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用于肺癌检测的先进多模态诊断方法。

Advanced multimodal diagnostic approaches for detection of lung cancer.

机构信息

a Shobhaben Pratapbhai Patel School of Pharmacy and Technology Management , Shri Vile Parle Kelavani Mandal'S Narsee Monjee Institute of Management Studies University , Mumbai , India.

出版信息

Expert Rev Mol Diagn. 2019 May;19(5):409-417. doi: 10.1080/14737159.2019.1607299. Epub 2019 Apr 22.

Abstract

Lung cancer (LC) emerges as a principle cause of death among smokers and is also one of the most lethal forms of cancer in nonsmokers. LC is mainly classified as non-small cell lung cancer (NSCLC), small cell LC, and lung carcinoid tumor. NSCLC is the most prevalent form of LC and its early stage diagnosis is essential to reduce mortality rate of patients and provide specific therapy. The field of LC diagnostics witnessed a gradual escalation with advancement in technology. Areas covered: This comprehensive review focuses on classification of LC and advanced diagnostics for LC detection like biosensors, biomarkers, nanotechnology-based diagnostics, wearable devices, mobile health, artificial intelligence (AI), aptamers, and molecularly imprinted polymers (MIPs). Expert opinion: Liquid biopsy and breath analysis developments are the most promising and advanced technologies for the detection of biomarkers associated with LC. Wearable devices and AI are two niche areas that require development and standardization for commercialization. The upcoming technology based on nanosystems includes robots, fibers, and particles for sensitive detection of LC. In the near future, nanotechnology-based theranostics, aptamers, and MIPs will emerge in early-stage diagnosis of LC.

摘要

肺癌 (LC) 是吸烟者死亡的主要原因之一,也是非吸烟者中最致命的癌症之一。LC 主要分为非小细胞肺癌 (NSCLC)、小细胞 LC 和肺类癌肿瘤。NSCLC 是最常见的 LC 形式,早期诊断对于降低患者死亡率和提供特定治疗至关重要。LC 诊断领域随着技术的进步逐渐升级。

涵盖领域

本综述重点介绍 LC 的分类和 LC 检测的高级诊断方法,如生物传感器、生物标志物、基于纳米技术的诊断、可穿戴设备、移动健康、人工智能 (AI)、适体和分子印迹聚合物 (MIPs)。

专家意见

液体活检和呼吸分析的发展是检测与 LC 相关生物标志物最有前途和先进的技术。可穿戴设备和 AI 是两个需要开发和标准化以实现商业化的利基领域。基于纳米系统的即将出现的技术包括机器人、纤维和颗粒,用于 LC 的敏感检测。在不久的将来,基于纳米技术的治疗学、适体和 MIP 将在 LC 的早期诊断中出现。

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