The University’s Radiogenomics and Quantitative Imaging Group is an interdisciplinary team of radiologists, physicists, engineers, oncologists and computational scientists working on cancer research. The group was founded by Prof. Evis Sala in 2018, and is now led by Dr Lorena Escudero Sánchez. One of the most active areas of our research is high-grade serous ovarian cancer (HGSOC), the most lethal gynecologic malignancy and HGSOC is the fifth leading cause of cancer-related deaths in women. We also work on kidney and liver cancer, as well as COVID. We have active collaborations across Departments (DAMTP, Engineering), institutes (CRUK CC, CRUK CI) and countries (Austria, Italy).

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Research Team

Group Leader:

• Lorena Escudero Sánchez (SRA)

University Lecturer:

• Dr Luigi Aloj

Senior Research Associate:

• Dr Mary McLean

Research Associates:

• Andrew Gill
• Priscilla Canizares (collaborator from DAMTP)
• Ines Machado (collaborator from CRUK CI)

PhD Students:

• María Delgado Ortet
• David Hulse
• Cathal McCague
• Syafiq Ramlee
• Tanvi Rao
• Ian Selby
• Marika Reinus (CRUK CI)
• Ionut-Gabriel Funingana (CRUK CI)
• Bill McGough (Oncology Department)
• Thomas Buddenkotte – 2022 graduated

Visitors:

• Ramona Woitek
• Vlad Bura
• Pubudu Piyatissa

Group coordinator:

• Evis Carcani

Projects

Real-time habitat-guided multimodal fusion biopsies

In collaboration with Canon® Medical Systems, the group has recently developed and has completed piloting a new ultrasound-guided fusion biopsy technique, which allows for selective tissue sampling of tumour areas with distinct or similar radiomic/texture characteristics. The group has managed       to overlay texture-based clustering maps onto diagnostic CT images and PET/MRI habitat maps onto MRI images, respectively and then fuse them with the US during biopsies. This technique will enable biological profiling and longitudinal tracking of tumour habitats in the clinical settings.

The research led by Professor Evis Sala and funded through the MFICM and CRUK shows that combining CT with US images creates a visual guide for radiologists to ensure they sample the full complexity of a tumour with fewer targeted biopsies.

The publication, with Co-first authors Dr Lucian Beer and Paula Martin-Gonzalez from Radiogenomics and Quantitative Imaging group “Ultrasound-guided targeted biopsies of CT-based radiomic tumour habitats” published in European Radiology, 14 Dec 2020, has attracted national media attention resulting from a press release sent out by the University of Cambridge press office on 6 January 2021, the MFICM news page and other pages on the MFICM website, in the CRUK Cambridge Centre website.

Media coverage for this article: Daily Mail  | iNews | Health Europa | Science Times  | Cancer World | Imaging Wire | Diagnostic | World News

Ovarian cancer segmentation and tissue-specific sub-segmentation on CT images

Currently, abdominal CT scans are evaluated visually and response is assessed based on unidimensional tumour measurements at different time points. Segmentation of the whole tumour burden is not routinely performed, as it is labour-intensive and also operator-dependent. Despite the recent advances in machine learning techniques, automated image segmentation for ovarian cancer is not yet available for clinical implementation owing to challenges including low tumour-to-tissue contrast and a lack of large-scale datasets for training and testing. This group has developed a prototype deep learning automated segmentation method for ovarian cancer on CT scans.

 

This group has also proposed the first approach based on unsupervised clustering techniques to provide tissue-specific sub-segmentation and quantify solid and cystic components, which are commonly found in ovarian cancer lesions. Exploiting these novel techniques, we aim at providing robust tools for future radiomic biomarker validation. This work, entitled “Tissue-specific and interpretable sub-segmentation of whole tumour burden on CT images by unsupervised fuzzy clustering”, was published in Computers in Biology and Medicine (2020).

All in One cancer imaging optimisation using an integrated mathematical and deep learning approach

This project is funded by Wellcome Trust Innovator Award and led by Prof. Carola Bibiane Schönlieb from Department of Applied Mathematics and Theoretical Physics (DAMTP).

Recent developments in mathematical image analysis, in particular deep neural networks, have unravelled the potential of robust image quantification which is essential to cancer care. Despite these achievements, the high variability of image acquisition and reconstruction and the multiple individual optimisation steps of the imaging pipeline (acquisition, reconstruction, segmentation and classification) remain two major challenges. This leads to inherent biases in image quantification and to the development of suboptimal quantitative imaging biomarkers that lack reproducibility. As a consequence, the analysis of these biomarkers has limited use in the clinic which becomes even more challenging for multi-centre clinical trials. Our project therefore aims to:

• Apply novel deep learning algorithms, recently developed by our group, to reconstruct medical images in a fully unbiased manner.
• Perform the reconstruction, segmentation, and prediction steps jointly, thereby creating an end-to-end pipeline optimised for the task at hand.
• Develop robust evaluation metrics that will be used to analyse large heterogeneous retrospective imaging datasets.

Project homepage

Integration of Radiomics and Circulating Tumour DNA (ctDNA) for the Development of Predictive and Prognostic Biomarkers on Patients with Ovarian Cancer

Patients with suspected or confirmed ovarian cancer usually undergo computed tomography (CT) scans as their standard-of-care imaging to assess the extent of their disease. We are collaborating with molecular cancer biology and computational groups to extract quantitative data from these images (radiomics) and combine them with information about circulating tumour DNA (ctDNA) from blood samples, to develop tools that predict response to chemotherapy as well as survival in patients with ovarian cancer. These studies also help us understand which features of ovarian cancer affect the extent of ctDNA shedding into circulation and how molecular features of ovarian cancer affect tumour appearance on imaging.

Integration of Proteomics and Radiomics in Ovarian Cancer

In collaboration with colleagues from the Walter Reed National Military Medical Center, the Inova Schar Cancer Institute and Frederick National Laboratory for Cancer Research our group is working on the integration of proteomic- and radiomic data into clinical decision models for patients with ovarian cancer. Over the last years, our group has shown that radiomic metrics correlate with the response to chemotherapy and predict clinical endpoints such as progression-free survival and overall survival. In addition, it is well known that certain protein signatures of the tumour are associated with outcome. We aim to build risk models that integrate both data streams to stratify patients according to risk for progression, thereby allowing for tailored therapy. In an exploratory analysis, we showed for the first time the association between proteomics and CT-based qualitative and texture features in ovarian cancer.

Co-registration of imaging and tumour tissue using 3-dimensional moulds

We have demonstrated proof-of-concept of the use of custom-printed 3D moulds to allow accurate spatial co-registration between tumour tissue samples and their corresponding imaging features in both ovarian (published in JCO Precision Oncology, 2019) and kidney cancer (JCO Clinical Informatics, 2020). We are collaborating with genomics and computational groups to expand on this technique, in order to further investigate the relationship between cellular and molecular features of these cancers with imaging and radiomic features. This will improve our ability to use non-invasive imaging features to understand how individual tumours respond to standard treatment as well as novel therapeutic approaches in clinical trials.

Reference:

https://ascopubs.org/doi/full/10.1200/PO.18.00410

https://ascopubs.org/doi/full/10.1200/CCI.20.00026

Hyperpolarised Carbon-13 MRI

Our group is assessing the feasibility of multiparametric multinuclear MRI (including hyperpolarised 13C MRI) for assessing early and heterogeneous response to treatment in NACT setting. The metabolic imaging might be able to assess treatment response earlier compared to clinically used techniques. It may also help detect heterogeneous treatment response, often a cause of treatment failure.

Targeted Molecular Imaging of CA125 in High Grade Serous Ovarian Cancer

High grade serous ovarian cancer cells over express the Cancer Antigen 125 (CA125), that is used clinically as a tumour marker measured in the blood serum. Negative serum CA-125 assays do not always indicate absence of recurrent ovarian malignancy, while elevation of serum CA125 levels can also be observed in non-gynaecologic malignancies or benign conditions. Our team is performing a physiological study to assess CA125 expression and heterogeneity in patients with ovarian cancer. This study will establish the first application of immuno-PET imaging in Cambridge, creating a platform for the wider application of this powerful technique for tracking and quantification of mAbs in vivo.

Renal Cancer

Imaging in renal cancer is another area of active research, which is pursued, both in independent radiological research and as part of clinical trials. Being one of the medical services with the highest volume of patients with kidney cancer undergoing surgical or oncological treatment, Addenbrooke’s Hospital and the University of Cambridge are ideally placed for renal cancer research.

Far reaching alterations in cellular energy metabolism are a hallmark of renal cancer. Hyperpolarised [1-13C]-pyruvate MRI is a non-ionising, quantitative imaging technique which allows our group to investigate the core of these metabolic changes. Our interest covers both clinical and translational aspects of this technique.

While hyperpolarised [1-13C]-pyruvate MRI enables unknown insights into patient tumour metabolism, it is currently reserved for a small number of centres worldwide which have the relevant infrastructure and expertise. We also investigate the ability of radiomics of standard- of-    care imaging in renal cell carcinoma (RCC) to support clinical decision making. Radiomics models may help address clinical questions which are difficult to assess with subjective image interpretation. The main questions, which are of particular interest to our group, are the imaging-based prediction of tumour subtype, aggressiveness and early response to therapy.

One aspect we are working on is the analysis of  the robustness of RCC radiomic features extracted from CT images of heterogeneous cohorts, and what is the impact of different acquisition parameters (e.g. vendor, reconstruction kernel), as well as perturbations of regions of interest, on the values of these features. These studies can also be connected to measure their expected effect in Radiomics models such as those for tumour classification. Imaging plays an important role in oncological treatment response assessment for many cancer types. With the availability of an increasing number of targeted and non-targeted anti-cancer drugs for RCC, the rapid detection of treatment response and relapse become of increasing clinical relevance. In collaboration with colleagues from the Departments of Urology and Oncology, we investigate how multiparametric MRI can be utilised for treatment stratification in current and future clinical trials.

Pancreatic cancer

Pancreatic cancer (PCa) is the 4th leading cause of cancer-related deaths, with approximately equal rates of annual incidence and mortality. It is estimated that it will become the second leading cause of cancer-related deaths by 2030. There is still a critical unmet need for better ways to non-invasively assess PCa at the different stages of diagnosis. Finding new imaging approaches to better clinically evaluate pancreatic cancer is a field of active research both by radiology led research and also as part of ongoing Oncology clinical trials.

Liver cancer

Liver cancer is the 6th most common cancer in the world, with hepatocellular carcinoma (HCC) being the most common type. Our research is focused on HCC in patients to whom liver transplant was offered as a curative treatment. As one of the main transplant units in the country, the Addenbrooke’s Hospital and the University of Cambridge provide unique research opportunities in this field. We work in close collaboration with the clinical Hepatology team and the Transplant Unit, with most projects using a quantitative imaging approach.

A first study on HCC we conducted, entitled “Robustness of radiomic features in CT images with different slice thickness, investigated the radiomic feature robustness of liver cancer comparing liver tumour and muscle” has been published in Scientific Reports (2021). In this study, we analysed the robustness of CT radiomic features extracted from images of the same tumours with different reconstructed slice thickness, and we provided guidelines for radiomics studies in heterogeneous cohorts.

 

Metastatic Breast Cancer

Advanced breast cancer frequently metastasises to the bones. Computed tomography (CT) is the most commonly used imaging technique to assess treatment response in these patients. With metastases frequently presenting as a mixture of lytic and sclerotic metastases at diagnosis, it can be very challenging to distinguish between disease progression and response to treatment if only sclerotic lesions increase over time. We are currently working on the development of quantitative methods for the monitoring of metastatic disease and are collaborating with other groups in Cambridge working on molecular oncology to correlate our imaging findings in metastatic breast cancer with liquid biopsies.

From a clinical perspective, deformable image registration of longitudinal datasets is a necessary step towards automated quantitative and objective response assessment. Together with the Centrum Wiskunde & Informatica, Amsterdam, The Netherlands, the Department of Biomedical Engineering, Eindhoven University of Technology, The Netherlands, and the Department of Applied Mathematics and Theoretical Physics, University of Cambridge, UK, we devised a novel deep learning based deformable approach for abdominal CT scans. The developed method achieves accurate registration results and is two orders of magnitude faster than classic iterative registration methods, thus allowing for real-time registration.

NCITA Imaging Repository

Prof Kevin Brindle is the Cambridge Principal Investigator of the CRUK funded National Cancer Imaging Translational Accelerator (NCITA) award. He is also the chair of its Repository Unit, whose aim is to build a common image data repository and establish a fast and robust pipeline across nine different UK institutions (University of Cambridge, ICR, University College London, Oxford, Manchester, King’s College London and Imperial College London). This collaboration aims to expand our capabilities in cancer research by building a unified infrastructure for discovery, validation and adoption of cancer imaging biomarkers into clinical trials and the NHS.

Our group has built one of the NCITA repository nodes to store de-identified images and related metadata, that will be connected with other institutions via an NCITA XNAT federation. Our repository is a web-based database using the XNAT software (developed by the Neuroinformatics Research Group at the Washington University), and it is deployed using cloud services from the High Performance Computing of the University of Cambridge. It already has over 50 users working on 30 active projects containing over 30k imaging sessions of CT, MR, MG, X-rays for cancer and COVID-19 research. Dr. Lorena Escudero Sánchez, is the Administrator Manager of the node of the University of Cambridge.

In collaboration with the developers of the OHIF viewer plugin to XNAT (ICR, Imperial College) and NVIDIA developers, we have successfully integrated the NVIDIA Clara tools into the viewer plugin, allowing for DL-based automated segmentation models to be run directly from the viewer in XNAT.

COVID-19

AIX-COVNET Collaboration:

The group are key members of the AIX-COVNET collaboration, a multidisciplinary team of radiologists and other clinicians working alongside image-processing and machine learning specialists to develop AI tools to support front-line practitioners in the COVID-19 pandemic and beyond. This growing collaboration includes partners from across the globe in academia, healthcare and industry.

By utilising multi-source data, including chest X-rays, CTs, automated coronary calcium scoring and electronic patient records, the collaboration expects to increase accuracy of diagnosis and prognostication by developing AI solutions that allow for more accurate triage and personalised treatment regimes.

To inform development, the collaboration published a systematic review of the literature. None of the currently published models are of potential clinical use due to a number of systemic issues, including methodological flaws and/or underlying biases. Based upon the knowledge gained from the review, the team wrote an opinion piece to discuss opportunities for machine learning to assist front-line workers during the COVID-19 pandemic and the steps we take now will leave us better in the future.

Many of the team have been working on the project in addition to their usual duties and everyone involved is quick to stress the importance of the unique working relationship between partners. The tools will first be deployed at Addenbrooke’s and later released open source. Prof. Carola Bibiane Schönlieb from Department of Applied Mathematics and Theoretical Physics is leading the project.

AIX-COVNET:  Latest News & Results | Contact or Join Us

Media coverage of the AIX-COVNET Collaboration: Addenbrooke’s Press Release | gov.uk | NHSx | inews | Cambridge Independent

DRAGON Consortium:

The AIX-COVNET collaboration is a member of the DRAGON consortium, which officially began in October 2020. The project is funded by the Innovative Medicines Initiative (IMI) and consists of high-tech small and medium sized enterprises (SMEs), academic research institutes, biotechnology and pharmacological partners from across Europe.

A key goal of the research project is to apply artificial intelligence and machine learning to deliver a decision support system for precise coronavirus diagnosis and prognosis. Existing as well as new imaging and clinical data will be used to develop and validate new AI tools for diagnosis and prognosis and integrate them into clinical decision-making. Furthermore, the consortium aim to ensure preparedness should we be faced with a similar pandemic in the future.

DRAGON have already developed a prototype app to inform health professionals about existing predictive models for COVID-19 related risk assessment, whilst work is also progressing on development of diagnostic and prognostic tools for thoracic CT.

Press Release: ERS

Immuno-PET/MR imaging

We are pleased to be collaborating on multi-centre trial investigating CD8-PET/MR imaging in patient with metastatic cancer undergoing treatment with checkpoint inhibition, funded by the Immune Image Consortium supported by the European Commission (https://www.immune-image.eu).

The project aims to demonstrate and validate the use of PET/MR with a ⁸⁹Zr-labelled anti-CD8 minibody, to serially visualize/track the presence of CD8 expressing T-lymphocytes in cancer patients undergoing treatment in a dedicated clinical trial with a novel Immune Checkpoint Inhibition agent. We aim to confirm safety of new immunotracers and to demonstrate their clinical utility in combination with anatomic imaging (MRI or CT) for patients with cancer. Clinical application of the novel immunotracers will focus on diagnostics and patient stratification based on immune status as well as prediction of response or long-term outcome of therapeutic interventions, early detection of immune system activation, target engagement within the tissue of interest, both systemically and locally.

We are part of a multi-centre consortium with partner institutions in Groningen (UMCG), Amsterdam (VUmc), and Barcelona (VHIO/ VHIR), and locally in collaboration with Prof. Brindle’s lab in CRUK –CI. Dr. Luigi Aloj (Nuclear Medicine) and his team will bring to the consortium the wealth of expertise in the field of Radiomics to execute this research successfully.

Technologies / Methods

• Advanced MRI (DKI-DWI, IVIM-DWI, DCE-analysis, MT)
• Radiomics
• Metabolic imaging (Hyperpolarised Carbon-13 MRI, FDG-PET/MRI, FDG-PET/CT)
• Ultrasound guided fusion biopsies
• Data Integration (Radiomics, Proteomics, Genomics, ctDNA, clinical data)

Recent Awards

• Our Radiogenomics and Qualitative Imaging group has also been awarded an EPSRC IAA grant, a collaboration between NCITA, DAMTP, the Wellcome Trust awarded project All In One and The Alan Turing Institute to build a GPU server to provide routine access to the in-house DL-based automated segmentation of ovarian cancer via the NCITA XNAT repository, and to carry out public engagement activities to improve the understanding of AI used in medical imaging from the general public.
• Dr Lorena Escudero Sanchez has been awarded a Public Engagement Fund grant from The Alan Turing Institute to run again the event together with Dr Cathal McCague and Dr Thomas Buddenkotte on AI diagnosis of ovarian cancer (same format as for the Cambridge Festival). This time the event will be organised in collaboration with The Alan Turing Institute in London. She has been elected Turing Fellow of The Alan Turing Institute and as one of the Borysiewicz Interdisciplinary Fellows 2021/2022
• Dr Cathal McCague was awarded the NIHR Cambridge Biomedical Research Centre Public Engagement Prize for his project related to understanding how ovarian cancer patients feel about the potential use of AI tools in the delivery of their care in the future.
• Maria Delgado Ortet has been offered the Enrichment Community Award from  The Alan Turing Institute. With it, Maria will be part of the seventh Enrichment cohort starting in Autumn 2022.

Funding

• Cambridge Cancer Center (CRUK)
• Mark Foundation for Cancer Research
• Wellcome Trust
• National Cancer Imaging Translational Accelerator (NCITA)
• Armstrong Foundation
• GlaxoSmithKline
• AstraZeneca (cancer trials)
• Amazon HealthLake
• OncoQuest (radiopharmaceuticals)

Collaborators

• Apollo
• Canon Medical Systems
• Centrum Wiskunde & Informatica, Amsterdam, The Netherlands – Computational Imaging Group
• CRUK-CI groups:
  • James Brenton
  • Kevin Brindle
  • Florian Markowetz
  • Martin Miller
  • Carlos Caldas
• DAMTP – Cambridge Image Analysis group
• GE Healthcare
• MSKCC – The Jason Lewis Lab
• NCITA (Twitter)
• TCGA
• TCIA
• VUMC

Outreach

• Cambridge Festival (formally Cambridge Science festival), April 2022 Dr Cathal McCague, Dr Thomas Buddenkotte and Dr Lorena Escudero organised an event at the Cambridge festival titled “AI diagnosis of ovarian cancer – can you trust a machine to find tumours?”. Their presentation gave an overview of two allied projects which the team were working on, namely a visual Turing test to assess the quality of segmentation produced by an AI algorithm created by Thomas Buddenkotte, and a qualitative study understanding patient attitude toward having AI tools for radiological image interpretation involved in the provision of their care.During the event, attendees learnt more about ovarian cancer, what it means to manually segment tumours and how this is done automatically using Deep Learning. Then, they participated by answering questions of a visual Turing test live, with some prizes at the end for those getting most answers right! The event finished with a lively discussion in which attendees could express their opinion on AI being used to find tumours in CT scans, and with tea and cake outside!This event was funded by the EPSRC IAA impact grant obtained earlier this year by Prof. Carola Schönlieb (DAMTP) and Dr Escudero Sanchez. Luckily, we have been awarded another public engagement grant from The Alan Turing Institute, so this event will be repeated later this year! We will keep you posted!

  

  

  

  
  

 Latest Publications (01/01/2021 – Present)

Escudero Sanchez, L., Brown, E., Rundo, L. et al. Feasibility and Sensitivity Study of Radiomic Features in Photoacoustic Imaging of Patient-Derived Xenografts. Sci Rep 12, 15142 (2022). https://doi.org/10.1038/s41598-022-19084-w

 

Ramlee, S., Hulse, D., Bernatowicz, K., Pérez-López, R., Sala, E., Aloj, L. Radiomic Signatures Associated with CD8⁺ Tumour-Infiltrating Lymphocytes: A Systematic Review and Quality Assessment Study. Cancers 2022, 14, 3656. https://doi.org/10.3390/cancers14153656

 

Buddenkotte, T., Escudero Sanchez, L., Crispin-Ortuzar, M., Woitek, R., McCague, C., Brenton, J. D., Öktem, O., Sala, E., Rundo, L. Calibrating Ensembles for Scalable Uncertainty Quantification in Deep Learning-based Medical Segmentation. arXiv 2022, https://doi.org/10.48550/arxiv.2209.09563

 

Ionut-Gabriel Funingana, Pubudu Piyatissa, Marika Reinius , Cathal McCague , Bristi Basu, and Evis Sala. Radiomic and Volumetric Measurements as Clinical Trial Endpoints—A Comprehensive Review. https://www.mdpi.com/1889798

Leonardo Rundo, Lucian Beer, Lorena Escudero Sanchez, Mireia Crispin-Ortuzar, Marika Reinius, Cathal McCague, Hilal Sahin, Vlad Bura, Roxana Pintican, Marta Zerunian, Helen Addley, Paula Martin-Gonzalez, Thomas Buddenkotte, Naveena Singh, Anju Sahdev, Ionut-Gabriel Funingana, Mercedes Jimenez-Linan, Florian Markowetz, James D. Brenton†, Evis Sala† and Ramona Woitek† Clinically interpretable radiomics-based prediction of histopathologic response to neoadjuvant chemotherapy in high-grade serous ovarian carcinoma. Frontiers in Oncology, 2022, DOI: 10.3389/fonc.2022.868265

 

Tardieu M, Lakhman Y, Khellaf L, Cardoso M, Sgarbura O, Colombo PE, Crispin-Ortuzar M, Sala E, Goze-Bac C, Stephanie Nougaret S. Assessing Histology Structures by Ex Vivo MR Microscopy and Exploring the Link Between MRM Derived Radiomic Features and Histopathology in Ovarian Cancer. Frontiers in Oncology, 2022, https://doi.org/10.3389/fonc.2021.771848

 

Yeung M, Sala E, Schönlieb CB, Rundo L. Unified Focal loss: Generalising Dice and cross entropy-based losses to handle class imbalanced medical image segmentation. Computerized Medical Imaging and Graphics, Volume 95, January 2022, 102026. https://doi.org/10.1016/j.compmedimag.2021.102026

 

Ursprung S, Woitek R, McLean MA, Priest AN, Crispin-Ortuzar M, Brodie CR, Gill AB, Gehrung M, Beer L, Riddick ACP, Field-Rayner J, Grist JT, Deen SS, Riemer F, Kaggie JD, Zaccagna F, Duarte JAG, Locke MJ, Frary A, Aho TF, Armitage JN, Casey R, Mendichovszky JA, Welsh SJ, Barrett T, Graves MJ, Eisen T, Mitchell TJ, Warren AY, Brindle KM, Sala E, Stewart GD, Gallagher FA. Hyperpolarized 13C-pyruvate metabolism as a surrogate for tumor grade and poor outcome in renal cell carcinoma – a proof of principle study. Cancers, 2022,  https://doi.org/10.3390/cancers14020335

 

Doran SJ, Al Sa’d M, Petts JA, Darcy J, Alpert K, Cho W, Escudero Sanchez L, Alle S, El Harouni A, Genereaux B, Ziegler E, Harris GJ, Aboagye EO, Sala E, Koh D-M, Marcus D. Integrating the OHIF Viewer into XNAT: Achievements, Challenges and Prospects for Quantitative Imaging Studies. Tomography 12 February 2022, 8(1), 497-512. https://doi.org/10.3390/tomography8010040

 

Woitek R, McLean M, Ursprung S, Rueda OM, Manzano Garciae R, Locke M, Beer L, Baxter G, Rundo L, Provenzano E, Kaggie J, Patterson A, Frary A, Field-Rayner J, Papalouka V, Kane J, Benjamin A, Gill AB, Priest A, Lewis D, Russelle R, Grimmer A, White B, Latimer-Bowman B, Patterson I, Schiller A, Carmo B, Slough R, Titus Lanzk, Wason J, Schulte R, Chine SF, Graves MJ, Gilbert FJ, Abraham JE, Caldas C, Brindle KM, Sala E, Gallagher F. Hyperpolarized carbon-13 MRI for early response assessment of neoadjuvant chemotherapy in breast cancer patients. Cancer Research 2021, https://doi.org/10.1158/0008-5472.CAN-21-1499

 

Sushentsev N, Caglic I, Rundo L, Kozlov V, Sala E, Gnanapragasam VJ, Barrett T. Serial changes in tumour measurements and apparent diffusion coefficients in prostate cancer patients on active surveillance with and without histopathological progression. British J Radiol 2021, https://doi.org/10.1259/bjr.20210842

 

Shinagare AB, Sadowski EA, Park H, Brook O, Forstner R, Wallace S, Horowitz JM, Horowitz N, Javitt M, Jha P, Kido A, Lakhman Y, Lee S, Manganaro L, Maturen KE, Stephanie S, Poder L, Rauch GM, Reinhold C, Sala E, Thomassin-Naggara I, Vargas A, Venkatesan A, Nikolic O,  Rockall AG. Ovarian Cancer Reporting Lexicon for Computed Tomography (CT) and Magnetic Resonance (MR) Imaging Developed by the SAR Uterine and Ovarian Cancer Diseased Focused Panel and the ESUR Female Pelvic Imaging Working Group. European Radiology 2021, https://doi.org/10.1007/s00330-021-08390-y