Ultrasonography.  2025 Mar;44(2):95-111. 10.14366/usg.24152.

Ultrasound-based radiogenomics: status, applications, and future direction

Affiliations
  • 1Department of Ultrasound, Institute of Ultrasound in Medicine and Engineering, Shanghai Institute of Medical Imaging, Zhongshan Hospital, Fudan University, Shanghai, China
  • 2Department of Ultrasound, Zhejiang Hospital, Hangzhou, China

Abstract

Radiogenomics, an extension of radiomics, explores the relationship between imaging features and underlying gene expression patterns. This field is instrumental in providing reliable imaging surrogates, thus potentially representing an alternative to genetic testing. The rapidly growing area of radiogenomics that utilizes ultrasound (US) imaging seeks to elucidate the connections between US image characteristics and genomic data. In this review, the authors outline the radiogenomics workflow and summarize the applications of US-based radiogenomics. These include the prediction of gene variations, molecular subtypes, and other biological characteristics, as well as the exploration of the relationships between US phenotypes and cancer gene profiles. Although the field faces various challenges, US-based radiogenomics offers promising prospects and avenues for future research.

Keyword

Imaging genomics; Ultrasonography; Radiomics; Precision medicine; Neoplasms
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