Imaging standardisation in metastatic colorectal cancer: A joint EORTC-ESOI-ESGAR expert consensus recommendation

Background: Treatment monitoring in metastatic colorectal cancer (mCRC) relies on imaging to evaluate the tumour burden. Response Evaluation Criteria in Solid Tumors provide a framework on reporting and interpretation of imaging findings yet offer no guidance on a standardised imaging protocol tailored to patients with mCRC. Imaging protocol hetero-geneity remains a challenge for the reproducibility of conventional imaging end-points and is an obstacle for research on novel imaging end-points.Patients and methods: Acknowledging the recently highlighted potential of radiomics and arti-ficial intelligence tools as decision support for patient care in mCRC, a multidisciplinary, international and expert panel of imaging specialists was formed to find consensus on mCRC imaging protocols using the Delphi method.Results: Under the guidance of the European Organisation for Research and Treatment of Cancer (EORTC) Imaging and Gastrointestinal Tract Cancer Groups, the European Society of Oncologic Imaging (ESOI) and the European Society of Gastrointestinal and Abdominal Radiology (ESGAR), the EORTC-ESOI-ESGAR core imaging protocol was identified.Conclusion: This consensus protocol attempts to promote standardisation and to diminish variations in patient preparation, scan acquisition and scan reconstruction. We anticipate that this standardisation will increase reproducibility of radiomics and artificial intelligence studies and serve as a catalyst for future research on imaging end-points. For ongoing and future mCRC trials, we encourage principal investigators to support the dissemination of these im-aging standards across recruiting centres. (c) 2022 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)

Imaging standardization in metastatic colorectal cancer : a joint EORTC-ESOI-ESGAR expert consensus recommendation

Background: Treatment monitoring in metastatic colorectal cancer (mCRC) relies on imaging to evaluate the tumor burden. Response Evaluation Criteria in Solid Tumors (RECIST) provide a framework on reporting and interpretation of imaging findings yet offer no guidance on a standardized imaging protocol tailored to mCRC patients. Imaging protocol heterogeneity remains a challenge for the reproducibility of conventional imaging endpoints and is an obstacle for research on novel imaging endpoints. Patients and methods: Acknowledging the recently highlighted potential of radiomics and artificial intelligence (AI) tools as decision support for patient care in mCRC, a multidisciplinary, international, and expert panel of imaging specialists was formed to find consensus on mCRC imaging protocols using the Delphi method. Results: Under the guidance of the European Organisation for Research and Treatment of Cancer (EORTC) Imaging and Gastrointestinal Tract Cancer Groups, the European Society of Oncologic Imaging (ESOI) and the European Society of Gastrointestinal and Abdominal Radiology (ESGAR), the EORTC-ESOI-ESGAR core imaging protocol was identified. Conclusion: This consensus protocol attempts to promote standardization and to diminish variations in patient preparation, scan acquisition and scan reconstruction. We anticipate that this standardization will increase reproducibility of radiomics and AI studies and serve as a catalyst for future research on imaging endpoints. For ongoing and future mCRC trials, we encourage principal investigators to support the dissemination of these imaging standards across recruiting centers.peer-reviewe

First records of sea snakes (Elapidae: Hydrophiinae) diving to the mesopelagic zone (>200 m)

Viviparous sea snakes (Elapidae: Hydrophiinae) are fully marine reptiles distributed in the tropical and subtropical waters of the Indian and Pacific Oceans. Their known maximum diving depth ranges between 50 and 100 m and this is thought to limit their ecological ranges to shallow habitats. We report two observations, from industry-owned remotely operated vehicles, of hydrophiine sea snakes swimming and foraging at depths of approximately 250 m in the Browse Basin on Australia's North West Shelf, in 2014 and 2017. These observations show that sea snakes are capable of diving to the dim-lit, cold-water mesopelagic zone, also known as the 'twilight' zone. These record-setting dives raise new questions about the thermal tolerances, diving behaviour and ecological requirements of sea snakes. In addition to significantly extending previous diving records for sea snakes, these observations highlight the importance of university-industry collaboration in surveying understudied deep-sea habitats

Increased reproducibility of semiautomatic 3D-segmentation over 2D-measurements for quantification of specific iodine uptake of hepatic colorectal metastases in dual-energy CT

With its capability to quantify absolute iodine concentrations, Dual-Energy CT (DECT) promises to add considerable diagnostic information in the field of abdominal oncologic imaging (Agrawal et al., 2014). Iodine maps contain quantifiable information about tumor vascularity and viability and may be used to evaluate treatment response (Apfaltrer et al., 2012; Chen et al., 2014). Hence, reproducible measurements are essential for further treatment decisions. Similar to the measurement of tumor size, the analysis of iodine uptake has hitherto relied on measurements in 2 dimensions (2D) (Zhang et al., 2010). However, recent technological advances enable three-dimensional (3D)-measurements. The aim of this study was to compare interobserver reproducibility of a semiautomatic tool for 3D-segmentation and quantification of iodine uptake in hepatic colorectal metastases with 2D-measurements in DECT.peer-reviewe