1.Department of Nuclear Medicine, Shanghai First Poeple’s Hospital, Shanghai Jiaotong University, Shanghai200080, China
Corresponding author, zjh1963@gmail.com
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Yi-Wen SUN, Jin-Hua ZHAO, Wen-Li QIAO, et al. Prognostic significance of interim 18F-FDG PET/CT SUV reduction associated with Ki67 in patients with diffuse large B-cell lymphoma. [J]. Nuclear Science and Techniques 25(2):020304(2014)
Yi-Wen SUN, Jin-Hua ZHAO, Wen-Li QIAO, et al. Prognostic significance of interim 18F-FDG PET/CT SUV reduction associated with Ki67 in patients with diffuse large B-cell lymphoma. [J]. Nuclear Science and Techniques 25(2):020304(2014) DOI: 10.13538/j.1001-8042/nst.25.020304.
To detect the prognostic significance of interim ,18,F-FDG PET/CT SUV (standard uptake value) reduction (,Δ,SUV,max,) associated with Ki67 in patients with diffuse large B cell lymphoma (DLBCL). 47 DLBCL patients underwent PET/CT before initiation and after 2–4 cycles of chemotherapy were included. The SUV,max, of the dominant lesions were calculated. Ki67 positive indices were provided by enzyme-labeled immuno-histochemistry. SPSS17.0 was used for statistical analysis. ,Δ,SUV,max, of different groups were compared by t test. Receiver-operator characteristic analysis was performed to determine the optimal cutoff values. Kaplan-Meier analyses of PFS (Progression-free survival) were compared using log-rank test. The average of ,Δ,SUV,max, and ,Δ,SUV,max,% were 11.53 and 69.10%, respectively. The optimal cutoff values of ,Δ,SUV,max, and ,Δ,SUV,max,% were 11.45 and 82.92%, respectively. Higher ,Δ,SUV,max, and ,Δ,SUV,max,% indicated longer PFS (,p,<,0.001). The optimal cutoff value of Ki67 was 55%. Ki67,≥,55% was revealed to be an indicator of shorter PFS (,p,=0.019). Either ,Δ,SUV,max,≤,11.45 or Ki67,>,55% was defined as an indicator to poor outcome and scored 1 point. The PFS rate was 100% in patients scored 0 point, yet 0% in patients scored 2 points. PFS tended to be shorter along with the score getting higher (,p,=0.006). ,Δ,SUV,max, and Ki67 positive index were both of significance in DLBCL prognosis. The prognostic value may be confirmed when ,Δ,SUV,max, was accordant with Ki67.
Diffuse large B cell lymphomaStandard uptake valueKi67Prognosis
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