Volume 165, Issue 1 pp. 112-116
Short Report

The prognostic value of interim positron emission tomography scan in patients with classical Hodgkin lymphoma

Yasuhiro Oki

Yasuhiro Oki

Department of Lymphoma/Myeloma, The University of Texas, MD Anderson Cancer Center, Houston, TX, USA

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Hubert Chuang

Hubert Chuang

Department of Diagnostic Imaging, The University of Texas, MD Anderson Cancer Center, Houston, TX, USA

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Beth Chasen

Beth Chasen

Department of Diagnostic Imaging, The University of Texas, MD Anderson Cancer Center, Houston, TX, USA

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Aaron Jessop

Aaron Jessop

Department of Diagnostic Imaging, The University of Texas, MD Anderson Cancer Center, Houston, TX, USA

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Tinsu Pan

Tinsu Pan

Department of Diagnostic Imaging, The University of Texas, MD Anderson Cancer Center, Houston, TX, USA

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Michelle Fanale

Michelle Fanale

Department of Lymphoma/Myeloma, The University of Texas, MD Anderson Cancer Center, Houston, TX, USA

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Bouthaina Dabaja

Bouthaina Dabaja

Department of Radiation Oncology, The University of Texas, MD Anderson Cancer Center, Houston, TX, USA

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Nathan Fowler

Nathan Fowler

Department of Lymphoma/Myeloma, The University of Texas, MD Anderson Cancer Center, Houston, TX, USA

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Jorge Romaguera

Jorge Romaguera

Department of Lymphoma/Myeloma, The University of Texas, MD Anderson Cancer Center, Houston, TX, USA

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Luis Fayad

Luis Fayad

Department of Lymphoma/Myeloma, The University of Texas, MD Anderson Cancer Center, Houston, TX, USA

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Fredrick Hagemeister

Fredrick Hagemeister

Department of Lymphoma/Myeloma, The University of Texas, MD Anderson Cancer Center, Houston, TX, USA

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Maria Alma Rodriguez

Maria Alma Rodriguez

Department of Lymphoma/Myeloma, The University of Texas, MD Anderson Cancer Center, Houston, TX, USA

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Sattva Neelapu

Sattva Neelapu

Department of Lymphoma/Myeloma, The University of Texas, MD Anderson Cancer Center, Houston, TX, USA

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Felipe Samaniego

Felipe Samaniego

Department of Lymphoma/Myeloma, The University of Texas, MD Anderson Cancer Center, Houston, TX, USA

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Larry Kwak

Larry Kwak

Department of Lymphoma/Myeloma, The University of Texas, MD Anderson Cancer Center, Houston, TX, USA

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Anas Younes

Corresponding Author

Anas Younes

Department of Lymphoma/Myeloma, The University of Texas, MD Anderson Cancer Center, Houston, TX, USA

Correspondence: Anas Younes, Lymphoma Service, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, Box 330, New York, NY 10065, USA.

E-mail: [email protected]

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First published: 06 January 2014
Citations: 44

Summary

The prognostic value of interim positron emission tomography (PET) was evaluated after 2 cycles of doxorubicin, bleomycin, vinblastin and dacarbazine in classical Hodgkin lymphoma patients (n = 229), based on Deauville criteria. In early stage non-bulky disease, bulky stage II disease, advanced stage low International Prognostic Score (IPS ≤2) and advanced stage (IPS ≥3), 3-year progression-free survival rates in PET2-negative vs. PET2-positive groups were 95·9% vs. 76·9% (P < 0·0018), 83·3% vs. 20·0% (P = 0·017), 77·0% vs. 30·0% (P < 0·001) and 71·0% vs. 44·4%(P = 0·155), respectively. The outcome after positive PET2 was better than previously reported. The results from non-randomized studies of PET2-guided therapy would be valuable with careful interpretation.

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