Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Department of Radiology, Sorbonne University, Hopital Tenon, Paris, France.
Can Assoc Radiol J. 2024 Aug;75(3):658-670. doi: 10.1177/08465371241236152. Epub 2024 Mar 5.
Interventional Oncology (IO) stands at the forefront of transformative cancer care, leveraging advanced imaging technologies and innovative interventions. This narrative review explores recent developments within IO, highlighting its potential impact facilitated by artificial intelligence (AI), personalized medicine and imaging innovations. The integration of AI in IO holds promise for accelerating tumour detection and characterization, guiding treatment strategies and refining predictive models. Imaging modalities, including functional MRI, PET and cone beam CT are reshaping imaging and precision. Navigation, fusion imaging, augmented reality and robotics have the potential to revolutionize procedural guidance and offer unparalleled accuracy. New developments are observed in embolization and ablative therapies. The pivotal role of genomics in treatment planning, targeted therapies and biomarkers for treatment response prediction underscore the personalization of IO. Quality of life assessment, minimizing side effects and long-term survivorship care emphasize patient-centred outcomes after IO treatment. The evolving landscape of IO training programs, simulation technologies and workforce competence ensures the field's adaptability. Despite barriers to adoption, synergy between interventional radiologists' proficiency and technological advancements hold promise in cancer care.
介入肿瘤学(IO)站在变革性癌症治疗的前沿,利用先进的成像技术和创新的介入手段。本综述探讨了 IO 领域的最新进展,强调了人工智能(AI)、个性化医学和成像创新所带来的潜在影响。AI 在 IO 中的整合有望加速肿瘤的检测和特征描述,指导治疗策略和完善预测模型。包括功能磁共振成像、正电子发射断层扫描和锥形束 CT 在内的成像方式正在重塑影像和精准医疗。导航、融合成像、增强现实和机器人技术有可能彻底改变手术指导,提供无与伦比的准确性。栓塞和消融治疗方面也出现了新的发展。基因组学在治疗计划、靶向治疗和生物标志物预测治疗反应方面的关键作用突显了 IO 的个性化。生活质量评估、最小化副作用和长期生存护理强调了 IO 治疗后的以患者为中心的结果。IO 培训计划、模拟技术和劳动力能力的不断发展确保了该领域的适应性。尽管存在采用障碍,但介入放射科医生的专业水平和技术进步之间的协同作用有望为癌症治疗带来希望。