Open Access

Summed rest score in gated myocardial perfusion imaging is a good predicator for treatment‑related cardiotoxicity after anthracycline chemotherapy in patients with diffuse large B‑cell lymphoma

  • Authors:
    • Yan Lin
    • Jianfeng Wang
    • Min Xu
    • Chun Qiu
    • Peng Xu
    • Limei Shang
    • Bai He
    • Fei Wang
    • Yanhua Yue
    • Yanting Guo
    • Feng Li
    • Weimin Dong
    • Xiaobao Xie
    • Yuetao Wang
    • Weiying Gu
  • View Affiliations

  • Published online on: October 6, 2020     https://doi.org/10.3892/ol.2020.12194
  • Article Number: 330
  • Copyright: © Lin et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Anthracycline chemotherapy is commonly used in the treatment of diffuse large B‑cell lymphoma (DLBCL). Treatment‑related cardiotoxicity (TRC) is defined as when the patient is identified to have one of the following clinical manifestations: Symptomatic heart failure, cardiac death, arrhythmia, infarction, a decrease in left ventricular ejection fraction (LVEF) of >15% from baseline or a decrease in LVEF of >10 to <50%. TRC may induce severe cardiac failure or cardiac arrhythmia as the main cause of death. The present study aimed to investigate the prognostic value of the summed rest score (SRS) in gated myocardial perfusion imaging (G‑MPI) for the early detection of TRC caused by anthracycline chemotherapy in patients with DLBCL. A total of 36 DLBCL patients were enrolled in the present study, and a series of parameters were compared at baseline and after chemotherapy. According to the occurrence of TRC during the observation period, the patients were divided into two groups, and parameters associated with cardiac function were compared. The SRS in G‑MPI and the corrected QT interval in the electrocardiogram were significantly different before and after chemotherapy (P=0.012 and P=0.015, respectively). By comparing parameters associated with cardiac function between the TRC group (n=22) and the no‑TRC group (n=14), it was found that only SRS was significantly different (P=0.012). Multivariate logistic regression analysis showed that the SRS level was the only independent predicator for TRC (P=0.018; HR, 6.053; 95% CI, 1.364‑26.869). Receiver operating characteristic curve analysis identified an optimal SRS cutoff of >1 for predicting TRC after anthracycline chemotherapy (P<0.001). Overall, the G‑MPI SRS level was an early indicator for TRC surveillance in patients with DLBCL after anthracycline chemotherapy. The application of G‑MPI SRS in clinical practice may contribute to early treatment and a subsequent decrease in mortality caused by such cardiovascular complications.
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December-2020
Volume 20 Issue 6

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Spandidos Publications style
Lin Y, Wang J, Xu M, Qiu C, Xu P, Shang L, He B, Wang F, Yue Y, Guo Y, Guo Y, et al: Summed rest score in gated myocardial perfusion imaging is a good predicator for treatment‑related cardiotoxicity after anthracycline chemotherapy in patients with diffuse large B‑cell lymphoma. Oncol Lett 20: 330, 2020
APA
Lin, Y., Wang, J., Xu, M., Qiu, C., Xu, P., Shang, L. ... Gu, W. (2020). Summed rest score in gated myocardial perfusion imaging is a good predicator for treatment‑related cardiotoxicity after anthracycline chemotherapy in patients with diffuse large B‑cell lymphoma. Oncology Letters, 20, 330. https://doi.org/10.3892/ol.2020.12194
MLA
Lin, Y., Wang, J., Xu, M., Qiu, C., Xu, P., Shang, L., He, B., Wang, F., Yue, Y., Guo, Y., Li, F., Dong, W., Xie, X., Wang, Y., Gu, W."Summed rest score in gated myocardial perfusion imaging is a good predicator for treatment‑related cardiotoxicity after anthracycline chemotherapy in patients with diffuse large B‑cell lymphoma". Oncology Letters 20.6 (2020): 330.
Chicago
Lin, Y., Wang, J., Xu, M., Qiu, C., Xu, P., Shang, L., He, B., Wang, F., Yue, Y., Guo, Y., Li, F., Dong, W., Xie, X., Wang, Y., Gu, W."Summed rest score in gated myocardial perfusion imaging is a good predicator for treatment‑related cardiotoxicity after anthracycline chemotherapy in patients with diffuse large B‑cell lymphoma". Oncology Letters 20, no. 6 (2020): 330. https://doi.org/10.3892/ol.2020.12194