The role of PET/CT in the modern treatment of Hodgkin lymphoma

Cancer Treat Rev. 2019 Jul:77:44-56. doi: 10.1016/j.ctrv.2019.06.002. Epub 2019 Jun 19.

Abstract

Classical Hodgkin Lymphoma is distinguished from other lymphomas by its peculiar biology and heterogeneous chemosensitivity. Most of the patients respond to the standard first-line treatment and are cured, however, in selected cases, the disease relapses or remains primarily refractory. Among predictive/prognostic factors 18FDG positron emission tomography (PET), fully integrated with computed tomography (PET/CT) proved to be extremely useful in identifying patients with poor prognosis at the time of diagnosis, during and at the end of treatment. The aim of this review is to present the current role of PET/CT in cHL at staging, interim and end of therapy assessment and its ability to guide treatment with a response- and risk-adapted strategy in clinical practice. Finally, quantitative PET measurement and the concurrent use of PET with selected biomarkers are discussed.

Keywords: ABVD; Hodgkin Lymphoma; Metabolic Tumor Volume; PET/CT; Radiomics; eBEACOPP.

Publication types

  • Review

MeSH terms

  • Hodgkin Disease / diagnosis*
  • Hodgkin Disease / therapy*
  • Humans
  • Positron Emission Tomography Computed Tomography / methods*
  • Randomized Controlled Trials as Topic