Radiology:霍奇金淋巴瘤和侵入性非霍奇金淋巴瘤分期和治疗方案制定借助CT好还是PET/CT好?

2019-06-13 shaosai MedSci原创

本研究旨在验证局限性(LS)霍奇金淋巴瘤(HL)或侵入性非-HL(ANHL)临床治疗、预后与PET/CT分期的相关性。

本研究旨在验证局限性(LS)霍奇金淋巴瘤(HL)或侵入性非-HL(ANHL)临床治疗、预后与PET/CT分期的相关性。

本研究共纳入了850名患有LS HL或ANHL的患者,并行CT进行分期,接受一线治疗。在患者治疗前后进行PET/CT检查。比较通过CT进行分期的生存率和二线治疗方案应用情况。利用COX比例风险回归模型和

结果为,PET/CT辅助150/850例(17.6%)患者更新了分期。在行PET/CT后共有224/580例(38.6%)患者改变了计划治疗方案。行PET/CT的ANHL患者的1年死亡率要低于CT检查的患者(HR为0.63; 95% CI: 0.40, 1.0; P < .05),同时行PET/CT的LS患者的1年死亡率也要低于CT检查的患者(HR为0.40; 95%CI: 0.21, 0.74; P = .004)。对于HL患者,1年治疗结果间并无统计学差异(P = .16)。

本研究表明,PET/CT能够辅助更新淋巴瘤患者分期。利用PET/CT指导侵入性非霍奇金淋巴瘤的一线治疗方案要优于利用CT进行指导治疗方案的制定。

原始出处:


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    2020-03-06 feather89
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  4. 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encodeId=6dd9130968668, content=<a href='/topic/show?id=412114080d1' target=_blank style='color:#2F92EE;'>#PET/CT#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14080, encryptionId=412114080d1, topicName=PET/CT)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=295c372, createdName=chaojitidian, createdTime=Sat Jun 15 02:21:00 CST 2019, time=2019-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1331134, encodeId=5fe5133113479, content=<a href='/topic/show?id=15e2140e438' target=_blank style='color:#2F92EE;'>#PET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14074, encryptionId=15e2140e438, topicName=PET)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTI5PdY90y5Jib8FnPhCXTR2d9v3K17epNSwB2eb0vmXUldNJl2e72S4unZTAHLAojicdVSialTDFHAxA/132, createdBy=78d82500042, createdName=ms7514935887898259, createdTime=Sat Jun 15 02:21:00 CST 2019, time=2019-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=367745, encodeId=5e4236e74522, content=学习了,涨知识了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDM9swhbgTo7nzqRKzMmzckmEoeTyLQVDCgjqsicjyhxPs0vPoYU6GsSYbCjSkNHicJkz3NL0a0EbUMVdNjkctXI6FocpGKaVr9E/0, createdBy=29392048316, createdName=王秀, createdTime=Fri Jun 14 21:03:42 CST 2019, time=2019-06-14, status=1, ipAttribution=)]
    2019-06-18 王秀

    学习了,涨知识了!

    0

  5. 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createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTI5PdY90y5Jib8FnPhCXTR2d9v3K17epNSwB2eb0vmXUldNJl2e72S4unZTAHLAojicdVSialTDFHAxA/132, createdBy=78d82500042, createdName=ms7514935887898259, createdTime=Sat Jun 15 02:21:00 CST 2019, time=2019-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=367745, encodeId=5e4236e74522, content=学习了,涨知识了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDM9swhbgTo7nzqRKzMmzckmEoeTyLQVDCgjqsicjyhxPs0vPoYU6GsSYbCjSkNHicJkz3NL0a0EbUMVdNjkctXI6FocpGKaVr9E/0, createdBy=29392048316, createdName=王秀, createdTime=Fri Jun 14 21:03:42 CST 2019, time=2019-06-14, status=1, ipAttribution=)]
    2019-06-17 王秀

    学习了,涨知识了!

    0

  6. 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createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTI5PdY90y5Jib8FnPhCXTR2d9v3K17epNSwB2eb0vmXUldNJl2e72S4unZTAHLAojicdVSialTDFHAxA/132, createdBy=78d82500042, createdName=ms7514935887898259, createdTime=Sat Jun 15 02:21:00 CST 2019, time=2019-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=367745, encodeId=5e4236e74522, content=学习了,涨知识了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDM9swhbgTo7nzqRKzMmzckmEoeTyLQVDCgjqsicjyhxPs0vPoYU6GsSYbCjSkNHicJkz3NL0a0EbUMVdNjkctXI6FocpGKaVr9E/0, createdBy=29392048316, createdName=王秀, createdTime=Fri Jun 14 21:03:42 CST 2019, time=2019-06-14, status=1, ipAttribution=)]
    2019-06-16 王秀

    学习了,涨知识了!

    0

  7. 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    2019-06-15 王秀

    学习了,涨知识了!

    0

  8. 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    2019-06-14 王秀

    学习了,涨知识了!

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