Prognostic Implications of Widespread FDG Uptake in Spleen and/or Bone Marrow Linked to Reticuloendothelial System Activation in Patients with Lymphoma - Report - MDSpire

Prognostic Implications of Widespread FDG Uptake in Spleen and/or Bone Marrow Linked to Reticuloendothelial System Activation in Patients with Lymphoma

  • By

  • Yuru Song

  • Jiaqi Sun

  • Jing Jiang

  • Ningjun Xu

  • Qian Zhao

  • January 17, 2026

  • 0 min

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Prognostic Implications of Widespread FDG Uptake in Spleen and Bone Marrow

Overview

Expand to include specific mechanisms linking FDG uptake to systemic inflammation and its predictive value.

Background

Lymphoma is a malignant disorder with increasing global incidence and complex clinical manifestations. Accurate prognostic assessment is crucial for individualized treatment, especially in advanced cases with systemic involvement. Functional imaging, particularly ¹⁸F-FDG PET/CT, is essential for evaluating disease burden and treatment response, yet the implications of diffuse FDG uptake in the spleen and bone marrow remain unclear.

Data Highlights

Replace with relevant data or a clear statement about the absence of specific numerical data.

Key Findings

  • Diffuse FDG uptake in the spleen and bone marrow may indicate heightened systemic inflammation.
  • Elevated spleen-to-liver standardized uptake ratio (SLR) correlates with poor progression-free survival in lymphoma.
  • Diffuse uptake in these organs can serve as surrogate indicators of systemic inflammatory activity.
  • Prior studies show that systemic inflammation markers are linked to aggressive lymphoma behavior and poor survival.
  • Focal FDG uptake is associated with true marrow involvement, while diffuse uptake often reflects reactive changes.

Clinical Implications

Clinicians should consider diffuse FDG uptake in the spleen and bone marrow as potential indicators of systemic inflammation in lymphoma patients. This may enhance prognostic stratification and inform treatment decisions, particularly in advanced disease stages.

Conclusion

The study highlights the importance of evaluating diffuse FDG uptake in the spleen and bone marrow as a prognostic tool in lymphoma, potentially guiding individualized treatment strategies.

References

  1. European Radiology, Key Imaging Guidelines for Lymphoma: Recommendations from the European Society of Oncologic Imaging, 2024
  2. Journal of Gastroenterology, Utilization of 18F-fluorodeoxyglucose PET Imaging for Post-Treatment Evaluation of Malignant Liver Tumors, 2013
  3. European Radiology, Guidelines for Staging and Restaging in Oncology Using FDG-PET/CT: Recommendations from the European Society for Hybrid, Molecular, and Translational Imaging, 2024
  4. Blood Cancer Journal, Development of a new risk stratification system for patients with newly diagnosed multiple myeloma using R-ISS and 18F-FDG PET/CT, 2021
  5. Current Status of Revisions to the Lugano Classification in Lymphoma - PMC, 2023
  6. Prognostic value of diffusely increased FDG uptake in spleen and/or bone marrow due to reticuloendothelial system activation in lymphoma patients - PMC, 2023
  7. Frontiers | Baseline and interim 18F-FDG PET/CT metabolic parameters predict the efficacy and survival in patients with diffuse large B-cell lymphoma, 2024
  8. Current Status of Revisions to the Lugano Classification in Lymphoma - PMC
  9. Prognostic value of diffusely increased FDG uptake in spleen and/ or bone marrow due to reticuloendothelial system activation in lymphoma patients - PMC
  10. Frontiers | Baseline and interim 18F-FDG PET/CT metabolic parameters predict the efficacy and survival in patients with diffuse large B-cell lymphoma

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