RECIL 2017:淋巴瘤试验中疗效评估新标准

2018-07-10 MedSci MedSci原创

美国纪念斯隆凯特琳癌症中心Anas Younes等近期代表国际工作组报告了一个代号为RECIL 2017的新标准,用以评估淋巴瘤临床试验中的疗效,旨在解决常用实体瘤疗效评价标准(RECIST)中的部分问题。(Ann Oncol. 2017年4月3日在线版)目前,标准的淋巴瘤疗效评价准则为“Lugano标准”,其基础是18F FDG-PET扫描结果或CT扫描上的肿瘤二维测量结果。而RECIST标准则

美国纪念斯隆凯特琳癌症中心Anas Younes等近期代表国际工作组报告了一个代号为RECIL 2017的新标准,用以评估淋巴瘤临床试验中的疗效,旨在解决常用实体瘤疗效评价标准(RECIST)中的部分问题。(Ann Oncol. 2017年4月3日在线版)目前,标准的淋巴瘤疗效评价准则为“Lugano标准”,其基础是18F FDG-PET扫描结果或CT扫描上的肿瘤二维测量结果。而RECIST标准则是基于一维的肿瘤测量结果。一些来自学术中心、制药企业、放射科的专家和统计学家共同组成了一个国际淋巴瘤专家组,旨在协调使用RECIST标准评价淋巴瘤疗效时存在的问题。他们首先假设,一维测量在评估疗效时与Lugano标准获得相似的结果。然后,研究者们自10个多中心临床试验中入组2983例成人和儿童淋巴瘤患者,获取了47 828幅影像检测结果,用以分析验证假设的正确性。结果发现,在淋巴瘤临床试验中评估肿瘤负荷可使用三个靶病灶最长直径之和来衡量,同时还需包含一个轻微缓解的分类。RECIL 2017疗效评价标准的要点如下。评估肿瘤负荷在淋巴瘤临床试验中,肿瘤负荷的评估可使用最长直径的总和来进行。针对弥漫

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (5)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=908284, encodeId=fa2c9082840b, content=谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTLwtg19QOZGOQF06icMfnMhicdaj6QKWImvbHbEw5gXNlgKk43Yqj8PaWeLUBicGP3RCGgaq3X44Msyg/132, createdBy=63095236174, createdName=江雪4975, createdTime=Tue Dec 15 20:41:01 CST 2020, time=2020-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1935260, encodeId=e7d21935260ff, content=<a href='/topic/show?id=ab995841480' target=_blank style='color:#2F92EE;'>#新标准#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=58414, encryptionId=ab995841480, topicName=新标准)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4736501, createdName=xiaoyang_ambs, createdTime=Sat Nov 03 06:43:00 CST 2018, time=2018-11-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1915699, encodeId=d91a19156996b, content=<a href='/topic/show?id=2b40e04130e' target=_blank style='color:#2F92EE;'>#疗效评估#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70413, encryptionId=2b40e04130e, topicName=疗效评估)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2f5a410, createdName=zxxiang, createdTime=Sun Sep 30 11:43:00 CST 2018, time=2018-09-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1031838, encodeId=875910318388f, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Wed Jul 11 01:43:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=330715, encodeId=1670330e157f, content=学习一下谢谢.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLGSUSR8zwnWWLT4FMl5XH8S58HuZslVkLsAPbXDXaliagK7TOxQfmngKibG1yrDonepCLDkcxGk8hS/0, createdBy=b8282062892, createdName=changjiu, createdTime=Tue Jul 10 23:53:12 CST 2018, time=2018-07-10, status=1, ipAttribution=)]
    2020-12-15 江雪4975

    谢谢分享

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=908284, encodeId=fa2c9082840b, content=谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTLwtg19QOZGOQF06icMfnMhicdaj6QKWImvbHbEw5gXNlgKk43Yqj8PaWeLUBicGP3RCGgaq3X44Msyg/132, createdBy=63095236174, createdName=江雪4975, createdTime=Tue Dec 15 20:41:01 CST 2020, time=2020-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1935260, encodeId=e7d21935260ff, content=<a href='/topic/show?id=ab995841480' target=_blank style='color:#2F92EE;'>#新标准#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=58414, encryptionId=ab995841480, topicName=新标准)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4736501, createdName=xiaoyang_ambs, createdTime=Sat Nov 03 06:43:00 CST 2018, time=2018-11-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1915699, encodeId=d91a19156996b, content=<a href='/topic/show?id=2b40e04130e' target=_blank style='color:#2F92EE;'>#疗效评估#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70413, encryptionId=2b40e04130e, topicName=疗效评估)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2f5a410, createdName=zxxiang, createdTime=Sun Sep 30 11:43:00 CST 2018, time=2018-09-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1031838, encodeId=875910318388f, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Wed Jul 11 01:43:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=330715, encodeId=1670330e157f, content=学习一下谢谢.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLGSUSR8zwnWWLT4FMl5XH8S58HuZslVkLsAPbXDXaliagK7TOxQfmngKibG1yrDonepCLDkcxGk8hS/0, createdBy=b8282062892, createdName=changjiu, createdTime=Tue Jul 10 23:53:12 CST 2018, time=2018-07-10, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=908284, encodeId=fa2c9082840b, content=谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTLwtg19QOZGOQF06icMfnMhicdaj6QKWImvbHbEw5gXNlgKk43Yqj8PaWeLUBicGP3RCGgaq3X44Msyg/132, createdBy=63095236174, createdName=江雪4975, createdTime=Tue Dec 15 20:41:01 CST 2020, time=2020-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1935260, encodeId=e7d21935260ff, content=<a href='/topic/show?id=ab995841480' target=_blank style='color:#2F92EE;'>#新标准#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=58414, encryptionId=ab995841480, topicName=新标准)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4736501, createdName=xiaoyang_ambs, createdTime=Sat Nov 03 06:43:00 CST 2018, time=2018-11-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1915699, encodeId=d91a19156996b, content=<a href='/topic/show?id=2b40e04130e' target=_blank style='color:#2F92EE;'>#疗效评估#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70413, encryptionId=2b40e04130e, topicName=疗效评估)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2f5a410, createdName=zxxiang, createdTime=Sun Sep 30 11:43:00 CST 2018, time=2018-09-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1031838, encodeId=875910318388f, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Wed Jul 11 01:43:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=330715, encodeId=1670330e157f, content=学习一下谢谢.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLGSUSR8zwnWWLT4FMl5XH8S58HuZslVkLsAPbXDXaliagK7TOxQfmngKibG1yrDonepCLDkcxGk8hS/0, createdBy=b8282062892, createdName=changjiu, createdTime=Tue Jul 10 23:53:12 CST 2018, time=2018-07-10, status=1, ipAttribution=)]
  4. [GetPortalCommentsPageByObjectIdResponse(id=908284, encodeId=fa2c9082840b, content=谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTLwtg19QOZGOQF06icMfnMhicdaj6QKWImvbHbEw5gXNlgKk43Yqj8PaWeLUBicGP3RCGgaq3X44Msyg/132, createdBy=63095236174, createdName=江雪4975, createdTime=Tue Dec 15 20:41:01 CST 2020, time=2020-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1935260, encodeId=e7d21935260ff, content=<a href='/topic/show?id=ab995841480' target=_blank style='color:#2F92EE;'>#新标准#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=58414, encryptionId=ab995841480, topicName=新标准)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4736501, createdName=xiaoyang_ambs, createdTime=Sat Nov 03 06:43:00 CST 2018, time=2018-11-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1915699, encodeId=d91a19156996b, content=<a href='/topic/show?id=2b40e04130e' target=_blank style='color:#2F92EE;'>#疗效评估#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70413, encryptionId=2b40e04130e, topicName=疗效评估)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2f5a410, createdName=zxxiang, createdTime=Sun Sep 30 11:43:00 CST 2018, time=2018-09-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1031838, encodeId=875910318388f, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Wed Jul 11 01:43:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=330715, encodeId=1670330e157f, content=学习一下谢谢.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLGSUSR8zwnWWLT4FMl5XH8S58HuZslVkLsAPbXDXaliagK7TOxQfmngKibG1yrDonepCLDkcxGk8hS/0, createdBy=b8282062892, createdName=changjiu, createdTime=Tue Jul 10 23:53:12 CST 2018, time=2018-07-10, status=1, ipAttribution=)]
    2018-07-11 内科新手

    谢谢梅斯提供这么好的信息,学到很多

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=908284, encodeId=fa2c9082840b, content=谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTLwtg19QOZGOQF06icMfnMhicdaj6QKWImvbHbEw5gXNlgKk43Yqj8PaWeLUBicGP3RCGgaq3X44Msyg/132, createdBy=63095236174, createdName=江雪4975, createdTime=Tue Dec 15 20:41:01 CST 2020, time=2020-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1935260, encodeId=e7d21935260ff, content=<a href='/topic/show?id=ab995841480' target=_blank style='color:#2F92EE;'>#新标准#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=58414, encryptionId=ab995841480, topicName=新标准)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4736501, createdName=xiaoyang_ambs, createdTime=Sat Nov 03 06:43:00 CST 2018, time=2018-11-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1915699, encodeId=d91a19156996b, content=<a href='/topic/show?id=2b40e04130e' target=_blank style='color:#2F92EE;'>#疗效评估#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70413, encryptionId=2b40e04130e, topicName=疗效评估)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2f5a410, createdName=zxxiang, createdTime=Sun Sep 30 11:43:00 CST 2018, time=2018-09-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1031838, encodeId=875910318388f, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Wed Jul 11 01:43:00 CST 2018, time=2018-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=330715, encodeId=1670330e157f, content=学习一下谢谢.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLGSUSR8zwnWWLT4FMl5XH8S58HuZslVkLsAPbXDXaliagK7TOxQfmngKibG1yrDonepCLDkcxGk8hS/0, createdBy=b8282062892, createdName=changjiu, createdTime=Tue Jul 10 23:53:12 CST 2018, time=2018-07-10, status=1, ipAttribution=)]
    2018-07-10 changjiu

    学习一下谢谢.谢谢分享

    0

相关资讯

Ann Rheum Dis:小唾液腺miR200b-5p水平低可预测干燥综合征患者淋巴瘤的发生

由于miR200b-5p表达在淋巴瘤临床发病前数年就已经受损,MSGs中的miR200b-5p水平代表了进展为SS相关性NHL的一种新的预测性和可能致病机制相关性因子。

这例中枢神经淋巴瘤不典型,怎么办?

头颅MRI示颅内病灶较前扩大,为进一步诊治,来院门诊,拟“颅内多发病变性质待查”收住院。

马军教授:淋巴瘤治疗呈“井喷式”进展,CAR-T治疗引领风骚

毫不夸张,最近的五年可谓是名副其实的“淋巴瘤年”,已有17种新药获得美国FDA批准用于淋巴瘤的治疗,其中包括靶向治疗、单克隆抗体、双单抗、CAR-T细胞疗法以及PD-1抑制剂等。除靶向治疗外,免疫治疗(包括PD-1/PD-L1抑制剂、CAR-T)在淋巴瘤的治疗进展中占据主导地位。

NEJM:扎心了!治疗骨髓纤维化的JAK2抑制剂竟会导致淋巴瘤!

作为一种恶性血液肿瘤,骨髓纤维化的整体中位生存时间为5.7年,高危患者生存期仅为2.3年。针对骨髓纤维化没有十分有效的控制办法,只能用传统的药物来控制疾病进程或减轻症状。

Blood:RhoA G17V突变可促进形成具有滤泡辅助T细胞特性的T细胞淋巴瘤

中心点:CD4+细胞表达RhoA G17V可导致细胞性和体液性自身免疫。表达RhoA G17V突变加上丧失Tet2表达,可诱导产生具有AITL特性的T细胞淋巴瘤。摘要:具有滤泡辅助T(TFH)细胞特性的血管免疫细胞性T细胞淋巴瘤(AITL)和其他外周T细胞淋巴瘤(PTCL)患者预后极差。这些淋巴瘤通常表现为癌旁自身免疫和淋巴细胞减少。60%的TFH样淋巴瘤患者携带RhoA G17V突变,但该突变在