[Comparison of unidimensional and bidimensional measurement to assess therapeutic response in the treatment of solid tumors].
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PURPOSE
In this prospective study we applied both the bidimensional WHO method and the unidimensional RECIST method in treatment follow-up of solid tumors.
MATERIAL AND METHODS
Computed tomography was performed in 80 patients before and after one chemotherapy cycle: 20 patients each with lung cancer, lymphoma, and metastases of the lung and the liver. In 207 tumor lesions unidimensional and bidimensional measurements were performed: 36 lesions of lung cancer, 51 lesions of lymphoma, and 60 lesions of metastases of the lung and the liver, respectively. We assigned the results to the corresponding response categories.
RESULTS
For tumor assessment, the kappa statistic produced a high agreement of 0.94 between the two methods for assessment of therapeutic response.
CONCLUSION
The unidimensional RECIST measurement is easier to perform in order to assess tumor size during treatment follow-up in oncologic radiology.