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Table 2 Overview metabolic and combined response evaluation to immunotherapy

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

Criteria (year) [reference]

Modality

Categories

Complete response

Partial response

Stable disease

Progressive disease

EORTC

(1999) [31]

PET

• Reduction of 18F-FDG uptake to background levels

• ≥ 15% reduction of 18F-FDG uptake

• Neither CR, PR, nor PD

• ≥ 25% increase in 18F-FDG uptake

PERCIST (2009) [33]

PET

• Reduction of 18F-FDG uptake to the level of background blood pool

• ≥ 30% reduction in SUL peak

• Minimum of 0.8 SUL units of measurable lesions

• Neither CR, PR, nor PD

• > 30% increase in SUL peak

• Minimum of 0.8 SUL units of measurable lesions

PECRIT (2017) [34]

PET/CT

• Disappearance of all metabolically active tumours and TL

• SAD reduction target lymph nodes < 10 mm

• No new lesions

• ≥ 30% reduction in SUL peak

• ≥ 30% decrease in TL diameter sum

• Neither CR, PR, nor PD

• > 30% increase in SUL peak

• Or new metabolically active lesion

• ≥ 20% increase in target lesion diameter (minimum 5 mm)

• Or new lesions

PERCIMT (2018) [35]

PET/CT

• Complete resolution of all 18F-FDG-avid lesions

• No new FDG avid lesions

• Complete resolution of some 18F-FDG-avid lesions

• No new 18F-FDG-avid lesions

• Neither CR, PR, nor PD

• ≥ 4 new lesions with ≤ 10 mm functional diameter

• Or three or more new lesions with > 10 mm functional diameter

• Or two or more new lesions with > 15 mm functional diameter

  1. CR Complete response, CT Computed tomography, FDG Fluorodeoxyglucose, PD Progressive disease, PET Positron emission tomography, PR Partial response, SAD Short-axis diameter, SUL SUV corrected for lean body mass, TL Target lesions