Evidence map›Paper›PMID 42157434›Full record

ArticleCancer reports (Hoboken, N.J.)2026

MRI Based Radiomics as an Imaging Biomarker for Locally Advanced Carcinoma Rectum: Predicting Tumor Response Following Neoadjuvant Chemoradiotherapy as an Organ Preservation Strategy.

Abhinav Puppalwar, Reena Engineer, Ashish Kumar Jha, Shivakumar Gudi, Rahul Krishnartry, Prashant Nayak, Jai Prakash Agarwal, Jayant S Goda

Abstract read
In one paragraph

Article in Cancer reports (Hoboken, N.J.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Abhinav PuppalwarDepartment of Radiation Oncology, Tata Memorial Centre, Mumbai, India.ORCID 0009-0002-2047-0037
Reena EngineerDepartment of Radiation Oncology, Tata Memorial Centre, Mumbai, India.ORCID 0000-0002-3893-1287
Ashish Kumar JhaHomi Bhaba National Institute, Anushakti Nagar, Mumbai, India.ORCID 0000-0001-5998-3206
Shivakumar GudiDepartment of Radiation Oncology, Tata Memorial Centre, Mumbai, India.ORCID 0000-0001-7279-5576
Rahul KrishnartryDepartment of Radiation Oncology, Tata Memorial Centre, Mumbai, India.ORCID 0000-0003-4511-7782
Prashant NayakDepartment of Radiation Oncology, Tata Memorial Centre, Mumbai, India.ORCID 0000-0001-5852-0170
Jai Prakash AgarwalDepartment of Radiation Oncology, Tata Memorial Centre, Mumbai, India.ORCID 0000-0003-0430-8558
Jayant S GodaDepartment of Radiation Oncology, Tata Memorial Centre, Mumbai, India.ORCID 0000-0002-3915-8927

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with locally advanced rectal cancer show variable responses to neoadjuvant chemoradiotherapy (NACTRT), making early prediction of treatment response clinically important. Radiomics and machine learning may offer a potential non-invasive imaging biomarker to identify patients who are more likely to respond to treatment.

aimWe investigated a machine learning-based radiomic approach to predict tumor response (TR) to NACTRT in patients with adenocarcinoma of the rectum from baseline and post-NACTRT magnetic resonance imaging (MRI).

methodsOne hundred patients with locally advanced rectal cancer, who underwent pre- and post-treatment MRI after NACTRT were included in the study after approval from the institutional ethics committee. One hundred twenty-four radiomic features were extracted using the TexRad softwareTm, from pre- and post-treatment T2W MRI, which included first-order, GLCM, and shape features. Features were selected by the recursive feature elimination (RFE) algorithm. Five machine learning classifiers-support vector machine (SVM), random forest (RF), gradient boost (GB), Naive Bayes (NB) and AdaBoost (AB) classifiers were used to develop a prediction model for predicting TR.

resultsFive radiomic features were selected using for TR using RFE using RF algorithm. The RF model with 10-fold internal cross-validation performed the best for predicting TR. The predictive performance of the RF model for TR was found to be AUC: 0.79 ± 0.15, accuracy: 0.72 ± 0.12, and precision: 0.77 ± 0.10 for the test cohort respectively.

conclusionRF classifier based radiomic model provided a non-invasive method to predict TR in patients of carcinoma rectum undergoing NACTRT treatment. The predictive potential of the radiomic features further requires validation in a larger cohort of patients in a multicentric study for clinical translation.

Indexed as

AdenocarcinomaMagnetic Resonance ImagingNeoadjuvant TherapyOrgan Sparing TreatmentsRectal NeoplasmsAdultAgedFemaleHumansMachine LearningMaleMiddle AgedPredictive Learning ModelsRadiomicsRandom ForestRectummachine learning classifiersNeoadjuvant chemoradiotherapyradiomic signaturesrectal cancertumour response

Identifiers

PMID42157434
PMCPMC13580817

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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.