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了解多癌检测测试的现状:当前数据与临床考量

Understanding the Landscape of Multi-Cancer Detection Tests: The Current Data and Clinical Considerations.

作者信息

Cotner Cody E, O'Donnell Elizabeth

机构信息

Department of Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA.

Harvard Medical School, Boston, MA 02115, USA.

出版信息

Life (Basel). 2024 Jul 19;14(7):896. doi: 10.3390/life14070896.

DOI:10.3390/life14070896
PMID:39063649
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11278188/
Abstract

Multi-cancer detection (MCD) tests are blood-based assays that screen for multiple cancers concurrently and offer a promising approach to improve early cancer detection and screening uptake. To date, there have been two prospective interventional studies evaluating MCD tests as a screening tool in human subjects. No MCD tests are currently approved by the FDA, but there is one commercially available MCD test. Ongoing trials continue to assess the efficacy, safety, and cost implications of MCD tests. In this review, we discuss the performance of CancerSEEK and Galleri, two leading MCD platforms, and discuss the clinical consideration for the broader application of this new technology.

摘要

多癌检测(MCD)测试是基于血液的检测方法,可同时筛查多种癌症,并为改善早期癌症检测和筛查接受度提供了一种有前景的方法。迄今为止,已有两项前瞻性干预研究评估了MCD测试作为人类受试者筛查工具的效果。目前美国食品药品监督管理局(FDA)尚未批准任何MCD测试,但有一种MCD测试已投入商业使用。正在进行的试验继续评估MCD测试的疗效、安全性和成本影响。在本综述中,我们讨论了两个领先的MCD平台CancerSEEK和Galleri的性能,并讨论了这项新技术更广泛应用的临床考量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1bb/11278188/5ace4af7d7ff/life-14-00896-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1bb/11278188/5ace4af7d7ff/life-14-00896-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1bb/11278188/5ace4af7d7ff/life-14-00896-g001.jpg

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本文引用的文献

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Perspectives of private payers on multicancer early-detection tests: informing research, implementation, and policy.私人支付方对多癌早期检测测试的看法:为研究、实施和政策提供信息
Health Aff Sch. 2023 Jun 20;1(1):qxad005. doi: 10.1093/haschl/qxad005. eCollection 2023 Jul.
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Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement.乳腺癌筛查:美国预防服务工作组推荐声明。
JAMA. 2024 Jun 11;331(22):1918-1930. doi: 10.1001/jama.2024.5534.
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Attitudes to multi-cancer early detection (MCED) blood tests for population-based screening: A qualitative study in Great Britain.
基于人群的筛查中多癌种早期检测(MCED)血液检测的态度:英国的一项定性研究。
Soc Sci Med. 2024 Apr;347:116762. doi: 10.1016/j.socscimed.2024.116762. Epub 2024 Mar 12.
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Cancer screening with multicancer detection tests: A translational science review.多癌种检测试验进行癌症筛查:转化科学述评。
CA Cancer J Clin. 2024 Jul-Aug;74(4):368-382. doi: 10.3322/caac.21833. Epub 2024 Mar 22.
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Causes of death among people living with metastatic cancer.转移性癌症患者的死因
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Multicancer Early Detection Tests: An Overview of Early Results From Prospective Clinical Studies and Opportunities for Oncologists.多癌早期检测测试:前瞻性临床研究的早期结果概述及肿瘤学家面临的机遇
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Shifting the Cancer Screening Paradigm: The Rising Potential of Blood-Based Multi-Cancer Early Detection Tests.改变癌症筛查模式:基于血液的多癌种早期检测测试的崛起潜力。
Cells. 2023 Mar 18;12(6):935. doi: 10.3390/cells12060935.
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