Optimized Whole-Body PET MRI Sequence Workflow in Pediatric Hodgkin Lymphoma Patients
Research output: Contribution to journal › Research article › Contributed › peer-review
Contributors
Abstract
18F-FDG PET/MRI might be the diagnostic method of choice for Hodgkin lymphoma patients, as it combines significantmetabolic information fromPET with excellent soft-tissue contrast fromMRI and avoids radiation exposure from CT. However, a major issue is longer examination times than for PET/CT, especially for younger children needing anesthesia. Thus, a targeted selection of suitable whole-body MRI sequences is important to optimize the PET/MRI workflow. Methods: The initial PET/MRI scans of 84 EuroNet-PHL-C2 study patients from 13 international PET centers were evaluated. In each available MRI sequence, 5 PET-positive lymph nodes were assessed. If extranodal involvement occurred, 2 splenic lesions, 2 skeletal lesions, and 2 lung lesions were also assessed. A detection rate was calculated dividing the number of visible, anatomically assignable, and measurable lesions in the respectiveMRI sequence by the total number of lesions. Results: Relaxation time-weighted (T2w) transverse sequences with fat saturation (fs) yielded the best result, with detection rates of 95% for nodal lesions, 62% for splenic lesions, 94% for skeletal lesions, and 83% for lung lesions, followed by T2w transverse sequences without fs (86%, 49%, 16%, and 59%, respectively) and longitudinal relaxation time- weighted contrast-enhanced transverse sequences with fs (74%, 35%, 57%, and 55%, respectively). Conclusion: T2w transverse sequences with fs yielded the highest detection rates and are well suited for accurate whole-body PET/MRI in lymphoma patients. There is no evidence to recommend the use of contrast agents.
Details
Original language | English |
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Pages (from-to) | 96-101 |
Number of pages | 6 |
Journal | Journal of Nuclear Medicine |
Volume | 64 |
Issue number | 1 |
Publication status | Published - Jan 2023 |
Peer-reviewed | Yes |
Externally published | Yes |
External IDs
PubMed | 35835583 |
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Keywords
ASJC Scopus subject areas
Keywords
- Hodgkin lymphoma, MRI sequences, PET/MRI, wholebody imaging, Bone Diseases, Humans, Whole Body Imaging/methods, Workflow, Magnetic Resonance Imaging/methods, Hodgkin Disease/diagnostic imaging, Positron Emission Tomography Computed Tomography, Fluorodeoxyglucose F18, Diffusion Magnetic Resonance Imaging/methods, Neoplasm Staging, Radiopharmaceuticals, Child, Positron-Emission Tomography/methods