What is TMI?
Total marrow irradiation (TMI) is an advanced form of total body irradiation (TBI). This radiation therapy allows us to deliver precisely focused radiation to the major marrow sites where the cancer cells reside. Marrow is the soft, sponge-like tissue found inside most bones.
Using TomoTherapy®, TMI targets the radiation dosage to the skeletal bone structure, helping to improve recovery time and reduce radiation exposure to healthy organs.
TMI for multiple myeloma
TMI sometimes serves as part of the preparation process for multiple myeloma patients who will undergo stem cell transplantation. When used before a stem cell transplant, TMI can help the body make room for new, healthy bone marrow cells and help prevent the body’s rejection of the donated stem cells.
Helping you maintain your quality of life
Some potential side effects of TMI for multiple myeloma include nausea, diarrhea, fatigue, mouth sores and skin changes. Your multiple myeloma care team will proactively manage the side effects of TMI treatment.
Before, during and after your care, you’ll receive various integrative oncology services, such as nutrition therapy, naturopathic medicine, pain management, oncology rehabilitation and mind-body medicine. These therapies are designed to help keep you strong, stay nutritionally fortified and maintain your quality of life throughout your care.