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Detection performance and prognostic value of initial bone marrow involvement in diffuse large B-cell lymphoma: a single centre 18F-FDG PET/CT and bone marrow biopsy evaluation study Cover

Detection performance and prognostic value of initial bone marrow involvement in diffuse large B-cell lymphoma: a single centre 18F-FDG PET/CT and bone marrow biopsy evaluation study

Open Access
|Feb 2024

Figures & Tables

FIGURE 1.

Overall survival.
Overall survival.

FIGURE 2.

Gender based survival analysis.
Gender based survival analysis.

FIGURE 3.

International prognostic index (IPI) survival analysis.HR = high risk; HIR = high-intermediate risk; LIR = low-intermediate risk; LR = low risk
International prognostic index (IPI) survival analysis.HR = high risk; HIR = high-intermediate risk; LIR = low-intermediate risk; LR = low risk

FIGURE 4.

Bone marrow involvement status survival analysis.BM = bone marrow
Bone marrow involvement status survival analysis.BM = bone marrow

The six-colour antibody panel used for flow-cytometric immunophenotyping of bone marrow (BM) aspirates

TubeFITCPEPerCP-Cy5,5APCPE-Cy7APC-Cy7
1.mAbκλCD19CD5CD10CD45
Vé5 μl5 μl5 μl3 μl2 μl3 μl
2.mAbCD34CD117CD33HLA-DRCD14CD45
Vé3 μl3 μl2 μl2 μl3 μl3 μl
3.mAbCD3CD56CD5CD20CD19CD45
Vé1 μl3 μl3 μl6 μl3 μl3 μl
4.mAb CD19 CD45
Vé 5 μl 3 μl
5.mAbFMC7CD23CD19CD5CD10CD45
Vé6 μl6 μl5 μl3μl
6.mAbCD52CD11cCD19CD38 CD45
Vé3 μl5 μl5 μl3 μl 3 μl
7.mAbCD103CD22CD19CD25 CD45
Vé5 μl4 μl5 μl2 μl 3 μl
8.mAbCD38CD56CD19CD138 CD45
Vé5 μl3 μl5 μl5 μl 3 μl
9.mAbCD4CD8CD3CD7CD5CD45
Vé3 μl4 μl3 μl2 μl5 μl3 μl

Patients’ characteristics

Age (median, range), years65 (20–79)
Gender, female/male, n (%)64 (44.1%)/81 (55.9%)
BMI −BMI +
Age (median) [years]; BMI−: BMI+66 (25–79)63(20–78); p = 0.524
Gender, female/male, n;48/5416/27; p = 0.277
IPI score, n (%)
IPI Low risk group (LR): 33 (22.8%)321
IPI Low-intermediate risk group (LIR): 32 (22.1%)2210
IPI High-intermediate risk group (HIR): 33 (22.8%)249
IPI High risk group (HR): 47 (32.4%)2423
Stage at diagnosis, n (%)II: 39 (26.9%)
III: 19 (13.1%)
IV: 87 (60.0%)
Chemotherapy regimen, n (%)R-CHOP: 119 (82.1%)
R-EPOCH: 9 (6.2%)
R-ACVBP: 6 (4.1%)
RCOEP: 3 (2.1%)
Other: 8 (5.5%)
Radiotherapy after chemotherapy, n (%)52 (35.9%)
Death in 60 months follow-up period, n (%)29 (20.0%)
Bone marrow involvements present-overall, n (%)43 (29.7%)
Extranodal sites: 0, n (%)26 (17.9%)
Extranodal sites: 1, n (%)48 (33.1%); of those BMI n = 11 (7.6%)
Extranodal sites more than 1, no. (%)71 (49.0%)
DOI: https://doi.org/10.2478/raon-2024-0004 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 15 - 22
Submitted on: Oct 15, 2023
Accepted on: Jan 3, 2024
Published on: Feb 21, 2024
Published by: Association of Radiology and Oncology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 times per year

© 2024 Andrej Doma, Katarina Zevnik, Andrej Studen, Veronika Kloboves Prevodnik, Gorana Gasljevic, Barbara Jezersek Novakovic, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution 4.0 License.