Systematic review and meta-analysis show moderate accuracy of MRI radiomics in predicting pathological nodal status in rectal cancer, suggesting further standardization is needed.
Key Points
MRI-based radiomics shows moderate accuracy in predicting pathological nodal status in rectal cancer.
Analysis of 16 studies including 3157 patients yielded a pooled sensitivity of 0.68 and specificity of 0.73.
Different methodological approaches among studies highlight the need for standardization in MRI protocols.
Publication bias may affect results, indicating that further research is essential for clinical applications.