Osteonecrosis develops independently from radiological leukemic infiltration of bone in adolescents with acute lymphoblastic leukemia - first findings of the OPAL trial
Standard
Osteonecrosis develops independently from radiological leukemic infiltration of bone in adolescents with acute lymphoblastic leukemia - first findings of the OPAL trial. / Krull, Kathinka; Kunstreich, Marina; Klasen-Sansone, Janina; Kloetgen, Andreas; Gruener, Franziska; Escherich, Gabriele; Bleckmann, Kirsten; Moericke, Anja; Schrappe, Martin; Jorch, Norbert; Steinbach, Daniel; Classen, Carl-Friedrich; Guggemos, Andreas; Kolb, Reinhard; Klee, Dirk; Borkhardt, Arndt; Kuhlen, Michaela.
in: LEUKEMIA LYMPHOMA, Jahrgang 58, Nr. 10, 10.2017, S. 2363-2369.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Osteonecrosis develops independently from radiological leukemic infiltration of bone in adolescents with acute lymphoblastic leukemia - first findings of the OPAL trial
AU - Krull, Kathinka
AU - Kunstreich, Marina
AU - Klasen-Sansone, Janina
AU - Kloetgen, Andreas
AU - Gruener, Franziska
AU - Escherich, Gabriele
AU - Bleckmann, Kirsten
AU - Moericke, Anja
AU - Schrappe, Martin
AU - Jorch, Norbert
AU - Steinbach, Daniel
AU - Classen, Carl-Friedrich
AU - Guggemos, Andreas
AU - Kolb, Reinhard
AU - Klee, Dirk
AU - Borkhardt, Arndt
AU - Kuhlen, Michaela
PY - 2017/10
Y1 - 2017/10
N2 - Osteonecrosis (ON) is a debilitating side effect of anti-leukemic treatment. Thus far, the role of leukemic infiltration (LI) of bone is unclear. The first 30 children aged ≥10 years, who were enrolled in the ongoing OPAL trial and had MRI studies at diagnosis and at 6 months, were analyzed. MRI revealed extensive LIs in 24 (80%) patients. The signal abnormalities changed back to a physiological signal in 29 out of 30 children at 6 months. Of the 24 children with LIs at diagnosis, 3 (12.5%) developed ON ≥ II, whereas 4 (66.7%) patients without LIs subsequently developed ON ≥ II (p = .016). No differences between children initially presenting with/without LIs were observed concerning age, pubertal stage, white blood count, immunophenotype, and clinical presentation. Initial radiological LI of bone and, thus, single MRI at diagnosis cannot identify children at high risk of developing radiological ON at 6 months into treatment.
AB - Osteonecrosis (ON) is a debilitating side effect of anti-leukemic treatment. Thus far, the role of leukemic infiltration (LI) of bone is unclear. The first 30 children aged ≥10 years, who were enrolled in the ongoing OPAL trial and had MRI studies at diagnosis and at 6 months, were analyzed. MRI revealed extensive LIs in 24 (80%) patients. The signal abnormalities changed back to a physiological signal in 29 out of 30 children at 6 months. Of the 24 children with LIs at diagnosis, 3 (12.5%) developed ON ≥ II, whereas 4 (66.7%) patients without LIs subsequently developed ON ≥ II (p = .016). No differences between children initially presenting with/without LIs were observed concerning age, pubertal stage, white blood count, immunophenotype, and clinical presentation. Initial radiological LI of bone and, thus, single MRI at diagnosis cannot identify children at high risk of developing radiological ON at 6 months into treatment.
U2 - 10.1080/10428194.2017.1280605
DO - 10.1080/10428194.2017.1280605
M3 - SCORING: Journal article
C2 - 28140726
VL - 58
SP - 2363
EP - 2369
JO - LEUKEMIA LYMPHOMA
JF - LEUKEMIA LYMPHOMA
SN - 1042-8194
IS - 10
ER -