Machine learning and deep learning models for predicting colorectal cancer metastases: A comprehensive review
Mikiyas Amare Getu1,2,3, Tesfaye Amare4, Kefeng Li5
1Fudan University, School of Nursing, Shanghai, China.
European Journal of Radiology Open
|April 23, 2026
Summary
Machine learning and deep learning models enhance early prediction of colorectal cancer metastasis by analyzing complex data. These advanced techniques improve individualized treatment strategies and patient outcomes, addressing current diagnostic limitations.
Area of Science:
- Oncology
- Medical Imaging
- Artificial Intelligence
Background:
- Colorectal cancer (CRC) metastasis significantly impacts mortality and patient survival.
- Current diagnostic methods for CRC metastasis lack optimal sensitivity and are prone to variability.
- Machine learning (ML) and deep learning (DL) offer advanced capabilities for analyzing complex patient data.
Purpose of the Study:
- To provide a comprehensive review of ML and DL approaches for early CRC metastasis prediction.
- To highlight existing gaps in comparative studies of these predictive models.
- To examine the application of these technologies in predicting metastasis to specific sites.
Main Methods:
- Exploration of DL techniques, including convolutional neural networks (CNNs) like GoogleNet, VGGNet, ResNet, and U-Net.
- Integration of multi-modal data (imaging, clinical, histological) and transfer learning for enhanced prediction.
- Review of traditional ML algorithms (logistic regression, random forests) and their comparison with DL models.
Main Results:
- DL models, particularly CNNs, demonstrate effectiveness in identifying complex data patterns for metastasis prediction.
- Integration of multi-modal data and transfer learning improves individualized treatment strategies and patient outcomes.
- DL models incorporating radiomics and transfer learning often outperform traditional ML algorithms.
Conclusions:
- ML and DL show significant promise for improving the early prediction of colorectal cancer metastasis.
- Addressing challenges like data quality, interpretability, ethical concerns, and computational costs is crucial for clinical integration.
- Future research should focus on explainable AI, resource optimization, ethical frameworks, and validation across diverse populations.


