Novel evidence-based framework for response evaluation in metastatic prostate cancer using PSMA PET imaging.
Response Evaluation Criteria In PSMA-PET/CT (RECIP) is a standardized evidence-based framework developed by an interdisciplinary team of investigators to evaluate efficacy of systemic therapies in prostate cancer. RECIP 1.0 introduced for the first time the novel concept of combining responses in total tumor volume with status of new lesions. RECIP 1.0 can be applied on PSMA-PET/CT scans to monitor therapeutic efficacy in prostate cancer.
RECIP combines changes in total tumor volume and status of new lesions and can be calculated dual-way: Visual RECIP and Quantitative RECIP.
Visual RECIP: Changes in total volume are evaluated by visual reads of nuclear medicine physicians or radiologists, and are combined with status of new lesions to calculate RECIP.
Quantitative RECIP: Changes in total tumor volume are evaluated quantitatively using tumor segmentation software and combined with status of new lesions to calculate RECIP.
RECIP Educational Platform was developed to offer free training for healthcare professionals who intend to use RECIP 1.0 criteria in their research, daily practice, or clinical trials.
The prostate cancer molecular imaging standardized evaluation (PROMISE) criteria version 1 have been proposed as a comprehensive framework for whole-body staging to describe the prostate cancer disease extent on PSMA-PET.
PROMISE version 2 (V2) were recently published and provide harmonized TNM categories, improved assessment of local disease, and updated PSMA-expression score. A reporting template for response assessment in clinical trials by defining qualitative and quantitative imaging parameters to be recorded. The PROMISE V2 templates can serve as a basis for current and future response assessment frameworks.
The ProstateCancer Foundation (PCF) is the world's leading philanthropic organization dedicated to funding life-saving prostate cancer research. Development of RECIP has been funded by the PCF Young Investigator Award 21YOUN18.
PI: Andrei Gafita
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