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Role of 18F-FDG PET/CT for predicting bone marrow involvement, disease relapse and histopathological transformation in follicular lymphoma—a single centre observation

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Abstract

The objective of present study is to assess the role of the [18Fluorine] 2-Fluoro-2-Deoxy-D-Glucose Positron-Emission-Tomography Computed-Tomography (18F-FDG PET/CT) scan to detect the bone marrow involvement, predict disease free interval (DFI) and histopathological Transformation (HT) in Follicular Lymphoma (FL). Sixty patients were evaluated. Staging 18F-FDG PET/CT scan showed poor sensitivity for bone marrow involvement. Thus, staging 18F-FDG PET/CT cannot replace initial bone marrow biopsy in FL. Maximum standardized uptake value (SUVmax) of lymphomatous lesions in staging 18F-FDG PET/CT scan has no correlation with DFI and HT. Treatment response based on 5-point Deauville Score (5PDS) of interim 18F-FDG PET/CT scan is significantly associated with DFI. Interim 18F-FDG PET/CT scan plays an important role in deciding treatment modification in FL to prevent future recurrence.

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Correspondence to Sayan Das.

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Das, S., Gupta, R., Das, J. et al. Role of 18F-FDG PET/CT for predicting bone marrow involvement, disease relapse and histopathological transformation in follicular lymphoma—a single centre observation. J Radioanal Nucl Chem 333, 1627–1632 (2024). https://doi.org/10.1007/s10967-024-09359-z

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