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液体活检用于乳腺癌早期检测和监测的发展是否即将超越乳房X线摄影术?

Is the development of liquid biopsy for the early detection and the monitoring of breast cancers on its way of overtaking mammography?

作者信息

Mansour Hicham, Nejjari Chakib, Incitti Roberto, Anouar Naima, Ouhajjou Abdelhak

机构信息

GES/LCME-FPN, Mohamed 1st University, Nador, Morocco.

Euromed Research Center, Euromed University of Fes, Fes, Morocco.

出版信息

Front Med (Lausanne). 2024 Aug 9;11:1415940. doi: 10.3389/fmed.2024.1415940. eCollection 2024.

Abstract

Mammography, as of today, is used as a gold standard for screening, diagnosing, and monitoring breast cancer (BC). While overall beneficial, it presents several downsides, such as limitations in accuracy, relatively high costs, and dependence on heavy infrastructure, greatly limiting accessibility for the entire global target population. There is currently no established alternative to mammography, and overcoming this major challenge is a hot topic in research and technology. One avenue for tackling this issue is the development of highly sensitive and specific non-invasive blood tests for the early diagnosis and follow-up of breast cancer. This paper discusses the limitations of mammography and recapitulates the blood tests already available, those under development, and future developments in this field.

摘要

截至目前,乳房X线摄影术被用作乳腺癌筛查、诊断和监测的金标准。虽然总体上有益,但它存在一些缺点,例如准确性有限、成本相对较高以及依赖重型基础设施,这极大地限制了全球目标人群的可及性。目前尚无乳房X线摄影术的既定替代方法,克服这一重大挑战是研究和技术领域的热门话题。解决这个问题的一个途径是开发用于乳腺癌早期诊断和随访的高灵敏度和特异性的非侵入性血液检测。本文讨论了乳房X线摄影术的局限性,并概述了现有的、正在开发的血液检测以及该领域的未来发展。

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Mammography screening: A major issue in medicine.乳腺 X 光筛查:医学中的一个重大问题。
Eur J Cancer. 2018 Feb;90:34-62. doi: 10.1016/j.ejca.2017.11.002. Epub 2017 Dec 20.

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