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Table 2 Comparison of RECIST 1.0, RECIST 1.1, irRC, irRECIST, and iRECIST

From: Are radiologists ready to evaluate true response to immunotherapy?

 

CR

PR

SD

PD

Confirmation of PD

New lesions

RECIST 1.0 Unidimensional > 10 mm 10 lesions in total, 5 per organ

Disappearance of all lesions

 > 30% decrease from baseline

Neither CR nor PD

20% increase; no CR, PR, or SD documented before increased disease

Not applicable

PD

RECIST 1.1 Unidimensional > 10 mm 5 lesions in total, 2 per organ

Disappearance of all lesions

 > 30% decrease from baseline

Neither CR nor PD

 > 20% increase in the nadir of the sum of target lesions (with a minimum a of 5 mm)

Not applicable

PD

irRC Bi-dimensional 5 mm × 5 mm 15 lesions in total, 5 per organ

Disappearance of all lesions

 > 50% decrease from baseline

Neither CR nor PD

 > 25% increase in the nadir of the sum of target lesions

At least 4 weeks later

Incorporated in the sum of measurements

irRECIST Unidimensional > 10 mm 5 lesions in total, 2 per organ

Disappearance of all lesions

 > 30% decrease from baseline

Neither CR nor PD

 > 20% increase in the nadir of the sum of target lesions (with a minimum a of 5 mm)

At least 4 weeks after and up to 12 weeks

Incorporated in the sum of measurements

iRECIST Unidimensional > 10 mm 5 lesions in total, 2 per organ

Disappearance of all lesions

 > 30% decrease from baseline

Neither CR nor PD

 > 20% increase in the nadir of the sum of target lesions (with a minimum a of 5 mm)

At least 4 weeks after and up to 8 weeks

iUPD; not incorporated in the sum becomes iCPD if confirmed

  1. RECIST, response evaluation criteria in solid tumors; irRC, immune-related response criteria; irRECIST, immune-related RECIST; iRECIST, immune RECIST; CR, complete response; PR, partial response; SD, stable disease; PD, progressive disease; iUPD, immune unconfirmed progressive disease; iCPD, immune confirmed progressive disease