Table 3.

Recommendations regarding the response assessment in CLL patients

Diagnostic testGeneral practiceClinical trial
History, physical examination Always Always 
CBC and differential count Always Always 
Marrow aspirate and biopsy At cytopenia of uncertain cause At CR or cytopenia of uncertain cause 
Assessment for minimal residual disease NGI Desirable 
Ultrasound of the abdomen* Possible, if previously abnormal NGI 
CT scans of chest, abdomen, and pelvis NGI Recommended if previously abnormal and otherwise with a CR and PR 
Diagnostic testGeneral practiceClinical trial
History, physical examination Always Always 
CBC and differential count Always Always 
Marrow aspirate and biopsy At cytopenia of uncertain cause At CR or cytopenia of uncertain cause 
Assessment for minimal residual disease NGI Desirable 
Ultrasound of the abdomen* Possible, if previously abnormal NGI 
CT scans of chest, abdomen, and pelvis NGI Recommended if previously abnormal and otherwise with a CR and PR 

For a detailed description of these parameters, see section 5. General practice is defined as the use of accepted treatment options for a CLL patient not enrolled on a clinical trial.

*

Used in some countries to monitor lymphadenopathy and organomegaly.

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