新兴的生物分子用于肝脏肝细胞癌的实用治疗
Miner Hu1, Xiaojun Xia1, Lichao Chen1
1International Institutes of Medicine, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, Zhejiang, China.
Annals of hepatology
|July 14, 2023
概括
通过使用新型分子生物标志物和先进的成像,可以改善肝细胞癌 (HCC) 的早期检测. 将这些与机器学习相结合,提供了一种全面的方法,可以更早地识别肝癌.
科学领域:
- 肝病学和瘤学 肝病学和瘤学
- 生物标志物发现发现
- 诊断技术 诊断技术 诊断技术
背景情况:
- 肝细胞癌 (HCC) 诊断往往发生在晚期,尽管监测高风险人群,如那些慢性乙型肝炎或肝硬化.
- 全球大约50%的HCC病例是偶然出现的,原因是症状性疾病进展和肝功能障碍.
研究的目的:
- 审查最近在早期肝细胞癌检测和治疗术方面的进展.
- 探索新的监测方式及其改善HCC诊断的潜力.
主要方法:
- 对PUBMED进行系统的文献搜索,以寻找有关HCC监测和早期检测的研究.
- 评估新兴的分子生物标记物 (分泌蛋白,DNA甲基化,miRNA,基因组测序) 和先进的分析技术 (深度机器学习,多重免疫组织化学).
主要成果:
- 分子表达特征显示了早期HCC检测的前途.
- 液体活检的准确性受到分析协调问题的限制;深度机器学习和多重免疫组织化学提供了更好的准确性.
- 使用分子分泌生物标志物,高清成像和临床索引的综合方法提供了全面的HCC指标.
结论:
- 整合各种诊断工具,包括分子生物标志物和先进成像,对于有效的HCC监测至关重要.
- 未来的方向包括协调液体活检的分析方法,并利用机器学习来准确检测HCC.
- 在HCC疗法和全身疗法的进步旨在提高患者的生存率.
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