Department of Neurosurgery, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha, 410008, Hunan province, China.
National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, 410008, Hunan province, China.
J Cancer Res Clin Oncol. 2022 Sep;148(9):2347-2373. doi: 10.1007/s00432-022-04011-3. Epub 2022 Apr 22.
Noninvasive examination is an emerging area in the field of neuro-oncology. Liquid biopsy captures the landscape of genomic alterations of brain tumors and revolutionizes the traditional diagnosis approaches. Rapidly changing sequencing technologies and more affordable prices put the screws on more application of liquid biopsy in clinical settings. In the past few years, extensive application of liquid biopsy has been seen throughout the whole diagnosis and treatment process of brain tumors, including early and accurate detection, characterization and dynamic monitoring. Here, we summarized and compared the most advanced techniques and target molecules or macrostructures related to brain tumor liquid biopsy. We further reviewed and emphasized recent progression in different clinical settings for brain tumors in blood and CSF. The preferred protocol, potential novel biomarkers and future development are discussed in the last part.
非侵入性检查是神经肿瘤学领域的一个新兴领域。液体活检捕获了脑瘤基因组改变的全貌,彻底改变了传统的诊断方法。测序技术的快速发展和更低的价格使得液体活检在临床环境中的应用更加广泛。在过去的几年中,液体活检已经广泛应用于脑瘤的整个诊断和治疗过程中,包括早期和准确的检测、特征描述和动态监测。在这里,我们总结和比较了与脑肿瘤液体活检相关的最先进的技术和靶分子或宏观结构。我们进一步回顾和强调了血液和脑脊液中不同临床环境下脑肿瘤的最新进展。最后一部分讨论了首选方案、潜在的新型生物标志物和未来的发展方向。