Is the development of liquid biopsy for the early detection and the monitoring of breast cancers on its way of overtaking mammography?

Hicham Mansour, Chakib Nejjari, Roberto Incitti, Naima Anouar, A. Ouhajjou
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Abstract

Mammography, as of today, is used as a gold standard for screening, diagnosing, and monitoring breast cancer (BC). While overall beneficial, it presents several downsides, such as limitations in accuracy, relatively high costs, and dependence on heavy infrastructure, greatly limiting accessibility for the entire global target population. There is currently no established alternative to mammography, and overcoming this major challenge is a hot topic in research and technology. One avenue for tackling this issue is the development of highly sensitive and specific non-invasive blood tests for the early diagnosis and follow-up of breast cancer. This paper discusses the limitations of mammography and recapitulates the blood tests already available, those under development, and future developments in this field.
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用于早期检测和监测乳腺癌的液体活检技术是否正在超越乳房 X 线照相术?
目前,乳腺 X 射线照相术已成为筛查、诊断和监测乳腺癌(BC)的黄金标准。虽然乳腺 X 射线照相术总体上是有益的,但它也存在一些缺点,如准确性有限、成本相对较高、依赖于繁重的基础设施等,极大地限制了全球目标人群的可及性。目前还没有成熟的乳腺 X 射线照相术替代方法,克服这一重大挑战是研究和技术领域的热门话题。解决这一问题的途径之一是开发高灵敏度和特异性的无创血液检测,用于乳腺癌的早期诊断和随访。本文讨论了乳房 X 射线照相术的局限性,并概述了已有的血液检测方法、正在开发的检测方法以及该领域的未来发展。
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