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Conventional Tumor Response Criteria and Limitations

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Therapy Response Imaging in Oncology

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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Abstract

Objective evaluation of tumor response to therapy has been a basis for advances of effective cancer therapies, and has contributed significantly to marked progress in the treatment approaches for cancer patients in the past decades. Imaging plays a key role in objectively characterizing tumor response and progression during therapy, thus providing trial endpoints that help to determine regulatory approvals of new agents and informing treating physicians for their treatment decisions. Several conventional tumor response criteria based on imaging have been proposed and utilized in the past few decades, and have been updated to meet the needs for the current era of cancer treatment. This chapter will (1) review the concept and goals of tumor response criteria, (2) describe introduction and revisions of Response Evaluation Criteria for Solid Tumors (RECIST) as a major standardized criteria to date, and (3) discuss the limitations of RECIST. This chapter focuses on the tumor response criteria for solid tumors, and criteria for lymphoma and other hematologic malignancies are discussed separately in the subsequent chapter in the book (chapter “Therapy Response Imaging in Lymphoma and Hematologic Malignancies”).

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Correspondence to Mizuki Nishino .

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Nishino, M. (2020). Conventional Tumor Response Criteria and Limitations. In: Nishino, M. (eds) Therapy Response Imaging in Oncology. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/978-3-030-31171-1_1

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  • DOI: https://doi.org/10.1007/978-3-030-31171-1_1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-31170-4

  • Online ISBN: 978-3-030-31171-1

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