Table 1.
Summary of the main fields of application of radiomic analyses in PitNETs, with specifically evaluated endpoints and examples of studies included in this review. Abbreviations: CE-T1WI, contrast-enhanced T1-weighted imaging; CS, cavernous sinus; DA, dopamine agonist; DCE-MRI, dynamic contrast-enhanced magnetic resonance imaging; MRI, magnetic resonance imaging; N, number; NCA, null-cell adenoma; NFPA, non-functioning pituitary adenoma; PitNET, pituitary neuroendocrine tumor; RT, radiotherapy; SCA, silent corticotroph adenoma; SRL, somatostatin receptor ligand; SS, sphenoid sinus; T1WI, T1-weighted imaging; T2WI, T2-weighted imaging.
General Field of Application |
Specific Endpoint | Studies (First Author, Year) |
N. of Patients |
PitNET Subtypes |
Evaluated MRI Sequences |
Software Used for Feature Extraction |
---|---|---|---|---|---|---|
Prediction of tumor consistency |
Distinction between soft and fibrous tumors |
Zeynalova, 2019 [6] | 55 | Any | T2WI | PyRadiomics |
Cuocolo, 2020 [12] | 89 | Any | T2WI | PyRadiomics | ||
Wan, 2022 [11] | 156 | Any | T1WI, T2WI, CE-T1WI | MatLab | ||
Fan, 2019 [16] | 188 | Acromegaly | T1WI, T2WI, CE-T1WI | PyRadiomics | ||
Prediction of tumor invasiveness |
Prediction of CS invasion |
Niu, 2019 [19] | 194 | Any | T2WI, CE-T1WI |
MatLab |
Zhang, 2022 [20] | 196 | Any | CE-T1WI | PyRadiomics | ||
Prediction of CS, SS, or dura mater invasion |
Liu, 2020 [21] | 50 | Any | DCE-MRI | Omni-Kinetics | |
Prediction of hormonal secretion patterns |
Distinction among hormone secretion profiles |
Baysal, 2022 [22] | 130 | Any | T2WI | PyRadiomics |
Prediction of histopathological features |
Distinction among Tpit, Pit-1, and SF-1 subfamilies |
Peng, 2020 [23] | 235 | Any | T1WI, T2WI, CE-T1WI | PyRadiomics |
Distinction between SCAs and other NFPA subtypes |
Rui, 2022 [24] | 302 | NFPAs | T1WI, T2WI, CE-T1WI | PyRadiomics | |
Wang, 2023 [25] | 295 | NFPAs | T1WI, T2WI, CE-T1WI | PyRadiomics | ||
Distinction between NCAs and other NFPA subtypes |
Zhang, 2018 [26] | 112 | NFPAs | T1WI, CE-T1WI |
MatLab | |
Distinction between densely and sparsely granulated adenomas | Park, 2020 [27] | 69 | Acromegaly | T2WI | PyRadiomics | |
Liu, 2021 [28] | 49 | Acromegaly | T1WI, T2WI, CE-T1WI | PyRadiomics | ||
Prediction of a high proliferative index (Ki67 ≥ 3%) a |
Ugga, 2019 [29] | 89 | Any | T2WI | PyRadiomics | |
Li, 2023 [30] | 1214 | Any | T1WI, T2WI, CE-T1WI | PyRadiomics | ||
Wang, 2023 [31] | 246 | Any | CE-T1WI | LIFEx | ||
Fan, 2020 [32] | 138 | Acromegaly | T1WI, T2WI, CE-T1WI | PyRadiomics | ||
Prediction of response to surgical treatment | Prediction of post-surgical recurrence or regrowth |
Galm, 2018 [34] | 78 | NFPAs | T1WI | ImageJ |
Machado, 2020 [35] | 27 | NFPAs | CE-T1WI | PyRadiomics | ||
Zhang, 2020 [36] | 50 | NFPAs | T2WI, CE-T1WI |
Python | ||
Zhang, 2022 [37] | 168 | Any | CE-T1WI | PyRadiomics (3D-Slicer extension) |
||
Prediction of post-surgical biochemical remission |
Fan, 2019 [38] | 163 | Functional adenomas |
T1WI, T2WI, CE-T1WI | MatLab | |
Prediction of response to non-surgical therapies |
Response to first-generation SRLs |
Kocak, 2019 [44] | 47 | Acromegaly | T2WI | PyRadiomics |
Galm, 2020 [45] | 64 | Acromegaly | T1WI | ImageJ | ||
Response to DAs | Park, 2021 [46] | 177 | Prolactinomas | T2WI | PyRadiomics | |
Response to RT | Fan, 2019 [47] | 57 | Acromegaly | T1WI, T2WI, CE-T1WI | PyRadiomics |
a In the study by Wang et al. (2023) [31], the definition of a high proliferation/aggressive behavior was based on the presence of at least two of the following three characteristics: Ki67 ≥ 3%, high mitotic count (≥2/10 high power fields), or positive staining for p53.