Interim PET Scans in Diffuse Large B-Cell Lymphoma: Is It Ready for Prime Time?

Clin Lymphoma Myeloma Leuk. 2016 Dec;16(12):655-661. doi: 10.1016/j.clml.2016.08.020. Epub 2016 Sep 8.

Abstract

Prognostication of patients with diffuse large B-cell lymphoma (DLBCL) has improved in the past decade with a variety of clinical, morphologic, molecular, and radiographic methods. Comparable to data on the value of interim positron emission tomography (I-PET) in Hodgkin lymphoma, several retrospective and prospective studies are attempting to assess the value of I-PET scanning in DLBCL patients. In this review, we briefly describe and analyze the various prognostic methods in DLBCL with specific focus on the value of I-PET scanning in this disease. This is a timely analysis, as tailoring therapies based on prognosis at diagnosis are becoming of increased investigational interest.

Keywords: Interim imaging; Large-cell lymphoma; Lymphoma; PET scanning; Prognosis.

Publication types

  • Review

MeSH terms

  • Antibodies, Monoclonal, Murine-Derived / adverse effects
  • Antibodies, Monoclonal, Murine-Derived / therapeutic use
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • B-Lymphocytes / metabolism
  • B-Lymphocytes / pathology
  • Biomarkers, Tumor
  • Biopsy
  • Combined Modality Therapy
  • Cyclophosphamide / adverse effects
  • Cyclophosphamide / therapeutic use
  • Doxorubicin / adverse effects
  • Doxorubicin / therapeutic use
  • Hematopoietic Stem Cell Transplantation
  • Humans
  • Immunohistochemistry
  • Immunophenotyping
  • Lymphoma, Large B-Cell, Diffuse / diagnosis*
  • Lymphoma, Large B-Cell, Diffuse / etiology
  • Lymphoma, Large B-Cell, Diffuse / mortality
  • Lymphoma, Large B-Cell, Diffuse / therapy
  • Neoplasm Staging
  • Outcome Assessment, Health Care
  • Positron-Emission Tomography / methods*
  • Prednisone / adverse effects
  • Prednisone / therapeutic use
  • Prognosis
  • Rituximab
  • Vincristine / adverse effects
  • Vincristine / therapeutic use

Substances

  • Antibodies, Monoclonal, Murine-Derived
  • Biomarkers, Tumor
  • R-CHOP protocol
  • Rituximab
  • Vincristine
  • Doxorubicin
  • Cyclophosphamide
  • Prednisone