液体活检在临床癌症管理中的潜力和挑战
Negin Ghiyasimoghaddam1, Navidreza Shayan1, Nima Ameli1
1Department of Medical Sciences, Mashhad Branch, Islamic Azad University, Mashhad, Iran.
Biomarkers in medicine
|October 6, 2025
概括
液体活检为癌症监测提供了一种不那么侵入性的方法,分析像循环瘤细胞 (CTC) 和循环瘤DNA (ctDNA) 这样的生物标志物. 正在解决标准化和测试灵敏性的挑战,以改善临床结果.
科学领域:
- 在瘤学瘤学.
- 生物标志物发现发现
- 翻译医学是一种翻译医学.
背景情况:
- 液体活检为组织活检提供了一个微创的替代方案,用于全面的瘤遗传分析.
- 循环瘤细胞 (CTC) 和循环瘤DNA (ctDNA) 等生物标志物提供了及时的癌症管理策略.
- 目前的局限性包括分析物的低度,测试灵敏度/特异性挑战,以及缺乏标准化指南.
研究的目的:
- 审查液体活检在癌症评估中的优势和挑战.
- 探索联合生物标志物检测 (例如CTC和ctDNA) 的潜力,以改善癌症监测.
- 检查标准化生物流体测定和提高临床结果的解决方案.
主要方法:
- 关于液体活检生物标志物和测试的当前文献的综述.
- 对生物标志物检测和试验标准化方面的挑战进行分析.
- 探索联合生物标志物策略和人工智能集成的探索.
主要成果:
- 与组织活检相比,液体活检在易于访问,重复测试和成本效益方面具有优势.
- 对CTC和ctDNA的联合检测提供了有价值的预后和动态监测信息.
- 生物流体生物标志物与人工智能的整合显示了提高准确性和精确医学的前景.
结论:
- 生物流体分析的标准化对于液体活检的一致临床应用至关重要.
- 克服敏感性,特异性和标准化方面的挑战将释放液体活检的全部潜力.
- 液体活检,特别是与人工智能相结合时,代表了精确瘤学的重大进步.
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