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  • Aarnivala, HenriOulu Univ Hosp, Finland; Univ Oulu, Finland (författare)

Radiological follow-up of osteonecrosis lesions in children and adolescents with Hodgkin lymphoma

  • Artikel/kapitelEngelska2024

Förlag, utgivningsår, omfång ...

  • 2024
  • WILEY,2024
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:liu-206276
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-206276URI
  • https://doi.org/10.1111/bjh.19687DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:159180141URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Funding Agencies|Mary Beve's Foundation; Gerd Ahlman's Fund; Swedish Childhood Cancer Fund; Alma and K. A. Snellman Foundation; Vare Foundation for Paediatric Cancer Research; Danish Childhood Cancer Foundation [2021-7439]
  • Osteonecrosis (ON) is a common complication of glucocorticoid-based Hodgkin lymphoma (HL) treatment, but the natural evolution and prognosis of ON lesions remain poorly understood. We describe the radiological evolution of ON lesions identified in a Nordic population-based cohort of paediatric HL patients. Magnetic resonance images of suspected ON lesions were centrally reviewed to confirm ON diagnosis and grade the ON lesions according to the Niinim & auml;ki classification. The study included 202 ON lesions in 46 patients, of which 77 were joint lesions. Follow-up images were available for 146/202 lesions, with a mean follow-up time of 28 months. During follow-up, 71% of the lesions remained stable, 26% improved or resolved, and 3% progressed. A higher ON grade at diagnosis was associated with a lower likelihood of spontaneous resolution. The likelihood for resolution of ON decreased by 50% for each year of added patient age, when adjusted for sex, ON location, and symptoms. Hip ON showed less spontaneous improvement compared with other joints, and the risk for surgery was 13-fold in hip ON. Grades 3-4 joint ON has the potential to either progress or resolve, warranting follow-up in patients with severe symptoms. Research on secondary prevention should be directed at grade 3-4 joint ON. Osteonecrosis (ON) is a recognised complication of glucocorticoid-based treatment for Hodgkin lymphoma (HL). In a Nordic cohort of 489 paediatric HL patients, a magnetic resonance imaging follow-up study using the Niinim & auml;ki radiological classification system was carried out. Forty-six patients had been diagnosed with ON. A total of 202 ON were identified, of which 77 were joint lesions. Follow-up images were available for 146/202 lesions, with a mean follow-up time of 28 months. During follow-up, 3% of the lesions progressed to joint collapse, whilst 26% improved or resolved. A higher ON grade at diagnosis was associated with a lower likelihood for spontaneous resolution, as was higher patient age. Hip ON showed less spontaneous improvement compared with other joints, and the risk for surgery was 13-fold in hip ON.image

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Giertz, MiaUppsala Univ Hosp, Sweden; Uppsala Univ, Sweden (författare)
  • Michelsen, Sascha WilkUniv Hosp Rigshospitalet, Denmark (författare)
  • Bjorklund, CarolineUmea Univ Hosp, Sweden (författare)
  • Englund, AnnikaUppsala Univ Hosp, Sweden; Uppsala Univ, Sweden (författare)
  • Gronroos, MarikaTurku Univ Hosp, Finland (författare)
  • Hjalgrim, Lisa LyngsieUniv Hosp Rigshospitalet, Denmark (författare)
  • Huttunen, PasiUniv Helsinki, Finland (författare)
  • Niinimaki, TuukkaUniv Oulu, Finland; Oulu Univ Hosp, Finland (författare)
  • Penno, EvaUppsala Univ Hosp, Sweden (författare)
  • Pokka, TyttiOulu Univ Hosp, Finland (författare)
  • Poyhonen, TuuliKuopio Univ Hosp, Finland (författare)
  • Raittinen, PaeiviTampere Univ, Finland (författare)
  • Ranta, SusannaKarolinska Univ Hosp, Sweden; Karolinska Inst, Sweden (författare)
  • Svahn, Johan E.Lund Univ, Sweden (författare)
  • Törnudd, LisaLinköpings universitet,Avdelningen för barns och kvinnors hälsa,Medicinska fakulteten,Region Östergötland, H.K.H. Kronprinsessan Victorias barn- och ungdomssjukhus(Swepub:liu)listo21 (författare)
  • Harila, ArjaUppsala Univ, Sweden (författare)
  • Niinimaki, RiittaOulu Univ Hosp, Finland; Univ Oulu, Finland (författare)
  • Oulu Univ Hosp, Finland; Univ Oulu, FinlandUppsala Univ Hosp, Sweden; Uppsala Univ, Sweden (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:British Journal of Haematology: WILEY0007-10481365-2141

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