Published in:
Open Access
01-02-2013 | Research Article
PET/MR for therapy response evaluation in malignant lymphoma: initial experience
Authors:
Ivan Platzek, Bettina Beuthien-Baumann, Jens Langner, Manuel Popp, Georg Schramm, Rainer Ordemann, Michael Laniado, Jörg Kotzerke, Jörg van den Hoff
Published in:
Magnetic Resonance Materials in Physics, Biology and Medicine
|
Issue 1/2013
Login to get access
Abstract
Object
To evaluate the feasibility of positron emission tomography/magnetic resonance imaging (PET/MR) with 18fluoro-2-deoxyglucose (FDG) for therapy response evaluation of malignant lymphoma.
Materials and methods
Nine patients with malignant lymphoma who underwent FDG-PET/MR before and after chemotherapy were included in this retrospective study. Average time between the two scans was 70 days. The scans were evaluated independently by two nuclear medicine physicians. The Ann Arbor classification was used to describe lymphoma stage. Furthermore, the readers also rated PET image quality using a five point scale. Weighted kappa (κ) was used to calculate interrater agreement.
Results
The initial scan showed foci of increased FDG uptake in all patients, with Ann Arbor stage varying between I and IV. In the follow-up examination, all but one patient showed complete response to chemotherapy. PET image quality was rated as very good or excellent for all scans. Interrater agreement was excellent regarding Ann Arbor stage (κ = 0.97) and good regarding image quality (κ = 0.41).
Conclusion
PET/MR shows promising initial results for therapy response evaluation in lymphoma patients.