Artificial Intelligence and Radiomics in Cholangiocarcinoma: A Comprehensive Review

Cholangiocarcinoma (CCA) is a malignant biliary system tumor and the second most common primary hepatic neoplasm, following hepatocellular carcinoma. CCA still has an extremely high unfavorable prognosis, regardless of type and location, and complete surgical resection remains the only curative ther...

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Main Authors: Marta Zerunian, Tiziano Polidori, Federica Palmeri, Stefano Nardacci, Antonella Del Gaudio, Benedetta Masci, Giuseppe Tremamunno, Michela Polici, Domenico De Santis, Francesco Pucciarelli, Andrea Laghi, Damiano Caruso
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Diagnostics
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Online Access:https://www.mdpi.com/2075-4418/15/2/148
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author Marta Zerunian
Tiziano Polidori
Federica Palmeri
Stefano Nardacci
Antonella Del Gaudio
Benedetta Masci
Giuseppe Tremamunno
Michela Polici
Domenico De Santis
Francesco Pucciarelli
Andrea Laghi
Damiano Caruso
author_facet Marta Zerunian
Tiziano Polidori
Federica Palmeri
Stefano Nardacci
Antonella Del Gaudio
Benedetta Masci
Giuseppe Tremamunno
Michela Polici
Domenico De Santis
Francesco Pucciarelli
Andrea Laghi
Damiano Caruso
author_sort Marta Zerunian
collection DOAJ
description Cholangiocarcinoma (CCA) is a malignant biliary system tumor and the second most common primary hepatic neoplasm, following hepatocellular carcinoma. CCA still has an extremely high unfavorable prognosis, regardless of type and location, and complete surgical resection remains the only curative therapeutic option; however, due to the underhanded onset and rapid progression of CCA, most patients present with advanced stages at first diagnosis, with only 30 to 60% of CCA patients eligible for surgery. Recent innovations in medical imaging combined with the use of radiomics and artificial intelligence (AI) can lead to improvements in the early detection, characterization, and pre-treatment staging of these tumors, guiding clinicians to make personalized therapeutic strategies. The aim of this review is to provide an overview of how radiological features of CCA can be analyzed through radiomics and with the help of AI for many different purposes, such as differential diagnosis, the prediction of lymph node metastasis, the defining of prognostic groups, and the prediction of early recurrence. The combination of radiomics with AI has immense potential. Still, its effectiveness in practice is yet to be validated by prospective multicentric studies that would allow for the development of standardized radiomics models.
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institution Kabale University
issn 2075-4418
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publishDate 2025-01-01
publisher MDPI AG
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series Diagnostics
spelling doaj-art-1c754cd61da0452bafa1d60fd670662d2025-01-24T13:28:54ZengMDPI AGDiagnostics2075-44182025-01-0115214810.3390/diagnostics15020148Artificial Intelligence and Radiomics in Cholangiocarcinoma: A Comprehensive ReviewMarta Zerunian0Tiziano Polidori1Federica Palmeri2Stefano Nardacci3Antonella Del Gaudio4Benedetta Masci5Giuseppe Tremamunno6Michela Polici7Domenico De Santis8Francesco Pucciarelli9Andrea Laghi10Damiano Caruso11Department of Medical Surgical Sciences and Translational Medicine, Sapienza–University of Rome, Radiology Unit–Sant’Andrea University Hospital, 00189 Rome, ItalyDepartment of Medical Surgical Sciences and Translational Medicine, Sapienza–University of Rome, Radiology Unit–Sant’Andrea University Hospital, 00189 Rome, ItalyDepartment of Medical Surgical Sciences and Translational Medicine, Sapienza–University of Rome, Radiology Unit–Sant’Andrea University Hospital, 00189 Rome, ItalyDepartment of Medical Surgical Sciences and Translational Medicine, Sapienza–University of Rome, Radiology Unit–Sant’Andrea University Hospital, 00189 Rome, ItalyDepartment of Medical Surgical Sciences and Translational Medicine, Sapienza–University of Rome, Radiology Unit–Sant’Andrea University Hospital, 00189 Rome, ItalyDepartment of Medical Surgical Sciences and Translational Medicine, Sapienza–University of Rome, Radiology Unit–Sant’Andrea University Hospital, 00189 Rome, ItalyDepartment of Medical Surgical Sciences and Translational Medicine, Sapienza–University of Rome, Radiology Unit–Sant’Andrea University Hospital, 00189 Rome, ItalyDepartment of Medical Surgical Sciences and Translational Medicine, Sapienza–University of Rome, Radiology Unit–Sant’Andrea University Hospital, 00189 Rome, ItalyDepartment of Medical Surgical Sciences and Translational Medicine, Sapienza–University of Rome, Radiology Unit–Sant’Andrea University Hospital, 00189 Rome, ItalyDepartment of Medical Surgical Sciences and Translational Medicine, Sapienza–University of Rome, Radiology Unit–Sant’Andrea University Hospital, 00189 Rome, ItalyDepartment of Medical Surgical Sciences and Translational Medicine, Sapienza–University of Rome, Radiology Unit–Sant’Andrea University Hospital, 00189 Rome, ItalyDepartment of Medical Surgical Sciences and Translational Medicine, Sapienza–University of Rome, Radiology Unit–Sant’Andrea University Hospital, 00189 Rome, ItalyCholangiocarcinoma (CCA) is a malignant biliary system tumor and the second most common primary hepatic neoplasm, following hepatocellular carcinoma. CCA still has an extremely high unfavorable prognosis, regardless of type and location, and complete surgical resection remains the only curative therapeutic option; however, due to the underhanded onset and rapid progression of CCA, most patients present with advanced stages at first diagnosis, with only 30 to 60% of CCA patients eligible for surgery. Recent innovations in medical imaging combined with the use of radiomics and artificial intelligence (AI) can lead to improvements in the early detection, characterization, and pre-treatment staging of these tumors, guiding clinicians to make personalized therapeutic strategies. The aim of this review is to provide an overview of how radiological features of CCA can be analyzed through radiomics and with the help of AI for many different purposes, such as differential diagnosis, the prediction of lymph node metastasis, the defining of prognostic groups, and the prediction of early recurrence. The combination of radiomics with AI has immense potential. Still, its effectiveness in practice is yet to be validated by prospective multicentric studies that would allow for the development of standardized radiomics models.https://www.mdpi.com/2075-4418/15/2/148cholangiocarcinomaradiomicsartificial intelligencedeep learningultrasonographycomputed tomography
spellingShingle Marta Zerunian
Tiziano Polidori
Federica Palmeri
Stefano Nardacci
Antonella Del Gaudio
Benedetta Masci
Giuseppe Tremamunno
Michela Polici
Domenico De Santis
Francesco Pucciarelli
Andrea Laghi
Damiano Caruso
Artificial Intelligence and Radiomics in Cholangiocarcinoma: A Comprehensive Review
Diagnostics
cholangiocarcinoma
radiomics
artificial intelligence
deep learning
ultrasonography
computed tomography
title Artificial Intelligence and Radiomics in Cholangiocarcinoma: A Comprehensive Review
title_full Artificial Intelligence and Radiomics in Cholangiocarcinoma: A Comprehensive Review
title_fullStr Artificial Intelligence and Radiomics in Cholangiocarcinoma: A Comprehensive Review
title_full_unstemmed Artificial Intelligence and Radiomics in Cholangiocarcinoma: A Comprehensive Review
title_short Artificial Intelligence and Radiomics in Cholangiocarcinoma: A Comprehensive Review
title_sort artificial intelligence and radiomics in cholangiocarcinoma a comprehensive review
topic cholangiocarcinoma
radiomics
artificial intelligence
deep learning
ultrasonography
computed tomography
url https://www.mdpi.com/2075-4418/15/2/148
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