-Najjar Inas, et al. British Society of Haematology Imaging Practice Guidelines Working, and Group . (2018). National survey of imaging practice for suspected or confirmed plasma cell malignancies. The British journal of radiology, https://doi.org/10.1259/bjr.20180462.



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