An Informative Review of Radiomics Studies on Cancer Imaging: The Main Findings, Challenges and Limitations of the Methodologies

The aim of this informative review was to investigate the application of radiomics in cancer imaging and to summarize the results of recent studies to support oncological imaging with particular attention to breast cancer, rectal cancer and primitive and secondary liver cancer. This review also aims...

Full description

Bibliographic Details
Main Authors: Roberta Fusco, Vincenza Granata, Igino Simonetti, Sergio Venanzio Setola, Maria Assunta Daniela Iasevoli, Filippo Tovecci, Ciro Michele Paolo Lamanna, Francesco Izzo, Biagio Pecori, Antonella Petrillo
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:Current Oncology
Subjects:
Online Access:https://www.mdpi.com/1718-7729/31/1/27
_version_ 1827372514530033664
author Roberta Fusco
Vincenza Granata
Igino Simonetti
Sergio Venanzio Setola
Maria Assunta Daniela Iasevoli
Filippo Tovecci
Ciro Michele Paolo Lamanna
Francesco Izzo
Biagio Pecori
Antonella Petrillo
author_facet Roberta Fusco
Vincenza Granata
Igino Simonetti
Sergio Venanzio Setola
Maria Assunta Daniela Iasevoli
Filippo Tovecci
Ciro Michele Paolo Lamanna
Francesco Izzo
Biagio Pecori
Antonella Petrillo
author_sort Roberta Fusco
collection DOAJ
description The aim of this informative review was to investigate the application of radiomics in cancer imaging and to summarize the results of recent studies to support oncological imaging with particular attention to breast cancer, rectal cancer and primitive and secondary liver cancer. This review also aims to provide the main findings, challenges and limitations of the current methodologies. Clinical studies published in the last four years (2019–2022) were included in this review. Among the 19 studies analyzed, none assessed the differences between scanners and vendor-dependent characteristics, collected images of individuals at additional points in time, performed calibration statistics, represented a prospective study performed and registered in a study database, conducted a cost-effectiveness analysis, reported on the cost-effectiveness of the clinical application, or performed multivariable analysis with also non-radiomics features. Seven studies reached a high radiomic quality score (RQS), and seventeen earned additional points by using validation steps considering two datasets from two distinct institutes and open science and data domains (radiomics features calculated on a set of representative ROIs are open source). The potential of radiomics is increasingly establishing itself, even if there are still several aspects to be evaluated before the passage of radiomics into routine clinical practice. There are several challenges, including the need for standardization across all stages of the workflow and the potential for cross-site validation using real-world heterogeneous datasets. Moreover, multiple centers and prospective radiomics studies with more samples that add inter-scanner differences and vendor-dependent characteristics will be needed in the future, as well as the collecting of images of individuals at additional time points, the reporting of calibration statistics and the performing of prospective studies registered in a study database.
first_indexed 2024-03-08T11:00:47Z
format Article
id doaj.art-0e69887b99574183a1cec043db44df7d
institution Directory Open Access Journal
issn 1198-0052
1718-7729
language English
last_indexed 2024-03-08T11:00:47Z
publishDate 2024-01-01
publisher MDPI AG
record_format Article
series Current Oncology
spelling doaj.art-0e69887b99574183a1cec043db44df7d2024-01-26T15:57:51ZengMDPI AGCurrent Oncology1198-00521718-77292024-01-0131140342410.3390/curroncol31010027An Informative Review of Radiomics Studies on Cancer Imaging: The Main Findings, Challenges and Limitations of the MethodologiesRoberta Fusco0Vincenza Granata1Igino Simonetti2Sergio Venanzio Setola3Maria Assunta Daniela Iasevoli4Filippo Tovecci5Ciro Michele Paolo Lamanna6Francesco Izzo7Biagio Pecori8Antonella Petrillo9Medical Oncology Division, Igea SpA, 80013 Naples, ItalyDivision of Radiology, Istituto Nazionale Tumori IRCCS Fondazione Pascale—IRCCS di Napoli, 80131 Naples, ItalyDivision of Radiology, Istituto Nazionale Tumori IRCCS Fondazione Pascale—IRCCS di Napoli, 80131 Naples, ItalyDivision of Radiology, Istituto Nazionale Tumori IRCCS Fondazione Pascale—IRCCS di Napoli, 80131 Naples, ItalyDivision of Radiology, Istituto Nazionale Tumori IRCCS Fondazione Pascale—IRCCS di Napoli, 80131 Naples, ItalyDivision of Radiology, Istituto Nazionale Tumori IRCCS Fondazione Pascale—IRCCS di Napoli, 80131 Naples, ItalyDivision of Radiology, Istituto Nazionale Tumori IRCCS Fondazione Pascale—IRCCS di Napoli, 80131 Naples, ItalyDivision of Epatobiliary Surgical Oncology, Istituto Nazionale Tumori IRCCS Fondazione Pascale—IRCCS di Napoli, 80131 Naples, ItalyDivision of Radiation Protection and Innovative Technology, Istituto Nazionale Tumori IRCCS Fondazione Pascale—IRCCS di Napoli, 80131 Naples, ItalyDivision of Radiology, Istituto Nazionale Tumori IRCCS Fondazione Pascale—IRCCS di Napoli, 80131 Naples, ItalyThe aim of this informative review was to investigate the application of radiomics in cancer imaging and to summarize the results of recent studies to support oncological imaging with particular attention to breast cancer, rectal cancer and primitive and secondary liver cancer. This review also aims to provide the main findings, challenges and limitations of the current methodologies. Clinical studies published in the last four years (2019–2022) were included in this review. Among the 19 studies analyzed, none assessed the differences between scanners and vendor-dependent characteristics, collected images of individuals at additional points in time, performed calibration statistics, represented a prospective study performed and registered in a study database, conducted a cost-effectiveness analysis, reported on the cost-effectiveness of the clinical application, or performed multivariable analysis with also non-radiomics features. Seven studies reached a high radiomic quality score (RQS), and seventeen earned additional points by using validation steps considering two datasets from two distinct institutes and open science and data domains (radiomics features calculated on a set of representative ROIs are open source). The potential of radiomics is increasingly establishing itself, even if there are still several aspects to be evaluated before the passage of radiomics into routine clinical practice. There are several challenges, including the need for standardization across all stages of the workflow and the potential for cross-site validation using real-world heterogeneous datasets. Moreover, multiple centers and prospective radiomics studies with more samples that add inter-scanner differences and vendor-dependent characteristics will be needed in the future, as well as the collecting of images of individuals at additional time points, the reporting of calibration statistics and the performing of prospective studies registered in a study database.https://www.mdpi.com/1718-7729/31/1/27biomedical imagingradiomicsmachine learningdeep learning
spellingShingle Roberta Fusco
Vincenza Granata
Igino Simonetti
Sergio Venanzio Setola
Maria Assunta Daniela Iasevoli
Filippo Tovecci
Ciro Michele Paolo Lamanna
Francesco Izzo
Biagio Pecori
Antonella Petrillo
An Informative Review of Radiomics Studies on Cancer Imaging: The Main Findings, Challenges and Limitations of the Methodologies
Current Oncology
biomedical imaging
radiomics
machine learning
deep learning
title An Informative Review of Radiomics Studies on Cancer Imaging: The Main Findings, Challenges and Limitations of the Methodologies
title_full An Informative Review of Radiomics Studies on Cancer Imaging: The Main Findings, Challenges and Limitations of the Methodologies
title_fullStr An Informative Review of Radiomics Studies on Cancer Imaging: The Main Findings, Challenges and Limitations of the Methodologies
title_full_unstemmed An Informative Review of Radiomics Studies on Cancer Imaging: The Main Findings, Challenges and Limitations of the Methodologies
title_short An Informative Review of Radiomics Studies on Cancer Imaging: The Main Findings, Challenges and Limitations of the Methodologies
title_sort informative review of radiomics studies on cancer imaging the main findings challenges and limitations of the methodologies
topic biomedical imaging
radiomics
machine learning
deep learning
url https://www.mdpi.com/1718-7729/31/1/27
work_keys_str_mv AT robertafusco aninformativereviewofradiomicsstudiesoncancerimagingthemainfindingschallengesandlimitationsofthemethodologies
AT vincenzagranata aninformativereviewofradiomicsstudiesoncancerimagingthemainfindingschallengesandlimitationsofthemethodologies
AT iginosimonetti aninformativereviewofradiomicsstudiesoncancerimagingthemainfindingschallengesandlimitationsofthemethodologies
AT sergiovenanziosetola aninformativereviewofradiomicsstudiesoncancerimagingthemainfindingschallengesandlimitationsofthemethodologies
AT mariaassuntadanielaiasevoli aninformativereviewofradiomicsstudiesoncancerimagingthemainfindingschallengesandlimitationsofthemethodologies
AT filippotovecci aninformativereviewofradiomicsstudiesoncancerimagingthemainfindingschallengesandlimitationsofthemethodologies
AT ciromichelepaololamanna aninformativereviewofradiomicsstudiesoncancerimagingthemainfindingschallengesandlimitationsofthemethodologies
AT francescoizzo aninformativereviewofradiomicsstudiesoncancerimagingthemainfindingschallengesandlimitationsofthemethodologies
AT biagiopecori aninformativereviewofradiomicsstudiesoncancerimagingthemainfindingschallengesandlimitationsofthemethodologies
AT antonellapetrillo aninformativereviewofradiomicsstudiesoncancerimagingthemainfindingschallengesandlimitationsofthemethodologies
AT robertafusco informativereviewofradiomicsstudiesoncancerimagingthemainfindingschallengesandlimitationsofthemethodologies
AT vincenzagranata informativereviewofradiomicsstudiesoncancerimagingthemainfindingschallengesandlimitationsofthemethodologies
AT iginosimonetti informativereviewofradiomicsstudiesoncancerimagingthemainfindingschallengesandlimitationsofthemethodologies
AT sergiovenanziosetola informativereviewofradiomicsstudiesoncancerimagingthemainfindingschallengesandlimitationsofthemethodologies
AT mariaassuntadanielaiasevoli informativereviewofradiomicsstudiesoncancerimagingthemainfindingschallengesandlimitationsofthemethodologies
AT filippotovecci informativereviewofradiomicsstudiesoncancerimagingthemainfindingschallengesandlimitationsofthemethodologies
AT ciromichelepaololamanna informativereviewofradiomicsstudiesoncancerimagingthemainfindingschallengesandlimitationsofthemethodologies
AT francescoizzo informativereviewofradiomicsstudiesoncancerimagingthemainfindingschallengesandlimitationsofthemethodologies
AT biagiopecori informativereviewofradiomicsstudiesoncancerimagingthemainfindingschallengesandlimitationsofthemethodologies
AT antonellapetrillo informativereviewofradiomicsstudiesoncancerimagingthemainfindingschallengesandlimitationsofthemethodologies