Evidence map›Paper›PMID 42506133›Full record

ReviewJournal of imaging2026

Radiomics in Lung Cancer Imaging: A Narrative Review of Current Evidence.

Andrea Lastrucci, Nicola Iosca, Edoardo Cavigli, Diletta Cozzi, Angelo Barra, Yannick Wandael, Cosimo Nardi, Renzo Ricci, Vittorio Miele, Daniele Giansanti

Abstract readReview
In one paragraph

Review in Journal of imaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Andrea LastrucciDepartment of Allied Health Professions, Azienda Ospedaliero-Universitaria Careggi, 50134 Florence, Italy.ORCID 0000-0002-3600-9213
Nicola IoscaDepartment of Allied Health Professions, Azienda Ospedaliero-Universitaria Careggi, 50134 Florence, Italy.
Edoardo CavigliDepartment of Emergency Radiology, Careggi University Hospital, L.Go Brambilla 3, 50123 Florence, Italy.
Diletta CozziDepartment of Emergency Radiology, Careggi University Hospital, L.Go Brambilla 3, 50123 Florence, Italy.
Angelo BarraDepartment of Allied Health Professions, Azienda Ospedaliero-Universitaria Careggi, 50134 Florence, Italy.ORCID 0009-0007-6798-4576
Yannick WandaelDepartment of Allied Health Professions, Azienda Ospedaliero-Universitaria Careggi, 50134 Florence, Italy.
Cosimo NardiDepartment of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Florence, 50134 Florence, Italy.ORCID 0000-0002-5489-7824
Renzo RicciDepartment of Allied Health Professions, Azienda Ospedaliero-Universitaria Careggi, 50134 Florence, Italy.
Vittorio MieleDepartment of Emergency Radiology, Careggi University Hospital, L.Go Brambilla 3, 50123 Florence, Italy.ORCID 0000-0002-7848-1567
Daniele GiansantiCentre IATIS, Istituto Superiore di Sanità, 00161 Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLung cancer remains the leading cause of cancer-related mortality worldwide, and early diagnosis and accurate disease stratification are still major clinical challenges. Radiomics has emerged as a quantitative imaging approach that extracts high-dimensional features from radiological imaging, with applications in diagnosis, prognosis, radio genomics, and assessment of treatment response. However, its clinical translation is still limited by methodological heterogeneity and a lack of standardization.

aimThis narrative review synthesizes evidence from systematic reviews and meta-analyses on radiomics in thoracic imaging for lung cancer, focusing on clinical applications, methodological limitations, and translational challenges.

methodsA structured search was conducted in PubMed and Scopus using predefined keywords related to radiomics, lung cancer, and imaging modalities. Only peer-reviewed systematic reviews and meta-analyses published in English were included. In total, 27 studies were selected and synthesized using a structured narrative approach guided by the ANDJ checklist. A differential integrative framework was adopted to connect evidence from systematic reviews and meta-analyses with primary empirical studies and policy documents through an intermediate layer of translational recommendations, ensuring a multi-level and interpretation-driven synthesis.

resultsRadiomics demonstrated consistent potential across multiple clinical domains, including lesion classification, histological differentiation, molecular profiling, prognostic stratification, and prediction of treatment response. Machine learning and deep learning approaches frequently improved predictive performance. However, key limitations were identified, including heterogeneity in imaging protocols, lack of external validation, small single-centre datasets, and limited reproducibility of radiomic features.

conclusionsRadiomics in lung cancer imaging shows strong clinical potential but remains constrained by methodological and translational barriers. Future progress will depend on standardization, external validation, multimodal data integration, and improved interpretability, alongside alignment with regulatory and clinical implementation frameworks.

Indexed as

artificial intelligencecomputed tomographylung cancerradiogenomicsradiologyradiomics

Identifiers

PMID42506133
PMCPMC13412686

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.