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用于肝细胞癌的新兴治疗诊断放射性核素应用

Emerging theragnostic radionuclide applications for hepatocellular carcinoma.

作者信息

Nyakale N E, Aldous C, Gutta A A, Khuzwayo X, Harry L, Sathekge M M

机构信息

Department of Nuclear Medicine, Sefako Makgatho Health Sciences University, Dr George Mukhari Academic Hospital, Pretoria, South Africa.

Department of Nuclear Medicine, University of Kwa-Zulu Natal, Durban, South Africa.

出版信息

Front Nucl Med. 2023 Oct 25;3:1210982. doi: 10.3389/fnume.2023.1210982. eCollection 2023.

Abstract

Hepatocellular carcinoma (HCC) is a major global health problem. Theragnostic is a term that refers to the integration of diagnostic and therapeutic modalities into a single system for personalized medicine. Theragnostic care in HCC involves the use of imaging techniques to diagnose the cancer and assess its characteristics, such as size, location, and extent of spread. Theragnostics involves the use of molecular and genetic tests to identify specific biomarkers that can help guide treatment decisions and, post-treatment, assess the dosimetry and localization of the treatment, thus guiding future treatment. This can be done through either positron emission tomography (PET) scanning or single photon emission tomography (SPECT) using radiolabeled tracers that target specific molecules expressed by HCC cells or radioembolization. This technique can help identify the location and extent of the cancer, as well as provide information on the tumor's metabolic activity and blood supply. In summary, theragnostics is an emerging field that holds promise for improving the diagnosis and treatment of HCC. By combining diagnostic and therapeutic modalities into a single system, theragnostics can help guide personalized treatment decisions and improve patient outcomes.

摘要

肝细胞癌(HCC)是一个重大的全球健康问题。诊疗一体化是一个术语,指的是将诊断和治疗方式整合到一个用于个性化医疗的单一系统中。HCC的诊疗一体化护理涉及使用成像技术来诊断癌症并评估其特征,如大小、位置和扩散程度。诊疗一体化涉及使用分子和基因检测来识别特定的生物标志物,这些生物标志物有助于指导治疗决策,并在治疗后评估治疗的剂量测定和定位,从而指导未来的治疗。这可以通过使用靶向HCC细胞表达的特定分子的放射性示踪剂进行正电子发射断层扫描(PET)或单光子发射断层扫描(SPECT),或者通过放射性栓塞来实现。这项技术可以帮助确定癌症的位置和范围,并提供有关肿瘤代谢活性和血液供应的信息。总之,诊疗一体化是一个新兴领域,有望改善HCC的诊断和治疗。通过将诊断和治疗方式整合到一个单一系统中,诊疗一体化可以帮助指导个性化治疗决策并改善患者预后。

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