通过免疫正电子发射断层扫描诊断胶质母细胞瘤

Diagnosis of Glioblastoma by Immuno-Positron Emission Tomography.

作者信息

Ruiz-López Eduardo, Calatayud-Pérez Juan, Castells-Yus Irene, Gimeno-Peribáñez María José, Mendoza-Calvo Noelia, Morcillo Miguel Ángel, Schuhmacher Alberto J

机构信息

Molecular Oncology Group, Instituto de Investigación Sanitaria Aragón (IIS Aragón), 50009 Zaragoza, Spain.

Department of Neurosurgery, Lozano Blesa University Clinical Hospital, 50009 Zaragoza, Spain.

出版信息

Cancers (Basel). 2021 Dec 24;14(1):74. doi: 10.3390/cancers14010074.

Abstract

Neuroimaging has transformed neuro-oncology and the way that glioblastoma is diagnosed and treated. Magnetic Resonance Imaging (MRI) is the most widely used non-invasive technique in the primary diagnosis of glioblastoma. Although MRI provides very powerful anatomical information, it has proven to be of limited value for diagnosing glioblastomas in some situations. The final diagnosis requires a brain biopsy that may not depict the high intratumoral heterogeneity present in this tumor type. The revolution in "cancer-omics" is transforming the molecular classification of gliomas. However, many of the clinically relevant alterations revealed by these studies have not yet been integrated into the clinical management of patients, in part due to the lack of non-invasive biomarker-based imaging tools. An innovative option for biomarker identification in vivo is termed "immunotargeted imaging". By merging the high target specificity of antibodies with the high spatial resolution, sensitivity, and quantitative capabilities of positron emission tomography (PET), "Immuno-PET" allows us to conduct the non-invasive diagnosis and monitoring of patients over time using antibody-based probes as an in vivo, integrated, quantifiable, 3D, full-body "immunohistochemistry" in patients. This review provides the state of the art of immuno-PET applications and future perspectives on this imaging approach for glioblastoma.

摘要

神经影像学已经改变了神经肿瘤学以及胶质母细胞瘤的诊断和治疗方式。磁共振成像(MRI)是胶质母细胞瘤初步诊断中使用最广泛的非侵入性技术。尽管MRI能提供非常强大的解剖学信息,但事实证明,在某些情况下它对诊断胶质母细胞瘤的价值有限。最终诊断需要进行脑活检,而脑活检可能无法显示这种肿瘤类型中存在的高度肿瘤内异质性。“癌症组学”的革命正在改变胶质瘤的分子分类。然而,这些研究揭示的许多临床相关改变尚未整合到患者的临床管理中,部分原因是缺乏基于非侵入性生物标志物的成像工具。一种用于体内生物标志物识别的创新方法被称为“免疫靶向成像”。通过将抗体的高靶向特异性与正电子发射断层扫描(PET)的高空间分辨率、灵敏度和定量能力相结合,“免疫PET”使我们能够使用基于抗体的探针作为患者体内的一种体内、综合、可量化、三维、全身的“免疫组织化学”方法,对患者进行随时间的非侵入性诊断和监测。本综述介绍了免疫PET应用的现状以及这种胶质母细胞瘤成像方法的未来前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0bc/8750680/856dda67feff/cancers-14-00074-g001.jpg

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