放射基因组学:通过非侵入性成像和基因组整合来改变肺癌护理
Faridoddin Shariaty1, Vitalii Pavlov2
1Peter the Great St. Petersburg Polytechnic University, Politekhnicheskaya Ulitsa, 29, St. Petersburg, Russia, 195251. Shariaty3@gmail.com.
Medical oncology (Northwood, London, England)
|November 14, 2025
概括
放射基因组学使用成像来非侵入性地描述非小细胞肺癌 (NSCLC) 的基因组特征. 临床使用仍然存在挑战,但它补充了活检,用于个性化肺癌护理.
科学领域:
- 放射基因组学是指放射基因组学.
- 医疗成像医学成像
- 计算病理学计算病理学
背景情况:
- 放射基因组学将CT和PET/CT扫描的定量成像特征与瘤基因组学相结合.
- 这种方法旨在非侵入性地表征非小细胞肺癌 (NSCLC).
研究的目的:
- 审查NSCLC目前的放射遗传学工作流程,从图像采集到建模.
- 突出临床应用,包括分类,风险分层,治疗选择和监测.
- 确定阻碍临床翻译的挑战,并提出解决方案.
主要方法:
- 综合当前放射遗传学工作流程:图像采集,细分,特征提取和建模.
- 重点是临床用例和潜在应用.
- 讨论未来发展的挑战和建议.
主要成果:
- 放射基因组学显示出对NSCLC的非侵入性分析有希望.
- 临床翻译受到非标准化管道,验证问题和解释性挑战的限制.
- 基因组负担 (TMB,ITH,CNA) 应该被视为关键的终点.
结论:
- 放射基因组学是活检的宝贵补充,而不是替代.
- 协调的协议,强大的验证和可解释的AI对于临床整合至关重要.
- 未来的影响依赖于以患者为中心的肺癌护理的多omics集成.
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