Pulmonary vascular disease & thromboembolism

Prognostic Value of Fluorine-18-Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography Imaging for Predicting Venous Thromboembolism in Children With Lymphoma

Circ Cardiovasc ImagingPublished Retrospective cohort study

Authors' conclusion

Fluorine-18-fluorodeoxyglucose PET/CT imaging detects treatment-induced venous toxicity that may provide insight into risk of VTE events in pediatric and adolescent and young adult patients with lymphoma.

Study context

Population
Pediatric, adolescent and young adult patients with lymphoma undergoing whole-body positron emission tomography (PET)/computed tomography (CT) at initial staging and first therapeutic follow-up
Participants
71 participants
Exposure
18F-FDG PET/CT venous inflammation in patients with vs without venous thromboembolism (VTE)
Outcome
Prognostic value of serial changes in lower extremity (femoral, popliteal) venous 18F-FDG uptake for predicting VTE
Follow-up
12 months after lymphoma diagnosis

Main finding

As reported in the abstract

Venous inflammatory response on PET/CT · 12 months after diagnosis

ROC AUC for VTE occurrence, femoral vein

0.76

ROC AUC for VTE occurrence, popliteal vein

0.77

Observational data: associations, not effects.

Further findings

Association of PET/CT-derived vein inflammation changes with VTE-free survival (univariate) · 12 months after diagnosis

Femoral vein inflammation significantly associated with VTE-free survival
P = 0.008
Popliteal vein inflammation significantly associated with VTE-free survival
P = 0.002
  • Univariate analyses

Original publication

Prognostic Value of Fluorine-18-Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography Imaging for Predicting Venous Thromboembolism in Children With Lymphoma. Circ Cardiovasc Imaging. Published 4 April 2023. doi:10.1161/circimaging.122.014992

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