18F-fluorodeoxyglucose positron emission tomography for interim response assessment of diffuse large B-cell lymphoma
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Abstract: 18F-fluorodeoxyglucose positron emission tomography(PET)is acting as a major role for staging,assessment of remission and recurrence,and therapeutic evaluation in diffuse large B cell lymphoma.Nowadays,response-adapted or risk-adapted chemotherapy which depends on interim PET(I-PET)has being studied.For the positive I-PET,early alternative therapeutic approaches may improve outcome.However,the role of I-PET is in controversy.Since I-PET has a high negative predictive value but low positive predictive value,results of studies for I-PET have yielded mixed and confusing results.One of the major reasons is that the interpretation methods of IPET scan still need to be standardized,although the Deauville 5-point scale(5-PS)has been validated for use at the interim assessment.Here,we will review the assessment methods,including IHP,5-PS and semi-quantitative measurements,and the current status and clinical value of I-PET.
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Key words:
- interim PET /
- diffuse large B cell lymphoma /
- lymphoma /
- clinical value
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