Pet / ct评估淋巴瘤对治疗的反应

Yulduzkhan Dauytova, Zhamilya Zholdybay, Zh. Zhakenova, J. Amankulov, S. Baigulova
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摘要

相关性:由于淋巴瘤主动积累18F-FDG, PET/CT已成为淋巴瘤患者诊断算法中不可或缺的一部分。PET/CT对某些淋巴瘤类型患者的高准确性使得该方法在临床实践中可以有效地用于诊断、分期、再分期、评估治疗效果以及确定进一步的患者管理策略。本研究旨在评估PET/CT在评估淋巴瘤治疗效果方面的能力。方法:我们对109例确诊为淋巴瘤的患者的PET/CT 18F-FDG结果进行回顾性分析。患者在“哈萨克斯坦肿瘤和放射学研究所”JSC(哈萨克斯坦阿拉木图)的“Orhun Medical”PET/CT中心接受了PET/CT检查。结果:根据评估淋巴瘤治疗效果的PET/CT结果,38.5%的病例实现了过程稳定,33.03%的病例实现了进展,18.35%的病例实现了部分代谢缓解,10.09%的病例实现了完全缓解。结论:与其他放射技术相比,PET/CT是评价淋巴瘤治疗效果的首选方法。PET/CT是基于确定代谢治疗反应,而不仅仅是尺寸指标。它在淋巴瘤治疗的不同阶段起着至关重要的作用,为个性化治疗提供了新的机会
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PET/CT IN ASSESSING THE LYMPHOMA RESPONSE TO TREATMENT
Relevance: PET/CT has become an integral part of the diagnostic algorithm in lymphoma patients since lymphomas actively accumulate 18F-FDG. The high accuracy of PET/CT in patients with certain lymphoma types allows effective use of this method in clinical practice for diagnosis, staging, re-staging, evaluating the effectiveness of treatment, and determining further patient management tactics. The study aimed to evaluate the PET/CT capacity in assessing lymphoma treatment effectiveness. Methods: We conducted a retrospective analysis of PET/CT 18F-FDG results in 109 patients with a verified lymphoma diagnosis. The patients underwent PET/CT examinations at “Orhun Medical” PET/CT center based in the JSC “Kazakh Institute of Oncology and Radiology” (Almaty, Kazakhstan). Results: According to PET/CT results in assessing the lymphoma treatment effectiveness, the stabilization of the process was achieved in 38.5% of cases, progression – in 33.03%, a partial metabolic response – in 18.35%, and a complete response – in 10.09% of cases. Conclusion: PET/CT is the method of choice for evaluating the effectiveness of lymphoma treatment compared to other radiological techniques. PET/CT is based on determining metabolic treatment response, not only on size indicators. It plays an essential role in different stages of lymphoma treatment, providing new opportunities for personalized treatment
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