Evidence map›Paper›PMID 40075651›Full record

ReviewCancers2025

Diagnostic Accuracy of Radiomics in the Early Detection of Pancreatic Cancer: A Systematic Review and Qualitative Assessment Using the Methodological Radiomics Score (METRICS).

María Estefanía Renjifo-Correa, Salvatore Claudio Fanni, Luis A Bustamante-Cristancho, Maria Emanuela Cuibari, Gayane Aghakhanyan, Lorenzo Faggioni, Emanuele Neri, Dania Cioni

Abstract readReview
In one paragraph

Review in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

María Estefanía Renjifo-CorreaRadiology Department, Magnetic Resonance Service, Clínica de Occidente, Calle 18 Norte No. 5N 34, Cali 760045, Colombia.
Salvatore Claudio FanniDepartment of Translational Research, Academic Radiology, University of Pisa, Via Paradisa 2, 56124 Pisa, Italy.ORCID 0000-0002-4003-3320
Luis A Bustamante-CristanchoClínica Imbanaco, Cali 760042, Colombia.
Maria Emanuela CuibariDepartment of Translational Research, Academic Radiology, University of Pisa, Via Paradisa 2, 56124 Pisa, Italy.ORCID 0009-0009-6606-0659
Gayane AghakhanyanDepartment of Translational Research, Academic Radiology, University of Pisa, Via Paradisa 2, 56124 Pisa, Italy.ORCID 0000-0001-5152-497X
Lorenzo FaggioniDepartment of Translational Research, Academic Radiology, University of Pisa, Via Paradisa 2, 56124 Pisa, Italy.ORCID 0000-0001-5262-4489
Emanuele NeriDepartment of Translational Research, Academic Radiology, University of Pisa, Via Paradisa 2, 56124 Pisa, Italy.ORCID 0000-0001-7950-4559
Dania CioniDepartment of Translational Research, Academic Radiology, University of Pisa, Via Paradisa 2, 56124 Pisa, Italy.ORCID 0000-0002-5120-886X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesPancreatic ductal adenocarcinoma (PDAC) is an aggressive and lethal malignancy with increasing incidence and low survival rate, primarily due to the late detection of the disease. Radiomics has demonstrated its utility in recognizing patterns and anomalies not perceptible to the human eye. This systematic literature review aims to assess the application of radiomics in the analysis of pancreatic parenchyma images to identify early indicators predictive of PDAC.

methodsA systematic search of original research papers was performed on three databases: PubMed, Embase, and Scopus. Two reviewers applied the inclusion and exclusion criteria, and one expert solved conflicts for selecting the articles. After extraction and analysis of the data, there was a quality assessment of these articles using the Methodological Radiomics Score (METRICS) tool. The METRICS assessment was carried out by two raters, and conflicts were solved by a third reviewer.

resultsTen articles for analysis were retrieved. CT scan was the diagnostic imaging used in all the articles. All the studies were retrospective and published between 2019 and 2024. The main objective of the articles was to generate radiomics-based machine learning models able to differentiate pancreatic tumors from healthy tissue. The reported diagnostic performance of the model chosen yielded very high results, with a diagnostic accuracy between 86.5% and 99.2%. Texture and shape features were the most frequently implemented. The METRICS scoring assessment demonstrated that three articles obtained a moderate quality, five a good quality, and, finally, two articles yielded excellent quality. The lack of external validation and available model, code, and data were the major limitations according to the qualitative assessment.

conclusionsThere is high heterogeneity in the research question regarding radiomics and pancreatic cancer. The principal limitations of the studies were mainly due to the nature of the trials and the considerable heterogeneity of the radiomic features reported. Nonetheless, the work in this field is promising, and further studies are still required to adopt radiomics in the early detection of PDAC.

Indexed as

computed tomographyearly diagnosismagnetic resonance imagingMETRICSpancreatic cancerpancreatic ductal adenocarcinomaradiomics

Identifiers

PMID40075651
PMCPMC11898638

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.