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放射性核素疗法在乳腺癌治疗中的应用。

The application of radionuclide therapy for breast cancer.

作者信息

Musket Anna, Davern Sandra, Elam Brianna M, Musich Philip R, Moorman Jonathan P, Jiang Yong

机构信息

Department of Internal Medicine, Quillen College of Medicine, East Tennessee State University, Johnson City, TN, United States.

Center of Excellence in Inflammation, Infectious Disease and Immunity, Quillen College of Medicine, East Tennessee State University, Johnson City, TN, United States.

出版信息

Front Nucl Med. 2024 Jan 10;3:1323514. doi: 10.3389/fnume.2023.1323514. eCollection 2023.

Abstract

Radionuclide-mediated diagnosis and therapy have emerged as effective and low-risk approaches to treating breast cancer. Compared to traditional anatomic imaging techniques, diagnostic radionuclide-based molecular imaging systems exhibit much greater sensitivity and ability to precisely illustrate the biodistribution and metabolic processes from a functional perspective in breast cancer; this transitions diagnosis from an invasive visualization to a noninvasive visualization, potentially ensuring earlier diagnosis and on-time treatment. Radionuclide therapy is a newly developed modality for the treatment of breast cancer in which radionuclides are delivered to tumors and/or tumor-associated targets either directly or using delivery vehicles. Radionuclide therapy has been proven to be eminently effective and to exhibit low toxicity when eliminating both primary tumors and metastases and even undetected tumors. In addition, the specific interaction between the surface modules of the delivery vehicles and the targets on the surface of tumor cells enables radionuclide targeting therapy, and this represents an exceptional potential for this treatment in breast cancer. This article reviews the development of radionuclide molecular imaging techniques that are currently employed for early breast cancer diagnosis and both the progress and challenges of radionuclide therapy employed in breast cancer treatment.

摘要

放射性核素介导的诊断和治疗已成为治疗乳腺癌的有效且低风险方法。与传统解剖成像技术相比,基于诊断性放射性核素的分子成像系统在乳腺癌中从功能角度展现出更高的灵敏度以及精确阐释生物分布和代谢过程的能力;这将诊断从侵入性可视化转变为非侵入性可视化,有可能确保早期诊断和及时治疗。放射性核素治疗是一种新开发的乳腺癌治疗方式,其中放射性核素直接或使用递送载体被递送至肿瘤和/或肿瘤相关靶点。放射性核素治疗已被证明在消除原发性肿瘤、转移灶甚至未被检测到的肿瘤方面极为有效且毒性低。此外,递送载体表面模块与肿瘤细胞表面靶点之间的特异性相互作用实现了放射性核素靶向治疗,这为该治疗在乳腺癌中的应用展现出非凡潜力。本文综述了目前用于早期乳腺癌诊断的放射性核素分子成像技术的发展以及乳腺癌治疗中放射性核素治疗的进展和挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/768e/11440853/fca2547742dd/fnume-03-1323514-g001.jpg

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