• Radiomics, an advanced computational approach that extracts quantitative features from medical images, is revolutionizing rectal cancer management by providing more accurate tumor staging and treatment response prediction than conventional imaging methods.
• Recent studies demonstrate radiomics' effectiveness in predicting lymph node metastasis, distant metastasis, and pathological complete response to neoadjuvant therapy, with multimodal approaches combining CT, MRI, and ultrasound showing the highest predictive accuracy.
• The integration of radiomics with deep learning algorithms and molecular markers represents the future direction of research, potentially enabling more personalized treatment strategies and improved patient outcomes in rectal cancer care.