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治疗诊断学——100年后癌症的可靠治愈方法?

Theranostics - a sure cure for cancer after 100 years?

作者信息

Song Yangmeihui, Zou Jianhua, Castellanos E Alejandro, Matsuura Naomi, Ronald John A, Shuhendler Adam, Weber Wolfgang A, Gilad Assaf A, Müller Cristina, Witney Timothy H, Chen Xiaoyuan

机构信息

Department of Nuclear Medicine, Klinikum Rechts der Isar, Technical University of Munich, Munich, 81675, Germany.

Department of Nuclear Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 43000, China.

出版信息

Theranostics. 2024 Mar 31;14(6):2464-2488. doi: 10.7150/thno.96675. eCollection 2024.

Abstract

Cancer has remained a formidable challenge in medicine and has claimed an enormous number of lives worldwide. Theranostics, combining diagnostic methods with personalized therapeutic approaches, shows huge potential to advance the battle against cancer. This review aims to provide an overview of theranostics in oncology: exploring its history, current advances, challenges, and prospects. We present the fundamental evolution of theranostics from radiotherapeutics, cellular therapeutics, and nanotherapeutics, showcasing critical milestones in the last decade. From the early concept of targeted drug delivery to the emergence of personalized medicine, theranostics has benefited from advances in imaging technologies, molecular biology, and nanomedicine. Furthermore, we emphasize pertinent illustrations showcasing that revolutionary strategies in cancer management enhance diagnostic accuracy and provide targeted therapies customized for individual patients, thereby facilitating the implementation of personalized medicine. Finally, we describe future perspectives on current challenges, emerging topics, and advances in the field.

摘要

癌症一直是医学领域的一项艰巨挑战,在全球范围内夺走了无数生命。治疗诊断学将诊断方法与个性化治疗方法相结合,在推进抗癌斗争方面显示出巨大潜力。本综述旨在概述肿瘤学中的治疗诊断学:探索其历史、当前进展、挑战和前景。我们介绍了治疗诊断学从放射治疗学、细胞治疗学和纳米治疗学的基本演变,展示了过去十年中的关键里程碑。从靶向药物递送的早期概念到个性化医学的出现,治疗诊断学受益于成像技术、分子生物学和纳米医学的进步。此外,我们强调了相关例证,表明癌症管理中的革命性策略提高了诊断准确性,并为个体患者提供了定制的靶向治疗,从而促进了个性化医学的实施。最后,我们描述了对该领域当前挑战、新兴主题和进展的未来展望。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c88a/11024861/172742ef00fd/thnov14p2464g001.jpg

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