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Table 2. Definitions of Tumor Response Terminology Relevant to GISTa
Term |
Definition |
|
Complete response (CR)
|
The
disappearance of all signs of cancer in response to treatment. This does not
always mean the cancer has been cured.
|
|
Partial
response (PR)
|
A
decrease in the size of a tumor, or in the extent of cancer in the body, in
response to treatment.
|
|
Response
rate (RR)
|
The
percentage of patients whose cancer shrinks or disappears after
treatment. RR = CR + PR
|
|
Stable
disease (SD)
|
Cancer
that is neither decreasing nor increasing in extent or severity.
|
|
Progressive
disease (PD)
|
Cancer
that is growing, spreading, or getting worse.
|
|
RECIST
criteria
|
RECIST
criteria are a voluntary, international standard for measuring tumor response
based on measurable disease (i.e., the presence of at least one measurable
lesion). RECIST criteria offer a
simplified, conservative, extraction of imaging data and presume that linear
measures are an adequate substitute for 2-D methods. There are four response categories:
- CR = disappearance of all target lesions.
- PR = 30% decrease in the sum of the longest diameter of target lesions.
- PD = 20% increase in the sum of the longest diameter of target lesions.
- SD = small changes that do not meet above criteria.
|
|
SWOG
criteriab
|
SWOG criteria are based entirely on CT or MRI:
- CR = disappearance of all disease that could be measured and evaluated.
- PR = ≥ 50 percent decrease in the sum of the products of the perpendicular diameters of all measurable lesions, the absence of progression, and the absence of new lesions.
- PD = ≥ 50 percent increase or an increase of 10 cm2 (whichever was smaller) in the sum of the products of the perpendicular diameters of all measurable lesions, worsening of a lesion that could be evaluated, the reappearance of and lesion or the presence of a new lesion.
- SD = a response that did not qualify as a complete response, a partial response or disease progression.
|
|
Overall
survival
|
The
percentage of subjects in a study who have survived for a defined period of
time. Usually reported as time since diagnosis or treatment. Also called the
survival rate.
|
|
Time
to progression
|
A
measure of time after a disease is diagnosed (or treated) until the disease
starts to get worse.
|
|
Progression-free
survival
|
One
type of measurement that can be used in a clinical study or trial to help
determine whether a new treatment is effective. It refers to the probability
that a patient will remain alive, without the disease getting worse.
|
|
Disease-free
survival
|
Length
of time after treatment during which no cancer is found. Can be reported for
an individual patient or for a study population.
|
|
Event-free
survivalc
|
Length
of time after treatment that a participant in a clinical study remains free
of pre-defined events. Events are
defined by the study and can include adverse treatment effects, tumor
recurrence/progression, or survival.
|
|
Survival
rate
|
The
percentage of people in a study or treatment group who are alive for a given
period of time after diagnosis. This is commonly expressed as 5-year survival.
|
Notes:
a. Except as noted, these definitions were quoted from the
NCI's www.cancer.gov Web site.
b. Defintion from 44.
c. Definition derived from
http://www.intelihealth.com/IH/ihtPrint/WSIHW000/8096/8241/347567.html?d=dmtContent&hide=t&k=basePrint#efsurvival.
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