Radiomics of cholangiocarcinoma on pretreatment CT can identify patients who would best respond to radioembolisation

ConclusionsTexture analysis of pre-TARE CT scans can quantify vascularisation and homogeneity of iCC architecture, providing clinical information useful in identifying ideal TARE candidates.Key Points• Hypervascular tumours with a more homogeneous uptake of iodine contrast in the arterial phase were those most likely to be effectively treated by TARE.• The arterial phase was observed to be the best acquisition phase for providing information regarding the “sensitivity” of the tumour to TARE.• Patients with favourable radiomic signature showed a median progression-free survival of 12.1 months versus 5.1 months of patients with an unfavourable signature (p = 0.008).
Source: European Radiology - Category: Radiology Source Type: research