RT Journal Article T1 Imaging and bone marrow assessments improve minimal residual disease prediction in multiple myeloma. A1 Alonso, Rafael A1 Cedena, María Teresa A1 Gómez-Grande, Adolfo A1 Ríos, Rafael A1 Moraleda, José María A1 Cabañas, Valentín A1 Moreno, María José A1 López-Jiménez, Javier A1 Martín, Fernando A1 Sanz, Alejandro A1 Valeri, Antonio A1 Jiménez, Ana A1 Sánchez, Ricardo A1 Lahuerta, Juan José A1 Martínez-López, Joaquín AB The value of minimal residual disease (MRD) status by bone marrow and imaging analysis as independent prognostic factors has been well established in multiple myeloma (MM). Nevertheless data about their potential complementarity for a more accurate assessment are limited. With this aim, we retrospectively analyzed the prediction of outcome with the combination of PET-CT and MRD, assessed by multiparameter flow cytometry (MFC) in 103 patients with newly diagnosed MM. We confirmed the benefit in terms of progression-free survival (PFS), linked to the achievement of negativity by MFC (hazard ratio [HR] 0.53; 95% confidence interval [CI]: 0.28-0.98), and PET-CT (HR 0.18; 95% CI: 0.09-0.36) individually. By combining both techniques, patients who became MRD-/PET-, with a median of PFS 92 months, had significant prolonged median PFS (P YR 2019 FD 2019-06-09 LK http://hdl.handle.net/10668/13936 UL http://hdl.handle.net/10668/13936 LA en DS RISalud RD Jul 30, 2025