Objective To observe the application of
18F-FDG PET-CT-CIK in the treatment of diffuse large
18F-FDG cell lymphoma in patients with newly diagnosed diffuse large B cell lymphoma.
Methods From the Department of Hematology in our hospital patients with diffuse large B cell lymphoma in 140 cases, all patients were given high CIK cells combined with R-CHOP chemotherapy before chemotherapy and after 3 cycles of chemotherapy, the traditional CT and
18F-FDG PET-CT scan on patients before treatment, compared with the traditional
18F-FDG PET-CT CT examination results, and according to the response to chemotherapy were divided into complete response group, partial response group and non-response group three groups, each group of patients before and after treatment were the maximum standard uptake(SUV
max), and the rate of complete remission.
Results Before treatment, compared with the traditional CT, the sensitivity of
18F-FDG PET-CT in the diagnosis of lymph node region and extranodal lesions, the accuracy is significantly higher, the difference was statistically significant (
P<0.05). After the treatment, the complete response group, partial response in group SUV
max was significantly lower (
P<0.05); the SUV
max value before treatment compared. Complete response group, partial response group, non-response group (
P<0.05); compare the value of SUV
max after treatment, complete response group < partial response group < non response group, the difference was statistically significant (
P<0.05). Three groups of patients with complete remission rate, complete response group, partial response group, non-response group, the difference was statistically significant (
P<0.05).
Conclusion 18F-FDG PET-CT diagnostic sensitivity of diffuse large B cell lymphoma, the accuracy is higher than that of the traditional CT,
18F-FDG, PET-CT examination in the autologous CIK cells combined with chemotherapy treatment period, can clear to treatment with drug reaction, predictive value of the therapeutic effect and prognosis.