Department of Urology, The Third Affiliated Hospital of Shenzhen University (Luohu Hospital Group), Shenzhen 518000, China.
Department of Interventional Radiology, The First Affiliated Hospital of Soochow University, Suzhou 215006, China.
Biosensors (Basel). 2022 May 17;12(5):342. doi: 10.3390/bios12050342.
Hepatocellular carcinoma (HCC) is the sixth most commonly malignant tumor and the third leading cause of cancer-related death in the world, and the early diagnosis and treatment of patients with HCC is core in improving its prognosis. The early diagnosis of HCC depends largely on magnetic resonance imaging (MRI). MRI has good soft-tissue resolution, which is the international standard method for the diagnosis of HCC. However, MRI is still insufficient in the diagnosis of some early small HCCs and malignant nodules, resulting in false negative results. With the deepening of research on HCC, researchers have found many specific molecular biomarkers on the surface of HCC cells, which may assist in diagnosis and treatment. On the other hand, molecular imaging has progressed rapidly in recent years, especially in the field of cancer theranostics. Hence, the preparation of molecular imaging probes that can specifically target the biomarkers of HCC, combined with MRI testing in vivo, may achieve the theranostic purpose of HCC in the early stage. Therefore, in this review, taking MR imaging as the basic point, we summarized the recent progress regarding the molecular imaging targeting various types of biomarkers on the surface of HCC cells to improve the theranostic rate of HCC. Lastly, we discussed the existing obstacles and future prospects of developing molecular imaging probes as HCC theranostic nanoplatforms.
肝细胞癌(HCC)是全球第六大常见恶性肿瘤和癌症相关死亡的第三大主要原因,早期诊断和治疗 HCC 患者是改善其预后的核心。HCC 的早期诊断在很大程度上依赖于磁共振成像(MRI)。MRI 具有良好的软组织分辨率,是 HCC 的国际诊断标准方法。然而,MRI 对某些早期小 HCC 和恶性结节的诊断仍然不足,导致假阴性结果。随着对 HCC 的研究不断深入,研究人员在 HCC 细胞表面发现了许多特定的分子生物标志物,这可能有助于诊断和治疗。另一方面,近年来分子成像技术取得了快速发展,特别是在癌症治疗学领域。因此,制备能够特异性靶向 HCC 生物标志物的分子成像探针,并结合体内 MRI 检测,可能实现 HCC 的早期治疗学目的。因此,在本综述中,我们以 MR 成像为基础,总结了近年来针对 HCC 细胞表面各种类型生物标志物的分子成像靶向的最新进展,以提高 HCC 的治疗效果。最后,我们讨论了开发作为 HCC 治疗学纳米平台的分子成像探针所面临的现有障碍和未来前景。