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Table 1 A summary of the definitions of measurability and response categories

From: Inter-observer agreement improves with PERCIST 1.0 as opposed to qualitative evaluation in non-small cell lung cancer patients evaluated with F-18-FDG PET/CT early in the course of chemo-radiotherapy

 

Visual evaluation

PERCIST 1.0

Measurable lesions

FDG avid above background

SUL peak at least 1.5 times SULmean liver + 2 SD

CMR*

FDG avid lesions revert to background of normal tissue in which they are located

Disappearance of all measurable lesion to background blood-pool levels

PMR*

Significant reduction in intensity of tumor metabolic activity

Reductions of min. 30 % in target SULpeak, with an absolute drop of at least 0.8. No new lesions

SMD*

No visible change in metabolic activity of tumors

Not CMR, PMR, or PMD

PMD*

Increase in intensity or extent of tumor metabolic activity or new lesions typical for cancer

More than 30 % increase in target SULpeak, with an absolute increase of at least 0.8. Or visible increase in extent without drop in SULpeak. Or appearance of new FDG avid lesions typical of cancer, not related to treatment or infection

  1. * Abbreviations: CMR = Complete Metabolic Response, PMR = Partial Metabolic Response, SMD = Stabile Metabolic Disease and PMD = Progressive Metabolic Disease