التفاصيل البيبلوغرافية
العنوان: |
Analysis of Positive Results of 18F-FDG PET/CT Imaging after Hematopoietic Stem Cell Transplantation in Lymphoma |
المؤلفون: |
Na Dai, Rongcui Cai, Shengming Deng, Shibiao Sang |
المصدر: |
Diagnostics; Volume 13; Issue 12; Pages: 2027 |
بيانات النشر: |
Multidisciplinary Digital Publishing Institute |
سنة النشر: |
2023 |
المجموعة: |
MDPI Open Access Publishing |
مصطلحات موضوعية: |
lymphoma, SCT, post-transplantation 18 F-FDG PET/CT, Deauville score, false-positive FDG uptake |
الوصف: |
Purpose: The purpose of this study was to differentiate between false-positive and true-positive positron emission tomography (PET) results after hematopoietic stem cell transplantation (SCT) for lymphoma involvement by analyzing several clinical variables and specific imaging features. Patients and Methods: Patients with lymphoma who received SCT and underwent post-transplantation 18F-FDG PET/CT scans between January 2013 and April 2021 at our institution were included. Associations between PET positivity and related clinical information were assessed using t-tests and χ2 tests. The significance of variables differentiating benign lesions from malignant FDG-avid lesions was evaluated by logistic regression analysis. Survival probabilities were derived from Kaplan-Meier curves and compared using the log-rank test. Results: A total of 185 patients (235 post-transplantation PET/CT scans) were enrolled in our present study. Compared with those with true-positive PET results, patients with false-positive PET results exhibited a better prognosis. For the autologous SCT group, false-positive cases were more commonly seen when FDG-avid foci appeared outside the sites of the original disease (p = 0.004), and the integrated CT imaging showed negative results (p = 0.000). In multivariate logistic regression analysis, integrated CT results were the only significant factor. For the allogeneic SCT group, false-positive cases were significantly more commonly seen when DS = 4 (p = 0.046), FDG-avid foci appeared outside the sites of the original disease (p = 0.022), and the integrated CT imaging showed negative results (p = 0.001). In a multivariate logistic regression analysis, whether FDG-avid foci were in the sites of the original disease and integrated CT results were both significant factors. Conclusion: False-positive FDG uptake in post-transplantation PET was not uncommon. Several variables could provide an important reference to differentiate false-positive from true-positive post-SCT PET results for lymphoma ... |
نوع الوثيقة: |
text |
وصف الملف: |
application/pdf |
اللغة: |
English |
Relation: |
Medical Imaging and Theranostics; https://dx.doi.org/10.3390/diagnostics13122027 |
DOI: |
10.3390/diagnostics13122027 |
الاتاحة: |
https://doi.org/10.3390/diagnostics13122027 |
Rights: |
https://creativecommons.org/licenses/by/4.0/ |
رقم الانضمام: |
edsbas.F8259A87 |
قاعدة البيانات: |
BASE |