Table 2.
Summary of major tumor response assessment criteria other than RECIST
Author / Year | Criteria | Brief description |
---|---|---|
Hepatocellular carcinoma (HCC) | ||
Lencioni, R. et al. (2010) [16] | modified RECIST (mRECIST) |
• To resolve limitations of anatomic tumor response metrics when applied RECIST 1.1 to molecular-targeted therapies or locoregional therapies in HCC. • Reassessment of progression that could be misinterpreted in RECIST 1.1 due to the natural progression of chronic liver disease (ascites, enlargement of lymph nodes, etc.). • Only well-delineated, arterially enhancing lesions can be selected as target lesions. • Number of target lesions: up to 5 lesions (≤ 2 in any one organ). • Short axis of porta hepatis lymph nodes ≥ 20 mm or other lymph nodes ≥ 15 mm are considered as malignant. |
Brain tumor | ||
Macdonald, D.R. et al. (1990) [17] | McDonald |
• Using contrast-enhanced CT and MRI scans of the head. • Response assessment is based on changes in tumor size (the product of the maximal cross-sectional enhancing diameters). • Considering the use of corticosteroids and changes in the neurologic status of the patient. |
Wen, P.Y. et al. (2010) [18] | RANO |
• Response Assessment in Neuro-Oncology (RANO) criteria. • An update to the McDonald Criteria which also takes into consideration of non-enhancing tumor components, and lesions on the T1/T2-weighted and fluid-attenuated inversion recovery (FLAIR) MRI sequences. • Definition of measurability. • Number of target lesions: up to 5 lesions. • Pseudo-progression considered. |
Bone metastasis | ||
Hamaoka, T. et al. (2004) [19] | MDA |
• MD Anderson (MDA) Bone Response Criteria. • An approach for diagnosis and assessment of bone metastasis. • Quantitative and qualitative assessments of the behavior of bone metastases based on x-ray, CT, and MRI. |
Lymphoma | ||
Cheson, B.D., et al. (2007) [20] | Revised Cheson | • Definition of standardized response criteria for Hodgkin’s and non-Hodgkin’s lymphoma using 18 F-FDG PET, immunohistochemistry, and flow cytometry. |
Cheson, B.D., et al. (2014) [21] | Lugano | • Represent a set of revised recommendations regarding the use of the Cheson criteria and Deauville five-point scale, and formally incorporated 18 F-FDG PET into standard staging and response evaluation for FDG-avid lymphomas. |
Gastrointestinal stromal tumor (GIST) | ||
Choi, H. et al. (2007) [22] | Choi |
• CT criteria for evaluation of response to imatinib therapy in gastrointestinal stromal tumor (GIST). • Combination of tumor size and tumor attenuation on CT (a 10 % decrease in tumor size or a more than 15 % decrease in tumor attenuation at 2 months of treatment) were used. • Defining progressive disease by (1) appearance of new lesions, (2) appearance or increase in size of intratumoral nodules, or (3) tumor size increase by more than 20 % without post-treatment hypodense change. |
18 F-FDG PET | ||
Young, H. et al. (1999) [23] | EORTC PET response |
• European Organization for Research and Treatment of Cancer (EORTC) PET response. • Proposed a common method of assessing tumor 18 F-FDG uptake and reporting of response data. |
Wahl, R.L. et al. (2009) [24] | PERCIST |
• PET Response Criteria in Solid Tumors (PERCIST). • Qualitative and quantitative approaches to metabolic tumor response assessment with 18 F-FDG PET. |
Goldfarb, L. et al. (2019) [25] | iPERCIST |
• Immune PET Response Criteria in Solid Tumors (iPERCIST). • Monitoring anti-programmed cell death 1 (PD-1)-based immunotherapy in non-small cell lung cancer with 18 F-FDG PET. |
Immunotherapy | ||
Wolchok, J.D. et al. (2009) [26] | irRC |
• The immune-related Response Criteria (irRC) • Bidimensional (the product of the maximal cross-sectional diameters). • Selection of 5 lesions (≥ 5 × 5 mm) per organ (up to 10 visceral and 5 cutaneous ones). • New lesions are incorporated into the total tumor burden, do not immediately mean progressive disease (PD). |
Nishino, M. et al. (2013) [27] | irRECIST |
• The immune-related Response Evaluation Criteria in Solid Tumors (irRECIST) criteria. • Unidimensional (longest diameter). • Maximum 5 (2 per organ) lesions (≥ 10 mm in diameter; ≥15 mm for nodal lesions). • New lesions are incorporated in the total measured tumor burden, do not immediately mean PD. |
Seymour, L. et al. (2017) [28] | iRECIST |
• The immune Response Evaluation Criteria in Solid Tumors (iRECIST) criteria. • Unidimensional (longest diameter). • Maximum 5 (2 per organ) lesions (≥ 10 mm in diameter; ≥15 mm for nodal lesions). • New lesions are recorded separately, not included in the sum of lesions for target lesions identified at baseline. • Defining unconfirmed progressive disease (iUPD) and confirmed progressive disease (iCPD). • iCPD: if additional new lesions appear or an increase in size of new lesions (≥ 5 mm for sum of new target lesion or any increase in new non-target lesion) on next cross-sectional imaging after iUPD. |