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中期PET-CT在淋巴瘤一线治疗决策中的应用。

Application of interim PET-CT in first-line treatment decision-making for lymphoma.

作者信息

Huang Linlin, Zhao Yi, He Jingsong

机构信息

Bone Marrow Transplantation Center, Department of Hematology, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310006, China.

出版信息

J Zhejiang Univ Sci B. 2023 Oct 15;24(10):905-921. doi: 10.1631/jzus.B2200644.

Abstract

Recent advances in lymphoma treatment have significantly improved the survival of patients; however, the current approaches also have varying side effects. To overcome these, it is critical to implement individualized treatment according to the patient's condition. Therefore, the early identification of high-risk groups and targeted treatment are important strategies for prolonging the survival time and improving the quality of life of patients. Interim positron emission tomography-computed tomography (PET-CT) has a high prognostic value, which can reflect chemosensitivity and identify patients for whom treatment may fail under this regimen. To date, many prospective clinical studies on interim PET (iPET)‍-adapted therapy have been conducted. In this review, we focus on the treatment strategies entailed in these studies, as well as the means and timing of iPET assessment, with the aim of exploring the efficacy and existing issues regarding iPET-adapted treatment. It is expected that the improved use of PET-CT examination can facilitate treatment decision-making to identify precise treatment options.

摘要

淋巴瘤治疗的最新进展显著提高了患者的生存率;然而,目前的治疗方法也有不同程度的副作用。为克服这些问题,根据患者病情实施个体化治疗至关重要。因此,早期识别高危人群并进行靶向治疗是延长患者生存时间和提高生活质量的重要策略。中期正电子发射断层扫描-计算机断层扫描(PET-CT)具有较高的预后价值,可反映化疗敏感性并识别在此治疗方案下可能治疗失败的患者。迄今为止,已经开展了许多关于基于中期PET(iPET)调整治疗的前瞻性临床研究。在本综述中,我们重点关注这些研究中所涉及的治疗策略,以及iPET评估的方法和时机,旨在探讨基于iPET调整治疗的疗效和存在的问题。期望PET-CT检查的更好应用能够促进治疗决策,以确定精确的治疗方案。

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