Tumor Diagnosis and Treatment: Imaging Assessment

Dear Colleagues,

Imaging is becoming increasingly important in the field of oncology and, nowadays, it is a pivotal tool for clinical decision-making. Imaging is used for cancer screening, diagnosis, staging, restaging, and monitoring for cancer recurrence. For diagnosis and screening, scientific societies are promoting standardized systems of reporting in order to reduce the variability of the reports and to improve the detection of small tumors. These criteria are in a continuous state evolution and improvement since imaging techniques are being continually developed, and it is necessary to improve the accuracy of the reporting systems as much as possible.

In staging and restaging, multiple criteria have been proposed to evaluate the response of the tumors and metastases to neoadjuvant or adjuvant therapies (chemo or radiotherapies), starting from the well-known RECIST criteria up to the volumetric analyses and the evaluation of the image texture. With specific software for texture analysis, it is possible to extract different features from US, CT, and MRI images that are mainly not appreciable by the eye of the radiologist, thus allowing a quantitative evaluation of the tumoral masses that was not possible a few years ago. This technique is illuminating new pathways in the field of diagnostics, and the help of artificial intelligence in evaluating such a large amount of data could become an ordinary application in a few years.

Dr. Filippo Crimi’
Guest Editor

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