Background. Radiomics is promising tool contributing to the diagnosis and treatment of neuroendocrine neoplasms of various localizations. This method is often used for differential diagnosis of gastrointestinal neoplasms from other neoplasms of this localization.Aim. To demonstrate difficulties in imaging of gastrointestinal neuroendocrine tumors, as well as possibilities of radiomics in differential diagnosis.Materials and methods. Data of 12 patients with morphologically confirmed gastric neoplasms (6 - with neuroendocrine tumor, 6 - with adenocarcinoma) and data of 22 patients with morphologically confirmed pancreatic neoplasms (11 - with neuroendocrine tumor, 11 - with adenocarcinoma) who underwent CT examination of abdominal cavity organs with intravenous contrast before treatment at the Russian Scientific Center of Roentgenoradiology were used in this study. Radiomic features were extracted from the area of manually segmented gastric and pancreatic tumors in the native phase of the CT scans. Processing of the features and statistical analysis were performed using Microsoft Office Excel and free open-source software development environment for the R programming language - R-Studio.Results. Typical and atypical imaging features of gastric and pancreatic neuroendocrine tumors, peculiarities of contrast, localization and structure of neoplasms were demonstrated on the examples of CT scans. There were 15 radiomic features that were statistically significantly different in patients with neuroendocrine tumors and gastric adenocarcinomas. In the group of patients with neuroendocrine tumors and pancreatic adenocarcinomas, statistically significant differences were observed in 14 radiomic features.Conclusion. Neuroendocrine tumors of the stomach and pancreas are rare neoplasms that are not only clinically silent in most cases, but also difficult to visualize due to their small size and poor contrast characteristics. Texture analysis is a promising tool for the differential diagnosis of gastrointestinal neoplasms from other neoplasms of this localization, especially considering the difficulties of biopsy.
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