Lugano / Deauville
Lugano Classification & Deauville 5-Point Scale (Lymphoma)
The Lugano classification is the standard for staging and response assessment in Hodgkin and non-Hodgkin lymphoma, and at its core sits the Deauville 5-point scale — a visual read of FDG uptake in a lesion against two internal references, the mediastinal blood pool and the liver. Scores of 1–3 generally indicate response and 4–5 indicate inadequate response, which drives interim and end-of-treatment decisions. Lugano 2014 also moved bone-marrow assessment largely onto PET, reducing the need for routine biopsy. Together they are the everyday shorthand for “is the lymphoma responding.”
Version history & what changed
- Lugano classification2014Current
Integrated the Deauville 5-point scale into a unified staging and response system and moved bone-marrow assessment largely onto PET, reducing the need for routine biopsy.
- Deauville 5-point scale2009
Introduced the visual read of lesion FDG uptake against the mediastinal blood pool and liver, scoring 1–5 for response assessment.
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RadPigeon is an independent radiology news digest and is not affiliated with or endorsed by Cheson et al. / ICML imaging working group. “Lugano / Deauville” is a trademark of its owner and is named here only to refer to the system. Always consult the official source for the exact, current criteria.