放射组学在确定患者对保喉策略的反应方面的附加价值。

IF 1.9 4区 医学 Q2 OTORHINOLARYNGOLOGY
Marco Ravanelli, Paolo Rondi, Nunzia Di Meo, Davide Farina
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引用次数: 0

摘要

综述目的:喉癌(LC)是一种侵袭性极强的头颈部恶性肿瘤,约占全球癌症的1-2%。喉癌的治疗策略既要彻底切除肿瘤,又要保留喉部功能或最大限度地保留喉部。高精度预测诱导化疗(IC)的反应是研究喉癌的主要领域之一,因为这可以指导局部晚期喉癌的治疗策略:放射组学是一种利用医学成像从整个肿瘤中提取定量数据的无创方法。在过去五年中,一些研究强调了放射组学在 LC 预处理评估、IC 反应预测和放疗反应早期评估方面的潜力。总结:放射组学在保喉策略中的作用仍有待明确。有一些早期研究很有前景,但由于缺乏验证和更大规模的多中心研究,限制了文献中发表的论文的价值及其在临床实践中的应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The added value of radiomics in determining patient responsiveness to laryngeal preservation strategies.

Purpose of review: Laryngeal cancer (LC) is a highly aggressive malignancy of the head and neck and represents about 1-2% of cancer worldwide.Treatment strategies for LC aim both to complete cancer removal and to preserve laryngeal function or maximize larynx retention.Predicting with high precision response to induction chemotherapy (IC) is one of the main fields of research when considering LC, since this could guide treatment strategies in locally advanced LC.

Recent findings: Radiomics is a noninvasive method to extract quantitative data from the whole tumor using medical imaging. This signature could represent the underlying tumor heterogeneity and phenotype.During the last five years, some studies have highlighted the potential of radiomics in the pretreatment assessment of LC, in the prediction of response to IC, and in the early assessment of response to radiation therapy. Although these represent promising results, larger multicentric studies are demanded to validate the value of radiomics in this field.

Summary: The role of radiomics in laryngeal preservation strategies is still to be defined. There are some early promising studies, but the lack of validation and larger multicentric studies limit the value of the papers published in the literature and its application in clinical practice.

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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
96
审稿时长
6-12 weeks
期刊介绍: Current Opinion in Otolaryngology & Head and Neck Surgery is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With eleven disciplines published across the year – including maxillofacial surgery, head and neck oncology and speech therapy and rehabilitation – every issue also contains annotated references detailing the merits of the most important papers.
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