Why the study?
PET-detected parameters are not included in standard follicular lymphoma prognostic indices, and data are lacking regarding PET extranodal factors that predict outcomes.
Does a PET-based prognostic index predict outcomes better than FLIPI-2 in untreated follicular lymphoma?
Does a PET-based prognostic index predict outcomes better than FLIPI-2 in untreated follicular lymphoma?
A novel PET-based prognostic score using extranodal sites and skin/soft tissue involvement predicts poor outcomes in untreated follicular lymphoma but does not outperform the traditional FLIPI-2 index.
Does not support adopting PET-based scoring over FLIPI-2 in follicular lymphoma; leaves open whether extranodal sites refine prognostication in prospective cohorts.
Involvement of ≥2 EN sites or skin/soft tissue on PET/CT represent predictors of PFS and OS in newly diagnosed follicular lymphoma (FL). 2. We developed a PET-based prognostic index for untreated FL, without need for bone marrow biopsy. This index did not outperform FLIPI-2. Parameters detected by positron emission tomography (PET) are not included in the usual predictive indices for follicular lymphoma (FL). Data is lacking regarding PET extranodal factors that predict outcomes in FL. PET exams from 258 patients with untreated grade 1-3a FL included in the E2408 randomized phase II trial were reviewed. Validation of the prognostic significance of PET factors identified in a previous retrospective study was performed. PET factors with a significant impact on survival outcomes were combined with significant FL International Prognostic Index-2 (FLIPI-2) factors to evaluate the predictive value of a PET-based prognostic index. Presence of two or more EN sites and skin/soft tissue involvement on PET were validated as predictors of overall survival. These factors were combined with all FLIPI-2 factors except “positive BMB” to form a PET-based prognostic score. This novel score identified a group of patients at high risk of progression of disease at 24 months. This PET-based score did not perform better than the traditional FLIPI-2 on additional analysis. Presence of two or more EN sites and skin/soft tissue involvement on PET predict poor outcomes in untreated FL. Further studies should be performed to determine the validity of a PET-based prognostic index in FL.
No takes yet. Share an insight, caveat, or question.
St‐Pierre et al. (2025) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: