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用于癌症诊断中医学影像分析的液体活检

Liquid Biopsy for Medical Imaging Analysis in Cancer Diagnosis.

作者信息

Khan Yumna, Fatima Rabab, Khan Amna, Zhang Liming, Bisht Ajay Singh, Hussain Md Sadique

机构信息

Institute of Biotechnology and Genetic Engineering (Health Division), The University of Agriculture, Peshawar, 25000, Khyber Pakhtunkhwa, Pakistan.

Department of Chemistry, University of Petroleum & Energy Studies, Energy Acres, Dehradun, 248007, Uttarakhand, India.

出版信息

Curr Pharm Des. 2025;31(33):2635-2650. doi: 10.2174/0113816128371883250310174153.

Abstract

The detection of cancer remains a significant challenge due to limitations of current screening approaches, where usually several procedures and imprecise information are required. Liquid biopsy has emerged as an appealing method that makes it unnecessary to use invasive procedures. It depicts the biology of tumors at first sight based on circulating tumor cells (CTCs), cell-free DNA (cfDNA), and exosomes in the blood of the patient. This paper provides a review of the likelihood of the integration of liquid biopsy with medical imaging methods, such as MRI, CT, PET, and ultrasound, to enhance the accuracy of tumor identification. We expand on how liquid biopsy might improve healthcare imaging by defining tumor characterization more accurately and precisely, avoiding false positive and negative values, and providing genetic integration information that is often useful when interpreting imaging scans. Case examples are employed to demonstrate the seamless combination of liquid biopsy data with imaging outcomes, which can help expand the understanding of cancer pathophysiology and treatment sensitivity. However, artificial intelligence and machine learning should be used to support the execution of this supposed synergistically integrated strategy. The article also explains the problems concerning the integration of these two diagnostic methods and stresses the importance of standardizing the procedures and cooperation between the disciplines. This aggregation could result in earlier detection, improved monitoring, as well as individual approaches to cancer patients, hence leading to a significant increase in positive clinical outcomes.

摘要

由于当前筛查方法存在局限性,癌症检测仍然是一项重大挑战,通常需要多种程序且信息不够精确。液体活检已成为一种有吸引力的方法,无需采用侵入性程序。它基于患者血液中的循环肿瘤细胞(CTC)、游离DNA(cfDNA)和外泌体,一眼就能描绘出肿瘤的生物学特征。本文综述了液体活检与医学成像方法(如MRI、CT、PET和超声)相结合以提高肿瘤识别准确性的可能性。我们详细阐述了液体活检如何通过更准确、精确地定义肿瘤特征、避免假阳性和假阴性值以及提供在解读影像扫描时通常有用的基因整合信息来改善医疗成像。通过案例展示了液体活检数据与成像结果的无缝结合,这有助于扩大对癌症病理生理学和治疗敏感性的理解。然而,应使用人工智能和机器学习来支持这一假定的协同整合策略的实施。文章还解释了这两种诊断方法整合中存在的问题,并强调了规范程序和学科间合作的重要性。这种整合可能会实现更早的检测、更好的监测以及针对癌症患者的个性化治疗方法,从而显著提高临床阳性结果。

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