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Table 1 Overview of criteria for anatomical response evaluation to immunotherapy

From: PET/CT imaging for tumour response assessment to immunotherapy: current status and future directions

Criteria (year) [reference]

Categories

Complete response

Partial response

Stable disease

Progressive disease

RECIST 1.1

(2009) [20]

• Disappearance of all TL/NTL

• Nodal SAD < 1.0 cm

• No new lesions

• ≥ 30% decrease of tumour burden relative to baseline

• No new lesions

• Neither CR, PR, nor PD

• ≥ 20% increase of tumour burden relative to baseline

• Or progression of NTL

• Or new lesion(s)

irRC (2009) [21]

• Disappearance of all lesions (measurable or not)

• No new lesions

• Confirmation by consecutive CSI control in ≥ 4 weeks

• ≥ 50% decrease of tumour burden relative to baseline

• Confirmation by consecutive CSI control in ≥ 4 weeks

• Neither CR, PR, nor PD

• ≥ 25% increase of tumour burden relative to nadir

• New lesions added to tumour burden

• Confirmation by consecutive CSI control in ≥ 4 weeks

irRECIST (2013) [22]

• Disappearance of all TL/NTL

• Nodal SAD < 1.0 cm

• No new lesions

• ≥ 30% decrease of tumour burden relative to baseline

• No new lesions

• Neither CR, PR, nor PD

• ≥ 20% increase of tumour burden

• And ≥ 5 mm absolute increase in total measured tumour burden relative to nadir (i.e., minimum recorded tumour burden).

• Confirmation of progression in ≥ 4 weeks after suspected PD

iRECIST

(2017) [23]

• Disappearance of all TL/NTL

• Nodal SAD < 1.0 cm

• No new lesions

• Decrease of tumour burden > 30% relative to baseline

• No new lesions

• Neither CR, PR, nor PD

iUPD: PD RECIST 1.1

iCPD:

• Confirmation 4–8 weeks later

• Any further size increase in TL sum > 5 mm

• Any progression of NTL

• Any further size increase of the sum of new TL > 5 mm

• Appearance of another new lesion

  1. CSI Cross-sectional imaging, iCPD Immune confirmed progressive disease, iUPD Immune unconfirmed progressive disease, NTL Non-target lesions, SAD Short-axis diameter, TL Target lesions