Prognostic Value of FDG PET/CT in Patients with Nodal Peripheral T-Cell Lymphoma

This study evaluated the prognostic significance of FDG PET/CT in patients with nodal peripheral T-cell lymphoma (PTCL). We retrospectively reviewed patients with histologically confirmed nodal PTCL who underwent FDG PET/CT at baseline, after three cycles of first-line chemotherapy (interim), and at the end of therapy. Response was assessed visually using the Deauville 5-point scale (D5PS); scores of 1, 2, and 3 were considered PET-negative, and scores of 4 and 5 were considered PET-positive. The associations between FDG PET/CT findings and survival were assessed using Cox regression analysis. A total of 79 patients (44 males and 35 females; median age 56 years) were included in this study. In response assessment, 17 (22%) had an interim PET-positive result and 10 (13%) had an end-of-therapy PET-positive result. During a median follow-up of 50 months, 37 patients (47%) presented with disease progression and 30 patients (38%) died. The estimated 5-year progression-free survival (PFS) and overall survival (OS) were 57% and 64%, respectively. An interim PET-positive result was the only significant indicator of PFS. Higher International Prognostic Index and end-of-therapy PET-positive result were significant independent prognostic factors of OS. Interim and end-of-therapy FDG PET/CT responses based on D5PS are meaningful in predicting the outcomes of patients with nodal PTCL.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:13

Enthalten in:

Diagnostics (Basel, Switzerland) - 13(2023), 17 vom: 01. Sept.

Sprache:

Englisch

Beteiligte Personen:

Choi, Woo Hee [VerfasserIn]
Han, Eun Ji [VerfasserIn]
O, Joo Hyun [VerfasserIn]
Choi, Eun Kyoung [VerfasserIn]
Choi, Joon-Il [VerfasserIn]
Park, Gyeongsin [VerfasserIn]
Choi, Byung-Ock [VerfasserIn]
Jeon, Young-Woo [VerfasserIn]
Min, Gi-June [VerfasserIn]
Cho, Seok-Goo [VerfasserIn]
Catholic University Lymphoma Group [VerfasserIn]

Links:

Volltext

Themen:

Deauville score
FDG PET/CT
Journal Article
Peripheral T-cell lymphoma
Prognosis

Anmerkungen:

Date Revised 11.09.2023

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.3390/diagnostics13172834

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM361828659