Table 2.
Overview PET(/CT)-based criteria for response assessment
| EORTC (1999) | PERCIST (2009) | PECRIT (2017) | PERCIMT (2018) | iPERCIST (2019) | |
|---|---|---|---|---|---|
| Modality | PET | PET | PET/CT | PET/CT | PET/CT |
| Complete response | • Reduction of FDG uptake to background levels | • Reduction of FDG uptake to the level of background blood pool |
• Disappearance of all metabolically active tumors and TL • SAD reduction target lymph nodes < 10 mm • No new lesions |
• Complete resolution of all FDG-avid lesions • No new FDG-positive lesion |
• Reduction of FDG uptake to the level of background blood pool |
| Partial response | • ≥ 15% reduction of FDG uptake |
• ≥ 30% reduction in SULpeak • Min. 0.8 units of measurable lesions |
• ≥ 30% reduction in SULpeak • ≥ 30% decrease in TL diameter sum |
• Complete resolution of some FDG-avid lesions • No new FDG-positive lesion |
• ≥30% reduction in SULpeak |
| Stable disease | • Neither CR, PR nor PD | • Neither CR, PR nor PD | • Neither CR, PR nor PD | • Neither CR, PR nor PD | • Neither CR, PR nor PD |
| Progressive disease | • ≥ 25% increase of FDG uptake |
• > 30% increase in SULpeak • Min. 0.8 units of measurable lesions |
• > 30% increase in SULpeak • Or new metabolically active lesion • ≥ 20% increase in target lesion diameter (Min. 5 mm) • Or new lesions |
• Four or more new lesions of < 10 mm functional diameter • Or three or more new lesions >10 mm functional diameter • Or two or more new lesions > 15 mm functional diameter |
UMPD: • ≥ 30% increase in SULpeak • or new FDG-positive lesion CPMD: • Confirmation of progression by second PET after 4–8 weeks later • Otherwise reset in case of PMR or SMD |
| Reference | [56] | [58] | [59] | [60, 61] | [30] |
Abbreviations: TL target lesion; SUL SUV corrected for lean body mass; SAD short-axis-diameter, UPMD unconfirmed progressive metabolic disease; CPMD confirmed progressive metabolic disease; PMR partial metabolic response; SMD stable metabolic disease