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.
Patient
Age, gender
Diagnosis, stage‡
Index lesion(s) location
18F-FDG SUV
18F-FDG liver SUV
DS
18F-FLT SUV
Reference standard and outcome
1
11, F
HL, IVA
Right subcarinal LN
2.0
1.2
4
3.3
Biopsy, atypical lymphoid hyperplasia
Retrocaval LN
2.3
4
4.1
2
17, M
HL, IVB
Anterior mediastinal mass
2.2
2.6
3
5.0
Biopsy, thymic tissue
3†
16, F
HL, IIA
Retroauricular LN
2.5
2.5
3
Nil
Imaging, resolution on follow-up 3 mo 18F-FDG PET/CT
4†
18, F
HL, IVA
Prevascular LN
3.0
2.4
4
Nil
Imaging, resolution on follow-up 3 mo 18F-FDG PET/CT
Prevascular LN
3.0
4
Nil
5
17, M
HL, IVA
Lung RUL nodule
2.2
2.3
3
Nil
Imaging, interval decrease in size on 3 mo follow-up chest CT
6
14, M
HL, IIA
Jugulodigastric LN
2.7
2.6
3
2.2
Imaging, resolution on follow-up 3 mo 18F-FDG PET/CT
Jugulodigastric LN
2.4
3
2.7
Anterior mediastinal mass
2.6
3
1.7
7†
15, M
HL, IIV
Posterior cervical LN
2.5
2.4
3
1.7
Imaging, resolution on follow-up 3 mo 18F-FDG PET/CT
Hilar LN
2.5
3
1.9
Hilar LN
3.4
4
1.4
8
17, M
DLBCL, I
Jugulodigastric LN
2.9
2.4
4
2.8
Imaging: interval decrease of 18F-FDG uptake on follow-up 3 mo 18F-FDG PET/CT (SUV 1.5)
Submandibular LN
2.1
3
3.4
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.