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结合诊断影像学和病理学以提高癌症的诊断和预后。

Combining Diagnostic Imaging and Pathology for Improving Diagnosis and Prognosis of Cancer.

机构信息

Department of Biomedicine and Prevention, University of Rome "Tor Vergata", Via Montpellier 1, Rome 00133, Italy.

IRCCS Neuromed, Pozzilli, Italy.

出版信息

Contrast Media Mol Imaging. 2019 Jul 1;2019:9429761. doi: 10.1155/2019/9429761. eCollection 2019.

Abstract

In the era of personalized medicine, the management of oncological patients requires a translational and multidisciplinary approach. During early phases of cancer development, biochemical alterations of cell metabolism occur much before the formation of detectable tumour masses. Current molecular imaging techniques, targeted to the study of molecular kinetics, employ molecular tracers capable of detecting cancer lesions with both high sensitivity and specificity while also providing essential information for both prognosis and therapy. On the contrary, complementary and crucial information is provided by histopathological examination and ancillary techniques such as immunohistochemistry. Thus, the successful collaboration between diagnostic imaging and anatomic pathology can represent a fundamental step in the "tortuous" but decisive path towards personalized medicine.

摘要

在个性化医学时代,肿瘤患者的管理需要一种转化和多学科的方法。在癌症发展的早期阶段,细胞代谢的生化改变发生在可检测到肿瘤肿块形成之前。目前针对分子动力学研究的分子成像技术,使用能够以高灵敏度和特异性检测癌症病变的分子示踪剂,同时为预后和治疗提供重要信息。相反,组织病理学检查和免疫组织化学等辅助技术提供了互补和关键的信息。因此,诊断影像学和解剖病理学之间的成功合作可能是迈向个性化医学的“曲折”但决定性道路上的重要一步。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/290a/6636452/61333d36b4a7/CMMI2019-9429761.001.jpg

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