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PET/CT在复发或难治性霍奇金淋巴瘤评估中的应用

PET/CT in the Evaluation of Relapsed or Refractory Hodgkin Lymphoma.

作者信息

Jauhari Shekeab, Nasta Sunita D

机构信息

Division of Hematology/Oncology, Duke University Medical Center, Durham, NC.

Division of Hematology/Oncology, Hospital of the University of Pennsylvania, Philadelphia.

出版信息

Am J Hematol Oncol. 2016 Sep;12(9):8-13.

Abstract

18F-fluorodeoxyglucose-positron emission tomography (FDG-PET) has been the most important advance in the assessment of Hodgkin lymphoma (HL) since the introduction of computed tomography (CT). In the frontline management of HL, FDG-PET combined with low-dose CT has emerged as the modality of choice for staging and treatment response assessment. Substantial data have accumulated over the past several years supporting the use of PET/CT in the evaluation and management of relapsed or refractory HL, as well. In this article, we review the role of PET/CT after the frontline treatment of HL, as well as the prognostic utility of PET/CT before autologous and allogeneic stem cell transplantation. We also review the use of PET/CT as a part of response-adapted treatment strategies in relapsed or refractory HL and implications for current and future clinical practice.

摘要

自计算机断层扫描(CT)问世以来,18F-氟脱氧葡萄糖正电子发射断层扫描(FDG-PET)一直是霍奇金淋巴瘤(HL)评估中最重要的进展。在HL的一线管理中,FDG-PET联合低剂量CT已成为分期和治疗反应评估的首选方式。在过去几年中积累了大量数据,支持将PET/CT用于复发或难治性HL的评估和管理。在本文中,我们回顾了PET/CT在HL一线治疗后的作用,以及PET/CT在自体和异基因干细胞移植前的预后效用。我们还回顾了PET/CT作为复发或难治性HL中适应性治疗策略一部分的应用及其对当前和未来临床实践的影响。

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本文引用的文献

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Treatment of Hodgkin lymphoma: a 50-year perspective.霍奇金淋巴瘤的治疗:50年回顾
J Clin Oncol. 2014 Jan 20;32(3):163-8. doi: 10.1200/JCO.2013.53.1194.
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How does PET/CT help in selecting therapy for patients with Hodgkin lymphoma?PET/CT 如何帮助霍奇金淋巴瘤患者选择治疗方法?
Hematology Am Soc Hematol Educ Program. 2012;2012:322-7. doi: 10.1182/asheducation-2012.1.322.

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