Advances in and applications of imaging and radiomics in head and neck cancer survivorship

医学 头颈部癌 无线电技术 放射治疗 吞咽困难 磁共振弥散成像 磁共振成像 放射科 医学物理学
作者
Laurelie R. Wishart,Elizabeth C. Ward,Graham J. Galloway
出处
期刊:Current Opinion in Otolaryngology & Head and Neck Surgery [Ovid Technologies (Wolters Kluwer)]
卷期号:31 (6): 368-373 被引量:2
标识
DOI:10.1097/moo.0000000000000918
摘要

Purpose of Review Radiological imaging is an essential component of head/neck cancer (HNC) care. Advances in imaging modalities (including CT, PET, MRI and ultrasound) and analysis have enhanced our understanding of tumour characteristics and prognosis. However, the application of these methods to evaluate treatment-related toxicities and functional burden is still emerging. This review showcases recent literature applying advanced imaging and radiomics to the assessment and management of sequelae following chemoradiotherapy for HNC. Recent findings Whilst primarily early-stage/exploratory studies, recent investigations have showcased the feasibility of using radiological imaging, particularly advanced/functional MRI (including diffusion-weighted and dynamic contrast-enhanced MRI), to quantify treatment-induced tissue change in the head/neck musculature, and the clinical manifestation of lymphoedema/fibrosis and dysphagia. Advanced feature analysis and radiomic studies have also begun to give specific focus to the prediction of functional endpoints, including dysphagia, trismus and fibrosis. Summary There is demonstrated potential in the use of novel imaging techniques, to help better understand pathophysiology, and improve assessment and treatment of functional deficits following HNC treatment. As larger studies emerge, technologies continue to progress, and pathways to clinical translation are honed, the application of these methods offers an exciting opportunity to transform clinical practices and improve outcomes for HNC survivors.

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