Objective
The aim of the study was to evaluate feasibility of diffusion-weighted whole-body imaging with background body signal suppression (DWIBS) method in diagnosing Hodgkin lymphoma in pediatric patients and to compare it with 18F-FDG PET/CT as a gold standard.
Materials and methods
Eleven patients (median age 14) with newly diagnosed Hodgkin lymphoma were examined with 18F-FDG PET/CT and MRI including whole-body DWIBS sequence (
b
= 0, 800 s/mm
2
), before the oncologic treatment. About 26 locations of lymphatic tissues were evaluated visually and quantitatively using ADC
mean
(DWIBS) and SUV
max
(18F-FDG PET/CT), respectively.
Results
All affected lymph node regions (
n
= 134) diagnosed in 18F-FDG PET/CT were found with DWIBS, presenting decreased diffusion. Significant correlation was found between ADC and SUV values (
R
2
= − 0.37;
p
= 0.0001). Nevertheless, additional 33 regions were recognized only by DWIBS. They were significantly smaller than regions diagnosed by both methods.
Discussion
Agreement between DWIBS and 18F-FDG PET/CT for detection and staging of malignant lymphoma is high. DWIBS can be used for the evaluation of pediatric Hodgkin lymphoma.
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