Clinical Study

Early Pseudoprogression following Chemoradiotherapy in Glioblastoma Patients: The Value of RANO Evaluation

Table 4

Rates of pseudoprogression reported in the literature in patients treated with radiotherapy and temozolomide.

AuthorYearNumber of patientsResponse criteriaPeriod of early-response assessment (months)Number with ePDpsPD (% of ePD)Overall rate of psPD

Chamberlain et al. [20]200751Not specified6 267/15 (47%)7/40 (18%)
Brandes et al. [13]2008103Macdonald1 5032/50 (64%)32/103 (31%)
Taal et al. [19]200868Macdonald1 3115/31 (48%)15/68 (22%)
Chaskis et al. [21]200954Gd-MRI + clinical6 253/12 (12%)3/54 (6%)
Clarke and Chang [22]200985Macdonald0.5–13510/27 (37%)10/77 (13%)
Fabi et al. [23]200912Macdonald2 42/4 (50%)2/12 (17%)
Peca et al. [24]200950Gd-MRI + MR Spectroscopy6 154/15 (27%)4/50 (8%)
Roldan et al. [8]200943Macdonald1–1.52510/20 (50%)10/38 (26%)
Gerstner et al. [25]200945Macdonald0.5–12413/24 (54%)13/45 (29%)
Sanghera et al. [5]2010104RECIST2 277/22 (32%)7/99 (7%)
Tsien et al. [10]201027Macdonald3 146/14 (43%)6/27 (22%)
Yaman et al. [26]201067Gd-MRI + T2/FLAIR6 174/17 (24%)4/67 (6%)
Gunjur et al. [27]201168Macdonald1 4114/41 (34%)14/68 (21%)
Kang et al. [12]201135Macdonald1 188/18 (44%)8/35 (23%)
Kong et al. [17]201190Macdonald + rCBV2 5926/59 (44%)26/90 (29%)
Young et al. [28]2011321Macdonald0.5–120530/93 (32%)Not specified
Park et al. [29]201148Macdonald1 2511/25 (44%)11/48 (23%)
Topkan et al. [30]201263Macdonald6 2812/28 (43%)12/63 (19%)
Pouleau et al. [14]201263Gd-MRI + edema2 337/33 (21%)7/63 (11%)
Present study201370RANO
Macdonald
3 15
42
2/15 (13%)
10/42 (24%)
2/70 (3%)
10/70 (14%)

ePD: early progressive disease; tPD: true progressive disease; psPD: pseudoprogression; Gd-MRI: gadolinium enhanced-MRI.