Opportunities and pitfalls of cancer imaging in clinical trials

Bruno Morgan1

  • 1Department of Cancer Studies and Molecular Medicine, University of Leicester, Leicester Royal Infirmary, Infirmary Square, Leicester, UK. bm11@le.ac.uk

Insights

Medical imaging biomarkers are crucial for modern cancer clinical trials, offering whole-tumor assessment. This review discusses the strengths and limitations of imaging modalities like MRI, CT, PET, and ultrasonography in cancer research.

Area of Science:

  • Oncology
  • Medical Imaging
  • Clinical Trial Design

Background:

  • Cancer treatment has shifted towards targeted biological therapies over the past two decades.
  • Biomarkers, including medical imaging, are increasingly integrated into clinical trials to assess treatment efficacy.
  • Imaging biomarkers offer advantages over traditional methods by evaluating entire tumors and allowing longitudinal assessment.

Purpose of the Study:

  • To review the strengths and limitations of current medical imaging modalities used in cancer clinical trials.
  • To discuss the information gained and challenges associated with data acquisition and interpretation for each imaging method.
  • To aid researchers in planning imaging protocols and interpreting data within clinical trial frameworks.

Main Methods:

  • Review of current medical imaging techniques employed in clinical cancer trials.
  • Analysis of strengths and limitations of Magnetic Resonance Imaging (MRI), Computed Tomography (CT), Positron Emission Tomography (PET), and Ultrasonography.
  • Discussion of practical considerations including cost, usability, patient factors, data analysis, and interpretation.

Main Results:

  • Each imaging modality (MRI, CT, PET, ultrasonography) presents unique benefits and drawbacks for cancer clinical trials.
  • Challenges exist in data acquisition and interpretation across different imaging techniques, impacting trial design and results.
  • Imaging biomarkers provide valuable insights into treatment mechanisms and efficacy at molecular and physiological levels.

Conclusions:

  • Medical imaging plays a vital role in contemporary cancer clinical trials, enabling comprehensive assessment of treatment response.
  • Understanding the specific strengths, limitations, and practicalities of each imaging modality is essential for successful trial implementation.
  • Careful planning and interpretation of imaging data are critical for advancing cancer research and improving patient outcomes.

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