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Table 1 Overview of studies evaluating prognostic role of variable PET-CT parameters in multiple myeloma

From: 18F-FDG-PET/CT in relapsed multiple myeloma: Are prognostic thresholds different from first-line therapy?

Study

Study design

Number of patients

Time of PET/CT

Thresholds for PET-CT parameters (relevant survival parameter)

Bartel et al. [15]

Prospective

239

At diagnosis and before autologous SCT

nFL > 3 (OS and EFS), SUVmax > 3.9 (EFS*), EMD-positivity (OS* and EFS*)

Zamagni et al. [8]

Prospective

192

At diagnosis

SUVmax > 4.2 (OS and PFS), EMD-positivity (OS and PFS), nFLs > 3 (PFS*)

Fonti et al. [21]

Retrospective

47

At diagnosis, with subpopulation in relapse

MTV (OS and PFS)

Usmani et al. [11]

Prospective

302

At diagnosis and at induction day 7

nFL > 3 on day 7 (OS and PFS)

Zamagni et al. [9]

Retrospective

282

After first line

SUVmax > 4.2 (PFS and OS), nFL > 3 (OS* and PFS*), EMD-positivity (OS* and PFS*)

Patriarca et al. [10]

Retrospective

67

Before allogeneic SCT

SUVmax > 4.2 (OS and PFS*), EMD-positivity (OS* and PFS), nFL > 1 (OS* and PFS*),

Beksac et al. [12]

Prospective

139

Before and after autologous SCT

SUVmax > 3.35 (OS), SUVmax > 4.2 (PFS)

Moreau et al. [22]

Prospective

134

After first line compared to PET at diagnosis

PET-positive versus PET-normalization (PFS and OS)

Davies et al. [14]

Retrospective (based on population of TT4-6 trials)

596

At diagnosis, during and after induction

nFL > 3 (OS, PFS) at diagnosis. Suppression of FL-signal beneficial

Wang et al. [16]

Retrospective

123

At diagnosis

SUVmax > 5.7 (OS*), EMD-positivity (OS and PFS)

Moon et al. [17]

Retrospective

76

At diagnosis

nFL > 3 (OS and PFS), EMD-positivity (OS and PFS)

Fonti et al. [23]

Retrospective

47

At diagnosis

MVT (OS and PFS), TLG (OS* and PFS*), SUVmax (OS*), nFL (OS* and PFS*)

Lapa et al. [18]

Retrospective

37

At relapse

nFL > 10 (TTP and OS), EMD (TTP and OS), SUVmax (ROC) > 18.5 (TTP)

Jamet et al. [19]

Retrospective

40

At relapse

nFL (appendicular skeleton) > 6 (OS, PFS), TLG (OS), SUVmax (ROC) > 15.9 (PFS), nFLs > 13 (PFS*)

  1. SCT stem cell transplantation, OS overall survival, EFS event free survival, PFS progression free survival, CRD complete response duration, TTP time to progression, nFL number of focal lesions, EMD extramedullary disease, SUV-standardized uptake value, MTV metabolic tumor volume, TLG total lesion glycolysis. *Parameter was significant only on univariate analysis