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International Journal of Hematology

, Volume 110, Issue 3, pp 331–339 | Cite as

Interim PET/CT in diffuse large B-cell lymphoma may facilitate identification of good-prognosis patients among IPI-stratified patients

  • Renata NyilasEmail author
  • Bence Farkas
  • Reka Rahel Bicsko
  • Ferenc Magyari
  • Laszlo Imre Pinczes
  • Arpad Illes
  • Lajos Gergely
Original Article

Abstract

Treating patients with DLBCL remains a challenge, as the response to first-line immunochemotherapy is somewhat unpredictable. The International Prognostic Index (IPI) is one of the most widely used methods for assessing prognosis. Interim PET/CT (iPET/CT) can play an important role in the early identification of ‘non-responder’ patients before the end of treatment examination. In this study, we retrospectively analyzed 104 newly diagnosed DLBCL patients treated with R-CHOP-like regimens who underwent iPET/CT imaging during therapy. There was a significant difference in 2-year OS between patients with negative iPET/CT and those with positive iPET/CT. Patients who had positive iPET/CT showed inferior 2-year PFS compared to those with negative iPET/CT. According to IPI, there was a statistically significant difference in 2-year OS and PFS between patients in the lower and higher risk groups. However, these patients can be further subdivided according to iPET/CT. The iPET/CT results in the present study clearly separate good- and poor-prognosis patients according to differences in 2-year OS, both in the lower and higher IPI risk groups. These results are in agreement with those of previous studies that demonstrated that iPET/CT has high negative predictive value, clearly identifying good-prognosis patients even within the poor-prognosis IPI group.

Keywords

Diffuse large B-cell lymphoma DLBCL Response PET/CT Interim PET/CT 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Japanese Society of Hematology 2019

Authors and Affiliations

  • Renata Nyilas
    • 1
    Email author
  • Bence Farkas
    • 2
  • Reka Rahel Bicsko
    • 1
  • Ferenc Magyari
    • 1
  • Laszlo Imre Pinczes
    • 1
  • Arpad Illes
    • 1
  • Lajos Gergely
    • 1
  1. 1.Department of Hematology, Faculty of MedicineUniversity of DebrecenDebrecenHungary
  2. 2.Department of Nuclear Medicine, Faculty of MedicineUniversity of DebrecenDebrecenHungary

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