Advances in Cancer Imaging, Radiomics, and Radiotherapy

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Oncology".

Deadline for manuscript submissions: 30 August 2026 | Viewed by 1269

Special Issue Editor


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Guest Editor
Department of Radiation Oncology, Taoyuan General Hospital, Ministry of Health and Welfare, Taoyuan, Taiwan
Interests: machine learning; classification; neural networks and artificial intelligence; meta-analysis; cancer; biostatistics; epidemiology; bioinformatics

Special Issue Information

Dear Colleagues,

Cancer is an important health issue in the world. Imaging is important in cancer treatment. Cancer imaging involves X-ray, computed tomography (CT), magnetic resonance imaging (MRI), bone scan, Positron Emission Tomography (PET), endoscopy, ultrasound, pathology imaging, mammography, and so on. Imaging can be used in the pre-treatment of cancer, mid-treatment of cancer, and post-treatment of cancer. For the pre-treatment of cancer, imaging can be used for detection and staging. For mid-treatment of cancer, imaging can be used for adaptive treatment. For post-treatment of cancer, imaging can be used for follow-up or response assessment. The main treatments of cancer involve surgery, radiotherapy, and systemic therapy. Radiomics is a popular research method for classification and prognosis prediction in the field of cancer. Radiomics can be applied to almost all kinds of cancer imaging. The traditional methods of extracting radiomics features from imaging require the creation of regions of interest (ROIs). Clinical radiotherapy workflows involve contouring of imaging, which can serve as an ROI of radiomics. As a result, it is reasonable to combine radiomics and radiotherapy. This Special Issue on “Advances in Cancer Imaging, Radiomics, and Radiotherapy” aims to publish papers about Advances in Cancer Imaging, Radiomics, and Radiotherapy.

Dr. Yung-Shuo Kao
Guest Editor

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Keywords

  • radiomics
  • radiotherapy
  • cancer imaging

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Published Papers (2 papers)

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Research

18 pages, 1146 KB  
Article
Prognostic Significance of Preoperative PET-CT SUVmax in Resected Non-Small Cell Lung Cancer: A Single-Center Retrospective Study
by Alper Yaşar, Zeynep Yüksel Yaşar, Sedat Yıldırım, Akif Doğan, Tuğba Kaya, Miray Aydoğan, Tuğba Başoğlu, Deniz Işık, Hatice Odabaş and Nedim Turan
Medicina 2026, 62(6), 1004; https://doi.org/10.3390/medicina62061004 - 22 May 2026
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Abstract
Background and Objectives: Positron emission tomography with 18F-FDG (PET-CT) provides a quantitative measure of tumor metabolic activity through the maximum standardized uptake value (SUVmax) of lung tumors—a measure of metabolic activity that may have prognostic value in non-small cell lung cancer (NSCLC). [...] Read more.
Background and Objectives: Positron emission tomography with 18F-FDG (PET-CT) provides a quantitative measure of tumor metabolic activity through the maximum standardized uptake value (SUVmax) of lung tumors—a measure of metabolic activity that may have prognostic value in non-small cell lung cancer (NSCLC). This study evaluated whether preoperative tumor SUVmax predicts outcomes in resected NSCLC. Materials and Methods: This single-center retrospective study included 209 consecutive patients with resected NSCLC who had preoperative FDG PET-CT. SUVmax of the primary tumor was recorded, and patients were stratified into low- and high-SUVmax groups to evaluate survival outcomes. Results: Median age was 62 years and 77% were male. Histologic subtypes were adenocarcinoma (44%), squamous carcinoma (43%), and others (13%), with stage I–III distribution of 39.7%, 33.5%, and 26.8%, respectively. SUVmax demonstrated moderate discrimination for mortality (AUC = 0.652), with an optimal cutoff of 11.14. Patients with SUVmax ≥ 11.14 had significantly worse OS and DFS. However, on multivariate analysis, SUVmax was not an independent predictor of outcomes, while extracapsular invasion (OS) and adjuvant chemotherapy (DFS) remained significant. Conclusions: In this cohort of resected NSCLC, high preoperative SUVmax (≥11.14) was associated with more advanced tumor stage and worse OS/DFS but was not an independent prognostic factor after accounting for other variables. Tumor invasiveness and use of adjuvant therapy were stronger outcome predictors. Preoperative SUVmax may help identify high-risk patients when considered alongside established clinicopathologic factors. Full article
(This article belongs to the Special Issue Advances in Cancer Imaging, Radiomics, and Radiotherapy)
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14 pages, 1166 KB  
Article
Prognostic Impact of Early Metabolic Response on Interim 18F-FDG PET/CT in HR+/HER2− Metastatic Breast Cancer Treated with CDK4/6 Inhibitors
by Vali Aliyev, Ali Kaan Güren, Murad Guliyev, Zeliha Birsin, Murat Günaltılı, Mehmet Cem Fidan, Emir Çerme, Hamza Abbasov, Selin Cebeci, Selver Işık, Murat Sarı, Onur Erdem Şahin, Muhammet Sait Sağer, Özkan Alan and Nebi Serkan Demirci
Medicina 2026, 62(3), 488; https://doi.org/10.3390/medicina62030488 - 5 Mar 2026
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Abstract
Background and objectives: Early biomarkers that can reliably predict treatment outcomes during CDK4/6 inhibitor therapy remain an unmet clinical need in patients with hormone receptor-positive/human epidermal growth factor receptor 2-negative (HR+/HER2−) metastatic breast cancer (MBC). Metabolic changes on ^18F-FDG PET/CT may precede [...] Read more.
Background and objectives: Early biomarkers that can reliably predict treatment outcomes during CDK4/6 inhibitor therapy remain an unmet clinical need in patients with hormone receptor-positive/human epidermal growth factor receptor 2-negative (HR+/HER2−) metastatic breast cancer (MBC). Metabolic changes on ^18F-FDG PET/CT may precede radiologic response and provide insight into tumor biology and early treatment resistance. Methods: This two-center retrospective study included 203 patients with HR+/HER2− MBC who received first-line CDK4/6 inhibitors (ribociclib or palbociclib) plus endocrine therapy between 2018 and 2024. Baseline and interim ^18F-FDG PET/CT scans performed after 2–4 cycles were evaluated. Early metabolic response was defined as a ≥30% reduction in SUVmax on the most metabolically active lesion, consistent with PERCIST 1.0. Progression-free survival (PFS) and overall survival (OS) were analyzed using Kaplan–Meier and multivariable Cox models. ROC analysis assessed the discriminative performance of ΔSUVmax for predicting disease progression. Results: Among 203 patients, 153 (75.4%) achieved a ≥30% SUVmax reduction. Responders had significantly longer PFS (median 44.4 vs. 4.8 months; p < 0.001) and OS (median not reached vs. 32.0 months; p < 0.001). Metabolic response remained independently associated with improved PFS (HR 0.24; 95% CI 0.15–0.37; p < 0.001) and OS (HR 0.37; 95% CI 0.20–0.67; p = 0.001) after adjustment for tumor grade, endocrine resistance, and visceral disease involvement. Non-responders demonstrated more aggressive baseline features, including higher rates of liver (34.0% vs. 15.0%) and brain metastasis (10.0% vs. 1.3%), as well as lower progesterone receptor expression (median 30% vs. 60%). Conclusions: Early metabolic response assessed by SUV-max on interim ^18F-FDG PET/CT is independently associated with substantially improved PFS and OS in HR+/HER2− MBC receiving treatment with CDK4/6 inhibitors. Although the predictive accuracy of ΔSUVmax alone was modest, the strong survival gradient suggests meaningful prognostic value. Prospective studies with standardized imaging time points and comprehensive metabolic metrics are warranted to define the role of PET-guided treatment adaptation: Full article
(This article belongs to the Special Issue Advances in Cancer Imaging, Radiomics, and Radiotherapy)
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