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鉴定、验证并临床应用肿瘤相关生物标志物以改善癌症患者的治疗方案、生存率和生活质量:欧洲癌症研究与治疗组织受体与生物标志物小组的任务

Identification, validation, and clinical implementation of tumor-associated biomarkers to improve therapy concepts, survival, and quality of life of cancer patients: tasks of the Receptor and Biomarker Group of the European Organization for Research and Treatment of Cancer.

作者信息

Schmitt Manfred, Harbeck Nadia, Daidone Maria Grazia, Brynner Nils, Duffy M Joe, Foekens John A, Sweep Fred C G J

机构信息

Clinical Research Unit, Department of Obstetrics and Gynecology, Klinikum rechts der Isar, Technische Universitaet Muenchen, Ismaninger Strasse 22, D-81675 Munich, Germany.

出版信息

Int J Oncol. 2004 Nov;25(5):1397-406.

Abstract

Guiding principles are provided and discussed on how to inform the physician scientist and cancer researcher about quality control systems to enable a consistent assessment of the clinical value of tumor-associated biomarkers. Next to cancer research itself, the Receptor and Biomarker Group of the European Organization for Research and Treatment of Cancer (RBG-EORTC) advises on methodologies, test kits and test reagents utilized for tumor biomarker determination. Tumor-associated biomarkers are important and clinically useful tools which can aid the early diagnosis of cancer, determine prognosis, predict therapy response, and monitor disease. With regard to clinical use of tumor-associated bio-markers, quality assessment and quality assurance programs of the RBG-EORTC are crucially important issues. Test reagents, assays, and procedures for tumor sample collection and handling should be standardized. Furthermore, standard operating procedures (SOPs) should be developed for each type of tumor specimen. Assay formats and the quality of the tumor biomarker assay results have to be monitored by continuous within- and inter-laboratory proficiency testing. With this approach, a major step forward in the knowledge and understanding of the biological role and the clinical utility of tumor-associated biomarkers would be anticipated.

摘要

文中提供并讨论了指导原则,内容是关于如何让医学科研人员和癌症研究人员了解质量控制系统,以便对肿瘤相关生物标志物的临床价值进行一致评估。除癌症研究本身外,欧洲癌症研究与治疗组织(EORTC)的受体与生物标志物小组(RBG-EORTC)还就用于肿瘤生物标志物测定的方法、检测试剂盒和检测试剂提供建议。肿瘤相关生物标志物是重要且具有临床实用性的工具,可辅助癌症的早期诊断、判断预后、预测治疗反应并监测疾病。对于肿瘤相关生物标志物的临床应用而言,RBG-EORTC的质量评估和质量保证计划是至关重要的问题。肿瘤样本采集和处理的检测试剂、检测方法及程序应实现标准化。此外,应为每种类型的肿瘤标本制定标准操作规程(SOP)。必须通过持续的室内和实验室间能力验证来监测检测形式和肿瘤生物标志物检测结果的质量。通过这种方法,有望在肿瘤相关生物标志物的生物学作用和临床应用的知识及理解方面取得重大进展。

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