正电子发射断层扫描/计算机断层扫描(PET/CT)分子成像在免疫检查点抑制剂治疗时代。

PET/CT molecular imaging in the era of immune-checkpoint inhibitors therapy.

机构信息

Department of Nuclear Medicine, Peking University First Hospital, Beijing, China.

出版信息

Front Immunol. 2022 Oct 20;13:1049043. doi: 10.3389/fimmu.2022.1049043. eCollection 2022.

Abstract

Cancer immunotherapy, especially immune-checkpoint inhibitors (ICIs), has paved a new way for the treatment of many types of malignancies, particularly advanced-stage cancers. Accumulating evidence suggests that as a molecular imaging modality, positron emission tomography/computed tomography (PET/CT) can play a vital role in the management of ICIs therapy by using different molecular probes and metabolic parameters. In this review, we will provide a comprehensive overview of the clinical data to support the importance of F-fluorodeoxyglucose PET/CT (F-FDG PET/CT) imaging in the treatment of ICIs, including the evaluation of the tumor microenvironment, discovery of immune-related adverse events, evaluation of therapeutic efficacy, and prediction of therapeutic prognosis. We also discuss perspectives on the development direction of F-FDG PET/CT imaging, with a particular emphasis on possible challenges in the future. In addition, we summarize the researches on novel PET molecular probes that are expected to potentially promote the precise application of ICIs.

摘要

癌症免疫疗法,特别是免疫检查点抑制剂(ICIs),为治疗多种类型的恶性肿瘤,特别是晚期癌症开辟了新途径。越来越多的证据表明,正电子发射断层扫描/计算机断层扫描(PET/CT)作为一种分子成像方式,可以通过使用不同的分子探针和代谢参数,在 ICI 治疗的管理中发挥重要作用。在这篇综述中,我们将提供全面的临床数据,以支持 F-氟脱氧葡萄糖 PET/CT(F-FDG PET/CT)成像在 ICI 治疗中的重要性,包括肿瘤微环境的评估、免疫相关不良事件的发现、治疗效果的评估和治疗预后的预测。我们还讨论了 F-FDG PET/CT 成像发展方向的观点,特别强调了未来可能面临的挑战。此外,我们总结了新型 PET 分子探针的研究,这些探针有望促进 ICI 的精确应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d82/9630646/477378ed6421/fimmu-13-1049043-g001.jpg

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