Radiomics in surgical oncology: Applications and challenges Review


Authors: Williams, T. L.; Saadat, L. V.; Gonen, M.; Wei, A.; Do, R. K. G.; Simpson, A. L.
Review Title: Radiomics in surgical oncology: Applications and challenges
Abstract: Surgery is a curative treatment option for many patients with malignant tumors. Increased attention has focused on the combination of surgery with chemotherapy, as multimodality treatment has been associated with promising results in certain cancer types. Despite these data, there remains clinical equipoise on optimal timing and patient selection for neoadjuvant or adjuvant strategies. Radiomics, an emerging field involving the extraction of advanced features from radiographic images, has the potential to revolutionize oncologic treatment and contribute to the advance of personalized therapy by helping predict tumor behavior and response to therapy. This review analyzes and summarizes studies that use radiomics with machine learning in patients who have received neoadjuvant and/or adjuvant chemotherapy to predict prognosis, recurrence, survival, and therapeutic response for various cancer types. While studies in both neoadjuvant and adjuvant settings demonstrate above average performance on ability to predict progression-free and overall survival, there remain many challenges and limitations to widespread implementation of this technology. The lack of standardization of common practices to analyze radiomics, limited data sharing, and absence of auto-segmentation have hindered the inclusion and rapid adoption of radiomics in prospective, clinical studies. © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
Keywords: review; chemotherapy; neoadjuvant; adjuvant; machine learning; radiomics; challenges in surgery
Journal Title: Computer Assisted Surgery
Volume: 26
Issue: 1
ISSN: 2469-9322
Publisher: Taylor & Francis  
Date Published: 2021-01-01
Start Page: 85
End Page: 96
Language: English
DOI: 10.1080/24699322.2021.1994014
PROVIDER: scopus
PUBMED: 34902259
DOI/URL:
Notes: Review -- Export Date: 3 January 2022 -- Source: Scopus
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  1. Mithat Gonen
    1028 Gonen
  2. Kinh Gian Do
    256 Do
  3. Alice Chia-Chi Wei
    197 Wei
  4. Lily Victoria Saadat
    29 Saadat