摘要
Introduction:Fluorine-18 fluorodeoxyglucose(18F-FDG)positron emission tomography/computed tomography(PET/CT)is a powerful tool for monitoring the response of diffuse large B-cell lymphoma(DLBCL)to therapy,but the criteria to interpret PET/CT results remain under debate.We investigated the value of post-treatment PET/CT in predicting the prognosis of DLBCL patients when interpreted according to qualitative visual trichotomous assessment(QVTA)criteria compared with the Deauvil e criteria.Methods:In this retrospective study,final PET/CT scans of DLBCL patients treated with rituximab-based regimens between October 2005 and November 2010 were interpreted using the Deauvil e and QVTA criteria.Survival curves were estimated using Kaplan-Meier analysis and compared using the log-rank test.Results:A total of 253 patients were enrol ed.The interpretation according to the Deauvil e criteria revealed that 181patients had negative PET/CT scan results and 72 had positive results.The 3 year overal survival(OS)rate was significantly higher in patients with negative scan results than in those with positive results(91.6%vs.57.5%,P<0.001).The72 patients with positive scan results according to the Deauville criteria were divided into two groups by the interpretation according to the QVTA criteria:29 had indeterminate results,and 43 had positive results.The 3 year OS rate was significantly higher in patients with indeterminate scan results than in those with positive results(91.2%vs.33.5%,P<0.001)but was similar between patients with negative and indeterminate scan results(91.6%vs.91.2%,P=0.921).Conclusions:Compared with the Deauvil e criteria,using the QVTA criteria for interpreting post-treatment PET/CT scans of DLBCL patients is likely to reduce the number of false positive results.The QVTA criteria are feasible for therapeutic outcome evaluation and can be used to guide risk-adapted therapy.
Introduction： Fluorine-18 fluorodeoxyglucose （18 F-FDG） positron emission tomography/computed tomography （PET/CT） is a powerful tool for monitoring the response of diffuse large B-cell lymphoma （DLBCL） to therapy, but the criteria to interpret PET/CT results remain under debate. We investigated the value of post-treatment PFT/CT in predicting the prognosis of DLBCL patients when interpreted according to qualitative visual trichotomous assessment （QVTA） criteria compared with the Deauville criteria. Methods： In this retrospective study, final PET/CT scans of DLBCL patients treated with rituximab-based regimens between October 2005 and November 2010 were interpreted using the Deauville and QVTA criteria. Survival curves were estimated using Kaplan-Meier analysis and compared using the log-rank test.
关键词
正电子发射断层扫描
计算机断层扫描
B细胞淋巴瘤
脱氧葡萄糖
定性视觉
预后
预测
评估
Diffuse large B-cell lymphoma, Positron emission tomography/computed tomography （PET/CT）,Prognosis, The qualitative visual trichotomous assessment （QVTA） criteria, The Deauville criteria
