The role of <sup>18</sup>F-FDG PET/CT in evaluation of therapy effectiveness and prognosis of lymphomas
Aim. To determine the diagnostic value of positron emission tomography (PET)/computed tomography (CT) with F-18 fluorodeoxyglucose (18F-FDG) for monitoring the effectiveness and prognosis of lymphoma therapy.Materials and methods. Retrospective data of 18F-FDG PET/CT (before treatment (PET1), after...
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| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Siberian State Medical University (Tomsk)
2021-07-01
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| Series: | Бюллетень сибирской медицины |
| Subjects: | |
| Online Access: | https://bulletin.ssmu.ru/jour/article/view/4388 |
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| Summary: | Aim. To determine the diagnostic value of positron emission tomography (PET)/computed tomography (CT) with F-18 fluorodeoxyglucose (18F-FDG) for monitoring the effectiveness and prognosis of lymphoma therapy.Materials and methods. Retrospective data of 18F-FDG PET/CT (before treatment (PET1), after two cycles (PET2), and after completion of chemotherapy (PET3)) in 30 people with lymphomas were analyzed.Results. A complete metabolic response in PET2 (PET2–) was observed in 21 patients (70%). In 9 patients in PET2–, a partial metabolic response (6 people), lack of metabolic response (2 people), or metabolic progression (1person) were detected. These patients comprised the PET2+ group.After chemotherapy, a complete metabolic response (PET3–) was diagnosed in 26 patients (87%). This effect was achieved in 21 patients (100%) with PET2– and in 5 patients (66%) with PET2+. Of the 9 patients in the PET2+ group, in 4 (44%) patients, a partial metabolic response or no metabolic response was diagnosed. Further monitoring of these patients showed that progression was diagnosed in 2 cases, and in 2 patients, further treatment resulted in complete remission. A two-year follow-up of patients revealed that remission was observed in 20 (67%) patients. The analysis of the results of PET2 showed that a relapse of the disease was observed in 6 (67%) PET2+ patients and remission was noted in 3 (33%) patients. In PET2– patients, a relapse was diagnosed in 4 (19%) persons, and remission was established in 17 (81%) patients.Conclusion. Early PET/CT with 18F-FDG allows to predict the effect of lymphoma treatment. The method can be recommended for monitoring lymphoma therapy. |
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| ISSN: | 1682-0363 1819-3684 |