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液体活检:精准医疗在肝细胞癌治疗中的新机遇。

Liquid biopsy: New opportunities for precision medicine in hepatocellular carcinoma care.

机构信息

College of Medicine, University of the Philippines Manila, Ermita, Manila, Metro Manila 1000, Philippines; Liver Cancer Unit, Fondazione Italiana Fegato - ONLUS, Basovizza, Trieste 34149, Italy.

Liver Cancer Unit, Fondazione Italiana Fegato - ONLUS, Basovizza, Trieste 34149, Italy.

出版信息

Ann Hepatol. 2024 Mar-Apr;29(2):101176. doi: 10.1016/j.aohep.2023.101176. Epub 2023 Nov 14.

DOI:10.1016/j.aohep.2023.101176
PMID:37972709
Abstract

Liquid biopsy, specifically the analysis of circulating tumor DNA (ctDNA), offers a non-invasive approach for hepatocellular carcinoma (HCC) diagnosis and management. However, its implementation in the clinical setting is difficult due to challenges such as low ctDNA yield and difficulty in understanding the mutation signals from background noise. This review highlights the crucial role of artificial intelligence (AI) in addressing these limitations and in improving discoveries in the field of liquid biopsy for HCC care. Combining AI with liquid biopsy data can offer a promising future for the discovery of novel biomarkers and an AI-powered clinical decision support system (CDSS) can turn liquid biopsy into an important tool for personalized management of HCC. Despite the current challenges, the integration of AI shows promise to significantly improve patient outcomes and revolutionize the field of oncology.

摘要

液体活检,特别是循环肿瘤 DNA(ctDNA)的分析,为肝细胞癌(HCC)的诊断和管理提供了一种非侵入性的方法。然而,由于 ctDNA 产量低和难以从背景噪声中理解突变信号等挑战,其在临床环境中的实施较为困难。本综述强调了人工智能(AI)在解决这些局限性以及提高 HCC 护理领域液体活检发现方面的关键作用。将 AI 与液体活检数据相结合,为发现新的生物标志物提供了广阔的前景,而 AI 驱动的临床决策支持系统(CDSS)可以将液体活检转化为 HCC 个性化管理的重要工具。尽管存在当前的挑战,但 AI 的整合有望显著改善患者的预后,并彻底改变肿瘤学领域。

相似文献

1
Liquid biopsy: New opportunities for precision medicine in hepatocellular carcinoma care.液体活检:精准医疗在肝细胞癌治疗中的新机遇。
Ann Hepatol. 2024 Mar-Apr;29(2):101176. doi: 10.1016/j.aohep.2023.101176. Epub 2023 Nov 14.
2
Prospects and challenges of circulating tumor DNA in precision medicine of hepatocellular carcinoma.循环肿瘤 DNA 在肝细胞癌精准医学中的前景与挑战。
Clin Exp Med. 2020 Aug;20(3):329-337. doi: 10.1007/s10238-020-00620-9. Epub 2020 Apr 1.
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Circulating tumor DNA as an emerging liquid biopsy biomarker for early diagnosis and therapeutic monitoring in hepatocellular carcinoma.循环肿瘤 DNA 作为一种新兴的液体活检生物标志物,用于肝细胞癌的早期诊断和治疗监测。
Int J Biol Sci. 2020 Mar 5;16(9):1551-1562. doi: 10.7150/ijbs.44024. eCollection 2020.
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Genomic Landscape of Liquid Biopsy for Hepatocellular Carcinoma Personalized Medicine.液体活检在肝癌个体化医学中的基因组图谱
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Liquid biopsy using cell-free DNA in the early diagnosis of hepatocellular carcinoma.液体活检利用游离 DNA 进行肝细胞癌的早期诊断。
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Current status of ctDNA in precision oncology for hepatocellular carcinoma.肝细胞癌精准肿瘤学中 ctDNA 的现状。
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Combining tissue and circulating tumor DNA increases the detection rate of a CTNNB1 mutation in hepatocellular carcinoma.联合组织和循环肿瘤 DNA 可提高肝细胞癌中 CTNNB1 突变的检测率。
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Circulating tumor DNA mutation analysis: advances in its application for early diagnosis of hepatocellular carcinoma and therapeutic efficacy monitoring.循环肿瘤 DNA 突变分析:在肝细胞癌早期诊断和疗效监测中的应用进展。
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Battle of the biopsies: Role of tissue and liquid biopsy in hepatocellular carcinoma.活检之战:组织活检与液体活检在肝细胞癌中的作用
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Liquid Biopsy Using Cell-Free or Circulating Tumor DNA in the Management of Hepatocellular Carcinoma.液体活检利用游离或循环肿瘤 DNA 于肝细胞癌的管理。
Cell Mol Gastroenterol Hepatol. 2022;13(6):1611-1624. doi: 10.1016/j.jcmgh.2022.02.008. Epub 2022 Feb 17.

引用本文的文献

1
Role of Liquid Biopsy for Early Detection, Prognosis, and Therapeutic Monitoring of Hepatocellular Carcinoma.液体活检在肝细胞癌早期检测、预后评估及治疗监测中的作用
Diagnostics (Basel). 2025 Jun 28;15(13):1655. doi: 10.3390/diagnostics15131655.
2
Liquid biopsy in hepatocellular carcinoma: Challenges, advances, and clinical implications.肝细胞癌中的液体活检:挑战、进展及临床意义
Clin Mol Hepatol. 2025 Feb;31(Suppl):S255-S284. doi: 10.3350/cmh.2024.0541. Epub 2024 Nov 28.
3
Liquid biopsy for gastric cancer: Techniques, applications, and future directions.
胃癌的液体活检:技术、应用及未来方向。
World J Gastroenterol. 2024 Mar 28;30(12):1680-1705. doi: 10.3748/wjg.v30.i12.1680.
4
Extracellular vesicles and cancer stemness in hepatocellular carcinoma - is there a link?细胞外囊泡与肝癌的肿瘤干性——它们之间是否存在关联?
Front Immunol. 2024 Feb 27;15:1368898. doi: 10.3389/fimmu.2024.1368898. eCollection 2024.