Prognostic impact of clinician-based interpretation of 18F-fluorodeoxyglucose positron emission tomography/computed tomography reports obtained in patients with newly diagnosed diffuse large B-cell lymphoma
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Prognostic impact of clinician-based interpretation of 18F-fluorodeoxyglucose positron emission tomography/computed tomography reports obtained in patients with newly diagnosed diffuse large B-cell lymphoma. / Mylam, Karen J; El-Galaly, Tarec C; Hutchings, Martin; Brown, Peter; Himmelstrup, Bodil; Gerke, Oke; Gillstrøm, Dorte; Sillesen, Ida B; Munksgaard, Lars; Pedersen, Bjarne B; Christiansen, Ilse; Jensen, Paw; Nielsen, Anne L; Pedersen, Lars M.
In: Leukemia and Lymphoma, Vol. 55, No. 7, 07.2014, p. 1563-1569.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Prognostic impact of clinician-based interpretation of 18F-fluorodeoxyglucose positron emission tomography/computed tomography reports obtained in patients with newly diagnosed diffuse large B-cell lymphoma
AU - Mylam, Karen J
AU - El-Galaly, Tarec C
AU - Hutchings, Martin
AU - Brown, Peter
AU - Himmelstrup, Bodil
AU - Gerke, Oke
AU - Gillstrøm, Dorte
AU - Sillesen, Ida B
AU - Munksgaard, Lars
AU - Pedersen, Bjarne B
AU - Christiansen, Ilse
AU - Jensen, Paw
AU - Nielsen, Anne L
AU - Pedersen, Lars M
PY - 2014/7
Y1 - 2014/7
N2 - The aim of this study was to evaluate the prognostic value of clinician interpretation of positron emission tomography/computed tomography (PET/CT) reports at mid-therapy, interim PET (I-PET) and after the end of first-line therapy (E-PET) in patients with diffuse large B-cell lymphoma (DLBCL). Four hundred and thirty patients were enrolled in this study comprising a total of 617 PET reports. Each report was evaluated by three expert hematologists randomly selected from a panel of nine. Reports were labeled positive or negative if all three interpreters agreed. All others were considered indeterminate. Indeterminate reports accounted for 59% of I-PET and 49% of E-PET reports. Two-year overall survival (OS) for patients with a positive, indeterminate and negative I-PET was 58%, 87% and 89% (p < 0.001), respectively. Two-year OS for patients with E-PET was 41%, 89% and 97% (p < 0.001) for positive, indeterminate and negative interpretation of PET/CT reports. Progression-free survival and OS did not differ significantly in patients with a negative and an indeterminate I-PET report. The use of well-defined reporting criteria, e.g. the Deauville five-point scale, is likely to reduce the number of scans perceived as indeterminate.
AB - The aim of this study was to evaluate the prognostic value of clinician interpretation of positron emission tomography/computed tomography (PET/CT) reports at mid-therapy, interim PET (I-PET) and after the end of first-line therapy (E-PET) in patients with diffuse large B-cell lymphoma (DLBCL). Four hundred and thirty patients were enrolled in this study comprising a total of 617 PET reports. Each report was evaluated by three expert hematologists randomly selected from a panel of nine. Reports were labeled positive or negative if all three interpreters agreed. All others were considered indeterminate. Indeterminate reports accounted for 59% of I-PET and 49% of E-PET reports. Two-year overall survival (OS) for patients with a positive, indeterminate and negative I-PET was 58%, 87% and 89% (p < 0.001), respectively. Two-year OS for patients with E-PET was 41%, 89% and 97% (p < 0.001) for positive, indeterminate and negative interpretation of PET/CT reports. Progression-free survival and OS did not differ significantly in patients with a negative and an indeterminate I-PET report. The use of well-defined reporting criteria, e.g. the Deauville five-point scale, is likely to reduce the number of scans perceived as indeterminate.
U2 - 10.3109/10428194.2013.850165
DO - 10.3109/10428194.2013.850165
M3 - Journal article
C2 - 24144339
VL - 55
SP - 1563
EP - 1569
JO - Leukemia and Lymphoma
JF - Leukemia and Lymphoma
SN - 1042-8194
IS - 7
ER -
ID: 135497347