Cancer Biology and Epigenetics Group, Research Center (CI-IPOP)/RISE@CI-IPOP (Health Research Network), Portuguese Oncology Institute of Porto (IPO-Porto)/Porto Comprehensive Cancer Center Raquel Seruca (P.CCC), Rua Dr. António Bernardino de Almeida, 4200-072 Porto, Portugal.
Master Program in Oncology, School of Medicine & Biomedical Sciences, University of Porto (ICBAS-UP), Rua Jorge Viterbo Ferreira 228, 4050-513 Porto, Portugal.
Cells. 2023 Mar 18;12(6):935. doi: 10.3390/cells12060935.
Cancer remains a leading cause of death worldwide, partly owing to late detection which entails limited and often ineffective therapeutic options. Most cancers lack validated screening procedures, and the ones available disclose several drawbacks, leading to low patient compliance and unnecessary workups, adding up the costs to healthcare systems. Hence, there is a great need for innovative, accurate, and minimally invasive tools for early cancer detection. In recent years, multi-cancer early detection (MCED) tests emerged as a promising screening tool, combining molecular analysis of tumor-related markers present in body fluids with artificial intelligence to simultaneously detect a variety of cancers and further discriminate the underlying cancer type. Herein, we aim to provide a highlight of the variety of strategies currently under development concerning MCED, as well as the major factors which are preventing clinical implementation. Although MCED tests depict great potential for clinical application, large-scale clinical validation studies are still lacking.
癌症仍然是全球主要的死亡原因之一,部分原因是由于检测较晚,这导致治疗选择有限且往往效果不佳。大多数癌症缺乏经过验证的筛查程序,而现有的筛查程序存在一些缺陷,导致患者依从性低,进行不必要的检查,增加了医疗保健系统的成本。因此,非常需要创新、准确和微创的早期癌症检测工具。近年来,多癌种早期检测 (MCED) 测试作为一种很有前途的筛查工具出现,它将体液中肿瘤相关标志物的分子分析与人工智能相结合,以同时检测多种癌症,并进一步区分潜在的癌症类型。在此,我们旨在重点介绍目前正在开发的各种 MCED 策略,以及阻碍其临床应用的主要因素。尽管 MCED 测试具有很大的临床应用潜力,但仍缺乏大规模的临床验证研究。