Sjögren's disease & overlap diseases

FDG-PET/CT discriminates between patients with and without lymphomas in primary Sjögren’s syndrome

Rheumatology (Oxford)Published Diagnostic accuracy study

Authors' conclusion

FDG-PET/CT can assist in excluding pSS-associated lymphomas in patients without PET abnormalities, possibly leading to a decrease of invasive biopsies in suspected lymphoma patients. Furthermore, FDG-PET/CT is able to detect systemic manifestations in pSS and can guide to the best biopsy location.

Study context

Population
ACR-EULAR-positive pSS patients who underwent FDG-PET/CT
Participants
70 patients
Comparison
FDG-PET/CT findings in pSS patients with vs without lymphoma
  • Lymphoman = 26
Outcome
Discrimination between pSS patients with and without lymphoma by FDG-PET/CT (standardized uptake values (SUV) cut-offs)
Methodological detailsROC curve analyses
  • ROC curve analyses

Performance

As reported in the abstract

Discrimination of lymphoma vs non-lymphoma in pSS by combined FDG-PET/CT findings (nodular lung lesions, parotid SUVmax > 3.1, submandibular SUVmax > 2.9)

Sensitivity, at least one of the three features present

92%

Specificity, at least two features present

91%

Optimal SUVmax cut-off, parotid gland

3.1

Optimal SUVmax cut-off, submandibular gland

2.9

Further findings

Systemic disease activity

FDG-PET/CT detected systemic manifestations, mostly lymph nodes, entheses and lungs

Original publication

FDG-PET/CT discriminates between patients with and without lymphomas in primary Sjögren’s syndrome. Rheumatology (Oxford). Published 9 February 2023. doi:10.1093/rheumatology/kead071

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