| Literature DB >> 28798034 |
Sally F Barrington1, Peter W M Johnson2.
Abstract
PET/CT using 18F-FDG is an essential part of the management of patients with lymphoma. Efforts to standardize PET acquisition and reporting, including the 5-point Deauville scale, have enabled PET to become a surrogate for treatment success or failure in common lymphoma subtypes. This review summarizes the key clinical-trial evidence that supports PET-directed personalized approaches in lymphoma. PET-guided therapy has improved outcomes in Hodgkin lymphoma, using less chemotherapy and more selective radiotherapy. Attempts to intensify chemotherapy in aggressive non-Hodgkin lymphomas have, however, proved ineffective in patients treated with rituximab and chemotherapy. Trials are under way to determine whether PET can obviate consolidation radiotherapy in patients with diffuse large B-cell lymphoma and primary mediastinal B-cell lymphoma. More recently, PET has been reported to be a reliable predictor of outcome in follicular lymphoma requiring treatment, and prospective trials to test PET-guided therapy in this disease are anticipated.Entities:
Keywords: lymphoma; positron emission tomography; precision medicine
Mesh:
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Year: 2017 PMID: 28798034 PMCID: PMC5632732 DOI: 10.2967/jnumed.116.181347
Source DB: PubMed Journal: J Nucl Med ISSN: 0161-5505 Impact factor: 10.057