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Multiplexed imaging for diagnosis and therapy
Kathrin Heinzmann1, Lukas M Carter2, Jason S Lewis2
1Department of Surgery and Cancer, Imperial College London, Du Cane Road, London, W12 0NN, UK.
Abstract:
Complex molecular and metabolic phenotypes depict cancers as a constellation of different diseases with common themes. Precision imaging of such phenotypes requires flexible and tunable modalities capable of identifying phenotypic fingerprints by using a restricted number of parameters while ensuring sensitivity to dynamic biological regulation. Common phenotypes can be detected by in vivo imaging technologies, and effectively define the emerging standards for disease classification and patient stratification in radiology. However, for the imaging data to accurately represent a complex fingerprint, the individual imaging parameters need to be measured and analysed in relation to their wider spatial and molecular context. In this respect, targeted palettes of molecular imaging probes facilitate the detection of heterogeneity in oncogene-driven alterations and their response to treatment, and lead to the expansion of rational-design elements for the combination of imaging experiments. In this Review, we evaluate criteria for conducting multiplexed imaging, and discuss its opportunities for improving patient diagnosis and the monitoring of therapy.
Insights
Precision imaging detects cancer phenotypes using in vivo technologies. Multiplexed molecular imaging probes enhance diagnosis and therapy monitoring by analyzing spatial and molecular contexts.
Area of Science:
- Oncology
- Molecular Imaging
- Radiology
Background:
- Cancers exhibit complex molecular and metabolic phenotypes, necessitating advanced diagnostic tools.
- Precision imaging requires flexible modalities to capture phenotypic fingerprints sensitive to biological regulation.
- In vivo imaging technologies are crucial for disease classification and patient stratification in radiology.
Purpose of the Study:
- To review criteria for multiplexed imaging.
- To discuss opportunities for improving cancer diagnosis and therapy monitoring.
- To highlight the role of molecular imaging probes in detecting oncogene-driven alterations.
Main Methods:
- Evaluation of criteria for conducting multiplexed imaging.
- Analysis of molecular imaging probe palettes for heterogeneity detection.
- Discussion of spatial and molecular context in imaging data analysis.
Main Results:
- Multiplexed imaging offers opportunities to improve patient diagnosis.
- Targeted molecular probes facilitate detection of treatment response.
- Integration of spatial and molecular context is key for accurate phenotypic fingerprinting.
Conclusions:
- Multiplexed molecular imaging is vital for understanding cancer heterogeneity.
- This approach enhances the potential for personalized cancer therapy and monitoring.
- Future research should focus on rational design for combined imaging experiments.
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