Pancreatic Ductal Adenocarcinoma: Update of CT-Based Radiomics Applications in the Pre-Surgical Prediction of the Risk of Post-Operative Fistula, Resectability Status and Prognosis

Pancreatic ductal adenocarcinoma (PDAC) is the seventh leading cause of cancer-related deaths worldwide. Surgical resection is the main driver to improving survival in resectable tumors, while neoadjuvant treatment based on chemotherapy (and radiotherapy) is the best option-treatment for a non-prima...

Full description

Saved in:
Bibliographic Details
Published in:Journal of clinical medicine 2023-11, Vol.12 (23), p.7380
Main Authors: Pacella, Giulia, Brunese, Maria Chiara, D'Imperio, Eleonora, Rotondo, Marco, Scacchi, Andrea, Carbone, Mattia, Guerra, Germano
Format: Article
Language:English
Subjects:
Adjuvant treatment
Analysis
Artificial intelligence
Cancer
Cancer therapies
Care and treatment
Clinical medicine
CT imaging
Mortality
Pancreatectomy
Pancreatic cancer
Patient outcomes
Prognosis
Veins & arteries
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Pancreatic ductal adenocarcinoma (PDAC) is the seventh leading cause of cancer-related deaths worldwide. Surgical resection is the main driver to improving survival in resectable tumors, while neoadjuvant treatment based on chemotherapy (and radiotherapy) is the best option-treatment for a non-primally resectable disease. CT-based imaging has a central role in detecting, staging, and managing PDAC. As several authors have proposed radiomics for risk stratification in patients undergoing surgery for PADC, in this narrative review, we have explored the actual fields of interest of radiomics tools in PDAC built on pre-surgical imaging and clinical variables, to obtain more objective and reliable predictors. The PubMed database was searched for papers published in the English language no earlier than January 2018. We found 301 studies, and 11 satisfied our research criteria. Of those included, four were on resectability status prediction, three on preoperative pancreatic fistula (POPF) prediction, and four on survival prediction. Most of the studies were retrospective. It is possible to conclude that many performing models have been developed to get predictive information in pre-surgical evaluation. However, all the studies were retrospective, lacking further external validation in prospective and multicentric cohorts. Furthermore, the radiomics models and the expression of results should be standardized and automatized to be applicable in clinical practice.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm12237380