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联合诊断:将基于血液的 ctDNA 筛查与低剂量 CT 成像相结合,用于肺癌的早期检测。

Combination Diagnostics: Adding Blood-Based ctDNA Screening to Low-Dose CT Imaging for Early Detection of Lung Cancer.

机构信息

Krantz Family Center for Cancer Research, Massachusetts General Hospital Cancer Center and Harvard Medical School, Boston, Massachusetts.

Howard Hughes Medical Institute, Bethesda, Maryland.

出版信息

Cancer Discov. 2024 Nov 1;14(11):2025-2027. doi: 10.1158/2159-8290.CD-24-1195.

DOI:10.1158/2159-8290.CD-24-1195
PMID:39485252
Abstract

Annual low-dose CT screening of individuals with a smoking history identifies early curable lung tumors and reduces cancer mortality by 20%, yet only a minority of eligible patients undergo such monitoring. Mazzone and colleagues apply a blood-based cfDNA fragmentomic assay as a high-sensitivity/low-specificity pre-screen to help stratify individuals who may benefit most from more definitive low-dose CT imaging. See related article by Mazzone et al., p. 2224.

摘要

对有吸烟史的个体进行年度低剂量 CT 筛查可发现早期可治愈的肺癌肿瘤,并将癌症死亡率降低 20%,但只有少数符合条件的患者接受这种监测。Mazzone 及其同事应用一种基于血液的 cfDNA 片段组学检测作为高灵敏度/低特异性的预筛查方法,以帮助分层最有可能从更明确的低剂量 CT 成像中获益的个体。请参阅 Mazzone 等人的相关文章,第 2224 页。

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Combination Diagnostics: Adding Blood-Based ctDNA Screening to Low-Dose CT Imaging for Early Detection of Lung Cancer.联合诊断:将基于血液的 ctDNA 筛查与低剂量 CT 成像相结合,用于肺癌的早期检测。
Cancer Discov. 2024 Nov 1;14(11):2025-2027. doi: 10.1158/2159-8290.CD-24-1195.
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引用本文的文献

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Laboratory practices for next-generation sequencing-based circulating tumor DNA analysis: insights from a comprehensive survey in China.基于下一代测序的循环肿瘤DNA分析的实验室实践:来自中国一项全面调查的见解
Virchows Arch. 2025 Jun 25. doi: 10.1007/s00428-025-04156-9.
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Learning from chronic disease screening success: developing efficient, convenient, and affordable lung cancer screening methods to achieve universal coverage.从慢性病筛查成功经验中学习:开发高效、便捷且经济实惠的肺癌筛查方法以实现全民覆盖。
Transl Lung Cancer Res. 2025 Feb 28;14(2):649-651. doi: 10.21037/tlcr-2024-1074. Epub 2025 Feb 27.