GEP-NET radiomics: a systematic review and radiomics quality score assessment.

Objective: The number of radiomics studies in gastroenteropancreatic neuroendocrine tumours (GEP-NETs) is rapidly increasing. This systematic review aims to provide an overview of the available evidence of radiomics for clinical outcome measures in GEP-NETs, to understand which applications hold the...

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Publicado en:European Radiology Vol. 32; no. 10; pp. 7278 - 7295
Autores principales: Staal, Femke C. R., Aalbersberg, Else A., van der Velden, Daphne, Wilthagen, Erica A., Tesselaar, Margot E. T., Beets-Tan, Regina G. H., Maas, Monique
Formato: research systematic review Journal Article
Publicado: Springer Nature Oct2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2022
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00330-022-08996-w
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        atl: GEP-NET radiomics: a systematic review and radiomics quality score assessment.
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        au:
          Staal, Femke C. R.
          Aalbersberg, Else A.
          van der Velden, Daphne
          Wilthagen, Erica A.
          Tesselaar, Margot E. T.
          Beets-Tan, Regina G. H.
          Maas, Monique
        affil: Department of Radiology, The Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX, Amsterdam, The Netherlands
      sug:
        subj:
          Pancreatic Neoplasms Pathology
          Neuroendocrine Tumors Pathology
          Intestinal Neoplasms
          Intestinal Neoplasms Pathology
          Stomach Neoplasms Pathology
          Human
      ab: Objective: The number of radiomics studies in gastroenteropancreatic neuroendocrine tumours (GEP-NETs) is rapidly increasing. This systematic review aims to provide an overview of the available evidence of radiomics for clinical outcome measures in GEP-NETs, to understand which applications hold the most promise and which areas lack evidence.Methods: PubMed, Embase, and Wiley/Cochrane Library databases were searched and a forward and backward reference check of the identified studies was executed. Inclusion criteria were (1) patients with GEP-NETs and (2) radiomics analysis on CT, MRI or PET. Two reviewers independently agreed on eligibility and assessed methodological quality with the radiomics quality score (RQS) and extracted outcome data.Results: In total, 1364 unique studies were identified and 45 were included for analysis. Most studies focused on GEP-NET grade and differential diagnosis of GEP-NETs from other neoplasms, while only a minority analysed treatment response or long-term outcomes. Several studies were able to predict tumour grade or to differentiate GEP-NETs from other lesions with a good performance (AUCs 0.74-0.96 and AUCs 0.80-0.99, respectively). Only one study developed a model to predict recurrence in pancreas NETs (AUC 0.77). The included studies reached a mean RQS of 18%.Conclusion: Although radiomics for GEP-NETs is still a relatively new area, some promising models have been developed. Future research should focus on developing robust models for clinically relevant aims such as prediction of response or long-term outcome in GEP-NET, since evidence for these aims is still scarce.Key Points: • The majority of radiomics studies in gastroenteropancreatic neuroendocrine tumours is of low quality. • Most evidence for radiomics is available for the identification of tumour grade or differentiation of gastroenteropancreatic neuroendocrine tumours from other neoplasms. • Radiomics for the prediction of response or long-term outcome in gastroenteropancreatic neuroendocrine tumours warrants further research.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        Journal Article
      ougenre: Article
    language: English
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