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Chinese Journal of Oncology Prevention and Treatment ›› 2020, Vol. 12 ›› Issue (2): 227-231.doi: 10.3969/j.issn.1674-5671.2020.02.22

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Implication of the SUVmax of 18F-FDG PET/CT images in predicting the therapeutic effects of non-Hodgkin's lymphoma

  

  1. Department of Nuclear Medicine, Department of Oncology,the First Affiliated Hospital of Xinjiang Medical University  
  • Online:2020-04-25 Published:2020-05-06

Abstract: Objective To explore the relationship between the maximum standard uptake value(SUVmax) of 18F-FDG PET/CT images and the therapeutic effects in patients with non-Hodgkin's lymphoma(NHL) before treatment. Methods The clinical data of 146 patients diagnosed with NHL by lymph node biopsy on 18F-FDG PET/CT images in our department from July 2017 to March 2019 were analyzed retrospectively. According to the International Working Organization Evaluation Standard for Lymphoma Efficacy(IWC),NHL patients with 6 courses of chemotherapy were divided into effective and ineffective groups to analyze the relationship between SUVmax and clini-copathological characteristics and curative effect. Results The clinical stage,malignancy,lesion size,necrosis,bone marrow infiltration,serum lactae dehydrogenase before treatment,Ki-67 positive rate in NHL patients were related to the SUVmax(P<0.05). The SUVmax before treatment of the ineffective group was higher than that of the effective group(16.68±6.16 vs 12.16±5.27,t=4.654,P=0.001). The optimal cut-off value of SUVmax to evaluate the efficacy of NHL patients before treatment was 14.836,the corresponding AUC was 0.835(95%CI:0.751-0.920),and the specificity was 80.0%,sensitivity was 77.4%. SUVmax>14.836 before treatment was an independent risk factor affecting the efficacy of NHL patients(OR=1.688, 95%CI:1.179-2.418,P=0.007). Conclusion The SUVmax in 18F-FDG PET/CT images can be used to evaluate the efficacy of NHL patients.

Key words: Non-Hodgkin's lymphoma, 18F-fluorodeoxyglucose PET/CT images, Maximum standard uptake value, Efficacy

CLC Number: 

  • R733.1