Table 3. . Summary of the proposed response assessment in neuro-oncology response criteria for low-grade gliomas.
Criterion | CR | PR | MR | SD | PD |
---|---|---|---|---|---|
T2/FLAIR | Disappearance of all lesions | ≥50% ↓ in perpendicular diameters of lesion, sustained for 4 weeks | 25–50% ↓ in perpendicular diameters of lesion | <25% ↓ to <25% ↑ | ≥25% ↑† |
New lesion | None (apart from those consistent with radiation effects, and no new or increased enhancement) | None (apart from those consistent with radiation effects, and no new or increased enhancement) | None (apart from those consistent with radiation effects, and no new or increased enhancement) | None (apart from those consistent with radiation effects, and no new or increased enhancement) | Present† |
Corticosteroids | None | Stable or ↓ | Stable or ↓ | Stable or ↓ | NA‡ |
Clinical status | Stable or ↑ | Stable or ↑ | Stable or ↑ | Stable or ↑ | ↓† (not attributable to other causes apart from the tumor, or decrease in corticosteroid dose) |
Requirement for response | All | All | All | All | Any‡ |
†Progression occurs when this criterion is met.
‡Increase in corticosteroids alone will not be taken into account in determining progression in the absence of persistent clinical deterioration.
↓: Decrease; ↑: Increase; CR: Complete response; FLAIR: Fluid-attenuated inversion recovery; MR: Minor response; NA: Not applicable; PD: Progressive disease; PR: Partial response; SD: Stable disease.
Modified with permission from [23] © Elsevier (2011).