Review
Copyright ©The Author(s) 2019.
World J Gastroenterol. Sep 21, 2019; 25(35): 5233-5256
Published online Sep 21, 2019. doi: 10.3748/wjg.v25.i35.5233
Table 1 Current limitations of qualitative imaging based on morphological features used for the assessment of colorectal cancer
Diagnostic taskLimits of qualitative imaging
Primary tumor identificationEarly stages of CRC hard to detect
Neoplastic and inflammatory tissue not easily differentiable
Lymph node involvementLymph node size criteria often misleading and insufficient
Shape, border irregularity and structural heterogeneity hard to assess for small lymph nodes
Prediction of early responses to chemotherapy and radiation therapyNot possible with qualitative evaluation alone
Evaluation of treatment responses and the detection of recurrent diseaseDifferentiation of residual or recurrent neoplastic tissue from posttreatment induced fibrosis or necrosis is often challenging