Past 40 years of colorectal cancer imaging:From anatomical depiction to intelligent diagnostic-therapeutic integration
10.13929/j.issn.1003-3289.2025.08.012
- VernacularTitle:结直肠癌影像学40年:从描绘解剖到智能诊疗新生态
- Author:
Xiaoyan ZHANG
1
;
Yingshi SUN
1
Author Information
1. 北京大学肿瘤医院暨北京市肿瘤防治研究所医学影像科,恶性肿瘤发病机制及转化研究教育部重点实验室,北京 100142
- Publication Type:Journal Article
- Keywords:
colorectal neoplasms;
artificial intelligence;
immunotherapy;
diagnostic imaging;
radiomics
- From:
Chinese Journal of Medical Imaging Technology
2025;41(8):1258-1262
- CountryChina
- Language:Chinese
-
Abstract:
In the evolution of colorectal cancer imaging technology in the past 40 years,application of multislice spiral CT and high-resolution MRI has not only propelled the anatomical staging of colorectal cancer into the era of precision,but also achieved quantitative stratification of tumor recurrence risk through detection of key indicators like extramural vascular invasion.Breakthroughs in functional imaging techniques such as diffusion-weighted imaging are of greater milestone significance,which improved the detection rate of metastatic lesions and constructed the foundation for early intervention.The integration of radiomics and artificial intelligence(AI)technologies has further enabled the non-invasive prediction of tumor molecular subtypes and optimized clinical decision pathways through treatment response modeling.However,development in the field still faces multiple bottlenecks.Looking ahead to the future,building a multimodal intelligent diagnosis and treatment ecosystem is the core direction of development of colorectal cancer imaging.Risk stratification models that integrate clinical-imaging-pathological data,prospective multicenter data pools and interdisciplinary collaboration platforms will promote imaging from traditional"auxiliary diagnostic tool"towards a paradigm shift as"treatment decision-making engine".
