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用于乳腺癌诊断和治疗评估的分子成像探针。

Molecular imaging probes for diagnosis and therapy evaluation of breast cancer.

作者信息

Meng Qingqing, Li Zheng

机构信息

Department of Translational Imaging, The Methodist Hospital Research Institute, Weill Cornell Medical College, 6670 Bertner Avenue, Houston, TX 77030, USA.

出版信息

Int J Biomed Imaging. 2013;2013:230487. doi: 10.1155/2013/230487. Epub 2013 Feb 26.

Abstract

Breast cancer is a major cause of cancer death in women where early detection and accurate assessment of therapy response can improve clinical outcomes. Molecular imaging, which includes PET, SPECT, MRI, and optical modalities, provides noninvasive means of detecting biological processes and molecular events in vivo. Molecular imaging has the potential to enhance our understanding of breast cancer biology and effects of drug action during both preclinical and clinical phases of drug development. This has led to the identification of many molecular imaging probes for key processes in breast cancer. Hormone receptors, growth factor receptor, and angiogenic factors, such as ER, PR, HER2, and VEGFR, have been adopted as imaging targets to detect and stage the breast cancer and to monitor the treatment efficacy. Receptor imaging probes are usually composed of targeting moiety attached to a signaling component such as a radionuclide that can be detected using dedicated instruments. Current molecular imaging probes involved in breast cancer diagnosis and therapy evaluation are reviewed, and future of molecular imaging for the preclinical and clinical is explained.

摘要

乳腺癌是女性癌症死亡的主要原因,早期检测和准确评估治疗反应可改善临床结果。分子成像包括正电子发射断层扫描(PET)、单光子发射计算机断层扫描(SPECT)、磁共振成像(MRI)和光学成像方式,提供了在体内检测生物过程和分子事件的非侵入性手段。分子成像有潜力增进我们对乳腺癌生物学以及药物研发临床前和临床阶段药物作用效果的理解。这已促成了许多用于乳腺癌关键过程的分子成像探针的识别。激素受体、生长因子受体和血管生成因子,如雌激素受体(ER)、孕激素受体(PR)、人表皮生长因子受体2(HER2)和血管内皮生长因子受体(VEGFR),已被用作成像靶点来检测和分期乳腺癌以及监测治疗效果。受体成像探针通常由连接到信号成分(如放射性核素)的靶向部分组成,该放射性核素可使用专用仪器进行检测。本文综述了目前用于乳腺癌诊断和治疗评估的分子成像探针,并阐述了分子成像在临床前和临床方面的未来发展。

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