The Role of [18F]FDG PET/CT in Predicting Toxicity in Patients with NHL Treated with CAR-T: A Systematic Review

IF 2.2 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Tomography Pub Date : 2024-06-03 DOI:10.3390/tomography10060066
N. Quartuccio, Salvatore Ialuna, S. Pulizzi, Dante D’Oppido, Stefania Nicolosi, Antonino Maria Moreci
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Abstract

CAR-T-cell therapy, also referred to as chimeric antigen receptor T-cell therapy, is a novel method in the field of immunotherapy for the treatment of non-Hodgkin’s lymphoma (NHL). In patients receiving CAR-T-cell therapy, fluorodeoxyglucose Positron Emission Tomography/Computer Tomography ([18F]FDG PET/CT) plays a critical role in tracking treatment response and evaluating the immunotherapy’s overall efficacy. The aim of this study is to provide a systematic review of the literature on the studies aiming to assess and predict toxicity by means of [18F]FDG PET/CT in patients with NHL receiving CAR-T-cell therapy. PubMed/MEDLINE and Cochrane Central Register of Controlled Trials (CENTRAL) databases were interrogated by two investigators to seek studies involving the use of [18F]FDG PET/CT in patients with lymphoma undergoing CAR-T-cell therapy. The comprehensive computer literature search allowed 11 studies to be included. The risk of bias for the studies included in the systematic review was scored as low by using version 2 of the “Quality Assessment of Diagnostic Accuracy Studies” tool (QUADAS-2). The current literature emphasizes the role of [18F]FDG PET/CT in assessing and predicting toxicity in patients with NHL receiving CAR-T-cell therapy, highlighting the evolving nature of research in CAR-T-cell therapy. Additional studies are warranted to increase the collected evidence in the literature.
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18F]FDG PET/CT 在预测 CAR-T 治疗的 NHL 患者的毒性中的作用:系统性综述
CAR-T 细胞疗法又称嵌合抗原受体 T 细胞疗法,是免疫疗法领域治疗非霍奇金淋巴瘤(NHL)的一种新方法。在接受 CAR-T 细胞疗法的患者中,氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描([18F]FDG PET/CT)在跟踪治疗反应和评估免疫疗法的总体疗效方面发挥着至关重要的作用。本研究的目的是对旨在通过[18F]FDG PET/CT评估和预测接受CAR-T细胞疗法的NHL患者毒性的研究文献进行系统综述。两位研究人员查询了 PubMed/MEDLINE 和 Cochrane 对照试验中央注册数据库 (CENTRAL),寻找有关在接受 CAR-T 细胞疗法的淋巴瘤患者中使用 [18F]FDG PET/CT 的研究。通过全面的计算机文献检索,共纳入了 11 项研究。采用第二版 "诊断准确性研究质量评估 "工具(QUADAS-2)对纳入系统综述的研究进行评分,结果显示偏倚风险较低。目前的文献强调了[18F]FDG PET/CT在评估和预测接受CAR-T细胞疗法的NHL患者毒性方面的作用,突出了CAR-T细胞疗法研究不断发展的性质。有必要开展更多研究,以增加文献中收集的证据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Tomography
Tomography Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
2.70
自引率
10.50%
发文量
222
期刊介绍: TomographyTM publishes basic (technical and pre-clinical) and clinical scientific articles which involve the advancement of imaging technologies. Tomography encompasses studies that use single or multiple imaging modalities including for example CT, US, PET, SPECT, MR and hyperpolarization technologies, as well as optical modalities (i.e. bioluminescence, photoacoustic, endomicroscopy, fiber optic imaging and optical computed tomography) in basic sciences, engineering, preclinical and clinical medicine. Tomography also welcomes studies involving exploration and refinement of contrast mechanisms and image-derived metrics within and across modalities toward the development of novel imaging probes for image-based feedback and intervention. The use of imaging in biology and medicine provides unparalleled opportunities to noninvasively interrogate tissues to obtain real-time dynamic and quantitative information required for diagnosis and response to interventions and to follow evolving pathological conditions. As multi-modal studies and the complexities of imaging technologies themselves are ever increasing to provide advanced information to scientists and clinicians. Tomography provides a unique publication venue allowing investigators the opportunity to more precisely communicate integrated findings related to the diverse and heterogeneous features associated with underlying anatomical, physiological, functional, metabolic and molecular genetic activities of normal and diseased tissue. Thus Tomography publishes peer-reviewed articles which involve the broad use of imaging of any tissue and disease type including both preclinical and clinical investigations. In addition, hardware/software along with chemical and molecular probe advances are welcome as they are deemed to significantly contribute towards the long-term goal of improving the overall impact of imaging on scientific and clinical discovery.
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