Inicio  /  Cancers  /  Vol: 14 Par: 4 (2022)  /  Artículo
ARTÍCULO
TITULO

Integration of Baseline Metabolic Parameters and Mutational Profiles Predicts Long-Term Response to First-Line Therapy in DLBCL Patients: A Post Hoc Analysis of the SAKK38/07 Study

Sofia Genta    
Guido Ghilardi    
Luciano Cascione    
Darius Juskevicius    
Alexandar Tzankov    
Sämi Schär    
Lisa Milan    
Maria Cristina Pirosa    
Fabiana Esposito    
Teresa Ruberto    
Luca Giovanella    
Stefanie Hayoz    
Christoph Mamot    
Stefan Dirnhofer    
Emanuele Zucca and Luca Ceriani    

Resumen

In this manuscript, we present a statistical model for reliable and early prediction of treatment failure in patients with diffuse large B-cell lymphoma. The model combines measurable parameters?namely, the metabolic tumor volume and the metabolic heterogeneity, from baseline PET/CT with the presence or absence of mutations in SOCS1 and CREBBP/EP300 and represents a promising tool for the design of clinical trials focused on tailoring treatment to the individual risk. According to our bioinformatics analysis, mutation profiling may not be needed in patients with high-risk PET/CT metrics. Hence, the proposed approach may help optimize economic resources avoiding costly, and likely unnecessary, DNA analysis in many patients.

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