在固体瘤中响应评估标准的传说:历史概述
Illaa Smesseim1, Kevin B W Groot Lipman1,2, Ferry Lalezari2
1Department of Thoracic Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Cancer
|August 28, 2025
概括
瘤反应标准从早期的触摸方法演变为如RECIST这样的当前标准. 由于癌症成像和人工智能的技术进步,
科学领域:
- 癌症学
- 医学成像
- 临床试验方法
背景情况:
- 目前的瘤反应标准源于早期的癌症研究.
- 莫特尔和汉利于1976年进行的一项研究,使用触摸测量瘤大小,为后续的标准奠定了基础.
- 进化反映了几十年来的实用选择和妥协.
研究的目的:
- 检查瘤反应标准的历史发展.
- 批判性地评估早期研究的方法及其对当前标准的影响.
- 强调需要根据技术进步进行重新评估.
主要方法:
- 对瘤反应标准发展的历史审查.
- 早期研究的分析,包括1976年莫特尔和汉利的研究.
- 采访了参与原研究的研究人员.
主要成果:
- 早期的瘤大小评估依赖于触摸和模拟的质量.
- 1976年研究的50%降低值成为后来的标准的基础.
- 随后的标准 (WHO,Choi,mRECIST,PERCIST) 从这些基本原则中演变,结合了像单维测量这样的变化.
结论:
- 固体瘤反应评价标准 (RECIST) 不是固定的,而是实际发展的.
- 包括人工智能和体积成像在内的技术进步需要重新评估当前的标准.
- 探索瘤反应评估的新方法是及时的.
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