Application of 18F-FDG, PET-CT, and CIK in the treatment of diffuse large cell lymphoma in patients with newly diagnosed diffuse large B cell lymphoma
-
摘要: 目的 观察18F-氟代脱氧葡萄糖(18F-FDG)PET-CT在自体高效CIK细胞联合化疗治疗初诊弥漫大B细胞淋巴瘤中的应用价值。 方法 选取2012年3月-2016年1月杭州市肿瘤医院收治的弥漫大B细胞淋巴瘤患者140例,所有患者均给予高效CIK细胞联合R-CHOP化疗方案治疗,化疗前及化疗3个周期后,对患者进行传统CT以及18F-FDG PET-CT扫描显像检查,比较治疗前18F-FDG PET-CT与传统CT检查结果,并根据患者对化疗的反应分为完全反应组、部分反应组、无反应组,比较治疗前后各组患者病灶标准摄取最大值(SUVmax)以及完全缓解率。 结果 治疗前,与传统CT比较,18F-FDG PET-CT诊断淋巴结区域及结外器官病变的灵敏度、准确性明显较高,差异有统计学意义(P<0.05)。治疗后,完全反应组、部分反应组SUVmax值明显降低(P<0.05);治疗前SUVmax值比较,完全反应组>部分反应组>无反应组(均P<0.05);治疗后SUVmax值比较,完全反应组<部分反应组<无反应组,差异有统计学意义(均P<0.05)。3组患者完全缓解率比较,完全反应组>部分反应组>无反应组,差异具有统计学意义(均P<0.05)。 结论 18F-FDG PET-CT诊断弥漫大B细胞淋巴瘤的灵敏度、准确性高于传统CT,在自体高效CIK细胞联合化疗治疗中期进行8F-FDG PET-CT检查,能够明确患者对治疗药物的反应性,对治疗效果及预后有预测价值。Abstract: 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(SUVmax), 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 SUVmax was significantly lower (P<0.05); the SUVmax value before treatment compared. Complete response group, partial response group, non-response group (P<0.05); compare the value of SUVmax 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.
-
Key words:
- Diffuse large B cell lymphoma /
- Autologous CIK cells /
- Chemotherapy /
- 18F-FDG /
- PET-CT /
- Application
点击查看大图
计量
- 文章访问数: 391
- HTML全文浏览量: 86
- PDF下载量: 1
- 被引次数: 0