阅读室中的ctDNA:放射科医生的指南
Hayes Pearce1, Yu-Cherng Chang2, Marcia C Javitt3
1University of Miami Leonard M. Miller School of Medicine, 1600 NW 10th Ave, Miami, FL, USA.
European journal of radiology
|October 26, 2024
概括
使用循环瘤DNA (ctDNA) 的液体活检提供了一种微创的癌症检测方法. 它有助于识别目标,评估治疗反应和检测复发,为放射科医生带来新的挑战和机会.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 分子诊断学 分子诊断
背景情况:
- 使用循环瘤DNA (ctDNA) 测序进行液体活检是组织活检的不那么侵入性的替代方案.
- ctDNA分析可以识别癌症特异性的分子特征,治疗反应,耐药性,进展和复发.
- 放射科医生由于ctDNA的进步,在解释瘤成像方面面临着不断变化的挑战.
研究的目的:
- 提供ctDNA测试及其临床应用的概述.
- 审查目前国家综合癌症网络和欧洲分子瘤学会对ctDNA使用的指南.
- 突出ctDNA研究应用与各种癌症的诊断放射学相关.
主要方法:
- 关于ctDNA测试的当前文献和临床指导方针的审查.
- 对肺癌,乳腺癌,结肠直肠癌,胰腺癌和肝胆癌中ctDNA应用的分析.
- 检查成像相关物和ctDNA的研究应用.
主要成果:
- ctDNA有助于识别可操作的目标和监测治疗疗效.
- ctDNA对于检测最小残留疾病和癌症复发至关重要.
- 临床指南越来越多地将ctDNA纳入癌症管理中.
结论:
- 放射科医生必须了解ctDNA在癌症监测和治疗监测中的作用.
- 熟悉ctDNA应用对于解释瘤成像是必不可少的.
- ctDNA集成影响诊断放射学和个性化癌症护理.
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