Positron Emission Tomography (PET) with FDG (a radiolabeled sugar molecule) is a nuclear medicine study that is able to detect areas of active cancer by showing areas of increased sugar metabolism.
Materials and Methods
NHL, treated on a doxorubicin chemotherapy regimen underwent PET scan at midtreatment.
All patients had an abnormal PET scan prior to treatment.
Each scan was reviewed by a group of nuclear medicine physicians.
Scans were graded as showing evidence of abnormal uptake or absence of abnormal FDG uptake.
After 3-4 cycles of chemotherapy, 33 patients showed persistent abnormal uptake of FDG on PET, whereas 37 pts had a negative scan.
31 of the 37 pts with negative midtreatment scans remained in CR, with a median follow-up of 1107 days.
When pts with negative midtreatment PETs were compared to those who had abnormal scans, those who achieved a midtreatment CR had a significantly better progression free survival and overall survival (p<0.00001)
PET was also better at predicting survival (OS, PFS) than the International Prognostic Index.
Early PET-FDG restaging at midtreatment may allow for the tailoring of chemotherapy in patients with aggressive NHL.
PET appears to be useful in the evaluation of cancer patients. But one must remeber that the accuracy of these studies is highly dependent on the person interpreting them.
Because PET is neither 100% sensitive or specific, results must be used in conjunction with other clinical information.
Sep 19, 2014 - The five-point Deauville scale, used to score 18F-fluorodeoxyglucose (FDG) uptake on FDG positron emission tomography-computed tomography scans, has prognostic value in follicular lymphoma, according to a study published online Sept. 18 in The Lancet Haematology.