A better prediction of progression-free survival in diffuse large B-cell lymphoma by a prognostic model consisting of baseline TLG and %ΔSUVmax
Cancer Medicine Jul 31, 2019
Zhang YY, et al. - The inefficiency of the International Prognostic Index in initial risk stratification for patients with R-CHOP [the addition of rituximab to a CHOP (cyclophosphamide, doxorubicin, vincristine, and prednisone)-like regimen]-treated diffuse large B-cell lymphoma (DLBCL) has led researchers to investigate patients (n = 85) in China with DLBCL in order to estimate the predictive values of PET (positron emission tomography)/CT (computed tomography) quantitative parameters and three prognostic models including baseline and interim parameters for three-year progression-free survival (PFS). Using a receiver operating characteristics curve, Kaplan-Meier analysis, and log-rank test, they analyzed PET/CT parameters, ie, the baseline and interim values of standardized uptake value (SUVmax), total metabolic tumor volume (TMTV), and total lesion glycolysis (TLG), and their rates of change. Findings revealed the independent prognostic value of the baseline variables, ie, TMTV0, TLG0 and dichotomized National Comprehensive Cancer Network International Prognostic Index, and the interim variables TMTV1 and %ΔSUVmax, for PFS. Nineteen (82.6%) of the relapse or progression events were detected by the group with TLG0 > 1036.61 g and %ΔSUVmax < 86.02% in the prognostic model 2 (TLG0 + %ΔSUVmax), which displayed the best screening ability among three models including baseline and interim PET/CT parameters.
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