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Prognostic value of interim FDG-PET in DLBCL
文献背景
文献解读
文献讨论
背景:DLBCL的治疗现状
J Hematol Oncol.2020 Dec 14;13(1):175
Nat Rev Clin Oncol. 2017,10:631-645
背景:how to improve?
动态危险分层
Cell.2019 Jul 25;178(3):699-713.e19.
背景:动态分层 精准施治
Cell.2019 Jul 25;178(3):699-713.e19.
背景:动态分层 精准施治
1. Positron Emission Tomography-Directed Therapy for Patients With Limited-Stage Diffuse Large B-Cell Lymphoma:
Results of Intergroup National Clinical Trials Network Study S1001.
2. Prognostic value of interim FDG-PET in diffuse large cell lymphoma: results from the CALGB 50303 Clinical Trial.
3. Dynamic risk assessment based on positron emission tomography scanning in diffuse large B-cell lymphoma: Post-hoc
analysis from the PETAL trial.
4. Interobserver Agreement of Interim and End-of-Treatment 18 F-FDG PET/CT in Diffuse Large B-Cell Lymphoma:
Impact on Clinical Practice and Trials.(HOVON Imaging Working Group)
5. Can the SUVmax-liver-based interpretation improve prognostic accuracy of interim and posttreatment 18F-FDG
PET/CT in patients with diffuse large B-cell lymphoma?
iPET在DLBCL意义的随机对照临床研究(部分)
ü iPET Scans in DLBCL : Is It Ready for Prime Time?
Clin Lymphoma Myeloma Leuk.2016;16(12):655-661
ü Δ SUVmax for interim PET in DLBCL: old is new
Blood. 2020;135(25):2202-2203
ü iPET-driven strategy in DLBCL :do we trust the driver?
Blood.2017;129(23):3059-3070
ü The role of PET in the first-line treatment of in DLBCL
Lancet Haematol.2021;8(1):e80-e93
ü Interim PET in lymphoma: from Deauville to Peking criteria. On the road, again…
Leuk Lymphoma.2018;59(3):523-525
iPET在DLBCL意义:专家的疑虑
关于PET结果判断当前认可的标准
ΔSUVmax方法
DS方法
文献背景
文献解读
文献讨论
Prognostic value of interim FDG-PET in DLBCL
-Results from the CALGB 50303 Clinical Trial
Blood.2020;135(25):2224-2234.
• to identify biomarkers of response by FDG-PET
• to evaluate the use of ΔSUVmax in defining response
研究目的
流程图
入组人群特征
基线SUVmax分布
• median SUVmax :24.3
• Range:5.9-77
“Low” = 1 / 2 / 3, “High” = 4 / 5
结果:采用DS方法评判iPET 结果
PFS OS
结果:ΔSUVmax变化与预后的关系
结果:采用ΔSUVmax评判iPET 结果
PFS OS
ü 2yr PFS:62.5% (95% CI: 42.8%– 91.4%) vs. 85.3% (95% CI: 79.4%–91.6%)
ü 2yr OS: 68.8% (95% CI: 49.4%–95.7%) vs. 93.8% (95% CI: 89.8%–98.1%)
结论:
ü In this phase 3 prospective clinical trial, ΔSUV on iPET predicted OS in large cell lymphoma
ü ΔSUV may be an imaging biomarker that can help guide clinical trials using PET response-adapted therapy
iPET-CT Guided Therapy of Aggressive Non-Hodgkin Lymphomas
-Results from the PETAL Clinical Trial
J Clin Oncol.2018 Jul 10;36(20):2024-2034
PETAL 研究: iPET-CT驱动的治疗策略
J Clin Oncol.2018 Jul 10;36(20):2024-2034
入组人群特征
iPET-CT 结果判定:采用DS方法
EFS OS
PETAL 研究: iPET-CT 结果对预后的影响
ü 2yr EFS:65.9% vs. 75.0%
ü 2yr OS: 80.8% vs. 88.1%
PETAL 研究: iPET-CT 结果对预后的影响
iPET-CT 结果判定:采用ΔSUVmax方法
EFS OS
ü 2yr EFS:36.7% vs. 75.6%
ü 2yr OS: 59.3% vs. 88.2%
ROC曲线对两种判读方法的比较
J Clin Oncol.2018 Jul 10;36(20):2024-2034
PETAL 研究: iPET-CT 结果对预后的影响
ü采用ΔSUVmax方法判断iPET-CT 结果优于DS方法
üiPET-CT结果可以预测预后
J Nucl Med.2021 Jan;62(1):37-42
iPET evaluation in DLBCL employing published recommendations
- Comparison of the Deauville 5-point scale and the ΔSUVmax method
Key points
J Clin Oncol.2015;33(23):2523-9
Predictive Value of iPET-CT in Patients With DLBCL Treated With R-CHOP-14
-Results from the SAKK 38/07 Clinical Trial
流程图
R-CHOP-14
结果:采用DS方法评判iPET 结果
ü 2yr EFS:41.4% vs. 75.9%
ü 2yr OS: 93.9% vs. 84.0%
结果:采用ΔSUVmax评判iPET 结果
ü 2yr EFS:42.1% vs. 61.2% (p=NS)
ü 2yr OS: 73.7% vs. 91.3%
iPET-CT in DLBCL predicts CR but has limited value in identifying patients
with poor outcome
-final result of a UK National Cancer Research Institute prospective study
Br J Haematol.2021 Feb;192(3):504-513
文献背景
文献解读
文献讨论
Prognostic value of iPET in DLBCL?
ü结果异质性的原因?
ü 疾病的异质性?方法抑制性?
Eur J Nucl Med Mol Imaging. 2013;40(9):1312-1320.
既往研究的结果
一项国际多中心回顾研究 • 评价iPET对DLBCL预后的意义
• 采用DS评分法与ΔSUVmax方法
Eur J Nucl Med Mol Imaging. 2013;40(9):1312-1320.
既往研究的结果
一项国际多中心回顾研究 • 评价iPET对DLBCL预后的意义 • 采用DS评分法与ΔSUVmax方法
Prognostic value of iPET in DLBCL?
üiPET 的价值:依然在路上?

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