[18F]FDG-PET/CT volumetric parameters can predict outcome in untreated mantle cell lymphoma

被引:5
作者
Vergote, Vibeke K. J. [1 ]
Verhoef, Gregor [1 ]
Janssens, Ann [1 ]
Woei-A-Jin, F. J. Sherida H. [2 ]
Laenen, Annouschka [3 ]
Tousseyn, Thomas [4 ]
Dierickx, Daan [1 ]
Deroose, Christophe M. [5 ]
机构
[1] Univ Hosp Leuven, Hematol, Herestr 49, B-3000 Leuven, Belgium
[2] Univ Hosp Leuven, Gen Med Oncol, Leuven, Belgium
[3] Biostat & Stat Bioinformat Ctr, Leuven, Belgium
[4] Univ Hosp Leuven, Pathol, Leuven, Belgium
[5] Univ Hosp Leuven, Nucl Med, Leuven, Belgium
关键词
Mantle cell lymphoma; F-18]FDG-PET; CT; metabolic tumor volume; lesion dissemination; prognosis; METABOLIC TUMOR VOLUME; STAGE HODGKIN LYMPHOMA; PROGNOSTIC VALUE; RESPONSE ASSESSMENT; INDEX;
D O I
10.1080/10428194.2022.2131415
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Several studies have shown a strong predictive value for pretreatment [F-18]FDG-PET/CT metabolic parameters in different lymphoma subtypes. However, few publications exist concerning the role of metabolic parameters in mantle cell lymphoma (MCL). We retrospectively investigated the prognostic value of baseline metabolic tumor volume (MTV) and lesion dissemination in untreated MCL. We compared it to currently used prognostic factors such as stage, mantle cell lymphoma international prognostic index (MIPI) and KI-67. We report that a higher baseline MTV is a risk factor for worse overall survival (OS), progression-free survival (PFS), and disease-specific survival (DSS) in univariate analysis. In multivariate analysis, MTV was significantly associated with DSS, but not with OS and PFS. We found no correlation between lesion dissemination and outcome. The MIPI score remains the strongest predictor of outcome. These results show that MTV is an important prognostic tool and can improve patient risk stratification at staging of untreated MCL.
引用
收藏
页码:161 / 170
页数:10
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