2023 Standard of Care. Provided by the Springer Nature SharedIt content-sharing initiative. ; writingoriginal draft preparation, F.I. https://doi.org/10.1037//0033-2909.86.2.420 (1979). ; project administration, S.N.N. Imaging Biol. Visit our dedicated information section to learn more about MDPI. SoftwareX 16, 100819. https://doi.org/10.1016/j.softx.2021.100819 (2022). For Phys. ; Birch, J.M. I am trying like below but nothing happens This information was used as the standard of reference for statistical analysis. Would you like email updates of new search results? The International Prognostic Index is used broadly for all subtypes of non-Hodgkin lymphoma, and the International Prognostic Score is used for Hodgkin lymphoma20,21 (Table 422,23). Methods 188, 105111. FOIA MeSH Van Heertum RL, Scarimbolo R, Wolodzko JG, Klencke B, Messmann R, Tunc F. Barrington SF, Mikhaeel NG, Kostakoglu L, Meignan M, Hutchings M, Meller SP. This site needs JavaScript to work properly. Use the Previous and Next buttons to navigate the slides or the slide controller buttons at the end to navigate through each slide. Explorative analysis and modeling of these data aim to correlate features with prediction targets, such as survival or malignancy11. strings of text saved by a browser on the user's device. Bhatia, S.; Yasui, Y.; Robison, L.L. Early and late therapy response assessment with [. https://doi.org/10.1007/s11307-017-1155-x (2018). 2. This cutoff is of the highest relevance7,8. A bone marrow biopsy is now recommended only for diffuse large B-cell lymphoma with a negative PET-CT result.19. The conventional surgical procedure for lung adenocarcinoma is lobotomy with systematic mediastinal J Clin Oncol. The https:// ensures that you are connecting to the PET/CT scanning and reconstruction details are summarized in Table 3. We aimed to compare the performance of Web- The Deauville score for interpreting FDG-PET in lymphoma - Lugano classification for staging of lymphomas - Unfavorable prognostic factors early HL - IPS Hodgkin lymphoma; Figures - Lymph node regions lymphoma; CALCULATORS. Indian J Nucl Med 2023;38:16-22: International validation study for interim PET in ABVD-treated, advanced-stage Hodgkin lymphoma: Interpretation criteria and concordance rate among reviewers. A 13-valent pneumococcal conjugate vaccine (Prevnar 13), followed by a 23-valent pneumococcal polysaccharide vaccine (Pneumovax 23) at least eight weeks later and then again at least five years later, should be administered following lymphoma treatment. Reconstructed spatial resolution and contrast recovery with Bayesian penalized likelihood reconstruction (Q.Clear) for FDG-PET compared to time-of-flight (TOF) with point spread function (PSF). PubMed ; project administration, S.P. As an alternative, we investigated radiomics from non-contrast-enhanced computed tomography (NECT) scans. Overall, 26 initial and 49 interim examinations were included. For example, Mayerhoefer et al. Web8th international workshop on PET in lymphoma and myeloma (PILM 2021) Department of Radiology, Charit-Universittsmedizin Berlin, Corporate Member of Freie Universitt Berlin, Humboldt-Universitt zu Berlin, and Berlin Institute of Health, Hindenburgdamm 30, 12203, Berlin, Germany, Laura J. Jensen,Damon Kim,Juliana Rieelmann,Bernd Hamm,Ingo G. Steffen,Thomas Elgeti&Sebastian N. Nagel, Department of Nuclear Medicine, Charit-Universittsmedizin Berlin, Corporate Member of Freie Universitt Berlin, Humboldt-Universitt zu Berlin, and Berlin Institute of Health, Augustenburger Platz 1, 13353, Berlin, Germany, Julian M. M. Rogasch,Christian Furth&Holger Amthauer, Berlin Institute of Health (BIH), Berlin, Germany, You can also search for this author in https://www.mdpi.com/openaccess. Journal of Personalized Medicine 13, no. It is recommended by the National Comprehensive Cancer Network guidelines and Lugano response criteria for the standardized quantification of FDG uptake in lymphoma manifestations6. Radiomics is a modern approach that allows quantitative assessment of medical images beyond apparent morphologic features10. HL is often curable by conventional chemotherapy and radiotherapy. Expert opinion and clinical review articles, Expert opinion and clinical review article, Non-Hodgkin T-cell and natural killer cell lymphomas, Non-Hodgkin (mucosa-associated lymphoid tissue), Single nodal group or single extralymphatic lesion, Multiple nodal groups on same side of diaphragm or with limited contiguous extralymphatic involvement, Multiple nodal groups on both sides of the diaphragm; may involve the spleen, Serum albumin concentration < 4.0 g per dL (40 g per L), Hemoglobin concentration < 10.5 g per dL (105 g per L), Progressive multifocal leukoencephalopathy, FDG uptake at lymphoma site is mediastinum FDG uptake, FDG uptake at lymphoma site is > mediastinum FDG uptake but < liver FDG uptake, FDG uptake at lymphoma site is > liver FDG uptake at any site, FDG uptake at lymphoma site is substantially > liver FDG uptake or new FDG uptake sites found, Breast: annual screening mammography starting at age 40; history of chest or axilla radiation: start eight to 10 years after treatment or at age 40, whichever comes first; consider annual breast magnetic resonance imaging if chest radiation was received between ages 10 and 30; consider referral to breast subspecialist to discuss possible chemoprevention, Complete blood count, fasting blood glucose, and comprehensive metabolic panel annually, Annual blood pressure screening, lifestyle modification, and treatment of obesity, hypertension, and tobacco use, Age-appropriate immunizations per the Centers for Disease Control and Prevention schedule, including annual influenza vaccine; resume live vaccines at least three months after completion of chemotherapy, Routine surveillance tests for cervical, colorectal, lung, and prostate cancers per the USPSTF guidelines, Consider stress test and/or echocardiography at 10-year intervals (frequency of testing based on findings and other associated risk factors), Neurocognitive impairment screening for any patient who is high risk (e.g., history of brain radiation or intrathecal treatment), PCV13 (Prevnar 13), followed by PPSV23 (Pneumovax 23) at least eight weeks later and again at least five years later, Thyroid-stimulating hormone annually if neck irradiation, Carotid ultrasonography every 10 years if neck irradiation, Infertility: consider reproductive endocrinologist referral. Of all features from the dataset of scanner A, only two were concordantly selected by all feature reduction methods (maximum2Ddiameterslice, median). Adenopathy can wax and wane over years in indolent presentations or involve rapidly progressive adenopathy in more aggressive subtypes. ; Weller, E.; Backstrand, K.H. The most common subtype, diffuse large B-cell lymphoma, has a 40% lifetime relapse rate.37 Lifetime relapse in Hodgkin lymphoma occurs in 10% to 15% of patients with early stage disease and 40% of patients with advanced stage disease.38, Patients who have achieved remission need routine surveillance to monitor for complications and relapse, as well as age-appropriate screenings recommended by the U.S. Preventive Services Task Force.39 Complications of lymphoma treatment include secondary malignancies (e.g., breast, lung, skin, colon), cardiac disease, infertility, and endocrine, neurologic, and psychiatric dysfunctions. Aggressive conventional chemotherapy compared with high-dose chemotherapy with autologous haemopoietic stem-cell transplantation for relapsed chemosensitive Hodgkin's disease: a randomised trial. permission is required to reuse all or part of the article published by MDPI, including figures and tables. Med. The National Comprehensive Cancer Network (NCCN) recommends avoiding certain chemotherapeutic agents in patients older than 60 years. 2013;54(11):2531-2533. The https:// ensures that you are connecting to the https://doi.org/10.1080/10428194.2020.1786555 (2020). CAS We aimed to compare the performance of SUV, Hodgkin lymphoma (HL) is now one of the most curable forms of neoplasms in children. Patient-related examination details and distribution of Deauville Scores are listed in Table 2. Zwanenburg, A. et al. Korula A, Fouzia NA, Devasia A, Kulkarni U, Abraham A, Srivastava A. Bair SM, Svoboda J. Response-Adapted Treatment Strategies in Hodgkin Lymphoma Using PET Imaging. Please note that many of the page functionalities won't work as expected without javascript enabled. Ann Hematol. J. Clin. The authors declare no competing interests. 3: 445. Federal government websites often end in .gov or .mil. Ganeshan et al. Journal of Personalized Medicine. Current NCCN guidelines outline specific monitoring parameters for follow-up and prevention of secondary disease25 (Table 73843). Lymphoma spreads to extranodal sites by direct invasion or by hematogenous spread to the spleen, liver, lungs, or bone marrow.14,15 High-grade lymphomas can present as oncologic emergencies because of the structural compression from the enlarging tumor, including superior vena cava syndrome, malignant epidural spinal cord compression, or malignant pericardial effusion.16 Paraneoplastic syndromes are rare with lymphoma, occurring as paraneoplastic cerebellar degeneration in Hodgkin lymphoma and as dermatomyositis and polymyositis in Hodgkin and non-Hodgkin lymphomas.17, The diagnosis of lymphoma is made using an open lymph node biopsy, based off morphology, immunohistochemistry, and flow cytometry.3 Although fine-needle aspiration and core needle biopsy are often part of the initial evaluation of any adenopathy, neither will provide adequate tissue for the diagnosis of lymphoma because of the need to verify Hodgkin lymphoma via the presence of Reed-Sternberg cells.15,18, The Ann Arbor staging system was initially developed in 1971 for Hodgkin lymphoma, and was later adapted for non-Hodgkin lymphoma. ; All authors have read and agreed to the published version of the manuscript. This site needs JavaScript to work properly. HHS Vulnerability Disclosure, Help Kinahan PE, Fletcher JW. Slider with three articles shown per slide. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. sharing sensitive information, make sure youre on a federal Your email address will not be published. 2018 Jan 25;378(4):331-344. doi: 10.1056/NEJMoa1708984. Classic Hodgkin lymphoma (cHL) includes the following histologic subtypes: nodular sclerosis cHL, lymphocyte-rich cHL, mixed cellularity cHL, and Performing texture analysis with a non-contrast-enhanced CT is also less expensive and time-consuming than PET/CT. ; Furth, C.; Schnberger, S.; Hundsdoerfer, P.; Steffen, I.G. The sensitivity, specificity, PPV, NPV and accuracy of post-therapy DS in predicting a therapy response at 24 months were 97.8%, 66.7%, 95.7%, 80.0% and 94.2%, respectively. WebProgression-free survival (PFS) was well stratified according to a visual assessment of interim PET/CT using 5-PS (p < 0.001). Recommendations for initial evaluation, staging, and response assessment of Hodgkin and non-Hodgkin lymphoma: The Lugano classification. 2017 Nov 16;130(20):2196-2203. doi: 10.1182/blood-2017-06-788877. Introduced to improve the consistency of PET interpretation3,4, the DS visually relates FDG uptake of a lymphoma manifestation to regions of physiological activity, i.e., the liver and the mediastinal blood pool5. Almost 21,000 people are projected to die from lymphoma in 2019, representing 3.5% of all cancer deaths. Purpose Recent advances in imaging, use of prognostic indices, and molecular profiling techniques have the potential to improve disease characterization and outcomes in lymphoma. Of these, only median remains after applying different feature reduction methods. Lambin, P. et al. PubMedGoogle Scholar. Marani C, Raiola AM, Morbelli S, Dominietto A, Ferrarazzo G, Avenoso D, Giannoni L, Varaldo R, Gualandi F, Grazia D, Lamparelli T, Bregante S, Van Lint MT, Ibatici A, Bovis F, Lemoli RM, Gobbi M, Bacigalupo A, Angelucci E. Biol Blood Marrow Transplant. 2016 Apr;95(5):695-706. doi: 10.1007/s00277-016-2619-9. Flechsig, P. et al. All authors have read and agreed to the published version of the manuscript. ; Krasin, M.J.; Kogos, P.G. The aim is to provide a snapshot of some of the Revelle, W. psych: Procedures for Psychological, Psychometric, and Personality Research. Hodgkin lymphoma is most commonly diagnosed at 20 to 34 years of age; however, the median age at death is 68 because of the higher survival rate among younger patients.2,4, Genetic, infectious, and inflammatory etiologies increase the risk of lymphoma. Beyond that, by extracting features from NECT images, we can exclude interferences with the contrast agent, dose, and timing of the image acquisition. (c) After end of treatment, PET/CT showed complete metabolic and morphologic remission of the nodal and extranodal J Nucl Med 2009;50 Suppl 1:21S-30S. We fulfilled cross-calibration of each PET scanner with a certified dose calibrator (ISOMED 2010, MED Dresden GmbH) every 6 months. A Cochrane review that examined seven trials consisting of more than 2,500 adult patients with early Hodgkin lymphoma concluded that the use of combined therapy could increase progression-free survival with little difference between the overall survival rates.32 Short-term complications from radiotherapy include nausea, vomiting, headaches, fatigue, and dermatitis. In order to be human-readable, please install an RSS reader. Clipboard, Search History, and several other advanced features are temporarily unavailable. https://CRAN.R-project.org/package=psych. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. Exp Hematol Oncol. The z-test was used to compare the diagnostic accuracy of rPET versus DS at the interim PET-CT. Of the 52 patients, 46 (88.5%) showed a complete therapy response at follow-up and were classified as responders, whereas the remaining patients had disease progression and/or recurrence. & Malkovska, V. Lymphoma survivors have an increased long-term risk of chronic kidney disease. pROC: An open-source package for R and S+ to analyze and compare ROC curves. [Initial treatment strategy for classical Hodgkin lymphoma in adults]. This content is owned by the AAFP. Kurtosis, however, turned out to be a feature with low interreader agreement in both datasets in our study. 398 (John Wiley & Sons, 2013). Prediction of outcome in pediatric Hodgkin lymphoma based on interpretation of. ; Schwartz, L.H. All these findings align with our results that high values of median describing high density in CT correlate with malignant involvement of lymph nodes, respectively, lymphoma manifestations. Feature papers represent the most advanced research with significant potential for high impact in the field. Author to whom correspondence should be addressed. DS gives the threshold for adequate or inadequate response to be adapted according to the clinical context or research question. government site. The Deauville 5-point scoring system is an internationally accepted and utilized five-point scoring system for the fluorodeoxyglucose (FDG) avidity of a Hodgkin lymphoma or Non-Hodgkin lymphoma tumor mass as seen on FDG positron emission tomography: Radiomics for precision medicine: Current challenges, future prospects, and the proposal of a new framework. Cancers (Basel). Department of Nuclear Medicine and PET-CT, Burjeel Medical City, Abu Dhabi 92510, United Arab Emirates, Academic Radiology, Department of Translational Research, University of Pisa, 56126 Pisa, Italy, Amrita Institute of Medical Sciences, Kochi 682041, Kerala, India, Department of Nuclear Medicine, VPS Lakeshore Hospital, Kochi 682040, Kerala, India. Epub 2017 Dec 10. target lesion a Deauville score of 1 or 2 is accepted as a complete response to treatment and especially for interim scans, a score of 3 is also often taken as a complete response. van Griethuysen, J. J. M. et al. Deauville score calculation involves consideration of various individual scores: SUVmax. CAS 41, 121904. https://doi.org/10.1118/1.4900821 (2014). PET/CT, however, is not always available or may be missing for one or more time points, precluding a reliable prognostic statement based on metabolic activity. https://doi.org/10.1016/j.ymeth.2020.05.022 (2021). Recommendations for initial evaluation, staging, and response assessment of Hodgkin and non-Hodgkin lymphoma: The Lugano classification. A full list of features with an ICC below 0.8 is given in the supplementary Table S5. A risk model for relapsed/refractory aggressive NHL integrating clinical risk factors and pretransplant Deauville score. How to cite this article: John JR, Oommen R, Hephzibah J, Mathew D, Korula A, Shanthly N, Eapen A. Validation of deauville score for response evaluation in hodgkin's lymphoma. You seem to have javascript disabled. 2021;62(8):1102-1111. doi: 10.11406/rinketsu.62.1102. ; Diller, L.; DeLaat, C.; Fossati-Bellani, F.; Morgan, E.; Oberlin, O.; et al. Hodgkin's lymphoma. Post-therapy DS showed a sensitivity, specificity, PPV, NPV and accuracy of 66.7%, 97.8%, 95.7%, 80% and 94.2%, repsectively. Biggi, A.; Gallamini, A.; Chauvie, S.; Hutchings, M.; Kostakoglu, L.; Gregianin, M.; Meignan, M.; Malkowski, B.; Hofman, M.S. Cancers (Basel) 13. https://doi.org/10.3390/cancers13143634 (2021). Barrington SF, Kirkwood AA, Franceschetto A, Fulham MJ, Roberts TH, Almquist H. Barrington SF, Qian W, Somer EJ, Franceschetto A, Bagni B, Brun E. Itti E, Meignan M, Berriolo-Riedinger A, Biggi A, Cashen AF, Vra P. Cheson BD, Ansell S, Schwartz L, Gordon LI, Advani R, Jacene HA. Skoetz N, Will A, Monsef I, Brillant C, Engert A, von Tresckow B. Cochrane Database Syst Rev. Diagnostic value of baseline (18)FDG PET/CT skeletal textural features in follicular lymphoma. Google Scholar. Image a shows an example slice of a 3D ROI segmenting a lymphoma manifestation in the upper mediastinum. Four patients were PET positive at the end of ABVD We hypothesized a 10% increase in the PET-negative rate after two cycles of BV-AVD. However, NCCN imaging guidelines for lymphoma surveillance state that it is acceptable to perform chest radiography or CT of the chest every six to 12 months for the first two years and then yearly for the next three to five years posttreatment.41 Surveillance imaging with PET-CT scans following complete remission is not recommended.40,41 Disease marker research is ongoing, examining minimal residual disease measurements, a polymerase chain reactionbased method that looks at identifying tumor-specific DNA sequences.41, All patients with lymphoma should receive pneumococcal vaccination initially with a 13-valent pneumococcal conjugate vaccine (Prevnar 13), followed at least eight weeks later by a 23-valent pneumococcal polysaccharide vaccine (PPSV23; Pneumovax 23) and then another PPSV23 at least five years later.44 Patients receiving antiB-cell antibodies should not receive annual influenza vaccination, and administration of live vaccines is contraindicated during chemotherapy. 18F-Fluorodeoxyglucose (FDG) positron emission tomography-computed tomography (PET/CT) is the standard diagnostic test for end-of-treatment assessment in Hodgkin lymphoma1, which accounts for 10% of all diagnosed lymphomas2. Gambhir, S.S. Molecular imaging of cancer with positron emission tomography. Conceptualization, S.N.N. https://doi.org/10.1053/j.semnuclmed.2017.09.007 (2018). Nucl. Support Center Find answers to questions about products, access, use, setup, and administration. Search dates: April 18, 2018, and August 30, 2019. Epub 2022 Jul 25. The results of the present study show that the first-order feature median has a high sensitivity for DS4+ manifestations on two different scanners (scanner A: 0.91, scanner B: 0.85). Before Correlation between SUVmax and CT radiomic analysis using lymph node density in PET/CT-based lymph node staging. Therefore, interreader agreement was assessed to drop low-reproducible features, and different feature reduction methods were performed to reduce the number of variables. Mol. The authors thank Bettina Herwig for proofreading and language editing. Chih-Yang Hsu, Mike Doubrovin, John T. Lucas Jr. Scientific Reports High total metabolic tumor volume was associated with a significantly shorter PFS (hazard ratio, 17.9; 95% CI, 2.2 to 145.5; P < .001). We use cookies on our website to ensure you get the best experience. official website and that any information you provide is encrypted Defining a Hodgkin lymphoma population for novel therapeutics after relapse from autologous hematopoietic cell transplant. Radiology 288, 407415. ; Silver, B.; Marcus, K.C. Non-Hodgkin lymphoma is treated with CHOP (cyclophosphamide, doxorubicin, vincristine, and prednisone) with or without rituximab (R-CHOP), bendamustine, and lenalidomide. Radiol. ; Unal, S.N. Supplementary Tables S3 and S4 provide the full results of the MWU test (S3a,b) and ROC analysis (S4a,b) for scanners A and B. ROC curves of the three first-order features mean, median, and root mean squared(RMS), that concordantly distinguished Deauville score 4-positive and -negative lymphoma manifestations on both scanners. Hasenclever, D. et al. The author has an hindex of 2, co-authored 11 publication(s) receiving 8 citation(s). However, the prognostic value Radiomics of CT features may be nonreproducible and redundant: Influence of CT acquisition parameters. Interobserver variability was calculated using weighted Kappa and presented with 95% confidence interval. Prognostic significance of interim PET/CT response for the treatment of advanced-stage marginal zone lymphoma in the post-rituximab era. The settings used for feature extraction can be found in the supplementary file S2a, the IBSI reporting guidelines and the checklist in the supplementary file S2b. It is traditionally classified broadly as non-Hodgkin or Hodgkin lymphoma. ; validation, C.F.,H.A. Household contacts should receive appropriate CDC-recommended immunizations.43, This article updates a previous article on this topic by Glass.46. It is also an expensive and time-consuming procedure, resulting in a high radiation dose for the often young patients9. Med. Rep. 6, 23428. https://doi.org/10.1038/srep23428 (2016). If you find something abusive or that does not comply with our terms or guidelines please flag it as inappropriate. ; data curation, S.N.N., L.J.J., J.R., I.G.S. Therefore, this study aimed to explore if radiomic features from NECT images are linked to the metabolic activity of Hodgkin lymphoma manifestations and can discriminate between DS4-negative (DS 13) and DS4-positive (DS4 and DS5) manifestations. Nodal Pathologic Complete Response Rates in Luminal Breast Cancer Vary by Genomic Risk. ; Beshir, M.R. Blood 132, 22732279. Isik, E.G. Dose intensification with autologous bone-marrow transplantation in relapsed and resistant Hodgkin's disease: results of a BNLI randomised trial. R package version 4.71. CT-based texture analysis potentially provides prognostic information complementary to interim fdg-pet for patients with hodgkins and aggressive non-hodgkins lymphomas. Leuk Lymphoma. ; resources, F.I., A.R.V. Baseline SUV, When using a cut-off of 15.5 g/mL, baseline SUV. ; Amthauer, H.; Mller, H.W. People without 2019;14:353-68. https://www.ijnm.in/text.asp?2023/38/1/16/370409, F-18 fluorodeoxyglucose positron emission tomography-computed tomography, 2008 Indian Journal of Nuclear Medicine | The upper mediastinum Table 3 topic by Glass.46 i, Brillant C, Engert a von. Flag it as inappropriate, setup, and administration therefore, interreader agreement was assessed to low-reproducible... Therefore, interreader agreement in both datasets in our study variability was calculated weighted! 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Not comply with our terms or guidelines please flag it as inappropriate 2023/38/1/16/370409, F-18 fluorodeoxyglucose emission! Quantitative assessment of medical images beyond apparent morphologic features10 our study can wax and wane over in. Before Correlation between SUVmax and CT radiomic analysis using lymph node staging S. ; Hundsdoerfer, ;! Variability was calculated using weighted Kappa and presented with 95 % confidence.... Over years in indolent presentations or involve rapidly progressive deauville score hodgkin lymphoma in more aggressive subtypes should receive appropriate immunizations.43! And 49 interim examinations were included Table 2 Nuclear Medicine Breast Cancer Vary by Genomic risk end in or... Analysis using lymph node density in PET/CT-based lymph node density in PET/CT-based lymph node density PET/CT-based... Are temporarily unavailable results of a BNLI randomised trial PET/CT scanning and reconstruction are. 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