Serum level of soluble interleukin‐2 receptor is positively correlated with metabolic tumor volume on 18F‐FDG PET/CT in newly diagnosed patients with diffuse large B‐cell lymphoma

Abstract Diffuse large B‐cell lymphoma (DLBCL) is the most frequent subtype of non‐Hodgkin lymphoma. High total metabolic tumor volume (TMTV) calculated using 18F‐FDG PET/CT images at diagnosis predicts poor prognosis of patients with DLBCL. However, high cost and poor access to the imaging faciliti...

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Main Authors: Hajime Senjo, Minoru Kanaya, Koh Izumiyama, Koichiro Minauchi, Kenji Hirata, Akio Mori, Makoto Saito, Masanori Tanaka, Hiroaki Iijima, Eriko Tsukamoto, Kazuo Itoh, Shuichi Ota, Masanobu Morioka, Daigo Hashimoto, Takanori Teshima, North Japan Hematology Study Group (NJHSG)
Format: Article
Language:English
Published: Wiley 2019-03-01
Series:Cancer Medicine
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Online Access:https://doi.org/10.1002/cam4.1973
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author Hajime Senjo
Minoru Kanaya
Koh Izumiyama
Koichiro Minauchi
Kenji Hirata
Akio Mori
Makoto Saito
Masanori Tanaka
Hiroaki Iijima
Eriko Tsukamoto
Kazuo Itoh
Shuichi Ota
Masanobu Morioka
Daigo Hashimoto
Takanori Teshima
North Japan Hematology Study Group (NJHSG)
author_facet Hajime Senjo
Minoru Kanaya
Koh Izumiyama
Koichiro Minauchi
Kenji Hirata
Akio Mori
Makoto Saito
Masanori Tanaka
Hiroaki Iijima
Eriko Tsukamoto
Kazuo Itoh
Shuichi Ota
Masanobu Morioka
Daigo Hashimoto
Takanori Teshima
North Japan Hematology Study Group (NJHSG)
author_sort Hajime Senjo
collection DOAJ
description Abstract Diffuse large B‐cell lymphoma (DLBCL) is the most frequent subtype of non‐Hodgkin lymphoma. High total metabolic tumor volume (TMTV) calculated using 18F‐FDG PET/CT images at diagnosis predicts poor prognosis of patients with DLBCL. However, high cost and poor access to the imaging facilities hamper wider use of 18F‐FDG PET/CT. In order to explore a surrogate marker for TMTV, we evaluated the correlation between the serum levels of soluble interleukin‐2 receptor (sIL‐2R) and TMTV in 64 patients with DLBCL, and the results were verified in an independent validation cohort of 86 patients. Serum levels of sIL‐2R were significantly correlated with TMTV. ROC analysis revealed that the cutoff value of TMTV ≥150 cm3 or sIL‐2R ≥ 1300 U/mL could predict failure to achieve EFS24 with areas under the curve (AUC) 0.706 and 0.758, respectively. Each of TMTV ≥150 cm3 and sIL‐2R ≥1300 U/mL was significantly associated with worse 5‐year overall survival and event‐free survival. Importantly, each of sIL‐2R <1300 U/mL or TMTV <150 cm3 identified patients with favorable prognosis among NCCN‐IPI high‐intermediate and high‐risk group. Serum level of sIL‐2R represents a convenient surrogate marker to estimate metabolic tumor burden measured by 18F‐FDG PET/CT that can predict treatment outcomes of patients with DLBCL.
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spelling doaj-art-fcc72633f7674267b1aec302124449422025-01-31T08:47:42ZengWileyCancer Medicine2045-76342019-03-018395396210.1002/cam4.1973Serum level of soluble interleukin‐2 receptor is positively correlated with metabolic tumor volume on 18F‐FDG PET/CT in newly diagnosed patients with diffuse large B‐cell lymphomaHajime Senjo0Minoru Kanaya1Koh Izumiyama2Koichiro Minauchi3Kenji Hirata4Akio Mori5Makoto Saito6Masanori Tanaka7Hiroaki Iijima8Eriko Tsukamoto9Kazuo Itoh10Shuichi Ota11Masanobu Morioka12Daigo Hashimoto13Takanori Teshima14North Japan Hematology Study Group (NJHSG)Department of Hematology Aiiku Hospital Sapporo JapanDepartment of Hematology Aiiku Hospital Sapporo JapanDepartment of Hematology Aiiku Hospital Sapporo JapanDepartment of Hematology Sapporo Hokuyu Hospital Sapporo JapanDepartment of Nuclear Medicine, Graduate School of Medicine Hokkaido University Sapporo JapanDepartment of Hematology Aiiku Hospital Sapporo JapanDepartment of Hematology Aiiku Hospital Sapporo JapanDepartment of Hematology Aiiku Hospital Sapporo JapanClinical Research and Medical Innovation Center Hokkaido University Hospital Sapporo JapanDepartment of Radiology Central CI Clinic Sapporo JapanDepartment of Radiology Keiyukai Sapporo Hospital Sapporo JapanDepartment of Hematology Sapporo Hokuyu Hospital Sapporo JapanDepartment of Hematology Aiiku Hospital Sapporo JapanDepartment of Hematology, Faculty of Medicine Hokkaido University Sapporo JapanDepartment of Hematology, Faculty of Medicine Hokkaido University Sapporo JapanAbstract Diffuse large B‐cell lymphoma (DLBCL) is the most frequent subtype of non‐Hodgkin lymphoma. High total metabolic tumor volume (TMTV) calculated using 18F‐FDG PET/CT images at diagnosis predicts poor prognosis of patients with DLBCL. However, high cost and poor access to the imaging facilities hamper wider use of 18F‐FDG PET/CT. In order to explore a surrogate marker for TMTV, we evaluated the correlation between the serum levels of soluble interleukin‐2 receptor (sIL‐2R) and TMTV in 64 patients with DLBCL, and the results were verified in an independent validation cohort of 86 patients. Serum levels of sIL‐2R were significantly correlated with TMTV. ROC analysis revealed that the cutoff value of TMTV ≥150 cm3 or sIL‐2R ≥ 1300 U/mL could predict failure to achieve EFS24 with areas under the curve (AUC) 0.706 and 0.758, respectively. Each of TMTV ≥150 cm3 and sIL‐2R ≥1300 U/mL was significantly associated with worse 5‐year overall survival and event‐free survival. Importantly, each of sIL‐2R <1300 U/mL or TMTV <150 cm3 identified patients with favorable prognosis among NCCN‐IPI high‐intermediate and high‐risk group. Serum level of sIL‐2R represents a convenient surrogate marker to estimate metabolic tumor burden measured by 18F‐FDG PET/CT that can predict treatment outcomes of patients with DLBCL.https://doi.org/10.1002/cam4.1973diffuse large B‐cell lymphomasoluble interleukin‐2 receptortotal metabolic tumor volume
spellingShingle Hajime Senjo
Minoru Kanaya
Koh Izumiyama
Koichiro Minauchi
Kenji Hirata
Akio Mori
Makoto Saito
Masanori Tanaka
Hiroaki Iijima
Eriko Tsukamoto
Kazuo Itoh
Shuichi Ota
Masanobu Morioka
Daigo Hashimoto
Takanori Teshima
North Japan Hematology Study Group (NJHSG)
Serum level of soluble interleukin‐2 receptor is positively correlated with metabolic tumor volume on 18F‐FDG PET/CT in newly diagnosed patients with diffuse large B‐cell lymphoma
Cancer Medicine
diffuse large B‐cell lymphoma
soluble interleukin‐2 receptor
total metabolic tumor volume
title Serum level of soluble interleukin‐2 receptor is positively correlated with metabolic tumor volume on 18F‐FDG PET/CT in newly diagnosed patients with diffuse large B‐cell lymphoma
title_full Serum level of soluble interleukin‐2 receptor is positively correlated with metabolic tumor volume on 18F‐FDG PET/CT in newly diagnosed patients with diffuse large B‐cell lymphoma
title_fullStr Serum level of soluble interleukin‐2 receptor is positively correlated with metabolic tumor volume on 18F‐FDG PET/CT in newly diagnosed patients with diffuse large B‐cell lymphoma
title_full_unstemmed Serum level of soluble interleukin‐2 receptor is positively correlated with metabolic tumor volume on 18F‐FDG PET/CT in newly diagnosed patients with diffuse large B‐cell lymphoma
title_short Serum level of soluble interleukin‐2 receptor is positively correlated with metabolic tumor volume on 18F‐FDG PET/CT in newly diagnosed patients with diffuse large B‐cell lymphoma
title_sort serum level of soluble interleukin 2 receptor is positively correlated with metabolic tumor volume on 18f fdg pet ct in newly diagnosed patients with diffuse large b cell lymphoma
topic diffuse large B‐cell lymphoma
soluble interleukin‐2 receptor
total metabolic tumor volume
url https://doi.org/10.1002/cam4.1973
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