Clinical value of 18F-FDG PET/CT in the management of HIV-associated lymphoma

Front Oncol. 2023 Jan 26:13:1117064. doi: 10.3389/fonc.2023.1117064. eCollection 2023.

Abstract

HIV is still a major public health problem. At present, HIV-associated lymphoma remains the leading cause of deaths among people living with HIV, which should be paid more attention to. 18F-fluorodeoxglucose (FDG) PET/CT has been recommended in the initial staging, restaging, response assessment and prognostic prediction of lymphomas in general population. HIV-associated lymphoma is, however, a different entity from lymphoma in HIV-negative with a poorer prognosis. The ability to accurately risk-stratify HIV-infected patients with lymphoma will help guide treatment strategy and improve the prognosis. In the review, the current clinical applications of 18F-FDG PET/CT in HIV-associated lymphoma will be discussed, such as diagnosis, initial staging, response evaluation, prognostic prediction, PET-guided radiotherapy decision, and surveillance for recurrence. Moreover, future perspectives will also be presented.

Keywords: 18F-FDG PET; Burkitt’s lymphoma; HIV; Hodgkin’s lymphoma; diffuse large B-cell lymphoma.

Publication types

  • Review