Nuclear Medicine and Molecular Imaging

, Volume 52, Issue 6, pp 420–429 | Cite as

Evaluation of RECIST, PERCIST, EORTC, and MDA Criteria for Assessing Treatment Response with Ga68-PSMA PET-CT in Metastatic Prostate Cancer Patient with Biochemical Progression: a Comparative Study

  • Manoj GuptaEmail author
  • Partha Sarathi Choudhury
  • Sudhir Rawal
  • Harish Chandra Goel
  • S. Avinash Rao
Original Article



The aim of the study was to compare response evaluation criteria in solid tumours 1.1 (RECIST 1.1), positron emission tomography response criteria in solid tumours (PERCIST), European organisation for research and treatment of cancer (EORTC), and MD Anderson (MDA) criteria for response assessment by Gallium 68-prostate-specific membrane antigen positron emission tomography-computed tomography (Ga68-PSMA PET-CT) in metastatic adenocarcinoma prostate cancer (mPCa) patients with biochemical progression.


Eighty-eight mPCa patients with pre and post treatment Ga68-PSMA PET-CT were included. A ≥ 25% increase and ≥ 2 ng/ml above the nadir if prostate specific antigen (PSA) drop or ≥ 2 ng/ml above the baseline if PSA does not drop was considered as biochemical progression. RECIST 1.1 and MDA criteria for morphology and PERCIST and EORTC criteria for molecular response were investigated. Percentages of progressive disease (PD), partial response (PR), and stable disease (SD) were calculated. Chi-square test was used for statistical significance.


Proportion of PD, SD, and PR by RECIST 1.1 and MDA criteria were 44 (50.57%), 39 (44.83%), 4 (4.6%), and 33 (39.76%), 48 (57.83%), 2 (2.41%) respectively. Proportion of PD, SD, and PR by PERCIST and EORTC criteria were 71 (80.68%), 11 (12.50%), 6 (6.82%), and 74 (84.09%), 8 (9.09%), 6 (6.82%) respectively. Chi-square test showed statistically significant (P < 0.05) higher proportion of progression detected by both molecular criteria as compare to both morphological criteria.


We concluded that for Ga68-PSMA PET-CT response evaluation, molecular criteria performed better than morphological criteria in mPCa patient with PSA progression.


RECIST 1.1 PERCIST EORTC MDA 68Ga-PSMA PET-CT Response assessment 


Compliance with Ethical Standards

Conflict of Interest

Manoj Gupta, Partha Sarathi Choudhury, Harish Chandra Goel, S Avinash Rao, and Sudhir Rawal declare that they have no conflict of interest.

Ethical Statement

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

The institutional review board waived the need to obtain informed consent for this retrospective study.

Supplementary material

13139_2018_548_MOESM1_ESM.docx (33 kb)
ESM 1 (DOCX 33 kb)


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Copyright information

© Korean Society of Nuclear Medicine 2018

Authors and Affiliations

  1. 1.Department of Nuclear MedicineRajiv Gandhi Cancer Institute and Research CentreDelhiIndia
  2. 2.Department of Uro - Gynae Surgical OncologyRajiv Gandhi Cancer Institute and Research CentreDelhiIndia
  3. 3.Amity Centre for Radiation BiologyAmity UniversityNoidaIndia
  4. 4.Department of RadiologyRajiv Gandhi Cancer Institute and Research CentreDelhiIndia

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