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Research ArticleClinical Investigations

Comparison of EORTC Criteria and PERCIST for PET/CT Response Evaluation of Patients with Metastatic Colorectal Cancer Treated with Irinotecan and Cetuximab

Kristin Skougaard, Dorte Nielsen, Benny Vittrup Jensen and Helle Westergren Hendel
Journal of Nuclear Medicine July 2013, 54 (7) 1026-1031; DOI: https://doi.org/10.2967/jnumed.112.111757
Kristin Skougaard
1Department of Oncology, Copenhagen University Hospital Herlev, Herlev, Denmark; and
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Dorte Nielsen
1Department of Oncology, Copenhagen University Hospital Herlev, Herlev, Denmark; and
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Benny Vittrup Jensen
1Department of Oncology, Copenhagen University Hospital Herlev, Herlev, Denmark; and
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Helle Westergren Hendel
2Department of Nuclear Medicine, Copenhagen University Hospital Herlev, Herlev, Denmark
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  • FIGURE 1.
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    FIGURE 1.

    Patient flow diagram of RECIST evaluation interobserver study (39).

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    FIGURE 2.

    OS according to response groups.

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    TABLE 1

    Characteristics of the 61 Evaluated Patients

    CharacteristicValue
    Age (y)
     Median62
     Range36–82
    Sex (n)
     Female24
     Male37
    Weight (kg)
     Median77
     Range49–118
    Disease-involved organ systems (n)
     Median2
     Range1–4
    KRAS status
     Wild-type42 (69%)
     Mutated18 (30%)
     Undefined1 (∼1%)
    Treatments per patient (n)
     Median8
     Range4–28
    Scans (n)
     Total230
     Median3
     Range2–8
    Scanner (no. of patients)
     Gemini Dual Slice56
     Philips TruFlight 16 Slice5
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    TABLE 2

    Agreement on BOmR Between EORTC Criteria and PERCIST

    Response with PERCIST
    Response with EORTCCMRPMRSMDPMDTotal EORTC
    CMR00000
    PMR0326038
    SMD0214016
    PMD00077
    Total PERCIST03420761
    • EORTC criteria and PERCIST agreed on 53 of 61 patients (87%). κ-coefficient was 0.76 and agreement therefore good.

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    TABLE 3

    Reasons for Disagreement on BOmR

    No. of patientsBOmR EORTCBOmR PERCISTReason for disagreement
    2SMDPMDReduction in single-lesion SULpeak was greater than reduction in summed SUVmax, body surface area, for multiple lesions
    4PMRSMDReduction in single-lesion SULpeak was less than reduction in summed SUVmax, body surface area, for multiple lesions
    2PMRSMDDecrease in SULpeak and in summed SUVmax, body surface area, was between 25% and 30%, resulting in PMR according to EORTC and in SMD according to PERCIST
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Journal of Nuclear Medicine: 54 (7)
Journal of Nuclear Medicine
Vol. 54, Issue 7
July 1, 2013
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Comparison of EORTC Criteria and PERCIST for PET/CT Response Evaluation of Patients with Metastatic Colorectal Cancer Treated with Irinotecan and Cetuximab
Kristin Skougaard, Dorte Nielsen, Benny Vittrup Jensen, Helle Westergren Hendel
Journal of Nuclear Medicine Jul 2013, 54 (7) 1026-1031; DOI: 10.2967/jnumed.112.111757

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Comparison of EORTC Criteria and PERCIST for PET/CT Response Evaluation of Patients with Metastatic Colorectal Cancer Treated with Irinotecan and Cetuximab
Kristin Skougaard, Dorte Nielsen, Benny Vittrup Jensen, Helle Westergren Hendel
Journal of Nuclear Medicine Jul 2013, 54 (7) 1026-1031; DOI: 10.2967/jnumed.112.111757
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Keywords

  • EORTC criteria
  • PERCIST
  • PET/CT
  • response evaluation
  • survival
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