PET imaging in a longitudinal non-Hodgkin's lymphoma study: association with tumor volume

Autor: Xingchen Wu, Maija Rossi, Hannu Eskola, Hannu Pertovaara, Ritva Järvenpää, Prasun Dastidar, Pasi Korkola, Seppo Soimakallio, Pirkko-Liisa Kellokumpu-Lehtinen
Rok vydání: 2011
Předmět:
Zdroj: Acta Radiologica. 52:995-1002
ISSN: 1600-0455
0284-1851
DOI: 10.1258/ar.2011.110099
Popis: Background Computed tomography (CT) is generally used in the evaluation of the treatment response of non-Hodgkin's lymphoma (NHL) patients. Instead of morphological images, positron emission tomography (PET) shows metabolic information that is connected to tumor activity, cell proliferation rate, and, thus, prognosis. Purpose To determine the prognostic value of PET for tumor volume reduction measured by CT and magnetic resonance imaging (MRI) along with clinical characteristics in NHL patients. Material and Methods We imaged 21 B-cell type NHL patients using whole-body 18F-FDG-PET at the onset and the completion of treatment and at six-month follow-up. The maximum standardized uptake value (SUVmax) was calculated. Morphological tumor volume calculations were assessed using both MRI and CT. Additionally, patients underwent thorough clinical examination including several laboratory tests. Results A high SUVmax was able to predict significant tumor volume reduction at the beginning of treatment, but the relation to pure tumor volume was poor. Conclusion The SUVmax values derived from FDG-PET seemed to correlate with volume changes but not with their absolute values or laboratory tests. Unlike MRI and CT, FDG-PET showed the disappearance of active tumors after treatment.
Databáze: OpenAIRE