Table 1.
Patient no. | Age | AJCC | Therapeutic agent | PERCIST / iRECIST | Overall response |
NLR | RLC | REC | Spleen SUV t1-t0 (%) | |
t1 | t2 | |||||||||
1* | 59 | IV | CTLA-4 | SMD/iSD | PMD/iPD | NR | 4.7 | 15.6 | 0.9 | +6.8 |
2 | 74 | IV | PD1 | PMD/iSD | PMD/iSD | R | 3.0 | 21.0 | 2.2 | +32.8 |
3* | 53 | IV | PD1 | PMD/iSD | PMD/iPD | NR | 4.4 | 15.7 | 1.6 | +16.9 |
4† | 51 | IV | CTLA-4 | SMD/iSD | CMR/iCR | R | 2.9 | 22.5 | 0.8 | N/A |
5 | 49 | IV | PD1 | PMR/iPR | CMR/iCR | R | 1.5 | 34.6 | 3.1 | +9.5 |
6* | 59 | IV | CTLA-4 | PMD/iPD | PMD/iPD | NR | 6.2 | 12.3 | 2.2 | +4.2 |
7 | 84 | IV | PD1 | PMR/iPR | CMR/iPR | R | 2.3 | 26.5 | 3.8 | N/A |
8 | 64 | IV | PD1 | SMD/iSD | PMD/iPD | NR | 3.6 | 18.9 | 2.1 | −20.5 |
9 | 75 | IV | PD1 | SMD/iSD | PMD/iPD | NR | 4.2 | 17.2 | 0.8 | −14.3 |
10 | 66 | IV | PD1 | SMD/iSD | SMD/iSD | R | 3.5 | 19.6 | 0.5 | +60.0 |
11 | 64 | IV | PD1 | PMD/iPD | PMD/iPD | NR | 4.4 | 16.2 | 1.9 | −2.3 |
12 | 60 | IV | PD1 | PMR/iPR | CMR/iCR | R | 4.1 | 16.6 | 2.3 | +25.8 |
13 | 82 | IV | PD1+CTLA-4 | SMD/iSD | PMR/iSD | R | 3.1 | 22.2 | 1.4 | +64.8 |
14 | 53 | IV | PD1+CTLA-4 | PMR/iSD | CMR/iPR | R | 1.5 | 30.8 | 4.8 | +129.9 |
15 | 76 | IV | PD1+CTLA-4 | PMR/iSD | PMR/iPR | R | 1.7 | 31.7 | 3.0 | +20.4 |
16† | 57 | IV | PD1+CTLA-4 | SMD/iSD | PMD/iPD | NR | 1.8 | 29.3 | 4.7 | N/A |
17 | 74 | IV | PD1 | SMD/iSD | PMD/iPD | NR | 4.2 | 17.0 | 0.7 | +2.2 |
†Staging of melanoma according to the AJCC eighth edition. Treatment response evaluation at t1 and t2 were each related to the baseline scan t0. Overall response by taking imaging and clinical decisions into account, categorized as (Non-)Responders, (N)R. Patients with a metastatic involvement of the bone are marked with (*), of the spleen with (†). In those patients, the bone or the spleen, respectively, was excluded from further evaluation. In patient no. 7, the attenuation map at t1 was erroneous in the upper abdomen, so no reliable SULmean of the spleen could be measured. Spleen SUV t1-t0 (%): the relative change of 18F-FDG-uptake of the spleen between t1 and t0.
*Patients with a metastatic involvement of the bone.
†Patients with a metastatic involvement of the spleen.
AJCC, American Joint Committee on Cancer; CMR, complete metabolic response; CTLA-4, cytotoxic T-lymphocyte-associated protein-4; 18F-FDG, [18F]-labeled fluorodeoxyglucose; iCR, immune complete response; iPD, immune progressive disease; iPR, immune partial response; iSD, immune stable disease; N/A, not available; NR, non-responders; PD1, programmed-death-1; PERCIST, PET response criteria in solid tumors; PMD, progressive metabolic disease; PMR, partial metabolic response; SMD, stable metabolic disease; SULmean, standardized uptake value lean body mass; SUV, standardized uptake value.