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Standardised uptake value of 18F-FDG on staging PET/CT in newly diagnosed patients with different subtypes of non-Hodgkin's lymphoma

Objectives:  Positron emission tomography using 2‐[fluorine‐18]‐fluoro‐2‐deoxy‐d‐glucose (18F‐FDG) is considered to be the most beneficial imaging method for staging patients with non‐Hodgkin’s lymphoma (NHL). The intensity of 18F‐FDG accumulation may be determined by calculating the so‐called stand...

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Published in:European journal of haematology 2011-01, Vol.86 (1), p.32-37
Main Authors: Papajík, Tomáš, Mysliveček, Miroslav, Šedová, Zuzana, Buriánková, Eva, Procházka, Vít, Koranda, Pavel, Raida, Luděk, Kubová, Zuzana, Palová, Miroslava, Kučerová, Ladislava, Flodr, Patrik, Jarkovský, Jiří, Dušek, Ladislav, Indrák, Karel
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container_title European journal of haematology
container_volume 86
creator Papajík, Tomáš
Mysliveček, Miroslav
Šedová, Zuzana
Buriánková, Eva
Procházka, Vít
Koranda, Pavel
Raida, Luděk
Kubová, Zuzana
Palová, Miroslava
Kučerová, Ladislava
Flodr, Patrik
Jarkovský, Jiří
Dušek, Ladislav
Indrák, Karel
description Objectives:  Positron emission tomography using 2‐[fluorine‐18]‐fluoro‐2‐deoxy‐d‐glucose (18F‐FDG) is considered to be the most beneficial imaging method for staging patients with non‐Hodgkin’s lymphoma (NHL). The intensity of 18F‐FDG accumulation may be determined by calculating the so‐called standardised uptake value (SUV). The study aimed at assessing the benefit of SUVmax determination in staging 18F‐FDG PET/CT in untreated patients with NHL. Methods:  One hundred and forty‐nine initial staging 18F‐FDG PET/CT scans performed in patients with NHL between January 2007 and August 2009 were assessed, and the SUVmax was determined. Results:  The highest mean and median values of SUVmax were observed in patients with diffuse large B‐cell lymphoma (DLBCL), the lowest mean and median values were found in small lymphocytic lymphoma. The overlap in SUVmax 
doi_str_mv 10.1111/j.1600-0609.2010.01532.x
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The intensity of 18F‐FDG accumulation may be determined by calculating the so‐called standardised uptake value (SUV). The study aimed at assessing the benefit of SUVmax determination in staging 18F‐FDG PET/CT in untreated patients with NHL. Methods:  One hundred and forty‐nine initial staging 18F‐FDG PET/CT scans performed in patients with NHL between January 2007 and August 2009 were assessed, and the SUVmax was determined. Results:  The highest mean and median values of SUVmax were observed in patients with diffuse large B‐cell lymphoma (DLBCL), the lowest mean and median values were found in small lymphocytic lymphoma. The overlap in SUVmax &lt; 10 between DLBCL and the other subgroups of NHL was very significant. Statistically, no correlation was found between the lactate dehydrogenase and SUVmax values. On the other hand, a correlation of the Ki‐67 proliferative index of tumour cells and SUVmax was revealed (r = 0.409, P &lt; 0.001). The geometric mean of SUVmax in patients with Ki‐67 ≤ 60 and those with Ki‐67 &gt; 60 was 8.8 and 14.3, respectively (P &lt; 0.001). Conclusions:  The results confirm that SUVmax is not beneficial for making a more precise diagnosis in most patients with NHL. Correlation of SUVmax with the Ki‐67 values suggests that SUVmax might have a prognostic values in NHL.</description><identifier>ISSN: 0902-4441</identifier><identifier>EISSN: 1600-0609</identifier><identifier>DOI: 10.1111/j.1600-0609.2010.01532.x</identifier><identifier>PMID: 20874822</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; computed tomography ; Female ; Fluorodeoxyglucose F18 - pharmacokinetics ; Humans ; Ki-67 Antigen - analysis ; L-Lactate Dehydrogenase - analysis ; Lymphoma, Non-Hodgkin - diagnosis ; Lymphoma, Non-Hodgkin - diagnostic imaging ; Male ; Middle Aged ; Neoplasm Staging - methods ; Neoplasm Staging - standards ; non-Hodgkin's lymphoma ; positron emission tomography ; Positron-Emission Tomography - methods ; Positron-Emission Tomography - standards ; Prognosis ; Sensitivity and Specificity ; standardised uptake value</subject><ispartof>European journal of haematology, 2011-01, Vol.86 (1), p.32-37</ispartof><rights>2010 John Wiley &amp; Sons A/S</rights><rights>2010 John Wiley &amp; Sons A/S.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2872-a1ca92f5c733c1ef64e32dff632ec1993262aa52616a30fe73d545220d5c059c3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20874822$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Papajík, Tomáš</creatorcontrib><creatorcontrib>Mysliveček, Miroslav</creatorcontrib><creatorcontrib>Šedová, Zuzana</creatorcontrib><creatorcontrib>Buriánková, Eva</creatorcontrib><creatorcontrib>Procházka, Vít</creatorcontrib><creatorcontrib>Koranda, Pavel</creatorcontrib><creatorcontrib>Raida, Luděk</creatorcontrib><creatorcontrib>Kubová, Zuzana</creatorcontrib><creatorcontrib>Palová, Miroslava</creatorcontrib><creatorcontrib>Kučerová, Ladislava</creatorcontrib><creatorcontrib>Flodr, Patrik</creatorcontrib><creatorcontrib>Jarkovský, Jiří</creatorcontrib><creatorcontrib>Dušek, Ladislav</creatorcontrib><creatorcontrib>Indrák, Karel</creatorcontrib><title>Standardised uptake value of 18F-FDG on staging PET/CT in newly diagnosed patients with different subtypes of non-Hodgkin's lymphoma</title><title>European journal of haematology</title><addtitle>Eur J Haematol</addtitle><description>Objectives:  Positron emission tomography using 2‐[fluorine‐18]‐fluoro‐2‐deoxy‐d‐glucose (18F‐FDG) is considered to be the most beneficial imaging method for staging patients with non‐Hodgkin’s lymphoma (NHL). The intensity of 18F‐FDG accumulation may be determined by calculating the so‐called standardised uptake value (SUV). The study aimed at assessing the benefit of SUVmax determination in staging 18F‐FDG PET/CT in untreated patients with NHL. Methods:  One hundred and forty‐nine initial staging 18F‐FDG PET/CT scans performed in patients with NHL between January 2007 and August 2009 were assessed, and the SUVmax was determined. Results:  The highest mean and median values of SUVmax were observed in patients with diffuse large B‐cell lymphoma (DLBCL), the lowest mean and median values were found in small lymphocytic lymphoma. The overlap in SUVmax &lt; 10 between DLBCL and the other subgroups of NHL was very significant. Statistically, no correlation was found between the lactate dehydrogenase and SUVmax values. On the other hand, a correlation of the Ki‐67 proliferative index of tumour cells and SUVmax was revealed (r = 0.409, P &lt; 0.001). The geometric mean of SUVmax in patients with Ki‐67 ≤ 60 and those with Ki‐67 &gt; 60 was 8.8 and 14.3, respectively (P &lt; 0.001). Conclusions:  The results confirm that SUVmax is not beneficial for making a more precise diagnosis in most patients with NHL. 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The intensity of 18F‐FDG accumulation may be determined by calculating the so‐called standardised uptake value (SUV). The study aimed at assessing the benefit of SUVmax determination in staging 18F‐FDG PET/CT in untreated patients with NHL. Methods:  One hundred and forty‐nine initial staging 18F‐FDG PET/CT scans performed in patients with NHL between January 2007 and August 2009 were assessed, and the SUVmax was determined. Results:  The highest mean and median values of SUVmax were observed in patients with diffuse large B‐cell lymphoma (DLBCL), the lowest mean and median values were found in small lymphocytic lymphoma. The overlap in SUVmax &lt; 10 between DLBCL and the other subgroups of NHL was very significant. Statistically, no correlation was found between the lactate dehydrogenase and SUVmax values. On the other hand, a correlation of the Ki‐67 proliferative index of tumour cells and SUVmax was revealed (r = 0.409, P &lt; 0.001). The geometric mean of SUVmax in patients with Ki‐67 ≤ 60 and those with Ki‐67 &gt; 60 was 8.8 and 14.3, respectively (P &lt; 0.001). Conclusions:  The results confirm that SUVmax is not beneficial for making a more precise diagnosis in most patients with NHL. Correlation of SUVmax with the Ki‐67 values suggests that SUVmax might have a prognostic values in NHL.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>20874822</pmid><doi>10.1111/j.1600-0609.2010.01532.x</doi><tpages>6</tpages></addata></record>
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subjects Adult
Aged
computed tomography
Female
Fluorodeoxyglucose F18 - pharmacokinetics
Humans
Ki-67 Antigen - analysis
L-Lactate Dehydrogenase - analysis
Lymphoma, Non-Hodgkin - diagnosis
Lymphoma, Non-Hodgkin - diagnostic imaging
Male
Middle Aged
Neoplasm Staging - methods
Neoplasm Staging - standards
non-Hodgkin's lymphoma
positron emission tomography
Positron-Emission Tomography - methods
Positron-Emission Tomography - standards
Prognosis
Sensitivity and Specificity
standardised uptake value
title Standardised uptake value of 18F-FDG on staging PET/CT in newly diagnosed patients with different subtypes of non-Hodgkin's lymphoma
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