The RSNA is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Lugano classification. The Lugano classification is a lymphoma staging system for non-Hodgkin and Hodgkin lymphoma.This article outlines the classification's response to treatment based on PET-CT.. Also included in the classification are staging and response to treatment based on CT.. Staging. The categories for initial staging are defined in this article. The Lugano classification recommends the Deauville five-point scale for reporting response by FDG PET-CT: Staging and response assessment in lymphomas: the new Lugano classification Staging and response criteria were initially developed for Hodgkin lymphoma (HL) over 60 years ago, but not until 1999 were response criteria published for non-Hodgkin lymphoma (NHL). The cancer is found only in 1 area of a single organ outside of the lymph system (IE). Physicians should claim only the credit commensurate with the extent of their participation in the activity. A staging system is a way for the cancer care team to sum up the extent of a cancer’s spread. The staging system used for Hodgkin lymphoma is the Lugano classification, which is based on the older Ann Arbor system. This staging system is known as the Lugano Modification of the Ann Arbor staging system. The RSNA designates this journal-based SA-CME activity for a maximum of 1.0 AMA PRA Category 1 Credit. It has 4 stages, labeled I, II, III, and IV. The Lugano staging classification is the lymphoma staging system that is most commonly used in clinical practice currently. To provide an update on the latest Lugano classification with recommendations for staging, response assessment and follow-up in patients with lymphomas To enhance the application of the latest recommendations for staging, response assessment and follow-up in lymphoma and improve the findings interpretation in clinical practice and late phase clinical trials A workshop was held at the 11th International Conference on Malignant Lymphoma in Lugano, Switzerland, in June 2011, that included leading hematologists, oncologists, radiation oncologists, pathologists, … Scoring system. The lymphoma is in only 1 lymph node area or lymphoid organ such as the tonsils (I). In 2015, the National Comprehensive Cancer Network ... the Lugano classification. 2. WHAT’S NEW IN THE LUGANO CLASSIFICATION? The purpose of this work was to modernize recommendations for evaluation, staging, and response assessment of patients with Hodgkin lymphoma (HL) and non-Hodgkin lymphoma (NHL). Limited. Either of the following means the disease is stage I: 1. stage I: one node or group of adjacent nodes

See separate articles for the Lugano criteria for response assessment by PET-CT or by CT alone, as well as guidelines for lesion measurement.. SPD eliminated for progression • Spleen evaluation Quantified: >13 cm is enlarged on CT • Modification of the Ann Arbor Classification • FDG-PET-CT Standard staging for FDG-avid lymphomas Response assessment in FDG-avid subtypes using the 5-point scale • Progressive disease evaluation PPD progression of single site defines progression.

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