Document Detail


Positron emission tomography/computed tomography: diagnostic accuracy in lymphoma.
MedLine Citation:
PMID:  17032175     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An accurate initial staging of patients with non-Hodgkin lymphoma (NHL) and Hodgkin lymphoma (HL) is critical for the selection of an appropriate treatment. Computed tomography (CT) remains the standard imaging technique, although it is based on anatomic criteria. Positron emission tomography (PET) with 2-deoxy-2-[fluorine-18]fluoro-d-glucose (FDG) provides useful functional information but requires anatomical correlation to localise lesions accurately. We have prospectively compared the accuracy of combined PET/CT with that of CT and PET alone at initial staging in lymphoma patients. Forty-seven newly diagnosed patients were evaluated. PET/CT was superior compared with CT and PET in nodal evaluation and detection of extranodal disease. Using a staging algorithm with PET/CT resulted in the disease stage being increased in 11 of 47 patients (10 NHL and 1 HL) (McNemar test P = 0.012). Therefore, a different treatment strategy based on PET/CT findings was suggested for seven patients (14.8%). PET/CT markedly improves accuracy in the diagnostic work-up of patients with lymphoma.
Authors:
Dolores Hernandez-Maraver; Fernando Hernandez-Navarro; Nieves Gomez-Leon; Juan Coya; Beatriz Rodriguez-Vigil; Rosario Madero; Immaculada Pinilla; Luis M Martin-Curto
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  British journal of haematology     Volume:  135     ISSN:  0007-1048     ISO Abbreviation:  Br. J. Haematol.     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-10-11     Completed Date:  2006-12-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372544     Medline TA:  Br J Haematol     Country:  England    
Other Details:
Languages:  eng     Pagination:  293-302     Citation Subset:  IM    
Affiliation:
Department of Haematology, La Paz University Hospital, Madrid, Spain. hernandezlola@mac.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Algorithms
Bone Marrow / pathology
Female
Fluorodeoxyglucose F18 / diagnostic use
Hodgkin Disease / drug therapy,  radiography
Humans
Lymphoma / drug therapy,  radiography*
Lymphoma, Non-Hodgkin / drug therapy,  radiography
Male
Middle Aged
Neoplasm Staging
Positron-Emission Tomography / methods*
Prospective Studies
Radiopharmaceuticals / diagnostic use
Tomography, X-Ray Computed / methods*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Radiopharmaceuticals; 63503-12-8/Fluorodeoxyglucose F18

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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