RECIST Applied to Realistic Tumor Models

J Res Natl Inst Stand Technol. 2011 Jun 1;116(3):685-8. doi: 10.6028/jres.116.013. Print 2011 May-Jun.

Abstract

RECIST (Response Evaluation Criteria in Solid Tumors) is a linear measure intended to predict tumor size in medical computed tomography (CT). In this work, using purely geometrical considerations, we estimate how well RECIST can predict the volume of randomly-oriented tumor models, each composed of the union of ellipsoids. The principal conclusion is that RECIST is likely to work less well for realistic tumors than for ellipsoids.

Keywords: RECIST; tumor size; volumetric measurement; x-ray imaging.