Evidence map›Paper›PMID 42159922›Full record

ArticleAnnals of nuclear medicine2026

Baseline FDG PET/CT SUVmax predicts POD24 and progression-free survival in newly diagnosed follicular lymphoma.

Yu-Chieh Lin, Chin-Chuan Chang, Tsung-Jang Yeh, Tzu-Yu Hsieh, Min-Hong Wang, Jeng-Shiun Du, Yuh-Ching Gau, Ching-I Yang, Ching-Ping Lee, Wen-Hsin Chang and 5 more

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Article in Annals of nuclear medicine, 2026. 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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5 · Who and what money

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15 authors.

Yu-Chieh LinDivision of Hematology and Oncology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, 807, Taiwan.
Chin-Chuan ChangDepartment of Nuclear Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, 807, Taiwan.
Tsung-Jang YehDivision of Hematology and Oncology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, 807, Taiwan.
Tzu-Yu HsiehDivision of Hematology and Oncology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, 807, Taiwan.
Min-Hong WangDivision of Hematology and Oncology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, 807, Taiwan.
Jeng-Shiun DuDivision of Hematology and Oncology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, 807, Taiwan.
Yuh-Ching GauDivision of Hematology and Oncology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, 807, Taiwan.
Ching-I YangDivision of Hematology and Oncology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, 807, Taiwan.
Ching-Ping LeeDivision of Hematology and Oncology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, 807, Taiwan.
Wen-Hsin ChangDivision of Hematology and Oncology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, 807, Taiwan.
Chin-Mu HsuDivision of Hematology and Oncology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, 807, Taiwan.
Hui-Ching WangDivision of Hematology and Oncology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, 807, Taiwan.
Hui-Hua HsiaoDivision of Hematology and Oncology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, 807, Taiwan.
Yi-Chang LiuDivision of Hematology and Oncology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, 807, Taiwan.
Shih-Feng ChoDivision of Hematology and Oncology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, 807, Taiwan. sfcho@kmu.edu.tw.ORCID http://orcid.org/0000-0002-9884-9429

Funding

Kaohsiung Medical University KMU-TC113A04Kaohsiung Medical University KMU-TC113B04Kaohsiung Medical University Chung-Ho Memorial Hospital KMUH111-1R15Kaohsiung Medical University Chung-Ho Memorial Hospital KMUH112-2R23Kaohsiung Medical University Chung-Ho Memorial Hospital KMUH114-4M16Kaohsiung Medical University Chung-Ho Memorial Hospital KMUH-DK(B)114002-1Kaohsiung Medical University Chung-Ho Memorial Hospital KMUH-DK(B)115004-1Kaohsiung Medical University Chung-Ho Memorial Hospital KMUH-DK(C)115001
6 · The paper itself

Abstract

objectiveProgression of disease within 24 months (POD24) identifies high-risk follicular lymphoma (FL) patients with poor outcomes. The prognostic role of baseline 18 F-FDG PET/CT maximum standardized uptake value (SUVmax) in follicular lymphoma (FL) remains uncertain, especially in Asian populations. We examined the association between baseline SUVmax and POD24, as well as its prognostic relevance for progression-free survival (PFS) in newly diagnosed FL patients.

methodsWe retrospectively analyzed 119 newly diagnosed FL patients who underwent baseline 18 F-FDG PET/CT at a single institution between 2012 and 2024. Whole-body SUVmax (the highest SUVmax across all lesions) and site-specific SUVmax values were recorded. Clinical variables, including baseline laboratory parameters and histologic grade, were collected. Receiver operating characteristic (ROC) analysis was used to explore an optimal SUVmax cutoff for POD24. Associations with POD24 and PFS were evaluated using Kaplan-Meier analysis and Cox proportional hazards models.

resultsThe median PFS was 54.3 months, and 24.4% of patients experienced POD24. Higher baseline SUVmax was associated with shorter PFS across evaluated sites. ROC analysis showed modest ability to distinguish patients with POD24, with an optimal whole-body SUVmax cutoff of 14.5. Patients with SUVmax > 14.5 had significantly inferior PFS compared with those with SUVmax ≤ 14.5 (median PFS 38.2 months vs. not reached; log-rank p = 0.024) and a higher incidence of POD24 (44.4% vs. 20.8%). In Cox regression, SUVmax as a continuous variable was associated with PFS (HR 1.065, 95% CI 1.008-1.125, p = 0.025), and SUVmax > 14.5 remained an independent predictor of inferior PFS after multivariable adjustment (HR 2.645, 95% CI 1.082-6.467, p = 0.033).

conclusionsBaseline whole-body SUVmax is an independent predictor of PFS. A ROC-derived cutoff of 14.5 identified patients with inferior PFS and was associated with a higher incidence of POD24 in newly diagnosed FL. Given its simplicity and availability, SUVmax may serve as a practical adjunctive metabolic biomarker to support baseline risk assessment in routine clinical practice.

Indexed as

Fluorodeoxyglucose F18Lymphoma, FollicularPositron Emission Tomography Computed TomographyAdultAgedDisease ProgressionFemaleHumansMaleMiddle AgedPrognosisProgression-Free SurvivalRetrospective StudiesFluorodeoxyglucose F18Follicular lymphomaPET/CTPOD24Progression-free survivalSUVmax

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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.