Department of Nuclear Medicine, LMU Hospital, LMU Munich, Munich, Germany.
Department of Neurology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany; Institute of Neuroscience and Medicine (INM-3), Research Center Juelich, Juelich, Germany; Center for Integrated Oncology (CIO), Universities of Aachen, Bonn, Cologne, and Duesseldorf, Cologne, Germany.
Lancet Oncol. 2024 Jan;25(1):e29-e41. doi: 10.1016/S1470-2045(23)00525-9.
Response Assessment in Neuro-Oncology (RANO) response criteria have been established and were updated in 2023 for MRI-based response evaluation of diffuse gliomas in clinical trials. In addition, PET-based imaging with amino acid tracers is increasingly considered for disease monitoring in both clinical practice and clinical trials. So far, a standardised framework defining timepoints for baseline and follow-up investigations and response evaluation criteria for PET imaging of diffuse gliomas has not been established. Therefore, in this Policy Review, we propose a set of criteria for response assessment based on amino acid PET imaging in clinical trials enrolling participants with diffuse gliomas as defined in the 2021 WHO classification of tumours of the central nervous system. These proposed PET RANO criteria provide a conceptual framework that facilitates the structured implementation of PET imaging into clinical research and, ultimately, clinical routine. To this end, the PET RANO 1.0 criteria are intended to encourage specific investigations of amino acid PET imaging of gliomas.
反应评估在神经肿瘤学(RANO)反应标准已经建立,并于 2023 年更新,用于 MRI 为基础的弥散性胶质瘤临床试验中的反应评估。此外,基于氨基酸示踪剂的 PET 成像在临床实践和临床试验中越来越被认为是用于疾病监测的方法。到目前为止,还没有为弥散性胶质瘤的 PET 成像定义基线和随访研究的时间点以及反应评估标准的标准化框架。因此,在本次政策综述中,我们根据 2021 年世界卫生组织中枢神经系统肿瘤分类中定义的弥散性神经胶质瘤临床试验参与者,提出了一套基于氨基酸 PET 成像的反应评估标准。这些提出的 PET RANO 标准提供了一个概念框架,便于将 PET 成像有结构地纳入临床研究,并最终纳入临床常规。为此,PET RANO 1.0 标准旨在鼓励对胶质瘤的氨基酸 PET 成像进行特定的研究。
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