Jung Kyung-Ho, Lee Kyung-Han
Department of Nuclear Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
J Pathol Transl Med. 2015 Jan;49(1):5-12. doi: 10.4132/jptm.2014.10.24. Epub 2015 Jan 15.
Clinical imaging creates visual representations of the body interior for disease assessment. The role of clinical imaging significantly overlaps with that of pathology, and diagnostic workflows largely depend on both fields. The field of clinical imaging is presently undergoing a radical change through the emergence of a new field called molecular imaging. This new technology, which lies at the intersection between imaging and molecular biology, enables noninvasive visualization of biochemical processes at the molecular level within living bodies. Molecular imaging differs from traditional anatomical imaging in that biomarkers known as imaging probes are used to visualize target molecules-of-interest. This ability opens up exciting new possibilities for applications in oncologic, neurological and cardiovascular diseases. Molecular imaging is expected to make major contributions to personalized medicine by allowing earlier diagnosis and predicting treatment response. The technique is also making a huge impact on pharmaceutical development by optimizing preclinical and clinical tests for new drug candidates. This review will describe the basic principles of molecular imaging and will briefly touch on three examples (from an immense list of new techniques) that may contribute to personalized medicine: receptor imaging, angiogenesis imaging, and apoptosis imaging.
临床成像为疾病评估创建身体内部的视觉图像。临床成像的作用与病理学的作用显著重叠,诊断工作流程在很大程度上依赖于这两个领域。临床成像领域目前正通过一个名为分子成像的新领域的出现而经历一场根本性的变革。这项新技术位于成像与分子生物学的交叉点,能够在活体分子水平上对生化过程进行无创可视化。分子成像与传统解剖成像的不同之处在于,被称为成像探针的生物标志物被用于可视化感兴趣的目标分子。这种能力为肿瘤学、神经病学和心血管疾病的应用开辟了令人兴奋的新可能性。分子成像有望通过实现早期诊断和预测治疗反应,为个性化医疗做出重大贡献。该技术还通过优化新药候选物的临床前和临床试验,对药物研发产生巨大影响。本综述将描述分子成像的基本原理,并简要介绍(从众多新技术中)可能有助于个性化医疗的三个例子:受体成像、血管生成成像和细胞凋亡成像。