Criteria of metabolic response to immunotherapy

Rev Esp Med Nucl Imagen Mol (Engl Ed). 2020 Jan-Feb;39(1):51-56. doi: 10.1016/j.remn.2019.10.002. Epub 2019 Dec 2.
[Article in English, Spanish]

Abstract

Therapy response assessment is one of the most challenging indications of imaging studies. In clinical trial patients is usually measured with standardized response criteria. However, in the clinical practice, many studies are carried out in which the clinical question is whether or not the treatment is being effective. Answering this question is one of the greatest challenges for diagnostic imaging physicians, especially when a new treatment modality is being introduced, whose effects on tumoral lesions are firstly poorly understood. We have an essential role in the introduction of new therapies, assessing their effects and benefits. The knowledge of these effects has led to the development of many response criteria that, despite being applicable only in clinical trials, offer us information on how to interpret the findings in clinical practice.

Keywords: (18)F-FDG-PET/CT; (18)F-FDG-PET/TC; Criterios de respuesta; Inmunoterapia; Inmunotherapy; Response criteria.

MeSH terms

  • Aged
  • Disease Progression
  • Female
  • Humans
  • Immunotherapy* / adverse effects
  • Immunotherapy, Adoptive
  • Male
  • Middle Aged
  • Neoplasms / diagnostic imaging*
  • Neoplasms / metabolism
  • Neoplasms / pathology
  • Neoplasms / therapy*
  • Positron Emission Tomography Computed Tomography
  • Response Evaluation Criteria in Solid Tumors*