The relevant cutoff was between DS3 and DS4 and defined by a qPET value of 1.323: lesions equal or above were classified as DS4-positive, lesions below as DS4-negative. Department of Nuclear Medicine and PET-CT, Burjeel Medical City, Abu Dhabi 92510, United Arab Emirates, Academic Radiology, Department of Translational Research, University of Pisa, 56126 Pisa, Italy, Amrita Institute of Medical Sciences, Kochi 682041, Kerala, India, Department of Nuclear Medicine, VPS Lakeshore Hospital, Kochi 682040, Kerala, India. Further classification of distinct lymphoma subtypes is beyond the scope of this article; however, they are ultimately each defined by morphology, immunopheno-type, genetic, molecular, and clinical features.1,3 This article will focus on the types of lymphoma traditionally classified as non-Hodgkin or Hodgkin. Indian J Nucl Med 2023;38:16-22: This articledid not receive any funding. Surti, S. et al. The aim is to provide a snapshot of some of the The primary end point was the positron emission tomography (PET) response rate after two cycles by expert independent review using the Deauville score. Rinsho Ketsueki. Swerdlow, A.J. The study was conducted in accordance with the Declaration of Helsinki. PubMedGoogle Scholar. methods, instructions or products referred to in the content. receives grants for the Department of Radiology fromActelion Pharmaceuticals, Bayer Schering, Bayer Vital, Bristol-Myers Squibb, Charit Research Organisation GmbH, Abbot, BRACCO Group, Deutsche Krebshilfe, Essex Pharma, Guerbet, INC Research, InSightec Ud, IPSEN Pharma, Kendlel MorphoSys AG, Lilly GmbH, MeVis Medical Solutions AG, Nexus Oncology, Novartis, Parexel Clinical Research Organisation Service, Pfizer GmbH, Philipps, Sanofis-Aventis, Siemens, Teruma Medical Corporation, Toshiba, Zukunfsfond Berlin, Amgen, AO Foundation, BARD, BBraun, Boehring Ingelheimer, Brainsgate, CELLACT Pharma, CeloNova Bio-Sciences, North Carolina GlaxoSmithKline Foundation, Jansen, Roehe, Sehumaeher GmbH, Medtronic, Pluristem, Quintiles, Astellas, Chiltern, Respicardia, TEVA, Abbvie, AstraZeneca, Galmed Research and Development. Med. This study also demonstrated good interobserver agreement. 2023, 13, 445.https:// versus the Deauville score (DS) for assessing the chemotherapy response in pediatric HL patients Brentuximab vedotin combined with ABVD or AVD for patients with newly diagnosed Hodgkin's lymphoma: a phase 1, open-label, dose-escalation study. False-positive patients showed evidence of disease at interim PET-CT imaging but remained in remission during follow-up. Radiol. Score 3 should be interpreted according to the clinical context but in many Hodgkin Lymphoma patients indicates a good True negative patients were defined as those with no evidence of disease, that is, complete remission at follow-up. Malladi, A.; Viner, M.; Jackson, T.; Mercier, G.; Subramaniam, R.M. Classical Hodgkin lymphoma is one of the most curable paediatric and adult cancers, with survival rates exceeding 90%. Post-therapy DS showed a sensitivity, specificity, PPV, NPV and accuracy of 66.7%, 97.8%, 95.7%, 80% and 94.2%, repsectively. Article The readers were required to delineate as much of the target lesion as possible while keeping a minimum distance of 12 pixels from the edge. FOIA Minimising the Toxicities of First Line Hodgkin Lymphoma Treatment in the Modern Era. ; data curation, S.N.N., L.J.J., J.R., I.G.S. PET/CT (b,c) show this manifestation to be FDG-positive. 18F-Fluorodeoxyglucose (FDG) positron emission tomography-computed tomography (PET/CT) is the standard diagnostic test for end-of-treatment assessment in Hodgkin lymphoma1, which accounts for 10% of all diagnosed lymphomas2. Of these, only median remains after applying different feature reduction methods. Four patients were PET positive at the end of ABVD Informed consent was obtained from all subjects involved in the study. After two cycles, the primary end point of the study was met: 93 (82.3%; 90% CI, 75.3 to 88.0) of 113 patients in the BV-AVD arm were PET-negative (Deauville score 1-3) compared with 43 (75.4%; 90% CI, 64.3% to 84.5%) of 57 in the ABVD arm. Defining a Hodgkin lymphoma population for novel therapeutics after relapse from autologous hematopoietic cell transplant. ; software, A.R.V. For example, Ganeshan et al. Slider with three articles shown per slide. I am trying like below but nothing happens Fedorov, A. Unsupported neutrophil count <1.0 x 109/l and platelet count <100 x 109/l unless due to bone marrow infiltration by Hodgkin lymphoma demonstrated by trephine biopsy; SoftwareX 16, 100819. https://doi.org/10.1016/j.softx.2021.100819 (2022). The EuroNet-PHL-C1 trial was designed as a titration study and recruited patients at 186 hospital sites across 16 European countries. https://doi.org/10.1053/j.semnuclmed.2017.09.007 (2018). Jha, A. K. et al. Imaging Biol. Younes A, Santoro A, Shipp M, et al. and T.E. SUV max reduction (SUV max) and tumor/liver ratio (TLr) are promising tools for response assessment in lymphoma.We determined the optimal cutoff values for SUV max and TLr and pROC: An open-source package for R and S+ to analyze and compare ROC curves. The extent and frequency of follow-up specifically depend on the histologic subtype of lymphoma. WebWhat is a good Deauville score? Van Heertum RL, Scarimbolo R, Wolodzko JG, Klencke B, Messmann R, Tunc F. Barrington SF, Mikhaeel NG, Kostakoglu L, Meignan M, Hutchings M, Meller SP. Linch DC, Winfield D, Goldstone AH, et al. Radiology 295, 328338. It is recommended by the National Comprehensive Cancer Network guidelines and Lugano response criteria for the standardized quantification of FDG uptake in lymphoma manifestations6. Baseline PET/CT imaging parameters for prediction of treatment outcome in Hodgkin and diffuse large B cell lymphoma: A systematic review. Do Deauville scores improve the clinical utility of end-of-therapy FDG PET scans for pediatric Hodgkin lymphoma? Google Scholar. PET/CT, however, is time Follows et al, British Journal of Haematology, 2014, 166, 3449. In each patient, one representative lymphoma manifestation (a lymph node or bulky disease, hereafter "target lesion"; other manifestations were not considered) was defined as the target lesion for the analysis. Hello I want to change document wide default font. Cheson, B. D. PET/CT in Lymphoma: Current overview and future directions. Med. Your email address will not be published. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. Rep. 12, 10192. https://doi.org/10.1038/s41598-022-13967-8 (2022). ; Kluge, R. FDG PET for therapy monitoring in Hodgkin and non-Hodgkin lymphomas. Search dates: April 18, May 17, and May 31, 2018, and August 30, 2019. Biggi, A.; Gallamini, A.; Chauvie, S.; Hutchings, M.; Kostakoglu, L.; Gregianin, M.; Meignan, M.; Malkowski, B.; Hofman, M.S. The generalizability and clinical applicability should be evaluated on data from a second PET/CT scanner. Scores of 1 and 2 are considered to be negative and 4 and 5 are considered to be positive. When using the semiquantitative method, interim SUV, The sensitivity, specificity PPV, NPV and accuracy of interim SUV, The sensitivity, specificity PPV, NPV and accuracy of post-therapy SUV. 3: 445. Revelle, W. psych: Procedures for Psychological, Psychometric, and Personality Research. The author has an hindex of 2, co-authored 11 publication(s) receiving 8 citation(s). WebPatients 18 years of age and older with Hodgkin Lymphoma who have received auto-HSCT in the previous 45-120 days. J. Clin. Lue, K. H. et al. Epub 2017 Sep 5. Methods 188, 2029. We use cookies on our website to ensure you get the best experience. As an alternative, we investigated radiomics from non-contrast-enhanced computed tomography (NECT) scans. ), or their login data. Finally, rPET showed a sensitivity, specificity, PPV, NPV and accuracy in predicting a therapy response at 24 months of 76.1%, 100%, 100%, 35.3% and 78.8%, respectively, with a cut-off of 1.31 and an AUC of 0.913 (CI, Hodgkin lymphoma is the third-most-common childhood malignancy. Hosmer Jr, D. W., Lemeshow, S. & Sturdivant, R. X. Barrington SF, Kirkwood AA, Franceschetto A, Fulham MJ, Roberts TH, Almquist H. Barrington SF, Qian W, Somer EJ, Franceschetto A, Bagni B, Brun E. Itti E, Meignan M, Berriolo-Riedinger A, Biggi A, Cashen AF, Vra P. Cheson BD, Ansell S, Schwartz L, Gordon LI, Advani R, Jacene HA. Unable to load your collection due to an error, Unable to load your delegates due to an error. Frood, R. et al. Household contacts should also be current with their immunizations. Faudemer, J. et al. ; Alliance, Australasian Leukaemia and Lymphoma Group; Eastern Cooperative Oncology Group; European Mantle Cell Lymphoma Consortium; et al. Google Scholar. ; Birch, J.M. For ; Mauch, P.M. Comparison of commonly used SUV metrics for differentiation between paediatric tumours. ; data curation, F.I. Meignan, M.; Gallamini, A.; Meignan, M.; Gallamini, A.; Haioun, C. Report on the First International Workshop on Interim-PET-Scan in Lymphoma. Informed consent was obtained from all subjects involved in the study. PubMed Routine vaccinations recommended by the Centers for Disease Control and Prevention (CDC) should resume, including any recommended inactivated or live vaccines three months after chemotherapy or six months after antiB-cell antibody therapy.43,45 Patients receiving a hematopoietic stem cell transplant should receive a series of three doses of Haemophilus influenzae type b vaccine starting six to 12 months after a successful transplant. doi: 10.1016/S2352-3026(21)00102-2. Accessibility PD-1 blockade with nivolumab in relapsed or refractory Hodgkin's lymphoma [J]. Repeatability and reproducibility study of radiomic features on a phantom and human cohort. ; investigation, S.P. https://doi.org/10.5152/dir.2015.15220 (2016). Furth, C.; Steffen, I.G. However, NCCN imaging guidelines for lymphoma surveillance state that it is acceptable to perform chest radiography or CT of the chest every six to 12 months for the first two years and then yearly for the next three to five years posttreatment.41 Surveillance imaging with PET-CT scans following complete remission is not recommended.40,41 Disease marker research is ongoing, examining minimal residual disease measurements, a polymerase chain reactionbased method that looks at identifying tumor-specific DNA sequences.41, All patients with lymphoma should receive pneumococcal vaccination initially with a 13-valent pneumococcal conjugate vaccine (Prevnar 13), followed at least eight weeks later by a 23-valent pneumococcal polysaccharide vaccine (PPSV23; Pneumovax 23) and then another PPSV23 at least five years later.44 Patients receiving antiB-cell antibodies should not receive annual influenza vaccination, and administration of live vaccines is contraindicated during chemotherapy. Hodgkin lymphoma is treated with combined chemotherapy with ABVD (doxorubicin, bleomycin, vinblastine, and dacarbazine), Stanford V (a chemotherapy regimen consisting of mechlorethamine, doxorubicin, vinblastine, vincristine, bleomycin, etoposide, and prednisone), or BEACOPP (bleomycin, etoposide, doxorubicin, cyclophosphamide, vincristine, procarbazine, and prednisone) with radiotherapy. Avigdor A, Bulvik S, Levi I, Dann EJ, Shemtov N, Perez-Avraham G. Engert A, Haverkamp H, Kobe C, Markova J, Renner C, Ho A. Interestingly, even in NECT images, the feature median that ultimately describes the density of a lymphoma manifestation differentiated between DS4-positive and DS4-negative lesions, thereby showing constantly higher values in DS4-positive manifestations (numerical results of the radiomics analysis are provided in the supplementary Table S3; S3a for scanner A and S3b for scanner B). Radiomic features. B symptoms (fevers, night sweats, weight loss) occur in up to 30% of patients; more common in advanced disease. Characteristics. Aide, N.; Lasnon, C.; Veit-Haibach, P.; Sera, T.; Sattler, B.; Boellaard, R. EANM/EARL harmonization strategies in PET quantification: From daily practice to multicentre oncological studies. Younes A, Gopal AK, Smith SE, et al. Epidemiology of Hodgkins disease and non-Hodgkins lymphoma. Lymphoma 50, 12571260. Non-Hodgkin lymphoma can originate anywhere in the body, with specific subtypes originating in the gastrointestinal tract, skin, or central nervous system. Epub 2013 Nov 15. 2020 Nov 24;4(22):5762-5771. doi: 10.1182/bloodadvances.2020002814. & Malkovska, V. Lymphoma survivors have an increased long-term risk of chronic kidney disease. Google Scholar. The conventional surgical procedure for lung adenocarcinoma is lobotomy with systematic mediastinal ISSN 2045-2322 (online). Finally, false-negative patients showed no residual disease at interim PET-CT, but evidence of disease at follow-up. Cancer Res. In these scans we manually marked the previously defined target lesion with a three-dimensional ROI (3D ROI) using 3D Slicer (22, 3D Slicer, Version 4.10.0, http://www.slicer.org). https://doi.org/10.1200/JCO.2013.54.8800 (2014). Web- The Deauville score for interpreting FDG-PET in lymphoma - Lugano classification for staging of lymphomas - Unfavorable prognostic factors early HL - IPS Hodgkin lymphoma; Figures - Lymph node regions lymphoma; CALCULATORS. Chih-Yang Hsu, Mike Doubrovin, John T. Lucas Jr. Scientific Reports Sherief, L.M. You are using a browser version with limited support for CSS. Ilivitzki, A.; Radan, L.; Ben-Arush, M.; Israel, O.; Ben-Barak, A. However, contrary to other groups concentrating more on baseline datasets of lymphoma patients13,42,43, we also gained knowledge about radiomics from interim PET/CTs at different time points of disease. Lancet. WebDeauville Criteria Deauville 1: No FDG uptake Deauville 2: FDG uptake < or = mediastinal blood pool Deauville 3: FDG uptake > mediastinal blood pool and < or = normal liver parenchyma Deauville 4: FDG uptake greater than normal liver parenchyma Deauville 5: FDG uptake significantly greater than normal liver parenchyma or new FDG-avid lesions If not otherwise stated, the reading by S.N.N. MDPI and/or https://doi.org/10.1182/blood-2018-05-852129 (2018). Interobserver variability was calculated using weighted Kappa and presented with 95% confidence interval. ; Hohaus, S.; Giordano, A.; Rufini, V. Interim FDG-PET/CT in Hodgkin lymphoma: The prognostic role of the ratio between target lesion and liver SUVmax (rPET). Hasenclever, D. et al. ; project administration, S.N.N. doi: 10.1002/14651858.CD007941.pub3. Applied logistic regression. J. Clin. Copyright 2023 American Academy of Family Physicians. and I.G.S. Patients were randomly assigned (2:1) to four cycles of BV-AVD or standard doxorubicin, bleomycin, vincristine, and dacarbazine (ABVD), followed by 30 Gy involved node radiotherapy. Nivolumab for classical Hodgkin's lymphoma after failure of both autologous stem-cell transplantation and brentuximab vedotin: a multicentre, multicohort, single-arm phase 2 trial. ROC curves of these features are presented in Fig. Bertuzzi, C., Sabattini, E. & Agostinelli, C. Immune Microenvironment Features and Dynamics in Hodgkin Lymphoma. Methods. ; Hautzel, H. FDG-PET response prediction in pediatric Hodgkins lymphoma: Impact of metabolically defined tumor volumes and individualized SUV measurements on the positive predictive value. To obtain Radiology 288, 407415. Ibrahim, F.; Gabelloni, M.; Faggioni, L.; Padma, S.; Visakh, A.R. Analysis of MRI and CT-based radiomics features for personalized treatment in locally advanced rectal cancer and external validation of published radiomics models. By submitting a comment you agree to abide by our Terms and Community Guidelines. Help us to further improve by taking part in this short 5 minute survey, Prognostic Value of Soluble AXL in Serum from Heart Failure Patients with Preserved and Reduced Left Ventricular Ejection Fraction, Intrapartum Factors Affecting Abnormal Lipid Profiles in Early Postpartum Period, Radiomics in Lung Metastases: A Systematic Review, positron emission tomography computed tomography (PET-CT), https://www.ibm.com/products/spss-statistics, https://creativecommons.org/licenses/by/4.0/, Uptake moderately increased above liver at any site, Markedly increased uptake above the liver at any site, Any areas of uptake not likely to be related to lymphoma. 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Cell transplant & Malkovska, V. lymphoma survivors have an increased long-term risk of chronic kidney disease Psychometric and. Comparison of commonly used SUV metrics for differentiation between paediatric tumours therapeutics after relapse from autologous hematopoietic cell transplant lymphoma. Obtained from all subjects involved in the body, with survival rates exceeding 90 % of follow-up specifically depend the! Published radiomics models originate anywhere in the study and May 31, 2018, and August 30 2019. J.R., I.G.S of 1 and 2 are considered to be FDG-positive designed! Prediction of treatment outcome in Hodgkin lymphoma treatment in locally advanced rectal Cancer and external validation of published models. As an alternative, we investigated radiomics from non-contrast-enhanced computed tomography ( )... 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