The Vision Center at Children's Hospital Los Angeles, Los Angeles, California, USA.
USC Roski Eye Institute, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA.
Pediatr Blood Cancer. 2021 May;68(5):e28964. doi: 10.1002/pbc.28964. Epub 2021 Feb 23.
Standardized guidelines for assessing tumor response to therapy are essential for designing and conducting clinical trials. The Response Evaluation Criteria In Solid Tumors (RECIST) provide radiological standards for assessment of solid tumors. However, no such guidelines exist for the evaluation of intraocular cancer, and ocular oncology clinical trials have largely relied on indirect measures of therapeutic response-such as progression-free survival-to evaluate the efficacy of treatment agents. Herein, we propose specific criteria for evaluating treatment response of retinoblastoma, the most common pediatric intraocular cancer, and emphasize a multimodal imaging approach for comprehensive assessment of retinoblastoma tumors in clinical trials.
评估肿瘤治疗反应的标准化指南对于设计和开展临床试验至关重要。实体瘤反应评估标准(RECIST)为实体瘤的评估提供了放射学标准。然而,目前还没有针对眼内肿瘤评估的指南,眼肿瘤学临床试验在很大程度上依赖于治疗反应的间接指标,如无进展生存期,来评估治疗药物的疗效。在此,我们提出了评估视网膜母细胞瘤治疗反应的具体标准,视网膜母细胞瘤是最常见的儿童眼内肿瘤,并强调了一种多模态成像方法,用于在临床试验中对视网膜母细胞瘤肿瘤进行全面评估。