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. 2021 Mar 24;48(12):3975–3989. doi: 10.1007/s00259-021-05211-8

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