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精准医学时代的胰腺癌早期检测。

Early detection of pancreatic cancer in the era of precision medicine.

机构信息

The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Hospital, Baltimore, MD, USA.

Department of Pathology, Sol Goldman Pancreatic Cancer Research Center, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

出版信息

Abdom Radiol (NY). 2024 Oct;49(10):3559-3573. doi: 10.1007/s00261-024-04358-w. Epub 2024 May 18.

DOI:10.1007/s00261-024-04358-w
PMID:38761272
Abstract

Pancreatic ductal adenocarcinoma (PDAC) is the third leading cause of cancer-related mortality and it is often diagnosed at advanced stages due to non-specific clinical presentation. Disease detection at localized disease stage followed by surgical resection remains the only potentially curative treatment. In this era of precision medicine, a multifaceted approach to early detection of PDAC includes targeted screening in high-risk populations, serum biomarkers and "liquid biopsies", and artificial intelligence augmented tumor detection from radiologic examinations. In this review, we will review these emerging techniques in the early detection of PDAC.

摘要

胰腺导管腺癌 (PDAC) 是癌症相关死亡的第三大主要原因,由于临床表现不具有特异性,通常在晚期诊断。局部疾病阶段的疾病检测后进行手术切除仍然是唯一潜在的治愈性治疗方法。在精准医学时代,PDAC 的早期检测包括高危人群的靶向筛查、血清生物标志物和“液体活检”,以及人工智能增强的影像学检查中的肿瘤检测。在这篇综述中,我们将回顾这些用于 PDAC 早期检测的新兴技术。

相似文献

1
Early detection of pancreatic cancer in the era of precision medicine.精准医学时代的胰腺癌早期检测。
Abdom Radiol (NY). 2024 Oct;49(10):3559-3573. doi: 10.1007/s00261-024-04358-w. Epub 2024 May 18.
2
Early detection of pancreatic cancer by liquid biopsy "PANLIPSY": a french nation-wide study project.液体活检 "PANLIPSY" 早期检测胰腺癌:一项法国全国性研究项目。
BMC Cancer. 2024 Jun 10;24(1):709. doi: 10.1186/s12885-024-12463-8.
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Multibiomarker panels in liquid biopsy for early detection of pancreatic cancer - a comprehensive review.液体活检中用于胰腺癌早期检测的多生物标志物面板——全面综述。
J Exp Clin Cancer Res. 2024 Sep 2;43(1):250. doi: 10.1186/s13046-024-03166-w.
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White paper on pancreatic ductal adenocarcinoma from society of abdominal radiology's disease-focused panel for pancreatic ductal adenocarcinoma: Part II, update on imaging techniques and screening of pancreatic cancer in high-risk individuals.美国放射学会腹部放射学疾病重点专家组关于胰腺导管腺癌的白皮书:第二部分,胰腺导管腺癌影像学技术和高危人群胰腺癌筛查的更新。
Abdom Radiol (NY). 2020 Mar;45(3):729-742. doi: 10.1007/s00261-019-02290-y.
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Biomarkers, omics and artificial intelligence for early detection of pancreatic cancer.用于早期检测胰腺癌的生物标志物、组学和人工智能。
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Surfaceome profiling enables isolation of cancer-specific exosomal cargo in liquid biopsies from pancreatic cancer patients.表面组学分析可实现在胰腺癌患者的液体活检中分离出肿瘤特异性的细胞外囊泡 cargo。
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Predicting pancreatic ductal adenocarcinoma using artificial intelligence analysis of pre-diagnostic computed tomography images.利用人工智能分析术前 CT 图像预测胰腺导管腺癌。
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Next-Generation Sequencing in Pancreatic Cancer.下一代测序技术在胰腺癌中的应用。
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本文引用的文献

1
Large-scale pancreatic cancer detection via non-contrast CT and deep learning.基于非增强 CT 和深度学习的大规模胰腺癌检测。
Nat Med. 2023 Dec;29(12):3033-3043. doi: 10.1038/s41591-023-02640-w. Epub 2023 Nov 20.
2
Three-dimensional CT cinematic rendering of adrenal masses: Role in tumor analysis and management.肾上腺肿块的三维CT电影渲染:在肿瘤分析与管理中的作用。
Diagn Interv Imaging. 2024 Jan;105(1):5-14. doi: 10.1016/j.diii.2023.09.004. Epub 2023 Oct 3.
3
Automated Artificial Intelligence Model Trained on a Large Data Set Can Detect Pancreas Cancer on Diagnostic Computed Tomography Scans As Well As Visually Occult Preinvasive Cancer on Prediagnostic Computed Tomography Scans.
基于大数据集训练的自动化人工智能模型可以在诊断性 CT 扫描上检测胰腺癌,也可以在预测性 CT 扫描上检测到肉眼不可见的癌前病变。
Gastroenterology. 2023 Dec;165(6):1533-1546.e4. doi: 10.1053/j.gastro.2023.08.034. Epub 2023 Aug 30.
4
Screening for pancreatic cancer has the potential to save lives, but is it practical?筛查胰腺癌有可能挽救生命,但它是否可行?
Expert Rev Gastroenterol Hepatol. 2023 Jan-Jun;17(6):555-574. doi: 10.1080/17474124.2023.2217354. Epub 2023 Jul 3.
5
Suspicious findings observed retrospectively on CT imaging performed before the diagnosis of pancreatic cancer.在胰腺癌诊断之前进行的CT成像回顾性观察到可疑发现。
J Gastrointest Oncol. 2023 Apr 29;14(2):1008-1018. doi: 10.21037/jgo-22-863. Epub 2023 Mar 23.
6
Clinical implications and perspectives of portal venous circulating tumor cells in pancreatic cancer.胰腺癌门静脉循环肿瘤细胞的临床意义及前景
World J Gastrointest Oncol. 2023 Apr 15;15(4):632-643. doi: 10.4251/wjgo.v15.i4.632.
7
IPMN-LEARN: A linear support vector machine learning model for predicting low-grade intraductal papillary mucinous neoplasms.IPMN-LEARN:一种用于预测低级别导管内乳头状黏液性肿瘤的线性支持向量机学习模型。
Ann Hepatobiliary Pancreat Surg. 2023 May 31;27(2):195-200. doi: 10.14701/ahbps.22-107. Epub 2023 Apr 3.
8
Risk prediction of pancreatic cancer using AI analysis of pancreatic subregions in computed tomography images.利用计算机断层扫描图像中胰腺亚区域的人工智能分析进行胰腺癌风险预测。
Front Oncol. 2022 Nov 9;12:1007990. doi: 10.3389/fonc.2022.1007990. eCollection 2022.
9
Quantitative Radiomic Features From Computed Tomography Can Predict Pancreatic Cancer up to 36 Months Before Diagnosis.从 CT 中提取的定量放射组学特征可在诊断前 36 个月预测胰腺癌。
Clin Transl Gastroenterol. 2023 Jan 1;14(1):e00548. doi: 10.14309/ctg.0000000000000548.
10
Focal pancreatic parenchyma atrophy is a harbinger of pancreatic cancer and a clue to the intraductal spreading subtype.胰实质局部萎缩是胰腺癌的先兆,也是胰管内扩散型的线索。
Pancreatology. 2022 Dec;22(8):1148-1158. doi: 10.1016/j.pan.2022.10.003. Epub 2022 Oct 17.