Recent advances in detection techniques regarding predictive, prognostic, and diagnostic biomarkers in solid cancers and its future challenges.

Advances in cancer research Pub Date : 2026-01-01 Epub Date: 2026-01-19 DOI:10.1016/bs.acr.2025.12.006
Suryaprakash Tripathy, Anmol Gaur, Manaswini Jagadeb, Vishnu Swarup, Neeraj Mohan Gupta, Umesh Kumar, Sudip Das, Manoj Kumar Jana
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Abstract

The advent of biomarker-driven strategies has focused research on early detection, accurate diagnosis, prognosis assessment, and personalized treatment, thus revolutionizing the landscape of cancer care. The current chapter gives an extensive review of the latest advances in predictive, prognostic, and diagnostic biomarker detection methods in solid tumors using advanced technologies such as liquid biopsy, circulating tumor DNA (ctDNA), microRNAs, exosomal profiling, and multi-omics platforms that have high specificity and sensitivity in the identification of biomarkers. Additionally, the application of artificial intelligence and machine learning in biomarker analysis has showcased its ability to facilitate improved clinical decision-making. In addition, the chapter explores the clinical usefulness of these biomarkers in different solid cancers like breast, lung, colorectal, and prostate cancers. Despite the well-paced development in these fields, issues like tumor heterogeneity, cross-validation in different populations, and translating emerging biomarkers into everyday clinical practice still persist. The chapter concludes by describing future horizons and the imperative of strong standardization, interdisciplinarity, and ethics in applying biomarker-based approaches in oncology. As precision oncology advancements are on the rise, the integration of real-time biomarker monitoring and minimally invasive techniques holds promise for dynamic disease management. Emerging technologies like single-cell sequencing and spatial transcriptomics further enhance our understanding of tumor biology, paving the way for more individualized and adaptive therapeutic interventions in solid cancer treatment. Collaborative efforts between academia, industry, and clinical settings are essential to accelerate biomarker validation and regulatory approval, ensuring equitable access to advanced diagnostic tools across diverse patient populations worldwide.

实体癌预测、预后和诊断生物标志物检测技术的最新进展及其未来的挑战。
生物标志物驱动策略的出现使早期发现、准确诊断、预后评估和个性化治疗的研究成为焦点,从而彻底改变了癌症治疗的格局。本章广泛回顾了实体肿瘤中预测、预后和诊断性生物标志物检测方法的最新进展,这些方法采用了先进的技术,如液体活检、循环肿瘤DNA (ctDNA)、microRNAs、外泌体谱分析和多组学平台,这些技术在生物标志物鉴定方面具有高特异性和敏感性。此外,人工智能和机器学习在生物标志物分析中的应用已经显示出其促进改善临床决策的能力。此外,本章还探讨了这些生物标志物在不同实体癌(如乳腺癌、肺癌、结直肠癌和前列腺癌)中的临床应用。尽管这些领域的发展速度很快,但诸如肿瘤异质性、不同人群的交叉验证以及将新兴生物标志物转化为日常临床实践等问题仍然存在。本章最后描述了未来的前景,以及在肿瘤学中应用基于生物标志物的方法时,强有力的标准化、跨学科性和伦理学的必要性。随着精确肿瘤学的进步,实时生物标志物监测和微创技术的整合为动态疾病管理带来了希望。单细胞测序和空间转录组学等新兴技术进一步增强了我们对肿瘤生物学的理解,为实体癌症治疗中更多的个性化和适应性治疗干预铺平了道路。学术界、产业界和临床机构之间的合作对于加快生物标志物的验证和监管审批,确保全球不同患者群体公平获得先进诊断工具至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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