Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2019 Jun;44(6):2048-2058.
doi: 10.1007/s00261-018-1724-8.

Radiomics in esophageal and gastric cancer

Affiliations
Review

Radiomics in esophageal and gastric cancer

Bert-Ram Sah et al. Abdom Radiol (NY). 2019 Jun.

Abstract

Esophageal, esophago-gastric, and gastric cancers are major causes of cancer morbidity and cancer death. For patients with potentially resectable disease, multi-modality treatment is recommended as it provides the best chance of survival. However, quality of life may be adversely affected by therapy, and with a wide variation in outcome despite multi-modality therapy, there is a clear need to improve patient stratification. Radiomic approaches provide an opportunity to improve tumor phenotyping. In this review we assess the evidence to date and discuss how these approaches could improve outcome in esophageal, esophago-gastric, and gastric cancer.

Keywords: Computed tomography; Esophageal cancer; Esophagogastric junction cancer; Magnetic resonance imaging; Positron emission tomography; Radiomics.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest Bert-Ram Sah, Kasia Owczarczyk, Musib Siddique and Gary Cook declare that he/she have no conflicts of interest. Vicky Goh receives research support from Siemens Healthcare; this is not related to the topic of this manuscript.

Figures

Fig. 1
Fig. 1
Typical pathways for the management of patients with newly diagnosed esophageal and esophago-gastric cancer.
Fig. 2
Fig. 2
Typical pathways for the management of patients with newly diagnosed gastric cancer.
Fig. 3
Fig. 3
Schema demonstrating typical radiomics pipeline.
Fig. 4
Fig. 4
Example of tumor segmentation for extraction of radiomic features from an axial PET image. In the right image the corresponding standardized uptake values for the region-of-interest is displayed.

References

    1. Globocan (2012) Retrieved from www.globocan.iarc.fr.

    1. Ajani JA, Winter K, Okawara GS, et al. Phase II trial of preoperative chemoradiation in patients with localized gastric adenocarcinoma (RTOG 9904): quality of combined modality therapy and pathologic response. J Clin Oncol. 2006;24(24):3953–3958. - PubMed
    1. Allum WH, Stenning SP, Bancewicz J, Clark PI, Langley RE. Long-term results of a randomized trial of surgery with or without preoperative chemotherapy in esophageal cancer. J Clin Oncol. 2009;27(30):5062–5067. - PubMed
    1. Cunningham D, Allum WH, Stenning SP, et al. Perioperative chemotherapy versus surgery alone for resectable gastroesophageal cancer. N Engl J Med. 2006;355(1):11–20. - PubMed
    1. Claassen YHM, Hartgrink HH, Dikken JL, et al. Surgical morbidity and mortality after neoadjuvant chemotherapy in the CRITICS gastric cancer trial. Eur J Surg Oncol. 2018;44(5):613–619. - PubMed

Publication types