WHO Criteria (1979)

  • Measure the sum of the products of diameters (SPD), bidimensional 
  • Complete Response: tumor not detected for at least 4 weeks 
  • Partial Response: ≥50% reduction in the SPD from baseline also confirmed at 4 weeks 
  • Progressive Disease: ≥25% increase in tumor size in one or more lesions 
  • Stable Disease: Neither partial response nor progressive disease 

Source:

WHO handbook for reporting results of cancer treatment. Geneva (Switzerland): World Health Organization Offset Publication No. 48; 1979

RECIST 1.0 (2000)

  • Measure the longest dimension, minimum size = 10mm at spiral CT, 20mm at conventional CT 
  • Ten target lesions measured, 5 per organ 
  • Complete Response: Disappearance of all lesions for >4 weeks 
  • Progressive Disease: ≥ 20% increase from nadir 
  • Partial Response: ≥ 30% decrease from baseline 
  • Stable Disease: Neither partial response nor progressive disease 

Source:

Therasse P, Arbuck SG, Eisenhauer EA, et al. New guidelines to evaluate the response to treatment in solid tumors. European Organization for Research and Treatment of Cancer, National Cancer Institute of the United States, National Cancer Institute of Canada. J Natl Cancer Inst 2000; 92: 205–16

RECIST 1.1 (2009)

  • Measure the sum of longest diameters (SOD) except in lymph nodes 
  • Lymph nodes short axis: target lesions ≥15mm, non-target lesions = 10-15mm, non-pathological lesions < 10mm 
  • Measure five target lesions (2 per organ); minimum size = 10mm 
  • Complete Response: Disappearance of all target lesions for >4 weeks, any pathological lymph nodes (target or non-target) reduction in sort axis to <10mm 
  • Partial Response: At least 30% decrease in the SOD 
  • Progressive Disease: >20% increase in the SOD 
  • Stable Disease: Neither partial response nor progressive disease

Source:

Eisenhauer, E. A., P. Therasse, J. Bogaerts, L. H. Schwartz, D. Sargent, R. Ford, J. Dancey, S. Arbuck, S. Gwyther, M. Mooney, L. Rubinstein, L. Shankar, L. Dodd, R. Kaplan, D. Lacombeand J. Verweij (2009). "New response evaluation criteria in solid tumours: Revised RECIST guideline (version 1.1)." European Journal of Cancer 45(2): 228-247

Immune-Related RECIST (iRECIST)

  • Modification of RECIST v1.1 
  • Measure the longest diameter, minimum size = 10mm, except for lymph node 
  • Lymph node short axis, minim size = 15mm 
  • Measure five target lesions (2 pre organ); minimum size = 10mm 
  • Complete Response: Disappearance of all lesions, and all nodes < 10mm 
  • Partial Response: ≥30% decrease from baseline 
  • Progressive Disease: ≥20% increase from the nadir 
  • Stable Disease: Neither partial response nor progressive disease 

Source:

Nishino, M., Giobbie-Hurder, A., Gargano, M., Suda, M., Ramaiya, N. H., & Hodi, F. S. (2013). Developing a common language for tumor response to immunotherapy: immune-related response criteria using unidimensional measurements. Clinical cancer research: an official journal of the American Association for Cancer Research, 19(14), 3936–3943. doi:10.1158/1078-0432.CCR-13-0895

Immune-Related Response Criteria (irRC)

  • Measure the sum of the products of diameters (SPD), minimum size = 5mm x 5mm, bidimensional 
  • Ten target lesions measured, 5 per organ 
  • Complete Response: Disappearance of all lesions 
  • Partial Response: ≥50% decrease from baseline 
  • Progressive Disease: ≥25% increase from the nadir 

Source:

Nishino, M., Giobbie-Hurder, A., Gargano, M., Suda, M., Ramaiya, N. H., & Hodi, F. S. (2013). Developing a common language for tumor response to immunotherapy: immune-related response criteria using unidimensional measurements. Clinical cancer research: an official journal of the American Association for Cancer Research, 19(14), 3936–3943. doi:10.1158/1078-0432.CCR-13-0895