PET imaging for response assessment in lymphoma: potential and limitations

Radiol Clin North Am. 2008 Mar;46(2):225-41, viii. doi: 10.1016/j.rcl.2008.04.002.

Abstract

Fluorodeoxyglucose positron emission tomography (FDG-PET) is now considered the most accurate tool for the assessment of treatment response and prognosis in patients with Hodgkin lymphoma and aggressive non-Hodgkin lymphoma. This article discusses the potential and limitations of FDG-PET for response assessment in malignant lymphoma during chemotherapy (interim PET) and at the end of chemotherapy. Interim PET is used to predict the likelihood for a complete response at the end of such therapy. End-of-treatment PET aims to establish the completeness of response or the presence of residual viable tumor tissue. Until the results of ongoing clinical trials emerge over the next 5 years, interim PET should be considered investigational and should not be used for patient management outside of study protocols.

Publication types

  • Review

MeSH terms

  • False Negative Reactions
  • False Positive Reactions
  • Fluorodeoxyglucose F18*
  • Humans
  • Lymphoma / diagnostic imaging*
  • Lymphoma / therapy
  • Positron-Emission Tomography / methods*
  • Radiopharmaceuticals*
  • Tomography, X-Ray Computed

Substances

  • Radiopharmaceuticals
  • Fluorodeoxyglucose F18