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甲状腺癌的光学诊断成像与治疗

Optical diagnostic imaging and therapy for thyroid cancer.

作者信息

Shao Chengying, Li Zhenfang, Zhang Chengchi, Zhang Wanchen, He Ru, Xu Jiajie, Cai Yu

机构信息

Otolaryngology& Head and Neck Center, Cancer Center, Department of Head and Neck Surgery, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College), Hangzhou, Zhejiang 310014, China.

Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou 310053, China.

出版信息

Mater Today Bio. 2022 Sep 26;17:100441. doi: 10.1016/j.mtbio.2022.100441. eCollection 2022 Dec 15.

Abstract

Thyroid cancer, as one of the most common endocrine cancers, has seen a surge in incidence in recent years. This is most likely due to the lack of specificity and accuracy of its traditional diagnostic modalities, leading to the overdiagnosis of thyroid nodules. Although there are several treatment options available, they are limited to surgery and I radiation therapy that come with significant side effects and hence cannot meet the treatment needs of anaplastic thyroid carcinoma with very high malignancy. Optical imaging that utilizes optical absorption, refraction and scattering properties, not only observes the structure and function of cells, tissues, organs, or even the whole organism to assist in diagnosis, but can also be used to perform optical therapy to achieve targeted non-invasive and precise treatment of thyroid cancer. These applications of screening, diagnosis, and treatment, lend to optical imaging's promising potential within the realm of thyroid cancer surgical navigation. Over the past decade, research on optical imaging in the diagnosis and treatment of thyroid cancer has been growing year by year, but no comprehensive review on this topic has been published. Here, we review key advances in the application of optical imaging in the diagnosis and treatment of thyroid cancer and discuss the challenges and potential for clinical translation of this technology.

摘要

甲状腺癌作为最常见的内分泌癌之一,近年来发病率呈上升趋势。这很可能是由于其传统诊断方式缺乏特异性和准确性,导致甲状腺结节过度诊断。尽管有多种治疗选择,但仅限于手术和放射性碘治疗,这些治疗伴有明显的副作用,因此无法满足恶性程度极高的未分化甲状腺癌的治疗需求。利用光吸收、折射和散射特性的光学成像,不仅可以观察细胞、组织、器官甚至整个生物体的结构和功能以辅助诊断,还可用于进行光治疗,实现对甲状腺癌的靶向非侵入性精确治疗。这些筛查、诊断和治疗应用,使光学成像在甲状腺癌手术导航领域具有广阔的潜力。在过去十年中,关于光学成像在甲状腺癌诊断和治疗中的研究逐年增加,但尚未发表关于该主题的全面综述。在此,我们回顾光学成像在甲状腺癌诊断和治疗应用中的关键进展,并讨论该技术临床转化面临的挑战和潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c869/9640994/24f8d3f2eeae/ga1.jpg

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