Evidence map›Paper›PMID 40956409›Full record

Trial reportEuropean journal of nuclear medicine and molecular imaging2026

Predictive and prognostic role of volumetric analyses and lymphoma dissemination in pediatric HL: a prospective, multicenter, cohort study.

Egesta Lopci, Caterina Elia, Valli De Re, Lara Mussolin, Arnoldo Piccardo, Angelina Cistaro, Maurizio Bianchi, Simona Bianchi, Salvatore Buffardi, Alberto Garaventa and 7 more

Erratum issuedAbstract readMulticenter StudyClinical Trial
PubMed Publisher
In one paragraph

Trial report in European journal of nuclear medicine and molecular imaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Egesta LopciNuclear Medicine, IRCCS - Humanitas Research Hospital, Rozzano, MI, Italy. egesta.lopci@gmail.com.ORCID 0000-0001-9732-1094
Caterina EliaRadiation Oncology, AYA and Pediatric Radiotherapy, Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, Aviano, Italy.
Valli De ReImmunopathology and Cancer Biomarkers, Department of Translational Research, Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, Aviano, Italy.
Lara MussolinPediatric Hemato-Oncology Clinic, Department of Women's and Children's Health, University of Padua, Institute of Paediatric Research Fondazione Città della Speranza, Padua, Italy.
Arnoldo PiccardoNuclear Medicine, Galliera Hospital, Genoa, Italy.
Angelina CistaroNuclear Medicine Division, Salus Alliance Medical, Genoa, Italy.
Maurizio BianchiRegina Margherita Hospital, Oncohematology, Torino, Italy.
Simona BianchiDepartment of Pediatric Hematology Oncology, Meyer Children's Hospital IRCCS, Florence, Italy.
Salvatore BuffardiDepartment of Oncology, Hospital Santobono-Pausilipon, Naples, Italy.
Alberto GaraventaUnit of Pediatric Oncology, IRCCS G. Gaslini Children Hospital, Genoa, Italy.
Pietro ZucchettaUnit of Nuclear Medicine, University Hospital of Padova, Padua, Italy.
Lars KurchDepartment of Nuclear Medicine, University Hospital Leipzig, Leipzig, Germany.
Angelo CastelloNuclear Medicine Unit, Ospedale Maggiore Policlinico, Fondazione IRCCS Ca' Granda, Milano, Italy.
Paol MuggeoPediatric Onco-Hematologic Unit, University Hospital, Bari, Italy.
Alessandra SalaPediatric Division, Hospital San Gerardo, Monza, Italy.
Luciana VintiDepartment of Pediatric Hematology and Oncology, IRCSS Ospedale Bambino Gesù, Rome, Italy.
Maurizio MascarinRadiation Oncology, AYA and Pediatric Radiotherapy, Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, Aviano, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of the present trial is to investigate the predictive and prognostic role of PET volumetric parameters and maximal dissemination (Dmax) in pediatric Hodgkin lymphoma (HL). MATERIALS AND

methodsThis is a prospective, multicenter study conducted in 35 AIEOP centers. Between March 2018 and December 2020, pediatric HL patients undergoing the same therapeutic trial have been enrolled. Patients underwent PET at baseline (PET0), for early (ERA), and late response assessment (LRA). The parameters analyzed were SUVmax, SUVmean, Dmax, TMTV (total metabolic tumor volume), TLG (total lesion glycolysis), and their (Δ) variations at different timing. Clinical and imaging parameters have been correlated to response, classified into adequate (AR) and inadequate (IR), based on protocol definition, and the event-free survival (EFS).

resultsOverall, 300 patients were enrolled: 144 were male (48%), 167 stage I-II and 133 stage III-IV, 114 presented with bulky masses (> 200 ml), whereas 167 patients showed B-symptoms. All PET0 parameters resulted significantly correlated to ERA PET. With respect to the outcome, volumetric parameters and Dmax resulted prognostic at PET0, while semi-quantitative parameters and Dmax resulted prognostic at ERA PET. At multivariate analyses, an independent prognostic role was proven for stage (p = 0.0026), bulky volume (p < 0.0001), and Dmax (p = 0.0388) at PET0. Whereas, Dmax (p = 0.0025) and ΔSUVmax (p = 0.0297) resulted independent prognostic factors at ERA. By combining factors, we found a significant difference for patients with no risk factors at PET0 compared to patients with three risk factors (HR 17.701; p < 0.0001). At ERA PET, the poorest outcome was reached in case of bi-factorial risks, with a mean EFS of 56.4 months (HR 23.489; p < 0.0001).

conclusionsTo our knowledge, this is the first large, prospective, multicenter study of its type in pediatric patients. Our findings demonstrate the role of PET volumetric parameters in pediatric HL. Moreover, as first evidence in children, Dmax showed a proper predictive and prognostic role in HL. By combining these factors, we could stratify patients into risk-groups based on the outcomes.

Indexed as

Hodgkin DiseasePositron-Emission TomographyTumor BurdenAdolescentChildChild, PreschoolFemaleHumansMalePrognosisProspective StudiesDmaxFDG PETHodgkin lymphomaLymphoma disseminationPediatricResponseVolumetric

Identifiers

PMID40956409

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.