Dogru Galip Dogukan, Tugcu Ahmet Oguz, Dursun Cemal Ugur
Department of Radiation Oncology, Gulhane Training and Research Hospital, Ankara 06010, Türkiye.
Department of Radiation Oncology, Kartal Dr. Lutfi Kirdar City Hospital, İstanbul 34865, Türkiye.
World J Radiol. 2025 Mar 28;17(3):104818. doi: 10.4329/wjr.v17.i3.104818.
This letter to the editor critically appraises the study by Luo . While the study provides valuable insights into imaging-pathology correlations in pancreatic cancer, we identify several opportunities for enhancing its clinical relevance. Notably, the exclusion of magnetic resonance cholangiopancreatography and positron emission tomography/computed tomography imaging limits the study's diagnostic scope, as these modalities offer superior capabilities in differentiating benign from malignant lesions and assessing metabolic tumor activity. Additionally, the retrospective, cross-sectional design restricts the potential for dynamic insights into disease progression. We also highlight the untapped potential of radiomics-based analyses, which could significantly improve diagnostic accuracy and prognostic assessments. We recommend integrating these advanced imaging modalities, adopting longitudinal study designs, and leveraging radiomics approaches in future research to enhance the diagnostic frameworks in pancreatic cancer imaging.
这封致编辑的信对罗的研究进行了批判性评估。虽然该研究为胰腺癌的影像-病理相关性提供了有价值的见解，但我们发现了几个增强其临床相关性的机会。值得注意的是，排除磁共振胰胆管造影和正电子发射断层扫描/计算机断层扫描成像限制了该研究的诊断范围，因为这些检查方式在区分良性与恶性病变以及评估代谢性肿瘤活性方面具有卓越的能力。此外，回顾性横断面设计限制了对疾病进展进行动态洞察的可能性。我们还强调了基于影像组学分析的未开发潜力，这可以显著提高诊断准确性和预后评估。我们建议在未来的研究中整合这些先进的成像方式，采用纵向研究设计，并利用影像组学方法来加强胰腺癌成像的诊断框架。
