Department of Medical Oncology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Department of Clinical Pharmacy and Pharmacology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Theranostics. 2020 Jan 1;10(4):1708-1718. doi: 10.7150/thno.38339. eCollection 2020.
Immune checkpoint inhibitors (ICIs) have substantially changed the field of oncology over the past few years. ICIs offer an alternative treatment strategy by exploiting the patients' immune system, resulting in a T cell mediated anti-tumor response. These therapies are effective in multiple different tumor types. Unfortunately, a substantial group of patients do not respond to ICIs. Molecular imaging, using single-photon emission computed tomography (SPECT) and positron emission tomography (PET), can provide non-invasive whole-body visualization of tumor and immune cell characteristics and might support patient selection or response evaluations for ICI therapies. In this review, recent studies with F-fluorodeoxyglucose-PET imaging, imaging of immune checkpoints and imaging of immune cells will be discussed. These studies are until now mainly exploratory, but the first results suggest that molecular imaging biomarkers could have a role in the evaluation of ICI therapy.
免疫检查点抑制剂(ICIs)在过去几年中极大地改变了肿瘤学领域。ICI 通过利用患者的免疫系统提供了一种替代的治疗策略,导致 T 细胞介导的抗肿瘤反应。这些疗法在多种不同的肿瘤类型中都有效。不幸的是,相当一部分患者对 ICI 没有反应。分子成像,使用单光子发射计算机断层扫描(SPECT)和正电子发射断层扫描(PET),可以提供肿瘤和免疫细胞特征的非侵入性全身可视化,并可能支持 ICI 治疗的患者选择或反应评估。在这篇综述中,将讨论 F-氟脱氧葡萄糖-PET 成像、免疫检查点成像和免疫细胞成像的最新研究。到目前为止,这些研究主要是探索性的,但最初的结果表明,分子成像生物标志物可能在 ICI 治疗的评估中发挥作用。
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