Emerging theragnostic radionuclide applications for hepatocellular carcinoma

N. E. Nyakale, C. Aldous, A. A. Gutta, X. Khuzwayo, L. Harry, M. M. Sathekge
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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 in HCC involves the use of imaging techniques to diagnose the cancer and assess its characteristics, such as size, location, and extent of spread. Theragnostic 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 assisting to guide future treatment. This can be done through either positron emission tomography (PET) scanning or single photon emission tomography (SPECT) using radiolabelled 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 tumour's metabolic activity and blood supply. In summary, theragnostic 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, theragnostic can help guide personalized treatment decisions and improve patient outcomes.
新型放射性核素在肝细胞癌诊断中的应用
肝细胞癌(HCC)是一个主要的全球健康问题。治疗是一个术语,指的是将诊断和治疗方式整合到一个个性化医疗的单一系统中。HCC的诊断包括使用影像学技术来诊断癌症并评估其特征,如大小、位置和扩散程度。治疗诊断包括使用分子和基因测试来识别特定的生物标志物,这些生物标志物可以帮助指导治疗决策,并在治疗后评估治疗的剂量和定位,从而帮助指导未来的治疗。这可以通过正电子发射断层扫描(PET)或单光子发射断层扫描(SPECT)来完成,使用放射性标记的示踪剂来靶向HCC细胞表达的特定分子或放射性栓塞。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动和血液供应的信息。总之,诊断是一个新兴的领域,有望改善HCC的诊断和治疗。通过将诊断和治疗方式结合到一个系统中,诊断可以帮助指导个性化的治疗决策并改善患者的预后。
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