Tovoli Francesco, Renzulli Matteo, Granito Alessandro, Golfieri Rita, Bolondi Luigi
Department of Medical & Surgical Sciences, University of Bologna, Italy.
Radiology Unit, S.Orsola-Malpighi Bologna University Hospital, Italy.
Hepat Oncol. 2017 Oct;4(4):129-137. doi: 10.2217/hep-2017-0018. Epub 2017 Nov 17.
Sorafenib has been the only approved systemic therapy for hepatocellular carcinoma until very recently. However, the radiologic assessment of its biological activity is a disputed matter as at least five different criteria have been proposed. In this review, we describe the characteristic of the Response Evaluation Criteria In Solid Tumors (RECIST), European Association for the Study of The Liver (EASL), modified RECIST (mRECIST), Response Evaluation Criteria In the Cancer of the Liver (RECICL) and Choi criteria. The existing comparative studies are reported together with recent pieces of evidence, analyzing the reasons behind the split between recommendations of the scientific societies and regulatory agencies. Future perspectives in the wake of the impending results of the immunotherapy trials are also discussed.
直到最近,索拉非尼一直是唯一被批准用于肝细胞癌的全身治疗药物。然而,对其生物学活性的放射学评估是一个有争议的问题,因为至少已经提出了五种不同的标准。在本综述中,我们描述了实体瘤疗效评价标准(RECIST)、欧洲肝脏研究协会(EASL)、改良RECIST(mRECIST)、肝癌疗效评价标准(RECICL)和崔氏标准的特点。报告了现有的比较研究以及最新证据,分析了科学协会和监管机构建议之间存在分歧的原因。还讨论了免疫治疗试验即将取得的结果所带来的未来前景。