Abstract

Proceedings of the International Cancer Imaging Society (ICIS) 16th Annual Teaching Course

Highlights

  • The Deauville Score (DS) is a standardised five-point scale developed to assess treatment response in lymphoma

  • Following initial work confirming high concordance of the reporting criteria between reporters, with respect to use in clinical trials [1], the scoring system was adopted as the preferred method for reporting of response assessment in lymphoma at the First International Workshop on Positron emission tomography (PET) in Lymphoma in Deauville, France, in 2009 [2]

  • Since the DS has been increasingly used in clinical practice and in national and international trials as a simple, quick and reproducible method to assess response to treatment in lymphoma, with good interobserver agreement reported in several studies [5, 6, 7]

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Summary

Introduction

The Deauville Score (DS) ( referred to as the Deauville criteria) is a standardised five-point scale developed to assess treatment response in lymphoma. An alternative for PSMA-based imaging agents for PET/CT is the synthetic L-leucine analogue fluciclovine (FACBC), which was very recently approved by the FDA It depicts functional activity of two different transmembrane amino acid transporters (ASCT2 and LAT1). The distribution of the tracer in the body is favourable (negligible uptake in the kidneys, no activity in the urinary tract) and the detection rate of tumours seems to compare favourably to choline PET/CT when PSA levels are low. Another option is F-18 labelled 5αdihydrotestosterone (FDHT), directly targeting the intracellular androgen receptor. Defining the position of all the available options for molecular imaging in the diagnostic algorithms of the various stages of disease and convert this into guidelines are upcoming challenges

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