TABLE 1.
RECIST Guideline | RECIST 1.1 | RECIST 1.0 |
---|---|---|
No. of target lesions | Up to 2 per organ; up to 5 in total | Up to 5 per organ; up to 10 in total |
Assessment of lymph nodes | Short-axis measurements should be used and recorded; ≥ 15 mm, target lesions; ≥ 10 mm but < 15 mm, nontarget lesions; < 10 mm, nonpathological | No clear guideline provided |
Clarification of disease progression | 20% increase in the sum of target lesions and 5-mm absolute increase are required | 20% increase in the sum of target lesions (no minimum absolute size increase is required) |
FDG PET scan | Included only in the detection of new lesionsa | Not included |
New lesions on the basis of FDG PET can be identified according to the following algorithm [2]: a negative FDG PET at baseline with a positive FDG PET at follow-up is a sign of progressive disease based on a new lesion. For no FDG PET at baseline and a positive FDG PET at follow-up, if the positive FDG PET at follow-up corresponds to a new site of disease confirmed by CT, this is progressive disease. If the positive FDG PET at follow-up is not confirmed as a new site of disease on CT, additional follow-up CT scans are needed to determine whether there is truly progression occurring at that site. If the positive FDG PET at follow-up corresponds to a preexisting site of disease on CT that is not progressing on the basis of the anatomic images, this is not progressive disease.