Introduction: There is growing interest in the development and application of standardized imaging criteria (SIC), to minimize variability and improve the reproducibility of image interpretation in head and neck squamous cell carcinoma (HNSCC). Methods: “Squamous cell carcinoma” AND “standardized interpretation criteria” OR “radiographic response assessment” were searched using PubMed and Google Scholar for articles published between 2009 and 2024, returning 56 publications. After abstract review, 18 were selected for further evaluation, and 6 different SICs (i.e., PERCIST, Porceddu, Hopkins, NI-RADS, modified Deauville, and Cuneo) were included in this review. Each SIC is evaluated in the context of 8 desired traits of a standardized reporting system. Results: Two SICs have societal endorsements (i.e., PERCIST, NI-RADS); four can be used in the evaluation of locoregional and systemic disease (i.e., PERCIST, Hopkins, NI-RADS, Cuneo), and four have specific categories for equivocal imaging results (i.e., Porceddu, NI-RADS, modified Deauville, and Cuneo). All demonstrated areas for future improvement in the context of the 8 desired traits. Conclusion: Multiple SICs have been developed for and demonstrated value in HNSCC post-treatment imaging; however, these systems remain underutilized. Selecting an SIC with features that best match the needs of one’s practice is expected to maximize the likelihood of successful implementation.
引言：为减少头颈部鳞状细胞癌（HNSCC）影像解读的差异性并提升其可重复性，标准化影像判读标准（SIC）的开发与应用日益受到关注。方法：通过PubMed和Google Scholar数据库，以“鳞状细胞癌”与“标准化判读标准”或“影像学疗效评估”为关键词，检索2009年至2024年间发表的文献，共获得56篇相关出版物。经摘要筛选后，选取18篇进行深入评估，最终纳入6种不同的SIC（即PERCIST、Porceddu、Hopkins、NI-RADS、改良Deauville及Cuneo标准）进行综述。每种SIC均依据标准化报告系统应具备的8项理想特征进行评估。结果：两种SIC获得专业学会认可（即PERCIST、NI-RADS）；四种适用于局部区域性与全身性疾病评估（即PERCIST、Hopkins、NI-RADS、Cuneo）；四种设有针对影像不确定结果的特定分类（即Porceddu、NI-RADS、改良Deauville及Cuneo）。所有标准在8项理想特征的框架下均显示出有待改进的空间。结论：目前针对HNSCC治疗后影像评估已开发出多种具有应用价值的SIC，但这些系统的实际使用率仍显不足。选择最符合临床实践需求特征的SIC，将最大程度提升其成功实施的可能性。
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