Lymphoma, Large B-Cell, Diffuse
Conditions
Keywords
Positron-Emission Tomography, Prognosis
Brief summary
The purpose of this study is to evaluate whether 18F-FDG PET/CT-based prognostic model of diffuse large B-cell lymphoma can predict disease progression
Detailed description
In this study investigators develop a prognostic model based on 18F-FDG PET/CT and test its ability for prognostic value in patients with DLBCL. PET/CT scans evaluation using the liver SUVmax as reference. Positive lesions in PET were indicated as SUVmax of residues higher than the threshold (1.6 fold of liver SUVmax) or new 18F-FDG avid lesions. 18F-FDG PET/CT-based prognostic model includes PET/CT image, dominant clinical and pathological prognostic factors to predicting disease progression during chemotherapy or survival in DLBCL.
Interventions
18F-FDG PET/CT will be conducted before, during and after chemotherapy. Patients were instructed to fast for at least 6 h before PET. The blood glucose level was measured to ensure that it was \<200 mg/ dL. 18F-FDG was intravenously administered at a dose of 3.7 MBq/kg. Approximately 60 ± 10 min post- injection, a whole-body acquisition commenced in 6-8 bed positions (1 min/bed) using a hybrid system (PHILIPS Gemini TF) and covered from the base of the skull to the upper thigh, which was followed by CT in a non-contrast phase (modulated 100 mAs; 120 kV; slice thickness, 3 mm) for attenuation correction and anatomical localization purposes. The head acquisition was performed in one bed position (8-10 min/bed).
Sponsors
Study design
Eligibility
Inclusion criteria
1. newly diagnosed DLBCL; 2. treated using an anthracycline-containing regimen with or without rituximab; 3. minimal follow-up at 6 months after the completion of first-line treatment; 4. complete medical history and clinicopathological data
Exclusion criteria
1. secondary malignant disease; 2. serious infection or inflammation (e.g., HIV); 3. primary central nervous system lymphoma; 4. hepatic or renal dysfunction.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 2 year progression-free survival | up to 2 years after initial diagnosis |
Countries
China