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Peer-Reviewed Publication
Eur Radiol2026;36(7):6159-6169.July 1, 2026Journal Article

What are RECIST 1.1 progressions made of? Variability in double-read oncology trials.

Hubert Beaumont1, Luca Cantini2, Kamal S Saini2,3, Nathalie Faye4, Ritu Gill5, Antoine Iannessi4
1Median Technologies, Valbonne, France. hubertbeaumont@hotmail.com.
2Fortrea Inc., Durham, NC, USA.
3Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
4Median Technologies, Valbonne, France.
5Columbia University Vagelos College of Physicians and Surgeons University Medical Center, New York, NY, USA.

Abstract

OBJECTIVE: Blinded Independent Central Review (BICR) with double reads and adjudication is crucial in imaging-based clinical trials to ensure quality data. However, discrepancies in double reading can affect trial outcomes, particularly in assessing disease progression in phase 3 oncology studies using RECIST 1.1 criteria. This study examined discordance in the date of progressive disease (DoPD) a…

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