title: Next-generation surveillance strategies for patients with lymphoma.
abstract: While remission and cure rates for Hodgkin and non-Hodgkin lymphoma continue to improve, surveillance approaches remain controversial, especially in light of recent reports suggesting limited benefit for routine radiologic assessment. Routine cross-sectional imaging results in considerable patient expense and anxiety, and this approach does not clearly improve patient outcomes. Next-generation approaches including minimal residual disease detection may provide an opportunity to identify relapse early and intervene prior to progression of clinical disease. This review discusses the role of surveillance imaging in Hodgkin and non-Hodgkin lymphoma and provides an introduction to serologic assessment of minimal residual disease. Future studies will need to focus on the clinical application of minimal residual disease surveillance and its ability to predict relapse, treatment response and survival.
authors.affiliation: Department of Hematology & Medical Oncology, Emory University, 1365 Clifton Road NE, Atlanta, GA 30322, USA.
authors.forename: Jonathon B
authors.initials: JB
authors.lastname: Cohen
authors.affiliation: Division of Oncology, Stanford University, 450 Serra Mall, Stanford, CA 94305, USA.
authors.forename: David M
authors.initials: DM
authors.lastname: Kurtz
authors.affiliation: Department of Hematology & Medical Oncology, Emory University, 1365 Clifton Road NE, Atlanta, GA 30322, USA.
authors.forename: Ashley D
authors.initials: AD
authors.lastname: Staton
authors.affiliation: Department of Hematology & Medical Oncology, Emory University, 1365 Clifton Road NE, Atlanta, GA 30322, USA.
authors.forename: Christopher R
authors.initials: CR
authors.lastname: Flowers
mesh_terms: D006689:Hodgkin Disease / Q000145:classification / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D006801:Humans; D008228:Lymphoma, Non-Hodgkin / Q000145:classification / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000628:therapy*; D011859:Radiography; D012074:Remission Induction
keywords: Hodgkin lymphoma; PET; computed tomography; lymphoma; minimal residual disease; non-Hodgkin lymphoma; surveillance