Review of targeted therapy in chronic lymphocytic leukemia: what a radiologist needs to know about CT interpretation

Cancer Imaging. 2018 Apr 18;18(1):13. doi: 10.1186/s40644-018-0146-8.

Abstract

The last 5 years have been marked by profound innovation in the targeted treatment of chronic lymphocytic leukemia (CLL) and indolent lymphomas. Using CLL as a case study, we present a timeline and overview of the current treatment landscape for the radiologist, including an overview of clinical and radiological features of CLL, discussion of the targeted agents themselves, and the role of imaging in response and toxicity assessment. The goal is to familiarize the radiologist with multiple Food and Drug Administration (FDA)-approved targeted agents used in this setting and associated adverse events which are commonly observed in this patient population.

Keywords: Chronic lymphocytic leukemia; Drug related toxicity; Indolent lymphoma; Targeted therapy.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents, Immunological / adverse effects
  • Antineoplastic Agents, Immunological / therapeutic use
  • Humans
  • Leukemia, Lymphocytic, Chronic, B-Cell / diagnostic imaging
  • Leukemia, Lymphocytic, Chronic, B-Cell / drug therapy*
  • Protein Kinase Inhibitors / adverse effects
  • Protein Kinase Inhibitors / therapeutic use
  • Radiographic Image Interpretation, Computer-Assisted / methods*
  • Radiographic Image Interpretation, Computer-Assisted / standards
  • Tomography, X-Ray Computed / methods*
  • Tomography, X-Ray Computed / standards

Substances

  • Antineoplastic Agents, Immunological
  • Protein Kinase Inhibitors