Evidence map›Paper›PMID 40675973›Full record

Observational studyBlood cancer journal2025

Whole body MRI by MY-RADS for imaging response assessment in multiple myeloma.

Christina Messiou, Nuria Porta, Dow-Mu Koh, Angela Riddell, Katherine Downey, James Croft, Leonora Conneely, Georgina Hopkinson, Alina Dragan, Tommy Brown and 8 more

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Blood cancer journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02403102 (Imageguided Theranostics in Multiple Myeloma), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02403102 completednot on this map

Imageguided Theranostics in Multiple Myeloma

TypeobservationalSponsorInstitute of Cancer Research, United KingdomRan2015 to 2021Enrolled61ConditionsCancer, Myeloma
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Observational
  4. Review
  5. Article
  6. Review
  7. Predictive imaging biomarkers on whole-body diffusion-weighted MRI (WB-DWMRI) and [Cancer imaging : the official publication of the International Cancer Imaging Society · 2026
    Article
  8. Precision medicine in myeloma demands precision imaging: is whole body MRI the solution?Cancer imaging : the official publication of the International Cancer Imaging Society · 2026
    Article
  9. Article
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Christina MessiouThe Royal Marsden Hospital Foundation NHS Trust, London, UK. christina.messiou@rmh.nhs.uk.ORCID 0000-0002-0557-9379
Nuria PortaThe Institute of Cancer Research, London, UK.
Dow-Mu KohThe Royal Marsden Hospital Foundation NHS Trust, London, UK.
Angela RiddellThe Royal Marsden Hospital Foundation NHS Trust, London, UK.
Katherine DowneyThe Royal Marsden Hospital Foundation NHS Trust, London, UK.
James CroftThe Royal Marsden Hospital Foundation NHS Trust, London, UK.
Leonora ConneelyThe Royal Marsden Hospital Foundation NHS Trust, London, UK.
Georgina HopkinsonThe Royal Marsden Hospital Foundation NHS Trust, London, UK.ORCID 0000-0003-4967-8886
Alina DraganThe Royal Marsden Hospital Foundation NHS Trust, London, UK.
Tommy BrownThe Royal Marsden Hospital Foundation NHS Trust, London, UK.
Simon SternThe Royal Marsden Hospital Foundation NHS Trust, London, UK.
Betty CheungCroydon University Hospital, London, UK.
Charalampia KyriakouUniversity College London Hospitals NHS Foundation Trust, London, UK.
Pawel KaczmarekSurrey and Sussex Healthcare NHS Trust, Brighton, UK.
Kevin BoydThe Royal Marsden Hospital Foundation NHS Trust, London, UK.
Charlotte PawlynThe Royal Marsden Hospital Foundation NHS Trust, London, UK.ORCID 0000-0002-7190-0028
Jessica WinfieldThe Royal Marsden Hospital Foundation NHS Trust, London, UK.
Martin F KaiserThe Royal Marsden Hospital Foundation NHS Trust, London, UK.ORCID 0000-0002-3677-4804

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Minimal residual disease (MRD) testing has underpinned the evaluation and expansion of therapeutic options for patients with multiple myeloma (MM). Imaging is essential for evaluating residual disease status, overcoming sampling errors inherent with other MRD modalities. The accuracy of whole-body MRI (WB-MRI) has led to its incorporation into MM diagnostic imaging guidelines. We report here on the prospective iTIMM trial (image-guided theranostics in MM; NCT02403102), designed to evaluate imaging residual disease using contemporary, functional WB-MRI as per MY-RADS protocol. In iTIMM, 70 MM patients planned to undergo autologous stem cell transplantation ASCT in newly diagnosed MM or at first relapse, underwent WB-MRI before start of induction and at day 100 post-ASCT. Patients with residual disease post-ASCT (RAC2 or higher) had shorter progression-free survival (median 24 months, 95% confidence interval (CI): 19-41 vs. 42 months, 95% CI: 37-not evaluable (NE), log-rank p = 0.013; hazard ratio (HR) 2.09 (95% CI: 1.15-3.78) and overall survival (median 47 months, 95% CI: 30.9-NE vs. NE (95% CI: NE-NE), p = 0.002, HR = 5.45 (95% CI: 1.67-17.87) than those without (RAC1). Imaging response also refined the prognostic association of bone marrow MRD and serological response. Our results support WB-MRI implementation for evaluation of residual disease alongside conventional laboratory-based assessments.

Indexed as

Magnetic Resonance ImagingMultiple MyelomaWhole Body ImagingAdultAgedFemaleHematopoietic Stem Cell TransplantationHumansMaleMiddle AgedNeoplasm, ResidualProspective Studies

Identifiers

PMID40675973
PMCPMC12271311

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.