Radiomics as an emerging tool in the management of brain metastases

  • Alexander Nowakowski
    Rosalind and Morris Goodman Cancer Institute, McGill University , Montreal, Québec , Canada
  • Zubin Lahijanian
    McGill University Health Centre, Department of Diagnostic Radiology, McGill University , Montreal, Québec , Canada
  • Valerie Panet-Raymond
    McGill University Health Centre, Department of Diagnostic Radiology, McGill University , Montreal, Québec , Canada
  • Peter M Siegel
    Rosalind and Morris Goodman Cancer Institute, McGill University , Montreal, Québec , Canada
  • Kevin Petrecca
    Montreal Neurological Institute-Hospital, McGill University , Montreal, Québec , Canada
  • Farhad Maleki
    Department of Computer Science, University of Calgary , Calgary, Alberta , Canada
  • Matthew Dankner
    Rosalind and Morris Goodman Cancer Institute, McGill University , Montreal, Québec , Canada

書誌事項

公開日
2022-01-01
権利情報
  • https://creativecommons.org/licenses/by/4.0/
DOI
  • 10.1093/noajnl/vdac141
公開者
Oxford University Press (OUP)

説明

<jats:title>Abstract</jats:title><jats:p>Brain metastases (BM) are associated with significant morbidity and mortality in patients with advanced cancer. Despite significant advances in surgical, radiation, and systemic therapy in recent years, the median overall survival of patients with BM is less than 1 year. The acquisition of medical images, such as computed tomography (CT) and magnetic resonance imaging (MRI), is critical for the diagnosis and stratification of patients to appropriate treatments. Radiomic analyses have the potential to improve the standard of care for patients with BM by applying artificial intelligence (AI) with already acquired medical images to predict clinical outcomes and direct the personalized care of BM patients. Herein, we outline the existing literature applying radiomics for the clinical management of BM. This includes predicting patient response to radiotherapy and identifying radiation necrosis, performing virtual biopsies to predict tumor mutation status, and determining the cancer of origin in brain tumors identified via imaging. With further development, radiomics has the potential to aid in BM patient stratification while circumventing the need for invasive tissue sampling, particularly for patients not eligible for surgical resection.</jats:p>

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