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• W4313312445 abstract "Early identification of patients with diffuse large B-cell lymphoma (DLBCL) who are likely to experience disease recurrence or refractory disease after rituximab plus cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) would be useful for improving risk-adapted treatment strategies. We aimed to assess the prognostic value of ¹⁸F-FDG PET/CT parameters at baseline, interim, and end of treatment (EOT). <b>Methods:</b> We analyzed the prognostic impact of ¹⁸F-FDG PET/CT in 166 patients with DLBCL treated with a risk-adapted immunochemotherapy regimen. Scans were obtained at baseline, after 4 cycles of R-CHOP or 3 cycles of RR-CHOP (double dose of R) and 1 cycle of CHOP alone (interim) and 6 wk after completing therapy (EOT). Progression-free survival (PFS) and overall survival (OS) were estimated using Kaplan–Meier and the impact of clinical/PET factors assessed with Cox models. We also assessed the predictive ability of the recently proposed International Metabolic Prognostic Index (IMPI). <b>Results:</b> The median follow-up was 7.9 y. International Prognostic Index (IPI), baseline metabolic tumor volume (MTV), and change in maximum SUV (ΔSUV_max) at interim scans were statistically significant predictors for OS. Baseline MTV, interim ΔSUV_max, and EOT Deauville score were statistically significant predictors of PFS. Combining interim PET parameters demonstrated that patients with Deauville 4–5 and positive ΔSUV_max ≤ 70% at restaging (∼10% of the cohort) had extremely poor prognosis. The IMPI had limited discrimination and slightly overestimated the event rate in our cohort. <b>Conclusion:</b> Baseline MTV and interim ΔSUV_max predicted both PFS and OS with this sequential immunochemotherapy program. Combining interim Deauville score with interim ΔSUV_max may identify an extremely high-risk DLBCL population." @default.
• W4313312445 created "2023-01-06" @default.
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• W4313312445 date "2022-12-22" @default.
• W4313312445 modified "2023-10-15" @default.
• W4313312445 title "Prognostic Value of¹⁸F-FDG PET/CT in Diffuse Large B-Cell Lymphoma Treated with a Risk-Adapted Immunochemotherapy Regimen" @default.
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• W4313312445 doi "https://doi.org/10.2967/jnumed.122.264740" @default.
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