液体活检在癌症管理:整合诊断和临床应用。

IF 1.7 Q3 MEDICAL LABORATORY TECHNOLOGY
Practical Laboratory Medicine Pub Date : 2024-12-24 eCollection Date: 2025-01-01 DOI:10.1016/j.plabm.2024.e00446
Shashwat Pandey, Preeti Yadav
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引用次数: 0

摘要

液体活检是一种创新的微创诊断工具,通过检测和分析血液、尿液或脑脊液等体液中与癌症相关的生物标志物,彻底改变了癌症管理。与传统的组织活检不同,液体活检提供了一种更容易获得和可重复的方法来跟踪癌症进展,检测早期癌症,并监测治疗反应。该技术主要侧重于分析循环肿瘤细胞(CTCs)、循环肿瘤DNA (ctDNA)和其他癌症来源的遗传物质。这些生物标志物提供了肿瘤异质性、突变谱和潜在耐药性的关键信息。在临床实践中,液体活检已经证明了它在识别可操作的突变、指导个性化治疗策略和评估最小残留病(MRD)方面的效用。虽然液体活检具有巨大的前景,但其敏感性、特异性和标准化方面的挑战仍然存在。优化分析前和分析过程的努力,以及建立健全的监管框架,对于其广泛的临床应用至关重要。本摘要强调液体活检在癌症诊断、预后和治疗监测方面的变革潜力,强调其在推进个性化肿瘤学中的作用。进一步的研究、临床试验和监管协调对于实现其在精确癌症治疗中的全部潜力至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Liquid biopsy in cancer management: Integrating diagnostics and clinical applications.

Liquid biopsy is an innovative, minimally invasive diagnostic tool revolutionizing cancer management by enabling the detection and analysis of cancer-related biomarkers from bodily fluids such as blood, urine, or cerebrospinal fluid. Unlike traditional tissue biopsies, which require invasive procedures, liquid biopsy offers a more accessible and repeatable method for tracking cancer progression, detecting early-stage cancers, and monitoring therapeutic responses. The technology primarily focuses on analyzing circulating tumor cells (CTCs), circulating tumor DNA (ctDNA), and other cancer-derived genetic materials. These biomarkers provide critical information on tumor heterogeneity, mutation profiles, and potential drug resistance. In clinical practice, liquid biopsy has demonstrated its utility in identifying actionable mutations, guiding personalized treatment strategies, and assessing minimal residual disease (MRD). While liquid biopsy holds immense promise, challenges related to its sensitivity, specificity, and standardization remain. Efforts to optimize pre-analytical and analytical processes, along with the establishment of robust regulatory frameworks, are crucial for its widespread clinical adoption. This abstract highlights the transformative potential of liquid biopsy in cancer diagnosis, prognosis, and treatment monitoring, emphasizing its role in advancing personalized oncology. Further research, clinical trials, and regulatory harmonization will be vital in realizing its full potential in precision cancer care.

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来源期刊
Practical Laboratory Medicine
Practical Laboratory Medicine Health Professions-Radiological and Ultrasound Technology
CiteScore
3.50
自引率
0.00%
发文量
40
审稿时长
7 weeks
期刊介绍: Practical Laboratory Medicine is a high-quality, peer-reviewed, international open-access journal publishing original research, new methods and critical evaluations, case reports and short papers in the fields of clinical chemistry and laboratory medicine. The objective of the journal is to provide practical information of immediate relevance to workers in clinical laboratories. The primary scope of the journal covers clinical chemistry, hematology, molecular biology and genetics relevant to laboratory medicine, microbiology, immunology, therapeutic drug monitoring and toxicology, laboratory management and informatics. We welcome papers which describe critical evaluations of biomarkers and their role in the diagnosis and treatment of clinically significant disease, validation of commercial and in-house IVD methods, method comparisons, interference reports, the development of new reagents and reference materials, reference range studies and regulatory compliance reports. Manuscripts describing the development of new methods applicable to laboratory medicine (including point-of-care testing) are particularly encouraged, even if preliminary or small scale.
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