推进由炎症性肠病驱动的结直肠癌管理:分子洞察力和内镜突破,迈向精准医学
Marietta Iacucci1, Olga Maria Nardone1, Ilaria Ditonno1
1APC Microbiome Ireland, College of Medicine and Health, University College Cork, Cork, Ireland.
在炎症性肠病 (IBD) 中,结肠直肠癌 (CRC) 是一个主要问题. 先进的诊断和人工智能有望彻底改变IBD相关的CRC管理,改善患者的治疗结果并降低癌症风险.
科学领域:
- 胃肠道学和瘤学
- 分子诊断和成像成像技术
背景情况:
- 结肠直肠癌 (CRC) 是炎症性肠病 (IBD) 的重要并发症,增加死亡率和医疗保健成本.
- 虽然IBD管理已经减少了CRC发病率,但它仍然是一个关键的临床问题.
研究的目的:
- 审查结肠炎相关癌症病原发生的新兴概念.
- 突出IBD相关的CRC的先进诊断和评估技术.
- 探索与IBD相关的CRC精准医学的未来方向.
主要方法:
- 关于IBD相关CRC的当前文献的综述.
- 探索新型诊断工具,如超高放大内镜和空间生物学.
- 讨论分子生物标志物,包括微RNA和液体活检.
主要成果:
- 病变发生的新兴概念涉及饮食,微生物组和肠道屏障功能障碍.
- 先进的成像和分子诊断提供了新的评估能力.
- 人工智能和omics数据集成是未来战略的关键.
结论:
- 结合人工智能,奥米克,先进内镜和纳米技术的整体,多集成的方法将定义未来IBD-CRC管理.
- 这种范式的转变旨在加强精准医学,器官节约策略和个性化癌症治疗.
- 目标是显著降低IBD患者的CRC风险.
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