Radiomics for the Diagnosis and Differentiation of Pancreatic Cystic Lesions

Radiomics, also known as quantitative imaging or texture analysis, involves extracting a large number of features traditionally unmeasured in conventional radiological cross-sectional images and converting them into mathematical models. This review describes this approach and its use in the evaluati...

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Main Authors: Jorge D. Machicado, Eugene J. Koay, Somashekar G. Krishna
Format: Article
Language:English
Published: MDPI AG 2020-07-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/10/7/505
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author Jorge D. Machicado
Eugene J. Koay
Somashekar G. Krishna
author_facet Jorge D. Machicado
Eugene J. Koay
Somashekar G. Krishna
author_sort Jorge D. Machicado
collection DOAJ
description Radiomics, also known as quantitative imaging or texture analysis, involves extracting a large number of features traditionally unmeasured in conventional radiological cross-sectional images and converting them into mathematical models. This review describes this approach and its use in the evaluation of pancreatic cystic lesions (PCLs). This discipline has the potential of more accurately assessing, classifying, risk stratifying, and guiding the management of PCLs. Existing studies have provided important insight into the role of radiomics in managing PCLs. Although these studies are limited by the use of retrospective design, single center data, and small sample sizes, radiomic features in combination with clinical data appear to be superior to the current standard of care in differentiating cyst type and in identifying mucinous PCLs with high-grade dysplasia. Combining radiomic features with other novel endoscopic diagnostics, including cyst fluid molecular analysis and confocal endomicroscopy, can potentially optimize the predictive accuracy of these models. There is a need for multicenter prospective studies to elucidate the role of radiomics in the management of PCLs.
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spelling doaj.art-26e6614c925641d487f24ec2e59078582023-11-20T07:29:40ZengMDPI AGDiagnostics2075-44182020-07-0110750510.3390/diagnostics10070505Radiomics for the Diagnosis and Differentiation of Pancreatic Cystic LesionsJorge D. Machicado0Eugene J. Koay1Somashekar G. Krishna2Division of Gastroenterology and Hepatology, Mayo Clinic Heath System, Eau Claire, WI 54703, USADepartment of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADivision of Gastroenterology, Hepatology and Nutrition, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USARadiomics, also known as quantitative imaging or texture analysis, involves extracting a large number of features traditionally unmeasured in conventional radiological cross-sectional images and converting them into mathematical models. This review describes this approach and its use in the evaluation of pancreatic cystic lesions (PCLs). This discipline has the potential of more accurately assessing, classifying, risk stratifying, and guiding the management of PCLs. Existing studies have provided important insight into the role of radiomics in managing PCLs. Although these studies are limited by the use of retrospective design, single center data, and small sample sizes, radiomic features in combination with clinical data appear to be superior to the current standard of care in differentiating cyst type and in identifying mucinous PCLs with high-grade dysplasia. Combining radiomic features with other novel endoscopic diagnostics, including cyst fluid molecular analysis and confocal endomicroscopy, can potentially optimize the predictive accuracy of these models. There is a need for multicenter prospective studies to elucidate the role of radiomics in the management of PCLs.https://www.mdpi.com/2075-4418/10/7/505radiomicsquantitative imagingtexturepancreatic cystintraductal papillary mucinous neoplasm
spellingShingle Jorge D. Machicado
Eugene J. Koay
Somashekar G. Krishna
Radiomics for the Diagnosis and Differentiation of Pancreatic Cystic Lesions
Diagnostics
radiomics
quantitative imaging
texture
pancreatic cyst
intraductal papillary mucinous neoplasm
title Radiomics for the Diagnosis and Differentiation of Pancreatic Cystic Lesions
title_full Radiomics for the Diagnosis and Differentiation of Pancreatic Cystic Lesions
title_fullStr Radiomics for the Diagnosis and Differentiation of Pancreatic Cystic Lesions
title_full_unstemmed Radiomics for the Diagnosis and Differentiation of Pancreatic Cystic Lesions
title_short Radiomics for the Diagnosis and Differentiation of Pancreatic Cystic Lesions
title_sort radiomics for the diagnosis and differentiation of pancreatic cystic lesions
topic radiomics
quantitative imaging
texture
pancreatic cyst
intraductal papillary mucinous neoplasm
url https://www.mdpi.com/2075-4418/10/7/505
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AT eugenejkoay radiomicsforthediagnosisanddifferentiationofpancreaticcysticlesions
AT somashekargkrishna radiomicsforthediagnosisanddifferentiationofpancreaticcysticlesions