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Updated: Apr 23, 2026

A Three-Dimensional Spheroid Model to Investigate the Tumor-Stromal Interaction in Hepatocellular Carcinoma
Published on: September 30, 2021
Hepatocellular carcinoma: can circulating tumor cells and radiogenomics deliver personalized care?
Richard L Hesketh1, Andrew X Zhu, Rahmi Oklu
1*West Middlesex University Hospital, London, UK Divisions of †Hematology/Oncology §Vascular Imaging and Interventions, Massachusetts General Hospital ‡Harvard Medical School, Boston, MA.
Abstract:
The 'omics revolution is facilitating a personalized approach to improving outcome by refining diagnosis, staging, treatment, and monitoring of hepatocellular carcinoma. Furthermore, the promise of being able to target a range of specific tumor drivers at a molecular level offers exciting new therapy prospects for a disease that is notoriously difficult to treat. We provide a unique perspective combining our understanding of the molecular mechanisms of hepatocellular carcinoma development with the potential of circulating tumor cells and radiogenomics to change the drivers of decision-making used in current practice.
Insights
The
Area of Science:
- Oncology and Molecular Biology
- Genomics and Precision Medicine
Background:
- Hepatocellular carcinoma (HCC) treatment remains challenging.
- The 'omics revolution offers new avenues for personalized HCC management.
Purpose of the Study:
- To explore the integration of 'omics data for improved HCC diagnosis, staging, treatment, and monitoring.
- To highlight novel therapeutic strategies targeting molecular drivers in HCC.
- To combine molecular mechanisms, circulating tumor cells, and radiogenomics for enhanced clinical decision-making.
Main Methods:
- Review and synthesis of current 'omics technologies in cancer research.
- Analysis of the role of circulating tumor cells (CTCs) in HCC.
- Integration of radiogenomic data with molecular profiling.
Main Results:
- 'Omics approaches enable personalized HCC management.
- Targeting specific molecular drivers presents promising therapeutic opportunities.
- Circulating tumor cells and radiogenomics can refine clinical decision-making.
Conclusions:
- Personalized medicine, driven by 'omics, is transforming HCC care.
- Novel therapies targeting molecular pathways are emerging.
- Integrating diverse data streams (molecular, CTCs, radiogenomics) will optimize HCC treatment strategies.
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