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用于评估肝细胞癌治疗反应的新型功能磁共振成像生物标志物

Novel functional magnetic resonance imaging biomarkers for assessing response to therapy in hepatocellular carcinoma.

作者信息

Yuan Z, Li W-T, Ye X-D, Zhu H-Y, Peng W-J

机构信息

Department of Radiology, Shanghai PLA No. 85 Hospital, 1328 Hua Shan Road, Shanghai, 200052, People's Republic of China,

出版信息

Clin Transl Oncol. 2014 Jul;16(7):599-605. doi: 10.1007/s12094-013-1147-5. Epub 2013 Dec 20.

DOI:10.1007/s12094-013-1147-5
PMID:24356932
Abstract

The established and adapted image biomarkers based on size for tumor burden measurement continue to be applied to hepatocellular carcinoma (HCC) as size measurement can easily be used in clinical practice. However, in the setting of novel targeted therapies and liver directed treatments, simple tumor anatomical changes can be less informative and usually appear later than biological changes. Functional magnetic resonance imaging (MRI) has a potential to be a promising technique for assessment of HCC response to therapy. In this review, we discuss various functional MRI biomarkers that play an increasingly important role in evaluation of HCC response after treatment.

摘要

基于大小用于测量肿瘤负荷的既定和适应性图像生物标志物继续应用于肝细胞癌(HCC),因为大小测量在临床实践中易于使用。然而,在新型靶向治疗和肝脏定向治疗的背景下,简单的肿瘤解剖学变化可能信息量较少,且通常比生物学变化出现得更晚。功能磁共振成像(MRI)有可能成为评估HCC治疗反应的一种有前景的技术。在本综述中,我们讨论了各种功能MRI生物标志物,它们在评估HCC治疗后的反应中发挥着越来越重要的作用。

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本文引用的文献

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Pre-treatment apparent diffusion coefficient is imaging biomarker for prediction of response to chemoembolization in hepatocellular carcinoma.治疗前表观扩散系数是预测肝细胞癌化疗栓塞反应的影像生物标志物。
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Recent advances in non-invasive magnetic resonance imaging assessment of hepatocellular carcinoma.最近在非侵入性磁共振成像评估肝细胞癌方面的进展。
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Early perfusion changes within 1 week of systemic treatment measured by dynamic contrast-enhanced MRI may predict survival in patients with advanced hepatocellular carcinoma.通过动态对比增强磁共振成像测量的全身治疗1周内的早期灌注变化可能预测晚期肝细胞癌患者的生存情况。
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Unresectable hepatocellular carcinoma: MR imaging after intraarterial therapy. Part I. Identification and validation of volumetric functional response criteria.
不可切除肝细胞癌:经动脉治疗后的磁共振成像。第一部分。容积功能反应标准的鉴定和验证。
Radiology. 2013 Aug;268(2):420-30. doi: 10.1148/radiol.13122307. Epub 2013 Apr 24.
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