Avoid common mistakes on your manuscript.
We read with great interest the papers by Lainas et al. [1] and Magouliotis et al. [2]; we have to congratulate the authors for the work. Lainas et al. assessed the role of routine early computed tomography (CT) in the diagnosis of gastric leak and bleeding after laparoscopic sleeve gastrectomy (LSG) in patients at high risk for severe obesity. Although Magouliotis et al. have made some pertinent suggestions, we would like to further highlight a few different points.
Radiomics can extract hundreds of quantitative features from medical images and eliminate subjective factors to a certain extent through quantitative analysis of radiomics features [3]. Another advantage of radiomics is that it can detect invisible disease features compared to traditional imaging features. Therefore, we believe that radiomics used to assess staple-line leak after LSG will improve the sensitivity and accuracy of routine CT. To the best of our knowledge, radiomics has not yet been used in the field of bariatric surgery. We believe that radiomics can be used in bariatric surgery in the following aspects:
-
1.
Preoperative evaluation of the patient: For example, radiomics can accurately predict the severity of non-alcoholic fatty liver disease before bariatric surgery [4]. Accurate preoperative evaluation will improve the clinical benefit of patients.
-
2.
Diagnosis of postoperative complications: Early diagnosis of complications is critical to improve quality standards. Radiomics has great potential in the diagnosis of postoperative complications [5].
-
3.
Long-term follow-up after surgery: Radiomics can extract more features from medical images, which will provide more comprehensive and personalized information about patients’ living habits, surgical outcomes, and the need for further treatment after bariatric surgery [6]. In addition, multicentric collaboration, quality, and reproducibility of radiomics should be noted.
We call for new research to explore the application of radiomics in bariatric surgery and would appreciate some comments or thoughts from the authors.
References
Lainas P, Triantafyllou E, Chagué P, et al. Routine early computed tomography scanner after laparoscopic sleeve gastrectomy in high-risk severely obese patients is effective for bleeding or hematoma diagnosis but not for staple-line leak detection: a prospective study. Obes Surg. 2022;32(5):1624–30.
Magouliotis DE, Zotos PA, Zacharoulis D. Implementation of Routine Computed Tomography (CT) Following Laparoscopic Sleeve Gastrectomy: New Evidence Brings New Challenges. Obes Surg. 2022.
Song Y, Li J, Wang H, Liu B, Yuan C, Liu H, et al. Radiomics Nomogram Based on Contrast-enhanced CT to Predict the Malignant Potential of Gastrointestinal Stromal Tumor: A Two-center Study. Acad Radiol. 2022;29(6):806–16.
Chen ZW, Xiao HM, Ye X, et al. A novel radiomics signature based on T2-weighted imaging accurately predicts hepatic inflammation in individuals with biopsy-proven nonalcoholic fatty liver disease: a derivation and independent validation study. Hepatobiliary Surg Nutr. 2022;11(2):212–26.
Skawran SM, Kambakamba P, Baessler B, et al. Can magnetic resonance imaging radiomics of the pancreas predict postoperative pancreatic fistula? Eur J Radiol. 2021;140:109733.
El Ayachy R, Giraud N, Giraud P, et al. The role of radiomics in lung cancer: from screening to treatment and follow-up. Front Oncol. 2021;11:603595.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Ethics Approval
Does not apply.
Consent to Participate
Does not apply.
Conflict of Interest
The authors declare no competing interests.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Song, Y., Li, Y. Radiomics May Be a New Opportunity for Bariatric Surgery. OBES SURG 32, 3178 (2022). https://doi.org/10.1007/s11695-022-06159-w
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11695-022-06159-w