Table 5.
Response | Definition | Nodal masses | Spleen, Liver | Bone marrow |
---|---|---|---|---|
CR | Disappearance of all evidence of disease |
• FDG-avid or PET positive prior to therapy; mass of any size permitted if PET negative • Variably FDG-avid or PET negative; regression to normal size on CT |
Not palpable, nodules disappeared | Infiltrate cleared on repeat biopsy; if indeterminate by morphology, immunohistochemistry should be negative |
PR | Regression of measurable disease and no new sites |
≥ 50 % decrease in SPD of up to 6 largest dominant masses; no increase in size of other nodes; • FDG-avid or PET positive prior to therapy; one or more PET positive at previously involved site • Variably FDG-avid or PET negative; regression on CT |
≥ 50 % decrease in SPD of nodules (for single nodule in greatest transverse diameter); no increase in size of liver or spleen | Irrelevant if positive prior to therapy; cell type should be specified |
PD or relapsed disease | Any new lesion or increase by ≥ 50 % of previously involved sites from nadir | Appearance of a new lesion(s) > 1.5 cm in any axis, ≥ 50 % increase in SPD of more than one node, or ≥ 50 % increase in longest diameter of a previously identified node > 1 cm in short axis; lesions PET positive if FDG-avid lymphoma or PET positive before therapy | > 50 % increase from nadir in the SPD of any previous lesions | New or recurrent involvement |
SD | Not meet above criteria |
• FDG-avid or PET positive prior to therapy; PET positive at prior sites of disease and no new sites on CT or PET • Variably FDG-avid or PET negative; no change in size of previous lesions on CT |
CR complete remission, FDG fluorodeoxyglucose, PD progressive disease, PET positron emission tomography, PR partial remission, SD stable disease, SPD sum of the product of the diameters