Research progress of radiomics in common gynecologic malignancies
Cervical cancer(CC),ovarian cancer(OC)and endometrial cancer(EC)are the three most common gynecologic malignancies,with high morbidity and mortality and increasing year by year.Early diagnosis and treatment are essential to improve survival.At present,the main diagnostic methods of gynecologic malignancies are imaging and pathological examination,but their sensitivity,accuracy and specificity are limited.The emerging radiomics technology transforms visual image information into deep features for quantitative research and quantitative assessment of lesions,which is conducive to improving the accuracy of disease evaluation.In recent years,more and more studies have found that radiomics based on computed tomography(CT),MRI and positron emission tomography/computed tomography(PET/CT)can perform pre-treatment assessment of patients with gynecologic malignancies non-invasively and accurately,and may guide clinical decision-making.In this paper,the basic concept and workflow of radiomics and its research progress in the diagnosis,differential diagnosis,pathological type,histological grade,lymph node metastasis(LNM),lymphovascular space invasion(LVSI),molecular expression,efficacy and prognosis prediction of common gynecologic malignancies were reviewed,and make a prospect for future research,in order to provide new ideas for optimizing medical decision-making and promoting the development of precision medicine.