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早期癌症检测的未来。

The future of early cancer detection.

机构信息

Early Detection Programme, Cancer Research UK Cambridge Centre, University of Cambridge, Cambridge, UK.

Centre for Cancer Genetic Epidemiology, Department of Public Health & Primary Care, University of Cambridge, Cambridge, UK.

出版信息

Nat Med. 2022 Apr;28(4):666-677. doi: 10.1038/s41591-022-01746-x. Epub 2022 Apr 19.

Abstract

A proactive approach to detecting cancer at an early stage can make treatments more effective, with fewer side effects and improved long-term survival. However, as detection methods become increasingly sensitive, it can be difficult to distinguish inconsequential changes from lesions that will lead to life-threatening cancer. Progress relies on a detailed understanding of individualized risk, clear delineation of cancer development stages, a range of testing methods with optimal performance characteristics, and robust evaluation of the implications for individuals and society. In the future, advances in sensors, contrast agents, molecular methods, and artificial intelligence will help detect cancer-specific signals in real time. To reduce the burden of cancer on society, risk-based detection and prevention needs to be cost effective and widely accessible.

摘要

早期积极主动地发现癌症可以使治疗更有效,副作用更少,长期生存率提高。然而,随着检测方法变得越来越敏感,区分无足轻重的变化和可能导致危及生命的癌症的病变变得更加困难。进展依赖于对个体风险的详细了解、明确界定癌症发展阶段、一系列具有最佳性能特征的检测方法,以及对个体和社会影响的有力评估。在未来,传感器、对比剂、分子方法和人工智能的进步将有助于实时检测癌症特异性信号。为了减轻癌症给社会带来的负担,基于风险的检测和预防需要具有成本效益且广泛可及。

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