Document Detail


CT and PET/CT surveillance after combined modality treatment of supradiaphragmatic Hodgkin Lymphoma: a clinical and economic perspective.
MedLine Citation:
PMID:  23331161     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
ABSTRACT We studied the clinical benefits of radiological imaging, in the follow-up of patients after combined modality treatment for Stage I/II classical supradiaphragmatic Hodgkin Lymphoma (HL). Imaging data were collected for 78 adults treated 1996-2008. Median follow-up was 4.6 years. Six of the nine relapses were detected clinically. On average, 31 imaging studies/patient were performed with an estimated cost of $12,608/patient. Chest CTs accounted for 25%, abdominopelvic CTs 41%, and PET or PET/CT 22% of this expense. Only one patient recurred infradiaphragmatically. The estimated radiation dose from imaging was 399 mSv and 229 mSv per patient, in relapse and non-relapse groups, respectively. CT scans contributed over 80% of the imaging radiation exposure. The routine use of CT scans in the surveillance of HL patients after curative treatment adds to healthcare costs and total body radiation exposure with a low yield. History and physical exam remain effective tools for follow-up of patients.
Authors:
Vatsal Patel; Michael Buckstein; Rodolfo Perini; Christine Hill-Kayser; Jakub Svoboda; John P Plastaras
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-21
Journal Detail:
Title:  Leukemia & lymphoma     Volume:  -     ISSN:  1029-2403     ISO Abbreviation:  Leuk. Lymphoma     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9007422     Medline TA:  Leuk Lymphoma     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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