The evolving role of multimodal imaging, artificial intelligence and radiomics in the radiologic assessment of immune related adverse events.

Journal: Clinical imaging
Published Date:

Abstract

Immunotherapy, in particular checkpoint blockade, has revolutionized the treatment of many advanced cancers. Imaging plays a critical role in assessing both treatment response and the development of immune toxicities. Both conventional imaging and molecular imaging techniques can be used to evaluate multisystemic immune related adverse events (irAEs), including thoracic, abdominal and neurologic irAEs. As artificial intelligence (AI) proliferates in medical imaging, radiologic assessment of irAEs will become more efficient, improving the diagnosis, prognosis, and management of patients affected by immune-related toxicities. This review addresses some of the advancements in medical imaging including the potential future role of radiomics in evaluating irAEs, which may facilitate clinical decision-making and improvements in patient care.

Authors

  • Jeeban P Das
    Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA. Electronic address: dasj@mskcc.org.
  • Hong Y Ma
    Department of Radiology, Columbia University Irving Medical Center, New York, NY 10032, USA. Electronic address: hym2103@cumc.columbia.edu.
  • Dorine de Jong
    RefleXion Medical, Inc., Hayward, CA 94545, USA.
  • Conor Prendergast
    Department of Radiology, Columbia University Irving Medical Center, New York, NY 10032, USA. Electronic address: cprender@student.touro.edu.
  • Alireza Baniasadi
    Department of Radiology, Columbia University Irving Medical Center, New York, NY 10032, USA.
  • Brian Braumuller
    Department of Radiology, Columbia University Irving Medical Center, New York, NY 10032, USA. Electronic address: braumuller.b@northeastern.edu.
  • Anna Giarratana
    Department of Radiology, Columbia University Irving Medical Center, New York, NY 10032, USA.
  • Mohammad Saeid Khonji
    Department of Radiology, Columbia University Irving Medical Center, New York, NY 10032, USA.
  • Jacienta Paily
    Department of Radiology, Columbia University Irving Medical Center, New York, NY 10032, USA.
  • Parnian Shobeiri
    School of Medicine, Tehran University of Medical Science, Tehran, Iran.
  • Randy Yeh
    Molecular Imaging and Therapy Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
  • Laurent Dercle
    Department of Radiology, Columbia University Medical Center, 630 West 168th Street, New York, NY 10032; Gustave Roussy, Université Paris-Saclay, Université Paris-Saclay, Département D'imagerie Médicale, Villejuif, France.
  • Kathleen M Capaccione
    Department of Radiology, Columbia University Irving Medical Center, NewYork, NY, USA.