The University of Texas MD Anderson Cancer Center, Thoracic Imaging, 1515 Holcombe Blvd. Unit 1478, Houston, TX 77030, USA.
The University of Texas MD Anderson Cancer Center, Thoracic Imaging, 1515 Holcombe Blvd. Unit 1478, Houston, TX 77030, USA.
Clin Radiol. 2022 Jan;77(1):44-57. doi: 10.1016/j.crad.2021.05.003. Epub 2021 Jun 5.
By boosting the immune system, immunotherapy with immune checkpoint inhibitors (ICIs) has altered the management of patients with various cancers including those with metastatic non-small cell lung cancer (NSCLC). As a result of immune system activation, ICIs are associated with unique response patterns (that are not addressed by traditional response criteria) and inflammatory side effects termed immune-related adverse events. In this article, we will review the role of immunotherapy in cancer treatment, specifically ICIs used in NSCLC treatment, radiological response criteria of immunotherapy, and the imaging spectrum of immune-related adverse events.
通过增强免疫系统,免疫检查点抑制剂(ICIs)的免疫疗法改变了包括转移性非小细胞肺癌(NSCLC)在内的各种癌症患者的治疗方法。由于免疫系统的激活,ICI 与独特的反应模式(传统的反应标准无法解决)和炎症副作用有关,称为免疫相关不良事件。在本文中,我们将回顾免疫疗法在癌症治疗中的作用,特别是 NSCLC 治疗中使用的 ICI、免疫疗法的影像学反应标准以及免疫相关不良事件的影像学谱。