Precision medicine in neurosurgery: The evolving role of theranostics.

INNOSC theranostics & pharmacological sciences Pub Date : 2023-01-01 Epub Date: 2023-08-03 DOI:10.36922/itps.417
Drashti Patel, Andrew Nguyen, Chance Fleeting, Anjali B Patel, Mohammed Mumtaz, Brandon Lucke-Wold
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Abstract

Theranostics in neurosurgery is a rapidly advancing field of precision medicine that combines diagnostic and therapeutic modalities to optimize patient outcomes. This approach has the potential to provide real-time feedback during therapy and diagnose a condition while simultaneously providing treatment. One such form of theranostics is focused ultrasound, which has been found to be effective in inducing neuroablation and neuromodulation and improving the efficacy of chemotherapy drugs by disrupting the blood-brain barrier. Targeted radionuclide therapy, which pairs positron emission tomography tracers with therapeutic effects and imaging modalities, is another promising form of theranostics for neurosurgery. Automated pathology analysis is yet another form of theranostics that can provide real-time feedback during the surgical resection of tumors. Electrical stimulation has also shown promise in optimizing therapies for patients with cerebral palsy. Overall, theranostics is a cost-effective way to optimize medical care for patients in neurosurgery. It is a relatively new field, but the advancements made so far show great promise for improving patient outcomes.

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神经外科的精准医疗:治疗学不断发展的作用。
神经外科的血流动力学是一个快速发展的精准医学领域,它结合了诊断和治疗模式,以优化患者的治疗效果。这种方法有可能在治疗过程中提供实时反馈,在诊断病情的同时提供治疗。聚焦超声是治疗学的一种形式,它能有效诱导神经消融和神经调节,并通过破坏血脑屏障提高化疗药物的疗效。靶向放射性核素疗法将正电子发射断层扫描示踪剂与治疗效果和成像模式结合起来,是神经外科领域另一种前景广阔的疗法。自动病理分析是治疗放射技术的另一种形式,可在肿瘤手术切除过程中提供实时反馈。电刺激也有望优化脑瘫患者的治疗。总之,治疗学是优化神经外科病人医疗护理的一种经济有效的方法。它是一个相对较新的领域,但迄今取得的进展表明,它在改善患者预后方面大有可为。
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