ArticleEuropean journal of nuclear medicine and molecular imaging2026
Optimized PET/CT response assessment for prognostic stratification compared with Lugano criteria in extranodal NK/T-Cell lymphoma.
Article 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. Not yet cited in PubMed.
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Abstract
purposeExtranodal natural killer/T-cell lymphoma (ENKTL) is an aggressive malignancy and usually involves the nasal cavity. Although the Lugano criteria is widely used for lymphoma response assessment, its applicability in ENKTL is limited by reliance on a single pre-treatment reference and a positive reference threshold with high false-positive rate. This study proposed and evaluated the ability of a novel evaluation system derived from the Lugano criteria to predict ENKTL treatment response.
methodsA total of 259 patients underwent baseline, interim, and end-of-treatment [
resultsThe three novel systems reclassified patients initially evaluated by Lugano. Reclassification from partial response or stable disease to a worse response category by IPET and IPN correlated with worse outcomes, whereas reclassification to complete response by NPU or IPN predicted improved outcomes. The IPN achieved the highest C-index for prediction of PFS and OS and remained independently associated with survival after multivariable adjustment.
conclusionThe IPN, IPET, and NPU criteria were superior to the Lugano classification for prognostic stratification. The IPN criteria had the best prediction performance and allowed early identification of high-risk patients.
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