
Blood Podcast Early prediction of follicular lymphoma patients with poor survival; immune hotspots in aplastic anemia; role of allo-transplant for Hodgkin lymphoma in the checkpoint inhibitor era
Aug 21, 2025
Discover how combining PET scans with circulating tumor DNA can predict poor outcomes in follicular lymphoma patients. Delve into the fascinating immune hotspots in aplastic anemia that could reveal how immune responses impact blood cell production. Also, learn about the remarkable outcomes for Hodgkin lymphoma patients post-allogeneic transplant utilizing checkpoint inhibitors, particularly with cyclophosphamide, enhancing survival despite higher rates of GVHD. This conversation connects cutting-edge research to real-world implications in hematology.
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Combined PET and ctDNA Predict POD24
- Combining PET-CT response with ctDNA MRD at end of induction markedly improves positive prediction of POD24 in follicular lymphoma.
- Dual positivity yielded an 85.7% positive predictive value versus 58.3% for ctDNA alone and 45% for PET alone.
Validate And Harmonize Biomarker Use
- Validate the composite PET plus ctDNA approach before using it to initiate early second-line therapies like CAR-T or bispecifics.
- Harmonize ctDNA detection and interpretation across centers to ensure consistent patient selection.
Immune Hotspots Drive Aplastic Anemia
- Imaging mass cytometry revealed immune 'hotspots' in bone marrow where T, B, and myeloid cells co-localize with progenitors in aplastic anemia.
- Hotspots disappear in marrow that normalizes after ATG, implying they drive HSPC destruction.
