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2-[{sup 18}F]fluoro-2-deoxy-D-glucose positron emission tomography (F.D.G.-PET) can identify chronic lymphocytic leukaemia (C.L.L.) stage A et stage B patients; La tomographie par emission de positons au 2-[{sup 18}F] fluoro-2-desoxy-D-glucose (TEP-FDG) permet d'identifier les stades A et B des leucemies lymphoides chroniques (LLC)

Abstract

Purpose: There is no data in the literature concerning the utility of 2-[{sup 18}F]fluoro-2-deoxy-d-glucose positron emission tomography (F.D.G.-PET) in chronic lymphocytic leukaemia (C.L.L.), except for the diagnosis of Richter's transformations. The purpose of this study was to assess the potential role of F.D.G.-PET in C.L.L. stages A and B. Materials and methods Thirty-five patients (61 {+-} 9 years; 11 women, 24 men; 8 B and 27 A) have benefited of a F.D.G.-PET scan at baseline, for example, before an eventual treatment. F.D.G.-PET scans were analyzed visually and the maximum values of the Standardised Uptake Value (S.U.V.{sub max}) were measured in the main lymph nodes areas. The ability of F.D.G.-PET to differentiate stages A and B patients was evaluated by Student's tests and Receiver Operating Characteristics (R.O.C.) analysis. Results All patients with a normal F.D.G.-PET (n = 18) were stages A. The remaining 17 patients (9 A and 8 B) showed hyper metabolisms in nodal areas above (n = 17) and below (n = 9) the diaphragm, and no visceral involvement. The lymph nodes hyper metabolisms were always bilateral, and of low intensity (= mediastinum; 9 A), or of higher intensity (= liver, 8 B). The S.U.V.{sub max} of stage B  More>>
Authors:
Berthelot, C; Vervueren, L; Le Jeune, J J; Couturier, O; [1]  Truchan-Graczyk, M; Genevieve, F; Ifrah, N; [2]  Poirier, A L; [3]  Artur-Guillemette, P [4] 
  1. Centre Hospitalier Universitaire, Service de Medecine Nucleaire, 49 - Angers (France)
  2. Centre Hospitalier Universitaire, Service d'Hematologie, 49 - Angers (France)
  3. BEC, centre Paul-Papin, 49 -Angers (France)
  4. Centre Hospitalier Universitaire, Service de Radiologie, 49 - Angers (France)
Publication Date:
Sep 15, 2009
Product Type:
Journal Article
Resource Relation:
Journal Name: Medecine Nucleaire. Imagerie Fonctionnelle et Metabolique; Journal Volume: 33; Journal Issue: 9; Other Information: 18 refs.; 2tabs.; 3 figs
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; FLUORODEOXYGLUCOSE; LEUKEMIA; LYMPHOCYTES; NUCLEAR MEDICINE; POSITRON COMPUTED TOMOGRAPHY
OSTI ID:
21243438
Country of Origin:
France
Language:
French
Other Identifying Numbers:
Journal ID: ISSN 0928-1258; MNIMEX; TRN: FR0903606105477
Availability:
Available from doi: <http://dx.doi.org/10.1016/j.mednuc.2009.03.006>;INIS
Submitting Site:
FRN
Size:
page(s) 539-546
Announcement Date:
Dec 31, 2009

Citation Formats

Berthelot, C, Vervueren, L, Le Jeune, J J, Couturier, O, Truchan-Graczyk, M, Genevieve, F, Ifrah, N, Poirier, A L, and Artur-Guillemette, P. 2-[{sup 18}F]fluoro-2-deoxy-D-glucose positron emission tomography (F.D.G.-PET) can identify chronic lymphocytic leukaemia (C.L.L.) stage A et stage B patients; La tomographie par emission de positons au 2-[{sup 18}F] fluoro-2-desoxy-D-glucose (TEP-FDG) permet d'identifier les stades A et B des leucemies lymphoides chroniques (LLC). France: N. p., 2009. Web. doi:10.1016/J.MEDNUC.2009.03.006.
Berthelot, C, Vervueren, L, Le Jeune, J J, Couturier, O, Truchan-Graczyk, M, Genevieve, F, Ifrah, N, Poirier, A L, & Artur-Guillemette, P. 2-[{sup 18}F]fluoro-2-deoxy-D-glucose positron emission tomography (F.D.G.-PET) can identify chronic lymphocytic leukaemia (C.L.L.) stage A et stage B patients; La tomographie par emission de positons au 2-[{sup 18}F] fluoro-2-desoxy-D-glucose (TEP-FDG) permet d'identifier les stades A et B des leucemies lymphoides chroniques (LLC). France. https://doi.org/10.1016/J.MEDNUC.2009.03.006
Berthelot, C, Vervueren, L, Le Jeune, J J, Couturier, O, Truchan-Graczyk, M, Genevieve, F, Ifrah, N, Poirier, A L, and Artur-Guillemette, P. 2009. "2-[{sup 18}F]fluoro-2-deoxy-D-glucose positron emission tomography (F.D.G.-PET) can identify chronic lymphocytic leukaemia (C.L.L.) stage A et stage B patients; La tomographie par emission de positons au 2-[{sup 18}F] fluoro-2-desoxy-D-glucose (TEP-FDG) permet d'identifier les stades A et B des leucemies lymphoides chroniques (LLC)." France. https://doi.org/10.1016/J.MEDNUC.2009.03.006.
@misc{etde_21243438,
title = {2-[{sup 18}F]fluoro-2-deoxy-D-glucose positron emission tomography (F.D.G.-PET) can identify chronic lymphocytic leukaemia (C.L.L.) stage A et stage B patients; La tomographie par emission de positons au 2-[{sup 18}F] fluoro-2-desoxy-D-glucose (TEP-FDG) permet d'identifier les stades A et B des leucemies lymphoides chroniques (LLC)}
author = {Berthelot, C, Vervueren, L, Le Jeune, J J, Couturier, O, Truchan-Graczyk, M, Genevieve, F, Ifrah, N, Poirier, A L, and Artur-Guillemette, P}
abstractNote = {Purpose: There is no data in the literature concerning the utility of 2-[{sup 18}F]fluoro-2-deoxy-d-glucose positron emission tomography (F.D.G.-PET) in chronic lymphocytic leukaemia (C.L.L.), except for the diagnosis of Richter's transformations. The purpose of this study was to assess the potential role of F.D.G.-PET in C.L.L. stages A and B. Materials and methods Thirty-five patients (61 {+-} 9 years; 11 women, 24 men; 8 B and 27 A) have benefited of a F.D.G.-PET scan at baseline, for example, before an eventual treatment. F.D.G.-PET scans were analyzed visually and the maximum values of the Standardised Uptake Value (S.U.V.{sub max}) were measured in the main lymph nodes areas. The ability of F.D.G.-PET to differentiate stages A and B patients was evaluated by Student's tests and Receiver Operating Characteristics (R.O.C.) analysis. Results All patients with a normal F.D.G.-PET (n = 18) were stages A. The remaining 17 patients (9 A and 8 B) showed hyper metabolisms in nodal areas above (n = 17) and below (n = 9) the diaphragm, and no visceral involvement. The lymph nodes hyper metabolisms were always bilateral, and of low intensity (= mediastinum; 9 A), or of higher intensity (= liver, 8 B). The S.U.V.{sub max} of stage B (n = 8) were significantly higher than those of the 27 stages A, in all lymph nodes areas except in mediastinum. The highest intensity of F.D.G. uptake was observed in axillary area in stages B patients (S.U.V.max = 2.74 {+-} 1.03). An axillary S.U.V.{sub max} of 1.33 is the most suitable value for the discrimination between stages A and B patients (R.O.C.; AUC = 0.968; sensitivity 1.00; specificity 0.91). Conclusion Lymph nodes hyper metabolisms are constant in the B stage, and more intense than in stage A. These anomalies are always bilateral, unlike what is observed in Richter's transformation. The intensity of axillary lymph nodes F.D.G. uptake can distinguish C.L.L. stages A and B. (authors)}
doi = {10.1016/J.MEDNUC.2009.03.006}
journal = []
issue = {9}
volume = {33}
place = {France}
year = {2009}
month = {Sep}
}