RT Journal Article
SR Electronic
T1 FDG PET/CT for prognostic stratification of patients with nodal peripheral T cell lymphoma.
JF Journal of Nuclear Medicine
JO J Nucl Med
FD Society of Nuclear Medicine
SP 1687
OP 1687
VO 62
IS supplement 1
A1 Woo Hee Choi
A1 Eun Ji Han
A1 Joo Hyun O
A1 Seok-Goo Cho
YR 2021
UL http://jnm.snmjournals.org/content/62/supplement_1/1687.abstract
AB 1687Objectives: This study aimed to evaluate the prognostic significance of FDG PET/CT in patients with nodal peripheral T cell lymphoma (PTCL). Methods: We retrospectively reviewed 71 patients with histologically confirmed nodal PTCL who performed FDG PET/CT at baseline, after 3 cycles of first-line chemotherapy (interim), and after completion of chemotherapy (final). Response was assessed visually by Deauville 5-point scale (D5PS), and scores 1, 2, and 3 were considered PET-negative and scores 4 and 5 were considered PET-positive. The association between FDG PET response and survival was assessed using Cox regression analysis. Results: In total, FDG PET/CT images of 71 patients (40 male and 31 female; median age, 57 years, range, 18-77 years) were included. Of these patients, 13 (18.3%) had interim PET-positive result and 13 (18.3%) had final PET-positive result. The median overall (OS) and progression-free survival (PFS) were 16 and 40 months, respectively. Interim PET-positive result was a significant independent prognostic factor for PFS (Hazard ratio 2.551, p=0.018) in both univariate and multivariate analysis. Final PET-positive result was a significant independent prognostic factor of poor PFS (Hazard ratio 2.826, p=0.011) and OS (Hazard ratio 4.546, p=0.001). Conclusions: Interim and final PET/CT response based on D5PS were important prognostic parameters in patients with nodal PTCL.