Distribution and predictors of F-18-FDG uptake values of non-malignant cervical lymph nodes in pediatric patients.

Cervical lymph nodes Children Deauville score Positron emission tomography Tonsil

Journal

EJNMMI research
ISSN: 2191-219X
Titre abrégé: EJNMMI Res
Pays: Germany
ID NLM: 101560946

Informations de publication

Date de publication:
29 May 2024
Historique:
received: 05 03 2024
accepted: 03 05 2024
medline: 29 5 2024
pubmed: 29 5 2024
entrez: 29 5 2024
Statut: epublish

Résumé

F-18-flurodeoxyglucose (FDG) PET/CT is routinely used for staging, evaluation of response to treatment and follow-up of most pediatric malignancies. Cervical lymph nodes can be involved in some pediatric malignancies, but increased uptake in non-malignant cervical lymph nodes is not exceptional in this population. The aim of the present study is to identify predictors of the maximum uptake in non-malignant cervical lymph nodes in the pediatric population. 191 FDG PET/CT studies of pediatric patients without malignant involvement of cervical lymph nodes were retrospectively reviewed. The maximal Standard Uptake Value in the hottest cervical lymph node (SUVmax Increased FDG activity in cervical nodes was observed in 136/191 studies (71%). The mean SUVmax SUVmax in ipsilateral palatine tonsil is a strong predictor of the maximal uptake value of non-malignant cervical lymph nodes in children. The intensity of uptake in non-malignant cervical lymph nodes is frequently higher than liver uptake in children, and this tendency increases for younger patients. In the internal hospital registry under TRN 0209-22-HMO on date 23.04.2022.

Sections du résumé

BACKGROUND BACKGROUND
F-18-flurodeoxyglucose (FDG) PET/CT is routinely used for staging, evaluation of response to treatment and follow-up of most pediatric malignancies. Cervical lymph nodes can be involved in some pediatric malignancies, but increased uptake in non-malignant cervical lymph nodes is not exceptional in this population. The aim of the present study is to identify predictors of the maximum uptake in non-malignant cervical lymph nodes in the pediatric population.
METHODS METHODS
191 FDG PET/CT studies of pediatric patients without malignant involvement of cervical lymph nodes were retrospectively reviewed. The maximal Standard Uptake Value in the hottest cervical lymph node (SUVmax
RESULTS RESULTS
Increased FDG activity in cervical nodes was observed in 136/191 studies (71%). The mean SUVmax
CONCLUSION CONCLUSIONS
SUVmax in ipsilateral palatine tonsil is a strong predictor of the maximal uptake value of non-malignant cervical lymph nodes in children. The intensity of uptake in non-malignant cervical lymph nodes is frequently higher than liver uptake in children, and this tendency increases for younger patients.
TRIAL WAS REGISTERED UNASSIGNED
In the internal hospital registry under TRN 0209-22-HMO on date 23.04.2022.

Identifiants

pubmed: 38809472
doi: 10.1186/s13550-024-01110-9
pii: 10.1186/s13550-024-01110-9
doi:

Types de publication

Journal Article

Langues

eng

Pagination

52

Informations de copyright

© 2024. The Author(s).

Références

Vali R, Alessio A, Balza R, Borgwardt L, Bar-Sever Z, Czachowski M, et al. SNMMI Procedure Standard/EANM Practice Guideline on Pediatric 18F-FDG PET/CT for Oncology 1.0. J Nucl Med. 2021;62:99–110.
doi: 10.2967/jnumed.120.254110 pubmed: 33334912 pmcid: 8679588
Siegel DA, King JB, Lupo PJ, Durbin EB, Tai E, Mills K, et al. Counts, incidence rates, and trends of pediatric cancer in the United States, 2003–2019. JNCI: J Natl Cancer Inst. 2023;115:1337–54.
doi: 10.1093/jnci/djad115 pubmed: 37433078
Ben-Arush M, Minard-Colin V, Scarzello G, Fajardo RD, Van Terwisscha S, Bernier V, et al. Therapy and prognostic significance of regional lymph node involvement in embryonal rhabdomyosarcoma: a report from the European paediatric soft tissue sarcoma Study Group. Eur J Cancer. 2022;172:119–29.
doi: 10.1016/j.ejca.2022.05.033 pubmed: 35763871
Mauz-Körholz C, Landman-Parker J, Balwierz W, Ammann RA, Anderson RA, Attarbaschi A, et al. Response-adapted omission of radiotherapy and comparison of consolidation chemotherapy in children and adolescents with intermediate-stage and advanced-stage classical Hodgkin lymphoma (EuroNet-PHL-C1): a titration study with an open-label, embedded, multinational, non-inferiority, randomised controlled trial. Lancet Oncol. 2022;23:125–37.
doi: 10.1016/S1470-2045(21)00470-8 pubmed: 34895479 pmcid: 8716340
Shammas A, Lim R, Charron M. Pediatric FDG PET/CT: physiologic uptake, normal variants, and benign conditions. Radiographics. 2009;29:1467–86.
doi: 10.1148/rg.295085247 pubmed: 19755606
Kumbhar SS, Qi J. Normal FDG uptake in the adenoids and palatine tonsils in children on PET/MRI. Pediatr Radiol. 2020;50:958–65.
doi: 10.1007/s00247-020-04650-z pubmed: 32198664
Spijkers S, Littooij AS, Nievelstein RAJ. Measurements of cervical lymph nodes in children on computed tomography. Pediatr Radiol. 2020;50:534–42.
doi: 10.1007/s00247-019-04595-y pubmed: 31853570
Boellaard R, Delgado-Bolton R, Oyen WJG, Giammarile F, Tatsch K, Eschner W, et al. FDG PET/CT: EANM procedure guidelines for tumour imaging: version 2.0. Eur J Nucl Med Mol Imaging. 2015;42:328–54.
doi: 10.1007/s00259-014-2961-x pubmed: 25452219
Hasenclever D, Kurch L, Mauz-Körholz C, Elsner A, Georgi T, Wallace H, et al. qPET - a quantitative extension of the Deauville scale to assess response in interim FDG-PET scans in lymphoma. Eur J Nucl Med Mol Imaging. 2014;41:1301–8.
doi: 10.1007/s00259-014-2715-9 pubmed: 24604592
University of Giessen. European Network-Paediatric Hodgkin Lymphoma Study Group (EuroNet-PHL). Second International Inter-Group Study for Classical Hodgkin Lymphoma in Children and Adolescents [Internet]. clinicaltrials.gov; 2021 May. Report No.: NCT02684708. https://clinicaltrials.gov/ct2/show/NCT02684708 .
Treatment by Cancer Type [Internet]. NCCN. https://www.nccn.org/guidelines/category_1 .
Childhood Rhabdomyosarcoma Treatment (PDQ®) - NCI [Internet]. 2024 [cited 2024 Apr 14]. https://www.cancer.gov/types/soft-tissue-sarcoma/hp/rhabdomyosarcoma-treatment-pdq .
Seelisch J, De Alarcon PA, Flerlage JE, Hoppe BS, Kaste SC, Kelly KM, et al. Expert consensus statements for Waldeyer’s ring involvement in pediatric Hodgkin lymphoma: the staging, evaluation, and response criteria harmonization (SEARCH) for childhood, adolescent, and young adult Hodgkin lymphoma (CAYAHL) group. Pediatr Blood Cancer. 2020;67:e28361.
doi: 10.1002/pbc.28361 pubmed: 32672879
Zucca E, Roggero E, Bertoni F, Conconi A, Cavalli F. Primary extranodal non-hodgkin’s lymphomas. Part 2: Head and neck, central nervous system and other less common sites. Ann Oncol. 1999;10:1023–33.
doi: 10.1023/A:1008313229892 pubmed: 10572599
Birkin E, Moore KS, Huang C, Christopher M, Rees JI, Jayaprakasam V, et al. Determinants of physiological uptake of 18F-fluorodeoxyglucose in palatine tonsils. Med (Baltim). 2018;97:e11040.
doi: 10.1097/MD.0000000000011040
Hu Y-Y, Zhang X, Long W, Lin X-P, Zhang Y-R, Li Y-H, et al. Cervical lymph node hyperplasia on [(18)F]-fluorodeoxyglucose positron emission tomography/computed tomography scan after treatment of children and adolescents with malignant lymphoma. Eur J Radiol. 2015;84:1378–82.
doi: 10.1016/j.ejrad.2015.03.021 pubmed: 25882963
An Y-S, Yoon J-K, Lee SJ, Jeong SH, Lee HW. Clinical significance of post-treatment 18F-fluorodeoxyglucose uptake in cervical lymph nodes in patients with diffuse large B-cell lymphoma. Eur Radiol. 2016;26:4632–9.
doi: 10.1007/s00330-016-4365-8 pubmed: 27193777
Vali R, Bakari AA, Marie E, Kousha M, Charron M, Shammas A. FDG uptake in cervical lymph nodes in children without head and neck cancer. Pediatr Radiol. 2017;47:860–7.
doi: 10.1007/s00247-017-3835-8 pubmed: 28357549
Kimura M, Kato I, Ishibashi K, Hashimoto K, Tsuji H, Sone Y, et al. Texture analysis of 18F-FDG PET images for the detection of cervical lymph node metastases in patients with oral squamous cell carcinoma. Adv Oral Maxillofacial Surg. 2022;5:100228.
doi: 10.1016/j.adoms.2021.100228
Santer M, Kloppenburg M, Gottfried TM, Runge A, Schmutzhard J, Vorbach SM, et al. Current applications of Artificial Intelligence to classify cervical lymph nodes in patients with Head and Neck squamous cell Carcinoma—A. Syst Rev Cancers (Basel). 2022;14:5397.
doi: 10.3390/cancers14215397
Shang Q, Zhao L, Pang Y, Yu Y, Chen H. 68Ga-FAPI PET/CT distinguishes the reactive lymph nodes from Tumor Metastatic Lymph nodes in a patient with nasopharyngeal carcinoma. Clin Nucl Med. 2022;47:367.
doi: 10.1097/RLU.0000000000003939 pubmed: 34653051
Impact of time of flight and point spread function on quantitative parameters of lung lesions in 18F-FDG PET/CT. | BMC Medical Imaging | Full Text [Internet]. [cited 2022 Dec 29]. https://bmcmedimaging.biomedcentral.com/articles/ https://doi.org/10.1186/s12880-021-00699-w .
Akamatsu G, Mitsumoto K, Taniguchi T, Tsutsui Y, Baba S, Sasaki M. Influences of point-spread function and time-of-flight reconstructions on standardized uptake value of lymph node metastases in FDG-PET. Eur J Radiol. 2014;83:226–30.
doi: 10.1016/j.ejrad.2013.09.030 pubmed: 24144448
Hasenclever D, Diehl V, Armitage JO, Assouline D, Björkholm M, Brusamolino E, et al. A prognostic score for Advanced Hodgkin’s Disease. N Engl J Med. 1998;339:1506–14.
doi: 10.1056/NEJM199811193392104 pubmed: 9819449
Cao Y, Zhou K, Diao W, Long X, Tian F, Su M, et al. Age-related changes of standardized uptake values in the blood pool and liver: a decade-long retrospective study of the outcomes of 2,526 subjects. Quant Imaging Med Surg. 2021;11:95–106.
doi: 10.21037/qims-20-35 pubmed: 33392014 pmcid: 7719952
Kahn JM, Pei Q, Friedman DL, Kaplan J, Keller FG, Hodgson D, et al. Survival by age in paediatric and adolescent patients with Hodgkin lymphoma: a retrospective pooled analysis of children’s oncology group trials. Lancet Haematol. 2022;9:e49–57.
doi: 10.1016/S2352-3026(21)00349-5 pubmed: 34971582 pmcid: 8815096
Texte E, Lequesne J, Tilly H, Jardin F, Vera P, Stamatoullas A, et al. SUVmax-based assessment of PET response shows a superior specificity to Deauville criteria for predicting recurrence in Hodgkin’s lymphoma. Leuk Lymphoma. 2021;62:1088–97.
doi: 10.1080/10428194.2020.1855341 pubmed: 33289431

Auteurs

Jeremy Godefroy (J)

Department of Medical Biophysics and Nuclear Medicine, Hadassah Medical Center, Jerusalem, Israel. jeremyg@hadassah.org.il.

Raphael Godefroy (R)

Department of Economics, Universite de Montreal, Montreal, QC, Canada.

Koral Vedder (K)

Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.

Yair Altura (Y)

Department of Medical Biophysics and Nuclear Medicine, Hadassah Medical Center, Jerusalem, Israel.

Alexandre Chicheportiche (A)

Department of Medical Biophysics and Nuclear Medicine, Hadassah Medical Center, Jerusalem, Israel.

Simona Ben-Haim (S)

Department of Medical Biophysics and Nuclear Medicine, Hadassah Medical Center, Jerusalem, Israel.
Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
University College London, London, UK.

Gal Goldstein (G)

The Dyna and Fala Weinstock Department of Pediatric Hematology-Oncology, Hadassah Hebrew University Medical Center, Jerusalem, Israel.

Classifications MeSH