Research Article

A Pilot Study of 18F-FLT PET/CT in Pediatric Lymphoma

Table 1

Patient characteristics as well as index lesion location, tracer uptake, and reference standard outcome.

PatientAge, genderDiagnosis, stageIndex lesion(s) location18F-FDG SUV18F-FDG liver SUV DS18F-FLT SUVReference standard and outcome

1 11, F HL, IVARight subcarinal LN2.0 1.243.3Biopsy, atypical lymphoid hyperplasia
Retrocaval LN2.344.1

217, MHL, IVBAnterior mediastinal mass2.22.635.0Biopsy, thymic tissue

316, FHL, IIARetroauricular LN2.52.53NilImaging, resolution on follow-up 3 mo 18F-FDG PET/CT

418, FHL, IVAPrevascular LN3.02.44NilImaging, resolution on follow-up 3 mo 18F-FDG PET/CT
Prevascular LN3.04Nil

517, MHL, IVALung RUL nodule2.22.33NilImaging, interval decrease in size on 3 mo follow-up chest CT

6 14, M HL, IIAJugulodigastric LN2.7 2.632.2Imaging, resolution on follow-up 3 mo 18F-FDG PET/CT
Jugulodigastric LN2.432.7
Anterior mediastinal mass2.631.7

7 15, M HL, IIV Posterior cervical LN2.5 2.431.7Imaging, resolution on follow-up 3 mo 18F-FDG PET/CT
Hilar LN2.531.9
Hilar LN3.441.4

817, MDLBCL, IJugulodigastric LN2.92.442.8Imaging: interval decrease of 18F-FDG uptake on follow-up 3 mo 18F-FDG PET/CT (SUV 1.5)
Submandibular LN2.133.4

Histopathology based on biopsy, when available, or follow-up imaging (i.e., 3-month PET/CT or CT scan) was used as reference standards. HL: Hodgkin lymphoma, DLBCL: diffuse large B-cell lymphoma, SUV: standardized uptake value, LN: lymph node, RUL: right upper lobe, mo: month, and nil: no tracer uptake detected. DS: Deauville score, based on the uptake of 18F-FDG within the index lesion using liver uptake for reference. Patients who were mid chemotherapy at the time of 18F-FLT PET/CT imaging. All patients with HL were initially diagnosed pathologically with the nodular sclerosing subtype.