Review Article

Selective Interarterial Radiation Therapy (SIRT) in Colorectal Liver Metastases: How Do We Monitor Response?

Table 1

Response evaluation criteria in solid tumours (RECIST) [19], world health organisation (WHO) [19], and european association for study of the Liver (EASL) [20].

RECIST
change in sum of the longest diameters
WHO
change in sum of products
EASL

Complete response (CR)Disappearance of all target lesions at 4 weeksDisappearance of all target lesions at 4 weeks100% necrosis of target lesions and no new lesions

Partial response (PR)30% decrease in the Longest Diameter (LD) of target lesions at 4 weeks50% decrease confirmed at 4 weeks50–99% increase in necrosis

Stable disease (SD)Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PDNeither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD<50% increase in necrosis

Progressive disease (PD)At least a 20% increase in the LD of target lesions; no CR, PR, or SD documented before increase25% increase; no CR, PR, or SD documented before increase≥25% increase in ≥1 lesion or ≥1 new lesion

CR: complete response, PR: partial response, SD: stable disease, PD: progressive disease.