Discussion of 18F-FDG PET/CT imaging characteristics and diagnostic values of angioimmunoblastic T-cell lymphoma

Leuk Lymphoma. 2017 Jul;58(7):1581-1588. doi: 10.1080/10428194.2016.1253834. Epub 2016 Nov 10.

Abstract

The aim of this study was to discuss 18F-FDG PET/CT imaging characteristics and diagnostic values of angioimmunoblastic T-cell lymphoma (AITL). The PET/CT features of 24 cases of pathologically confirmed AITL were analyzed. The individual and total diagnostic values of 13 sites using computed tomography (CT) and positron emission tomography (PET)/CT were calculated. The maximum standard uptake value (SUVmax) of lesions with lymph node infiltration and extranodal organ infiltration were 5.4-25.1 (median, 9.7) and 1.5-12.5 (median, 5.5), respectively. The diagnostic sensitivity, specificity and accuracy of AITL using CT were 78.3%, 100%, and 87.8%, respectively; using PET/CT, these values were 98.9%, 100%, and 99.4%, respectively. One patient undergoing PET/CT staging was upstaged from stage II to III, and two patients were upstaged from stage III to IV. PET/CT is very valuable in the diagnosis and staging of AITL.

Keywords: Immunoblastic lymphadenopathy; T cell; fluorodeoxyglucose F18; lymphoma; multidetector computed tomography; peripheral; positron emission tomography.

MeSH terms

  • Adult
  • Aged
  • Female
  • Fluorodeoxyglucose F18*
  • Humans
  • Image Processing, Computer-Assisted
  • Immunoblastic Lymphadenopathy / diagnostic imaging
  • Immunoblastic Lymphadenopathy / pathology
  • Lymphoma, T-Cell / diagnostic imaging*
  • Lymphoma, T-Cell / pathology*
  • Male
  • Middle Aged
  • Neoplasm Staging
  • Positron Emission Tomography Computed Tomography* / methods
  • Positron-Emission Tomography
  • Reproducibility of Results
  • Sensitivity and Specificity

Substances

  • Fluorodeoxyglucose F18