mSMART Myeloma Risk Stratification

mSMART cytogenetic risk stratification for multiple myeloma (standard vs high risk) from FISH translocations, del(17p), gain(1q), S-phase, and R-ISS III / high LDH.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

t
Yes
del(17p) / p53 deletion
Yes

Result: mSMART high risk (double hit) — 2 high-risk features.

The tool opens with these values already filled in. Replace them with your own.

What the result means

High-risk features
t(4;14), t(14;16), t(14;20), del(17p)/p53, gain(1q)/del(1p), high S-phase, R-ISS III / high LDH.
Groups
High risk if any feature present; two = double hit, ≥ 3 = triple hit; standard risk otherwise.

What you enter

  • t(4;14)
  • t(14;16)
  • t(14;20)
  • del(17p) / p53 deletion
  • gain(1q) / del(1p)
  • High plasma-cell S-phase
  • R-ISS III / high LDH
How this is calculated

Mikhael JR, Dingli D, Roy V, et al. Management of newly diagnosed symptomatic multiple myeloma: updated Mayo Stratification of Myeloma and Risk-Adapted Therapy (mSMART) consensus guidelines. Mayo Clin Proc. 2013;88(4):360-376. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.