Evidence map›Paper›PMID 42053512›Full record

ArticleJournal of computer assisted tomography

Analysis of 18 F-FDG PET/CT Imaging Features of Nodal Diffuse Large B-Cell Lymphoma and Follicular Lymphoma.

Hao Yu, Chaowei Li, Fei Jin, Wenwen Jiang, Yudong Sui, Lei Zeng, Yanli Wang, Na Fang

Abstract read
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Article in Journal of computer assisted tomography. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Hao YuQingdao Medical College of Qingdao University.ORCID 0009-0005-4543-1669
Chaowei LiDepartment of radiology, PET/CT, Qingdao Central Hospital, University of Health and Rehabilitation Sciences, Qingdao, China.
Fei JinDepartment of radiology, PET/CT, Qingdao Central Hospital, University of Health and Rehabilitation Sciences, Qingdao, China.
Wenwen JiangDepartment of radiology, PET/CT, Qingdao Central Hospital, University of Health and Rehabilitation Sciences, Qingdao, China.
Yudong SuiDepartment of radiology, PET/CT, Qingdao Central Hospital, University of Health and Rehabilitation Sciences, Qingdao, China.
Lei ZengDepartment of radiology, PET/CT, Qingdao Central Hospital, University of Health and Rehabilitation Sciences, Qingdao, China.
Yanli WangDepartment of radiology, PET/CT, Qingdao Central Hospital, University of Health and Rehabilitation Sciences, Qingdao, China.
Na FangDepartment of radiology, PET/CT, Qingdao Central Hospital, University of Health and Rehabilitation Sciences, Qingdao, China.ORCID 0000-0002-9358-2366

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn this study, we aimed to investigate the value of 18 F-fluorodeoxyglucose positron emission tomography/computed tomography ( 18 F-FDG PET/CT) in the differential diagnosis of nodal diffuse large B-cell lymphoma (DLBCL) and follicular lymphoma (FL) and to detect early FL transformation.

methodsWe retrospectively enrolled 141 and 56 patients with pathologically confirmed DLBCL and FL, respectively, who underwent 18 F-FDG PET/CT before treatment. The most metabolically active lymph nodes in each patient were selected to compare the imaging characteristics (including shape, size, density, adjacent tissue structures, and metabolism) between DLBCL and FL. Logistic regression was performed to identify the independent risk factors for DLBCL, and receiver operating characteristic (ROC) curve analysis was used to assess the diagnostic value of the different parameters.

resultsCompared with DLBCL, FL was more likely to affect the para-iliac (62.5% vs. 32.6%, P <0.05) and inguinal (50.0% vs. 28.4%, P <0.05) regions. Significant differences ( P <0.05) were observed between DLBCL and FL in lesion fusion, necrosis, surrounding fat stranding, adjacent organ involvement, nonround shape, SUV max , SUV peak , SUV mean , SUL max , SUL peak , SUL mean , lesion SUV max /liver SUV max (L/L), lesion SUV max /mediastinum SUV max (L/M), and total lesion glycolysis (TLG). Multivariate logistic regression analysis identified SUV max >12.35, necrosis, and surrounding fat stranding as independent risk factors of DLBCL. The diagnostic model achieved an area under the curve (AUC) of 0.882, with a sensitivity of 69.5% and specificity of 94.6% for diagnosing DLBCL.

conclusions¹⁸F-FDG PET/CT may provide greater diagnostic value in distinguishing nodal DLBCL from FL and probably aid in the early detection of FL transformation and thereby guide timely clinical intervention, which could improve the prognosis.

Indexed as

Fluorodeoxyglucose F18Lymphoma, FollicularLymphoma, Large B-Cell, DiffusePositron Emission Tomography Computed TomographyAdultAgedDiagnosis, DifferentialFemaleHumansLymph NodesMaleMiddle AgedRadiopharmaceuticalsReproducibility of ResultsRetrospective StudiesSensitivity and SpecificityFluorodeoxyglucose F18Radiopharmaceuticalsdifferential diagnosisdiffuse large B-cell lymphomafollicular lymphomapositron emission tomography

Identifiers

PMID42053512
PMCPMC13574342

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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.