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[18F]FDG PET/CT 在预测接受 CAR-T 治疗的 NHL 患者毒性中的作用:系统综述

英文原题:The Role of [(18)F]FDG PET/CT in Predicting Toxicity in Patients with NHL Treated with CAR-T: A Systematic Review.

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The Role of [(18)F]FDG PET/CT in Predicting Toxicity in Patients with NHL Treated with CAR-T: A Systematic Review.

PubMed 2024/06/03(内容时间) Tomography Q2 · IF 2.5(JCR 2025)

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中文摘要

CAR-T 细胞疗法,也称为CAR-T 细胞疗法,是免疫治疗领域中治疗非霍奇金淋巴瘤(NHL)的一种新方法。在接受CAR-T 细胞疗法的患者中,氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描([18F]FDG PET/CT)在追踪治疗反应和评估免疫治疗的整体疗效方面发挥着关键作用。

本研究的目的是对旨在通过[18F]FDG PET/CT评估和预测接受CAR-T 细胞疗法的NHL患者毒性的研究文献进行系统综述。两名研究者检索了PubMed/MEDLINE和Cochrane对照试验中心注册库(CENTRAL)数据库,以寻找涉及在接受CAR-T 细胞疗法的淋巴瘤患者中使用[18F]FDG PET/CT的研究。全面的计算机文献检索共纳入11项研究。使用第二版“诊断准确性研究质量评估”工具(QUADAS-2),本系统综述所纳入研究的偏倚风险被评为低。当前文献强调了[18F]FDG PET/CT在评估和预测接受CAR-T 细胞疗法的NHL患者毒性方面的作用,凸显了CAR-T 细胞疗法研究的不断发展性质。需要更多研究来增加文献中收集的证据。

展开英文摘要原文

CAR-T-cell therapy, also referred to as chimeric antigen receptor T-cell therapy, is a novel method in the field of immunotherapy for the treatment of non-Hodgkin's lymphoma (NHL). In patients receiving CAR-T-cell therapy, fluorodeoxyglucose Positron Emission Tomography/Computer Tomography ([ 18 F]FDG PET/CT) plays a critical role in tracking treatment response and evaluating the immunotherapy's overall efficacy. The aim of this study is to provide a systematic review of the literature on the studies aiming to assess and predict toxicity by means of [ 18 F]FDG PET/CT in patients with NHL receiving CAR-T-cell therapy.

PubMed/MEDLINE and Cochrane Central Register of Controlled Trials (CENTRAL) databases were interrogated by two investigators to seek studies involving the use of [ 18 F]FDG PET/CT in patients with lymphoma undergoing CAR-T-cell therapy. The comprehensive computer literature search allowed 11 studies to be included.

The risk of bias for the studies included in the systematic review was scored as low by using version 2 of the "Quality Assessment of Diagnostic Accuracy Studies" tool (QUADAS-2). The current literature emphasizes the role of [ 18 F]FDG PET/CT in assessing and predicting toxicity in patients with NHL receiving CAR-T-cell therapy, highlighting the evolving nature of research in CAR-T-cell therapy. Additional studies are warranted to increase the collected evidence in the literature.

论文信息

作者
Quartuccio N、Ialuna S、Pulizzi S、D'Oppido D、Nicolosi S、Moreci AM
单位
Nuclear Medicine Unit, Ospedali Riuniti Villa Sofia-Cervello, 90146 Palermo, Italy.Italy
文献类型
系统综述
期刊
Tomography (Ann Arbor, Mich.)2024 Jun 3
原文标识
PubMed 38921943 · DOI 10.3390/tomography10060066