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. 2020 Jan 13;2020(1):CD012643. doi: 10.1002/14651858.CD012643.pub3
Study No. of participants Outcomes/comparison Results
Gandikota 2015 77 (stages IIA ‐ IIB)
  • Analysis of imaging at different time points: Baseline imaging, imaging during (after two to four cycles of ABVD) and at the end of treatment, follow‐up imaging

  • Need for surveillance imaging

Analysis of imaging at different time points
Baseline imaging
  • 77 participants had baseline PET‐CT scans, 1 had only chest X‐ray due to pregnancy at baseline


Imaging during and at the end of treatment
  • 77 participants had interim PET‐CT during chemotherapy (N = 34) or after chemotherapy before initiation of radiotherapy (N = 43)

  • Out of 77, 4 remained PET‐positive, scans after completion of radiotherapy showed a complete response in 2/4, inflammation in 1/4, resolution of all adenopathy in 1/4, 0/4 relapsed during follow‐up


Follow‐up imaging
  • Median follow‐up: 46 months (range 24 to 126)

  • Total of 466 scans in 78 participants (PET‐CT in N = 42)

  • No relapses occurred in the entire cohort, N = 3 were diagnosed with a second primary malignancy by either imaging or clinical presentation, N = 6 had false‐positive imaging findings (3/6 PET‐CT) requiring further supplementary imaging or biopsy/surgery


Need for surveillance imaging
Quote: “No relapse of cHL was detected at a median follow‐up of 46 months. […] Routine imaging (either CT or PET‐CT) for the early detection of relapse does not appear necessary or justified in these participants.”
Orlacchio 2012 132 (all stages) Interim PET2 vs. end PET (three months after the end of chemo‐ and radiotherapy). Interim PET results
  • Negative interim PET2: 104

  • Positive interim PET2: 28


End PET results
Negative interim PET2 group
  • Negative final PET: 102/104

  • Positive final PET: 2/104


Positive interim PET2 group
  • Negative final PET: 16/28

  • Positive final PET: 12/28


Interim PET vs. end PET
Negative interim PET2 group
  • Quote: “Final PET confirmed the negative results in 102 cases (98%) and revealed pathological uptake in the remaining two cases (2%).”


Positive interim PET2 group
  • Of the 28 interim PET‐positive participants, 19 showed a partial response and nine had disease stability or progression. Twelve of the 28 interim PET‐positive participants had a positive final PET. Hence, the remaining 16 had a negative final PET.


NPV and PPV
  • Quote: “Interim PET had a NPV of 98%, with 85.7% sensitivity, 86.4% specificity and 86.4% diagnostic accuracy.”

  • Quote: “[In univariable analysis] the only independent predictor is the result of interim PET. […] PET had a PPV of 42%."