Division of Cancer Prevention, National Cancer Institute, National Institutes of Health, Rockville, MD, USA.
Instituto de Medicina Molecular João Lobo Antunes, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal.
Expert Rev Mol Diagn. 2024 Oct;24(10):937-955. doi: 10.1080/14737159.2024.2408744. Epub 2024 Oct 3.
Liquid biopsy is an innovative advancement in oncology, offering a noninvasive method for early cancer detection and monitoring by analyzing circulating tumor cells, DNA, RNA, and other biomarkers in bodily fluids. This technique has the potential to revolutionize precision oncology by providing real-time analysis of tumor dynamics, enabling early detection, monitoring treatment responses, and tailoring personalized therapies based on the molecular profiles of individual patients.
In this review, the authors discuss current methodologies, technological challenges, and clinical applications of liquid biopsy. This includes advancements in detecting minimal residual disease, tracking tumor evolution, and combining liquid biopsy with other diagnostic modalities for precision oncology. Key areas explored are the sensitivity, specificity, and integration of multi-omics, AI, ML, and LLM technologies.
Liquid biopsy holds great potential to revolutionize cancer care through early detection and personalized treatment strategies. However, its success depends on overcoming technological and clinical hurdles, such as ensuring high sensitivity and specificity, interpreting results amidst tumor heterogeneity, and making tests accessible and affordable. Continued innovation and collaboration are crucial to fully realize the potential of liquid biopsy in improving early cancer detection, treatment, and monitoring.
液体活检是肿瘤学的一项创新进展,通过分析体液中的循环肿瘤细胞、DNA、RNA 和其他生物标志物,提供了一种非侵入性的早期癌症检测和监测方法。这项技术有可能通过实时分析肿瘤动态、早期检测、监测治疗反应以及根据个体患者的分子特征量身定制个性化治疗来彻底改变精准肿瘤学。
在这篇综述中,作者讨论了液体活检的当前方法、技术挑战和临床应用。这包括检测微小残留疾病、跟踪肿瘤演变以及将液体活检与其他诊断方式相结合用于精准肿瘤学的进展。探讨的关键领域包括多组学、人工智能、机器学习和大型语言模型技术的灵敏度、特异性和整合。
液体活检通过早期检测和个性化治疗策略有潜力彻底改变癌症治疗。然而,其成功取决于克服技术和临床障碍,例如确保高灵敏度和特异性、在肿瘤异质性中解释结果以及使检测具有可及性和可负担性。持续的创新和合作对于充分发挥液体活检在提高早期癌症检测、治疗和监测方面的潜力至关重要。