New Insights in Multiple Myeloma

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Hematology".

Deadline for manuscript submissions: closed (25 March 2024) | Viewed by 2217

Special Issue Editor


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Guest Editor
Department of Hematology, University Hospital La Princesa, Universidad Autónoma de Madrid, Madrid, Spain
Interests: clinical and laboratory hematology; stem cell transplantation; multiple myeloma; monoclonal gammopathies; acute leukemia; lymphoma; transfusion medicine; immunotherapy; precision medicine

Special Issue Information

Dear Colleagues,

It is my honor to serve as the Guest Editor of the Special Issue “New Insights in Multiple Myeloma” of the Journal of Clinical Medicine, and I would like to invite you to submit a relevant review and/or paper with new data from your research in the field. This Special Issue will serve as a great opportunity to highlight the main advances in this heterogeneous disease.

Multiple myeloma is perhaps the haematological neoplasia with more advances in the development of new therapies in the past two decades that have improved dramatically the prognosis. These new approaches include mainly immunomodulators, proteasome inhibitors, naked or conjugated monoclonal antibodies, bispecific T-cell engagers and CART therapies. Besides, high-dose alkilating agents, used as conditioning regimen for autologous transplants in younger myeloma patients, the use of chemotherapy has been practically eliminated from the therapy arsenal for this disease. With these new strategies a high percentage of patients achieve depth responses with long progression survival and some case could be considered with potential curability. New drugs and combinations are under clinical research for those patients who eventually relapse. Recent international treatment guidelines have been published and deserve continuous updates.

Other major advances for myeloma treatment include new tools to monitor minimal residual disease after therapy.  This involves all the disease steps with  new strategies for early detection of biological relapsed or progression with changes in the immune profile and the quantification of circulating  tumour plasma cells. The diagnosis and prognosis stratification of multiple myeloma is also being refined with new approaches as mass spectrometry, new image techniques and analysis of molecular genetic signature for personalized treatments. All these advances will be presented in this review by expert authors with a practical focus to improve the management of multiple myeloma patients.

I look forward to receiving your submissions.

Prof. Dr. Adrián Alegre
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

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Keywords

  • multiple myeloma
  • stem cell transplantation
  • immunotherapy
  • precision medicine

Published Papers (1 paper)

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Review

32 pages, 4681 KiB  
Review
Imaging of Multiple Myeloma: Present and Future
by Víctor Rodríguez-Laval, Blanca Lumbreras-Fernández, Beatriz Aguado-Bueno and Nieves Gómez-León
J. Clin. Med. 2024, 13(1), 264; https://doi.org/10.3390/jcm13010264 - 02 Jan 2024
Viewed by 1872
Abstract
Multiple myeloma (MM) is the second most common adult hematologic malignancy, and early intervention increases survival in asymptomatic high-risk patients. Imaging is crucial for the diagnosis and follow-up of MM, as the detection of bone and bone marrow lesions often dictates the decision [...] Read more.
Multiple myeloma (MM) is the second most common adult hematologic malignancy, and early intervention increases survival in asymptomatic high-risk patients. Imaging is crucial for the diagnosis and follow-up of MM, as the detection of bone and bone marrow lesions often dictates the decision to start treatment. Low-dose whole-body computed tomography (CT) is the modality of choice for the initial assessment, and dual-energy CT is a developing technique with the potential for detecting non-lytic marrow infiltration and evaluating the response to treatment. Magnetic resonance imaging (MRI) is more sensitive and specific than 18F-fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT) for the detection of small focal lesions and diffuse marrow infiltration. However, FDG-PET/CT is recommended as the modality of choice for follow-up. Recently, diffusion-weighted MRI has become a new technique for the quantitative assessment of disease burden and therapy response. Although not widespread, we address current proposals for structured reporting to promote standardization and diminish variations. This review provides an up-to-date overview of MM imaging, indications, advantages, limitations, and recommended reporting of each technique. We also cover the main differential diagnosis and pitfalls and discuss the ongoing controversies and future directions, such as PET-MRI and artificial intelligence. Full article
(This article belongs to the Special Issue New Insights in Multiple Myeloma)
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