School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan 610041, P.R. China.
College of Physical Education, Sichuan Agricultural University, Ya'an, Sichuan 625000, P.R. China.
Oncol Rep. 2022 Feb;47(2). doi: 10.3892/or.2021.8245. Epub 2021 Dec 22.
Colorectal cancer is the third most common type of cancer, with high morbidity and mortality rates. In particular, locally advanced rectal cancer (LARC) is difficult to treat and has a high recurrence rate. Neoadjuvant chemoradiotherapy (NCRT) is one of the standard treatment programs of LARC. If the response to treatment and prognosis in patients with LARC can be predicted, it will guide clinical decision‑making. Radiomics is characterized by the extraction of high‑dimensional quantitative features from medical imaging data, followed by data analysis and model construction, which can be used for tumor diagnosis, staging, prediction of treatment response and prognosis. In recent years, a number of studies have assessed the role of radiomics in NCRT for LARC. MRI‑based radiomics provides valuable data and is expected to become an imaging biomarker for predicting treatment response and prognosis. The potential of radiomics to guide personalized medicine is widely recognized; however, current limitations and challenges prevent its application to clinical decision‑making. The present review summarizes the applications, limitations and prospects of MRI‑based radiomics in LARC.
结直肠癌是第三大常见癌症类型,具有较高的发病率和死亡率。特别是局部进展期直肠癌(LARC)难以治疗,且复发率较高。新辅助放化疗(NCRT)是 LARC 的标准治疗方案之一。如果能够预测 LARC 患者的治疗反应和预后,将有助于指导临床决策。放射组学的特点是从医学影像数据中提取高维定量特征,然后进行数据分析和模型构建,可用于肿瘤诊断、分期、预测治疗反应和预后。近年来,多项研究评估了放射组学在 LARC 的 NCRT 中的作用。基于 MRI 的放射组学提供了有价值的数据,有望成为预测治疗反应和预后的影像学生物标志物。放射组学在指导个体化医疗方面的潜力已得到广泛认可;然而,目前的局限性和挑战限制了其在临床决策中的应用。本文综述了基于 MRI 的放射组学在 LARC 中的应用、局限性和前景。