Hodgkin's and Non-Hodgkin's Lymphoma Clinical Trial
This study aims to investigate the value of dual time point PET/CT in lymphoma. Since FDG
uptake is linked to glucose metabolism, PET imaging is also used to detect suspected sites
for infectious and inflammatory disorders. In a clinical setting, it is a challenge to
distinguish between FDG uptake in benign and malignant lesions and this gives rise to a
considerable quantity of false positive results and decreased positive predictive values.
Performing FDG-PET imaging sixty minutes after injection is common practice in the staging
and surveillance of lymphoma but this procedure may not be optimal, especially not in
settings where benign inflammatory lesions are of clinical concern.
In an attempt to find an alternative method for this discrimination, dual time point FDG-PET
was introduced. This technique has shown itself to be a potentially promising method in
FDG-PET imaging for distinguishing between malignant and benign lesions using SUV values.
The reason for the different FDG uptake patterns between inflammatory and malignant lesions
is unclear. Several factors may contribute to this phenomenon on a cellular basis. It has
been shown that cancer cells exhibit increased numbers of glucose transporter and low level
of glucose-6-phosphatase. Varying levels between different cancer cell types may explain the
different FDG uptake curves. Because various cell types exhibit varying rates of FDG uptake
we believe that kinetic investigation may prove to be of value in understanding different
types of lymphoma and identifying how to perform precise imaging for staging and
surveillance.
| Status | Recruiting |
| Enrollment | 30 |
| Est. completion date | July 2014 |
| Est. primary completion date | February 2014 |
| Accepts healthy volunteers | No |
| Gender | Both |
| Age group | 18 Years and older |
| Eligibility |
Inclusion Criteria: - Age>18 years - Planned for curative treatment Exclusion Criteria: - Previously treatment with chemotherapy or irradiation - Primary CNS lymphoma - Recurrent lymphoma - Transformation from indolent lymphoma - Presence of diabetes mellitus, HIV, chronic inflammatory disease or infections - Pregnancy or lactation |
Observational Model: Cohort, Time Perspective: Prospective
| Country | Name | City | State |
|---|---|---|---|
| Denmark | Odense University Hospital, Department of hematology | Odense | |
| Denmark | Roskilde Hospital | Roskilde |
| Lead Sponsor | Collaborator |
|---|---|
| Odense University Hospital |
Denmark,
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Other | To compare SUVmax with the expression of GLUT1, hexokinase, G6Pase in lymphoma cells | 1 day (After diagnostic biopsy) | No | |
| Primary | Progression Free Survival | To evaluate the predictive value of PET after 60min compared to PET after 180min in terms of outcome. | 2 years | No |
| Primary | Progression free survival | To evaluate the predictive value of PET after 60min compared to PET after 180min in terms of outcome. | 3 years | No |
| Secondary | Overall survival | To evaluate the predictive value of PET after 60min compared to PET after 180min in terms of outcome. | 2 years, 3 years | No |