False-Positive [18F]Fluorodeoxyglucose-Avid Lymph Nodes on Positron Emission Tomography–Computed Tomography After Allogeneic but Not Autologous Stem-Cell Transplantation in Patients With Lymphoma
Determine the clinical significance of [(18)F]fluorodeoxyglucose (FDG)-avid lesions in patients with lymphoma treated with stem-cell transplantation. All patients who underwent stem-cell transplantation for lymphoma at Memorial Sloan-Kettering Cancer Center between January 2005 and December 2009 and...
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| Veröffentlicht in: | Journal of clinical oncology 2014-01, Vol.32 (1), p.51-56 |
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| creator | ULANER, Gary A LILIENSTEIN, Joshua GONEN, Mithat MARAGULIA, Jocelyn MOSKOWITZ, Craig H ZELENETZ, Andrew D |
| description | Determine the clinical significance of [(18)F]fluorodeoxyglucose (FDG)-avid lesions in patients with lymphoma treated with stem-cell transplantation.
All patients who underwent stem-cell transplantation for lymphoma at Memorial Sloan-Kettering Cancer Center between January 2005 and December 2009 and had post-transplantation FDG positron emission tomography/computed tomography (PET/CT) examinations were included. PET/CT examinations were evaluated for FDG-avid lesions suggestive of disease. Clinical records, biopsy results, and subsequent imaging examinations were evaluated for malignancy.
Two hundred fifty-one patients were identified, 107 with allogeneic and 144 with autologous stem-cell transplantation. Of allogeneic stem-cell transplantation recipients, 50 had FDG-avid lesions suggestive of lymphoma, defined as FDG-avidity greater than liver background. However, only 29 of these 50 demonstrated lymphoma on biopsy, whereas biopsy attempts were benign in the other 21 patients. Sensitivity analysis determined that a 1.5-cm short axis nodal measurement distinguished patients with malignant from nonmalignant biopsies. In 21 of 22 patients with FDG-avid lymph nodes ≤ 1.5 cm, biopsy attempts were benign. In the absence of treatment, these nodes either resolved or were stable on repeat imaging. Disease-free survival of patients with FDG-avid ≤ 1.5 cm lymph nodes was comparable with patients without FDG-avid lesions. In comparison, autologous stem-cell transplantation patients rarely demonstrated FDG-avid lesions suggestive of disease without malignant pathology.
Twenty percent (21 of 107) of patients with an allogeneic stem-cell transplantation demonstrated FDG-avid lymph nodes up to 1.5 cm in short axis on PET/CT, which did not represent active lymphoma. After allogeneic stem-cell transplantation of patients with lymphoma, benign FDG-avid ≤ 1.5 cm lymph nodes can mimic malignancy. |
| doi_str_mv | 10.1200/JCO.2013.50.8044 |
| format | Article |
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All patients who underwent stem-cell transplantation for lymphoma at Memorial Sloan-Kettering Cancer Center between January 2005 and December 2009 and had post-transplantation FDG positron emission tomography/computed tomography (PET/CT) examinations were included. PET/CT examinations were evaluated for FDG-avid lesions suggestive of disease. Clinical records, biopsy results, and subsequent imaging examinations were evaluated for malignancy.
Two hundred fifty-one patients were identified, 107 with allogeneic and 144 with autologous stem-cell transplantation. Of allogeneic stem-cell transplantation recipients, 50 had FDG-avid lesions suggestive of lymphoma, defined as FDG-avidity greater than liver background. However, only 29 of these 50 demonstrated lymphoma on biopsy, whereas biopsy attempts were benign in the other 21 patients. Sensitivity analysis determined that a 1.5-cm short axis nodal measurement distinguished patients with malignant from nonmalignant biopsies. In 21 of 22 patients with FDG-avid lymph nodes ≤ 1.5 cm, biopsy attempts were benign. In the absence of treatment, these nodes either resolved or were stable on repeat imaging. Disease-free survival of patients with FDG-avid ≤ 1.5 cm lymph nodes was comparable with patients without FDG-avid lesions. In comparison, autologous stem-cell transplantation patients rarely demonstrated FDG-avid lesions suggestive of disease without malignant pathology.
Twenty percent (21 of 107) of patients with an allogeneic stem-cell transplantation demonstrated FDG-avid lymph nodes up to 1.5 cm in short axis on PET/CT, which did not represent active lymphoma. After allogeneic stem-cell transplantation of patients with lymphoma, benign FDG-avid ≤ 1.5 cm lymph nodes can mimic malignancy.</description><identifier>ISSN: 0732-183X</identifier><identifier>EISSN: 1527-7755</identifier><identifier>DOI: 10.1200/JCO.2013.50.8044</identifier><identifier>PMID: 24248697</identifier><language>eng</language><publisher>Alexandria, VA: American Society of Clinical Oncology</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Child ; Disease-Free Survival ; False Positive Reactions ; Female ; Fluorodeoxyglucose F18 ; Hematologic and hematopoietic diseases ; Hematopoietic Stem Cell Transplantation ; Humans ; Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis ; Lymph Nodes - diagnostic imaging ; Lymph Nodes - metabolism ; Lymph Nodes - pathology ; Lymphoma - diagnosis ; Lymphoma - diagnostic imaging ; Lymphoma - metabolism ; Lymphoma - pathology ; Lymphoma - surgery ; Lymphoma, Follicular - diagnosis ; Lymphoma, Follicular - surgery ; Lymphoma, Large B-Cell, Diffuse - diagnosis ; Lymphoma, Large B-Cell, Diffuse - surgery ; Lymphoma, Mantle-Cell - diagnosis ; Lymphoma, Mantle-Cell - surgery ; Lymphoma, T-Cell - diagnosis ; Lymphoma, T-Cell - surgery ; Male ; Medical sciences ; Middle Aged ; Positron-Emission Tomography - methods ; Radiopharmaceuticals ; Recurrence ; Retrospective Studies ; Sensitivity and Specificity ; Tomography, X-Ray Computed ; Transplantation, Autologous ; Transplantation, Homologous ; Tumors</subject><ispartof>Journal of clinical oncology, 2014-01, Vol.32 (1), p.51-56</ispartof><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c358t-b1e6e81c89c6f2f3c54c0f1ea29b39040d724d4b44d5508b7a1f62617eaf81323</citedby><cites>FETCH-LOGICAL-c358t-b1e6e81c89c6f2f3c54c0f1ea29b39040d724d4b44d5508b7a1f62617eaf81323</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,780,784,789,790,3720,4040,4041,23921,23922,25131,27915,27916</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28149698$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24248697$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ULANER, Gary A</creatorcontrib><creatorcontrib>LILIENSTEIN, Joshua</creatorcontrib><creatorcontrib>GONEN, Mithat</creatorcontrib><creatorcontrib>MARAGULIA, Jocelyn</creatorcontrib><creatorcontrib>MOSKOWITZ, Craig H</creatorcontrib><creatorcontrib>ZELENETZ, Andrew D</creatorcontrib><title>False-Positive [18F]Fluorodeoxyglucose-Avid Lymph Nodes on Positron Emission Tomography–Computed Tomography After Allogeneic but Not Autologous Stem-Cell Transplantation in Patients With Lymphoma</title><title>Journal of clinical oncology</title><addtitle>J Clin Oncol</addtitle><description>Determine the clinical significance of [(18)F]fluorodeoxyglucose (FDG)-avid lesions in patients with lymphoma treated with stem-cell transplantation.
All patients who underwent stem-cell transplantation for lymphoma at Memorial Sloan-Kettering Cancer Center between January 2005 and December 2009 and had post-transplantation FDG positron emission tomography/computed tomography (PET/CT) examinations were included. PET/CT examinations were evaluated for FDG-avid lesions suggestive of disease. Clinical records, biopsy results, and subsequent imaging examinations were evaluated for malignancy.
Two hundred fifty-one patients were identified, 107 with allogeneic and 144 with autologous stem-cell transplantation. Of allogeneic stem-cell transplantation recipients, 50 had FDG-avid lesions suggestive of lymphoma, defined as FDG-avidity greater than liver background. However, only 29 of these 50 demonstrated lymphoma on biopsy, whereas biopsy attempts were benign in the other 21 patients. Sensitivity analysis determined that a 1.5-cm short axis nodal measurement distinguished patients with malignant from nonmalignant biopsies. In 21 of 22 patients with FDG-avid lymph nodes ≤ 1.5 cm, biopsy attempts were benign. In the absence of treatment, these nodes either resolved or were stable on repeat imaging. Disease-free survival of patients with FDG-avid ≤ 1.5 cm lymph nodes was comparable with patients without FDG-avid lesions. In comparison, autologous stem-cell transplantation patients rarely demonstrated FDG-avid lesions suggestive of disease without malignant pathology.
Twenty percent (21 of 107) of patients with an allogeneic stem-cell transplantation demonstrated FDG-avid lymph nodes up to 1.5 cm in short axis on PET/CT, which did not represent active lymphoma. After allogeneic stem-cell transplantation of patients with lymphoma, benign FDG-avid ≤ 1.5 cm lymph nodes can mimic malignancy.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Disease-Free Survival</subject><subject>False Positive Reactions</subject><subject>Female</subject><subject>Fluorodeoxyglucose F18</subject><subject>Hematologic and hematopoietic diseases</subject><subject>Hematopoietic Stem Cell Transplantation</subject><subject>Humans</subject><subject>Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis</subject><subject>Lymph Nodes - diagnostic imaging</subject><subject>Lymph Nodes - metabolism</subject><subject>Lymph Nodes - pathology</subject><subject>Lymphoma - diagnosis</subject><subject>Lymphoma - diagnostic imaging</subject><subject>Lymphoma - metabolism</subject><subject>Lymphoma - pathology</subject><subject>Lymphoma - surgery</subject><subject>Lymphoma, Follicular - diagnosis</subject><subject>Lymphoma, Follicular - surgery</subject><subject>Lymphoma, Large B-Cell, Diffuse - diagnosis</subject><subject>Lymphoma, Large B-Cell, Diffuse - surgery</subject><subject>Lymphoma, Mantle-Cell - diagnosis</subject><subject>Lymphoma, Mantle-Cell - surgery</subject><subject>Lymphoma, T-Cell - diagnosis</subject><subject>Lymphoma, T-Cell - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Positron-Emission Tomography - methods</subject><subject>Radiopharmaceuticals</subject><subject>Recurrence</subject><subject>Retrospective Studies</subject><subject>Sensitivity and Specificity</subject><subject>Tomography, X-Ray Computed</subject><subject>Transplantation, Autologous</subject><subject>Transplantation, Homologous</subject><subject>Tumors</subject><issn>0732-183X</issn><issn>1527-7755</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkc2O0zAQxyMEYrsLd07IB5C4pPgzcY5RteVDFYtEEUgIWY7jNF45cbCdXXrjHXgmXoQnwaXl4-TRzG_-M-N_lj1CcIkwhM9fr66WGCKyZHDJIaV3sgViuMzLkrG72QKWBOeIk49n2XkI1xAiygm7n51hiikvqnKR_VhLG3T-1gUTzY0GnxBff17b2XnXavd1v7Ozcgmob0wLNvth6sGbVAnAjeB3k0_B5WBCMCnYusHtvJz6_c9v31dumOao2_-yoO6i9qC21u30qI0CzRyTYAT1HF1KujmAd1EP-UpbC7ZejmGycowyHuRNmpkiPcYAPpjYHxdyg3yQ3esOdzw8vRfZ-_XldvUy31y9eLWqN7kijMe8QbrQHCleqaLDHVGMKtghLXHVkApS2JaYtrShtGUM8qaUqCtwgUotO44IJhfZs6Pu5N2XWYco0uUqrSpHnVYXiFaw5JTQKqHwiCrvQvC6E5M3g_R7gaA4mCeSeeJgnmBQHMxLLY9P6nMz6PZvwx-3EvD0BMigpO3S9ygT_nE8zS8qnrgnR643u_7WeC3CIK1NslhcK0ewQIIh8gvAHLQ9</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>ULANER, Gary A</creator><creator>LILIENSTEIN, Joshua</creator><creator>GONEN, Mithat</creator><creator>MARAGULIA, Jocelyn</creator><creator>MOSKOWITZ, Craig H</creator><creator>ZELENETZ, Andrew D</creator><general>American Society of Clinical Oncology</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140101</creationdate><title>False-Positive [18F]Fluorodeoxyglucose-Avid Lymph Nodes on Positron Emission Tomography–Computed Tomography After Allogeneic but Not Autologous Stem-Cell Transplantation in Patients With Lymphoma</title><author>ULANER, Gary A ; LILIENSTEIN, Joshua ; GONEN, Mithat ; MARAGULIA, Jocelyn ; MOSKOWITZ, Craig H ; ZELENETZ, Andrew D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c358t-b1e6e81c89c6f2f3c54c0f1ea29b39040d724d4b44d5508b7a1f62617eaf81323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Disease-Free Survival</topic><topic>False Positive Reactions</topic><topic>Female</topic><topic>Fluorodeoxyglucose F18</topic><topic>Hematologic and hematopoietic diseases</topic><topic>Hematopoietic Stem Cell Transplantation</topic><topic>Humans</topic><topic>Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis</topic><topic>Lymph Nodes - diagnostic imaging</topic><topic>Lymph Nodes - metabolism</topic><topic>Lymph Nodes - pathology</topic><topic>Lymphoma - diagnosis</topic><topic>Lymphoma - diagnostic imaging</topic><topic>Lymphoma - metabolism</topic><topic>Lymphoma - pathology</topic><topic>Lymphoma - surgery</topic><topic>Lymphoma, Follicular - diagnosis</topic><topic>Lymphoma, Follicular - surgery</topic><topic>Lymphoma, Large B-Cell, Diffuse - diagnosis</topic><topic>Lymphoma, Large B-Cell, Diffuse - surgery</topic><topic>Lymphoma, Mantle-Cell - diagnosis</topic><topic>Lymphoma, Mantle-Cell - surgery</topic><topic>Lymphoma, T-Cell - diagnosis</topic><topic>Lymphoma, T-Cell - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Positron-Emission Tomography - methods</topic><topic>Radiopharmaceuticals</topic><topic>Recurrence</topic><topic>Retrospective Studies</topic><topic>Sensitivity and Specificity</topic><topic>Tomography, X-Ray Computed</topic><topic>Transplantation, Autologous</topic><topic>Transplantation, Homologous</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ULANER, Gary A</creatorcontrib><creatorcontrib>LILIENSTEIN, Joshua</creatorcontrib><creatorcontrib>GONEN, Mithat</creatorcontrib><creatorcontrib>MARAGULIA, Jocelyn</creatorcontrib><creatorcontrib>MOSKOWITZ, Craig H</creatorcontrib><creatorcontrib>ZELENETZ, Andrew D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ULANER, Gary A</au><au>LILIENSTEIN, Joshua</au><au>GONEN, Mithat</au><au>MARAGULIA, Jocelyn</au><au>MOSKOWITZ, Craig H</au><au>ZELENETZ, Andrew D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>False-Positive [18F]Fluorodeoxyglucose-Avid Lymph Nodes on Positron Emission Tomography–Computed Tomography After Allogeneic but Not Autologous Stem-Cell Transplantation in Patients With Lymphoma</atitle><jtitle>Journal of clinical oncology</jtitle><addtitle>J Clin Oncol</addtitle><date>2014-01-01</date><risdate>2014</risdate><volume>32</volume><issue>1</issue><spage>51</spage><epage>56</epage><pages>51-56</pages><issn>0732-183X</issn><eissn>1527-7755</eissn><abstract>Determine the clinical significance of [(18)F]fluorodeoxyglucose (FDG)-avid lesions in patients with lymphoma treated with stem-cell transplantation.
All patients who underwent stem-cell transplantation for lymphoma at Memorial Sloan-Kettering Cancer Center between January 2005 and December 2009 and had post-transplantation FDG positron emission tomography/computed tomography (PET/CT) examinations were included. PET/CT examinations were evaluated for FDG-avid lesions suggestive of disease. Clinical records, biopsy results, and subsequent imaging examinations were evaluated for malignancy.
Two hundred fifty-one patients were identified, 107 with allogeneic and 144 with autologous stem-cell transplantation. Of allogeneic stem-cell transplantation recipients, 50 had FDG-avid lesions suggestive of lymphoma, defined as FDG-avidity greater than liver background. However, only 29 of these 50 demonstrated lymphoma on biopsy, whereas biopsy attempts were benign in the other 21 patients. Sensitivity analysis determined that a 1.5-cm short axis nodal measurement distinguished patients with malignant from nonmalignant biopsies. In 21 of 22 patients with FDG-avid lymph nodes ≤ 1.5 cm, biopsy attempts were benign. In the absence of treatment, these nodes either resolved or were stable on repeat imaging. Disease-free survival of patients with FDG-avid ≤ 1.5 cm lymph nodes was comparable with patients without FDG-avid lesions. In comparison, autologous stem-cell transplantation patients rarely demonstrated FDG-avid lesions suggestive of disease without malignant pathology.
Twenty percent (21 of 107) of patients with an allogeneic stem-cell transplantation demonstrated FDG-avid lymph nodes up to 1.5 cm in short axis on PET/CT, which did not represent active lymphoma. After allogeneic stem-cell transplantation of patients with lymphoma, benign FDG-avid ≤ 1.5 cm lymph nodes can mimic malignancy.</abstract><cop>Alexandria, VA</cop><pub>American Society of Clinical Oncology</pub><pmid>24248697</pmid><doi>10.1200/JCO.2013.50.8044</doi><tpages>6</tpages></addata></record> |
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| ispartof | Journal of clinical oncology, 2014-01, Vol.32 (1), p.51-56 |
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| subjects | Adolescent Adult Aged Biological and medical sciences Child Disease-Free Survival False Positive Reactions Female Fluorodeoxyglucose F18 Hematologic and hematopoietic diseases Hematopoietic Stem Cell Transplantation Humans Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis Lymph Nodes - diagnostic imaging Lymph Nodes - metabolism Lymph Nodes - pathology Lymphoma - diagnosis Lymphoma - diagnostic imaging Lymphoma - metabolism Lymphoma - pathology Lymphoma - surgery Lymphoma, Follicular - diagnosis Lymphoma, Follicular - surgery Lymphoma, Large B-Cell, Diffuse - diagnosis Lymphoma, Large B-Cell, Diffuse - surgery Lymphoma, Mantle-Cell - diagnosis Lymphoma, Mantle-Cell - surgery Lymphoma, T-Cell - diagnosis Lymphoma, T-Cell - surgery Male Medical sciences Middle Aged Positron-Emission Tomography - methods Radiopharmaceuticals Recurrence Retrospective Studies Sensitivity and Specificity Tomography, X-Ray Computed Transplantation, Autologous Transplantation, Homologous Tumors |
| title | False-Positive [18F]Fluorodeoxyglucose-Avid Lymph Nodes on Positron Emission Tomography–Computed Tomography After Allogeneic but Not Autologous Stem-Cell Transplantation in Patients With Lymphoma |
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