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Published on: July 21, 2018
Molecular imaging to select cancer therapy and evaluate treatment response
1Seattle Cancer Care Alliance and University of Washington, Seattle, WA 98102, USA. dam@u.washington.edu
Abstract:
The ability to assay in vivo biologic processes non-invasively and quantitatively makes molecular imaging a particularly attractive tool for clinical trials of new drugs and for clinical cancer practice. This review highlights the emerging application of molecular imaging to cancer drug testing and clinical cancer treatment. The potential roles that imaging can play in the approach to cancer drug trials and clinical treatment are first highlighted, including applications to early drug testing, Phase II and III clinical trials, and clinical practice. The use of molecular imaging to select cancer therapy is then discussed, citing examples where molecular imaging can be used to measure the expression of therapeutic targets and factors mediating therapeutic resistance. The use of imaging to measure early pharmacodynamic changes and subsequent response to cancer treatment is then reviewed. Finally, the need for standardization and reproducible quantitative imaging analysis is reviewed.
Insights
Molecular imaging offers a non-invasive way to track biological processes, aiding in cancer drug development and treatment. This technology helps in early drug testing, clinical trials, and personalized cancer therapy selection.
Area of Science:
- Oncology
- Radiology
- Pharmacology
Background:
- Molecular imaging enables non-invasive, quantitative assessment of in vivo biological processes.
- Its application is growing in drug development and clinical cancer practice.
Purpose of the Study:
- To review the emerging applications of molecular imaging in cancer drug testing and treatment.
- To highlight the role of imaging in various stages of cancer drug trials and clinical practice.
Main Methods:
- Review of current literature on molecular imaging in oncology.
- Discussion of imaging applications in early drug testing, Phase II/III trials, and clinical practice.
- Analysis of imaging's role in selecting cancer therapy and measuring treatment response.
Main Results:
- Molecular imaging can guide cancer drug trials from early testing to late-stage clinical evaluation.
- It aids in selecting therapies by measuring target expression and resistance factors.
- Imaging assesses early pharmacodynamic changes and treatment response.
Conclusions:
- Molecular imaging is a valuable tool for cancer drug development and clinical decision-making.
- Standardization and reproducible quantitative analysis are crucial for widespread adoption.
- Further integration of molecular imaging promises to enhance personalized cancer care.
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