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Evaluation of RECIST, PERCIST, EORTC, and MDA Criteria for Assessing Treatment Response with Ga68-PSMA PET-CT in Metastatic Prostate Cancer Patient with Biochemical Progression: a Comparative Study

Purpose The aim of the study was to compare response evaluation criteria in solid tumours 1.1 (RECIST 1.1), positron emission tomography response criteria in solid tumours (PERCIST), European organisation for research and treatment of cancer (EORTC), and MD Anderson (MDA) criteria for response asses...

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Published in:Nuclear medicine and molecular imaging 2018, 52(6), , pp.420-429
Main Authors: Gupta, Manoj, Choudhury, Partha Sarathi, Rawal, Sudhir, Goel, Harish Chandra, Rao, S. Avinash
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creator Gupta, Manoj
Choudhury, Partha Sarathi
Rawal, Sudhir
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description Purpose The aim of the study was to compare response evaluation criteria in solid tumours 1.1 (RECIST 1.1), positron emission tomography response criteria in solid tumours (PERCIST), European organisation for research and treatment of cancer (EORTC), and MD Anderson (MDA) criteria for response assessment by Gallium 68-prostate-specific membrane antigen positron emission tomography-computed tomography (Ga68-PSMA PET-CT) in metastatic adenocarcinoma prostate cancer (mPCa) patients with biochemical progression. Methods Eighty-eight mPCa patients with pre and post treatment Ga68-PSMA PET-CT were included. A ≥ 25% increase and ≥ 2 ng/ml above the nadir if prostate specific antigen (PSA) drop or ≥ 2 ng/ml above the baseline if PSA does not drop was considered as biochemical progression. RECIST 1.1 and MDA criteria for morphology and PERCIST and EORTC criteria for molecular response were investigated. Percentages of progressive disease (PD), partial response (PR), and stable disease (SD) were calculated. Chi-square test was used for statistical significance. Results Proportion of PD, SD, and PR by RECIST 1.1 and MDA criteria were 44 (50.57%), 39 (44.83%), 4 (4.6%), and 33 (39.76%), 48 (57.83%), 2 (2.41%) respectively. Proportion of PD, SD, and PR by PERCIST and EORTC criteria were 71 (80.68%), 11 (12.50%), 6 (6.82%), and 74 (84.09%), 8 (9.09%), 6 (6.82%) respectively. Chi-square test showed statistically significant ( P  
doi_str_mv 10.1007/s13139-018-0548-3
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Avinash</creator><creatorcontrib>Gupta, Manoj ; Choudhury, Partha Sarathi ; Rawal, Sudhir ; Goel, Harish Chandra ; Rao, S. Avinash</creatorcontrib><description>Purpose The aim of the study was to compare response evaluation criteria in solid tumours 1.1 (RECIST 1.1), positron emission tomography response criteria in solid tumours (PERCIST), European organisation for research and treatment of cancer (EORTC), and MD Anderson (MDA) criteria for response assessment by Gallium 68-prostate-specific membrane antigen positron emission tomography-computed tomography (Ga68-PSMA PET-CT) in metastatic adenocarcinoma prostate cancer (mPCa) patients with biochemical progression. Methods Eighty-eight mPCa patients with pre and post treatment Ga68-PSMA PET-CT were included. A ≥ 25% increase and ≥ 2 ng/ml above the nadir if prostate specific antigen (PSA) drop or ≥ 2 ng/ml above the baseline if PSA does not drop was considered as biochemical progression. RECIST 1.1 and MDA criteria for morphology and PERCIST and EORTC criteria for molecular response were investigated. Percentages of progressive disease (PD), partial response (PR), and stable disease (SD) were calculated. Chi-square test was used for statistical significance. Results Proportion of PD, SD, and PR by RECIST 1.1 and MDA criteria were 44 (50.57%), 39 (44.83%), 4 (4.6%), and 33 (39.76%), 48 (57.83%), 2 (2.41%) respectively. Proportion of PD, SD, and PR by PERCIST and EORTC criteria were 71 (80.68%), 11 (12.50%), 6 (6.82%), and 74 (84.09%), 8 (9.09%), 6 (6.82%) respectively. Chi-square test showed statistically significant ( P  &lt; 0.05) higher proportion of progression detected by both molecular criteria as compare to both morphological criteria. Conclusion We concluded that for Ga68-PSMA PET-CT response evaluation, molecular criteria performed better than morphological criteria in mPCa patient with PSA progression.</description><identifier>ISSN: 1869-3474</identifier><identifier>EISSN: 1869-3482</identifier><identifier>DOI: 10.1007/s13139-018-0548-3</identifier><identifier>PMID: 30538773</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Antigens ; Biochemistry ; Cardiology ; Comparative studies ; Computed tomography ; Criteria ; Emission analysis ; Gallium ; Imaging ; Medicine ; Medicine &amp; Public Health ; Metastasis ; Morphology ; Nuclear Medicine ; Oncology ; Original ; Original Article ; Orthopedics ; Patients ; Positron emission ; Prostate cancer ; Radiology ; Statistical significance ; Statistical tests ; Tomography ; Tumors ; 방사선과학</subject><ispartof>Nuclear Medicine and Molecular Imaging , 2018, 52(6), , pp.420-429</ispartof><rights>Korean Society of Nuclear Medicine 2018</rights><rights>Korean Society of Nuclear Medicine 2018.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c504t-76f53a15c0850d92712500c25cf11200982daf951d49aa7d536ec83267fc22873</citedby><cites>FETCH-LOGICAL-c504t-76f53a15c0850d92712500c25cf11200982daf951d49aa7d536ec83267fc22873</cites><orcidid>0000-0002-6401-815X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6261863/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6261863/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,724,777,781,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30538773$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART002413802$$DAccess content in National Research Foundation of Korea (NRF)$$Hfree_for_read</backlink></links><search><creatorcontrib>Gupta, Manoj</creatorcontrib><creatorcontrib>Choudhury, Partha Sarathi</creatorcontrib><creatorcontrib>Rawal, Sudhir</creatorcontrib><creatorcontrib>Goel, Harish Chandra</creatorcontrib><creatorcontrib>Rao, S. Avinash</creatorcontrib><title>Evaluation of RECIST, PERCIST, EORTC, and MDA Criteria for Assessing Treatment Response with Ga68-PSMA PET-CT in Metastatic Prostate Cancer Patient with Biochemical Progression: a Comparative Study</title><title>Nuclear medicine and molecular imaging</title><addtitle>Nucl Med Mol Imaging</addtitle><addtitle>Nucl Med Mol Imaging</addtitle><description>Purpose The aim of the study was to compare response evaluation criteria in solid tumours 1.1 (RECIST 1.1), positron emission tomography response criteria in solid tumours (PERCIST), European organisation for research and treatment of cancer (EORTC), and MD Anderson (MDA) criteria for response assessment by Gallium 68-prostate-specific membrane antigen positron emission tomography-computed tomography (Ga68-PSMA PET-CT) in metastatic adenocarcinoma prostate cancer (mPCa) patients with biochemical progression. Methods Eighty-eight mPCa patients with pre and post treatment Ga68-PSMA PET-CT were included. A ≥ 25% increase and ≥ 2 ng/ml above the nadir if prostate specific antigen (PSA) drop or ≥ 2 ng/ml above the baseline if PSA does not drop was considered as biochemical progression. RECIST 1.1 and MDA criteria for morphology and PERCIST and EORTC criteria for molecular response were investigated. Percentages of progressive disease (PD), partial response (PR), and stable disease (SD) were calculated. Chi-square test was used for statistical significance. Results Proportion of PD, SD, and PR by RECIST 1.1 and MDA criteria were 44 (50.57%), 39 (44.83%), 4 (4.6%), and 33 (39.76%), 48 (57.83%), 2 (2.41%) respectively. Proportion of PD, SD, and PR by PERCIST and EORTC criteria were 71 (80.68%), 11 (12.50%), 6 (6.82%), and 74 (84.09%), 8 (9.09%), 6 (6.82%) respectively. Chi-square test showed statistically significant ( P  &lt; 0.05) higher proportion of progression detected by both molecular criteria as compare to both morphological criteria. Conclusion We concluded that for Ga68-PSMA PET-CT response evaluation, molecular criteria performed better than morphological criteria in mPCa patient with PSA progression.</description><subject>Antigens</subject><subject>Biochemistry</subject><subject>Cardiology</subject><subject>Comparative studies</subject><subject>Computed tomography</subject><subject>Criteria</subject><subject>Emission analysis</subject><subject>Gallium</subject><subject>Imaging</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Metastasis</subject><subject>Morphology</subject><subject>Nuclear Medicine</subject><subject>Oncology</subject><subject>Original</subject><subject>Original Article</subject><subject>Orthopedics</subject><subject>Patients</subject><subject>Positron emission</subject><subject>Prostate cancer</subject><subject>Radiology</subject><subject>Statistical significance</subject><subject>Statistical tests</subject><subject>Tomography</subject><subject>Tumors</subject><subject>방사선과학</subject><issn>1869-3474</issn><issn>1869-3482</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp1kl1v0zAUhiMEYtPYD-AGWeIGpAX8UccOF0gllFFp1ao2XFvGcVpviV3spGg_cP9rTjPKh4RvzpH9nPfYx2-SvETwHYKQvQ-IIJKnEPEU0glPyZPkFPEsT8mE46fHnE1OkvMQbmBcBOeQsOfJCYGUcMbIaXI_28uml51xFrgarGbFfF1egOVsNSaz61VZXABpK7D4PAWFN532RoLaeTANQYdg7AaUXsuu1bYDKx12zgYNfppuCy5lxtPlejGNgmValMBYsNCdDF3sqMDSuyHToJBWaQ-WcXcQOdR-Mk5tdWuUbAZw44dezn4AEhSu3Ukf4b0G666v7l4kz2rZBH3-GM-Sb19mZfE1vbq-nBfTq1RROOlSltWUSEQV5BRWOWYIUwgVpqpGCEOYc1zJOqeomuRSsoqSTCtOcMZqhTFn5Cx5O-paX4tbZYST5hA3Ttx6MV2Vc0F4jhDNIvtxZHf991ZXKj7My0bsvGmlvztU_n1izTbq7EWGs_h3JAq8eRTw7kevQydaE5RuGmm164PAiFKU8ZzBiL7-B71xvbdxFJEiOSKE8kEQjZSKcw9e18fLICgGT4nRUyJ6SgyeEkPNqz9fcaz45aAI4BEI8chutP_d-v-qD1hP1PE</recordid><startdate>20181201</startdate><enddate>20181201</enddate><creator>Gupta, Manoj</creator><creator>Choudhury, Partha Sarathi</creator><creator>Rawal, Sudhir</creator><creator>Goel, Harish Chandra</creator><creator>Rao, S. Avinash</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><general>대한핵의학회</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>ACYCR</scope><orcidid>https://orcid.org/0000-0002-6401-815X</orcidid></search><sort><creationdate>20181201</creationdate><title>Evaluation of RECIST, PERCIST, EORTC, and MDA Criteria for Assessing Treatment Response with Ga68-PSMA PET-CT in Metastatic Prostate Cancer Patient with Biochemical Progression: a Comparative Study</title><author>Gupta, Manoj ; Choudhury, Partha Sarathi ; Rawal, Sudhir ; Goel, Harish Chandra ; Rao, S. Avinash</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c504t-76f53a15c0850d92712500c25cf11200982daf951d49aa7d536ec83267fc22873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Antigens</topic><topic>Biochemistry</topic><topic>Cardiology</topic><topic>Comparative studies</topic><topic>Computed tomography</topic><topic>Criteria</topic><topic>Emission analysis</topic><topic>Gallium</topic><topic>Imaging</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Metastasis</topic><topic>Morphology</topic><topic>Nuclear Medicine</topic><topic>Oncology</topic><topic>Original</topic><topic>Original Article</topic><topic>Orthopedics</topic><topic>Patients</topic><topic>Positron emission</topic><topic>Prostate cancer</topic><topic>Radiology</topic><topic>Statistical significance</topic><topic>Statistical tests</topic><topic>Tomography</topic><topic>Tumors</topic><topic>방사선과학</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gupta, Manoj</creatorcontrib><creatorcontrib>Choudhury, Partha Sarathi</creatorcontrib><creatorcontrib>Rawal, Sudhir</creatorcontrib><creatorcontrib>Goel, Harish Chandra</creatorcontrib><creatorcontrib>Rao, S. Avinash</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Korean Citation Index</collection><jtitle>Nuclear medicine and molecular imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gupta, Manoj</au><au>Choudhury, Partha Sarathi</au><au>Rawal, Sudhir</au><au>Goel, Harish Chandra</au><au>Rao, S. Avinash</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of RECIST, PERCIST, EORTC, and MDA Criteria for Assessing Treatment Response with Ga68-PSMA PET-CT in Metastatic Prostate Cancer Patient with Biochemical Progression: a Comparative Study</atitle><jtitle>Nuclear medicine and molecular imaging</jtitle><stitle>Nucl Med Mol Imaging</stitle><addtitle>Nucl Med Mol Imaging</addtitle><date>2018-12-01</date><risdate>2018</risdate><volume>52</volume><issue>6</issue><spage>420</spage><epage>429</epage><pages>420-429</pages><issn>1869-3474</issn><eissn>1869-3482</eissn><abstract>Purpose The aim of the study was to compare response evaluation criteria in solid tumours 1.1 (RECIST 1.1), positron emission tomography response criteria in solid tumours (PERCIST), European organisation for research and treatment of cancer (EORTC), and MD Anderson (MDA) criteria for response assessment by Gallium 68-prostate-specific membrane antigen positron emission tomography-computed tomography (Ga68-PSMA PET-CT) in metastatic adenocarcinoma prostate cancer (mPCa) patients with biochemical progression. Methods Eighty-eight mPCa patients with pre and post treatment Ga68-PSMA PET-CT were included. A ≥ 25% increase and ≥ 2 ng/ml above the nadir if prostate specific antigen (PSA) drop or ≥ 2 ng/ml above the baseline if PSA does not drop was considered as biochemical progression. RECIST 1.1 and MDA criteria for morphology and PERCIST and EORTC criteria for molecular response were investigated. Percentages of progressive disease (PD), partial response (PR), and stable disease (SD) were calculated. Chi-square test was used for statistical significance. Results Proportion of PD, SD, and PR by RECIST 1.1 and MDA criteria were 44 (50.57%), 39 (44.83%), 4 (4.6%), and 33 (39.76%), 48 (57.83%), 2 (2.41%) respectively. Proportion of PD, SD, and PR by PERCIST and EORTC criteria were 71 (80.68%), 11 (12.50%), 6 (6.82%), and 74 (84.09%), 8 (9.09%), 6 (6.82%) respectively. Chi-square test showed statistically significant ( P  &lt; 0.05) higher proportion of progression detected by both molecular criteria as compare to both morphological criteria. Conclusion We concluded that for Ga68-PSMA PET-CT response evaluation, molecular criteria performed better than morphological criteria in mPCa patient with PSA progression.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>30538773</pmid><doi>10.1007/s13139-018-0548-3</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-6401-815X</orcidid><oa>free_for_read</oa></addata></record>
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source Springer Nature; PubMed Central
subjects Antigens
Biochemistry
Cardiology
Comparative studies
Computed tomography
Criteria
Emission analysis
Gallium
Imaging
Medicine
Medicine & Public Health
Metastasis
Morphology
Nuclear Medicine
Oncology
Original
Original Article
Orthopedics
Patients
Positron emission
Prostate cancer
Radiology
Statistical significance
Statistical tests
Tomography
Tumors
방사선과학
title Evaluation of RECIST, PERCIST, EORTC, and MDA Criteria for Assessing Treatment Response with Ga68-PSMA PET-CT in Metastatic Prostate Cancer Patient with Biochemical Progression: a Comparative Study
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