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Synapse
May 3, 20260 citations

Prediction of relapsed/refractory primary central nervous system lymphoma using pre-chemotherapy ITSS grade on SWI and pre-/post-chemotherapy ADC parameters on DWI.

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YZYijing ZhaoFYFeiman YangMLMeina Li

Key Points

  • This research aims to assess the utility of SWI and DWI in predicting relapsed/refractory primary CNS lymphoma.
  • Evaluated imaging techniques SWI and DWI in two groups of R/R PCNSL patients.
  • Utilized receiver operating characteristic curves and logistic regression analysis for predictive performance assessment.
  • SWI and DWI demonstrated predictive performance comparable to pre-chemotherapy ITSS grade (0.894 vs. 0.714, P > 0.05).
  • SWI and DWI were superior to the Ki-67 index (0.894 vs. 0.665, P < 0.05) for predicting R/R PCNSL.

Abstract

OBJECTIVES: The purpose of this study was to evaluate the role of SWI and DWI in predicting the relapsed/refractory primary central nervous system lymphoma (R/R PCNSL). MATERIALS AND METHODS: ), were compared between the two groups. Receiver operating characteristic curves and logistic regression analysis were used to assess the predictive performance. RESULTS: was comparable to that of pre-chemotherapy ITSS grade for R/R PCNSL (0.894 vs. 0.714, 0.867 vs. 0.714, 0.877 vs. 0.714, 0.814 vs. 0.714, all P > 0.05), but superior to that of Ki-67 index (0.894 vs. 0.665, 0.867 vs. 0.665, 0.877 vs. 0.665, 0.814 vs. 0.665, all P < 0.05). CONCLUSIONS: may serve as preferable imaging biomarkers for predicting R/R PCNSL, and compare favorably with Ki-67 index.

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Cite This Study

Zhao et al. (2026) studied this question.

synapsesocial.com/papers/69f6e5308071d4f1bdfc5ed0https://doi.org/10.1186/s40644-026-01042-8
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Multiparametric MRI for differential diagnosis of primary central nervous system lymphoma and atypical glioblastoma: an analysis incorporating DWI, DCE-MRI, and contrast agent preload DSC-PWI2025 · 2 citations
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  3. 3Prognostic value of clinical characteristics and immunophenotypic biomarkers in 115 patients with primary central nervous system lymphoma2013 · 8 citations
  4. 4Prognostic Significance of High Ki-67 Index and Histogenetic Subclassification in Primary Central Nervous System Lymphoma2016 · 16 citations
  5. 5NCCN Guidelines® Insights: B-Cell Lymphomas 3.20252025 · 20 citations