Interventional Oncology Meets Immuno-oncology: Combination Therapies for Hepatocellular Carcinoma.

IF 12.1 1区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Radiology Pub Date : 2024-11-01 DOI:10.1148/radiol.232875
Ryan Bitar, Riad Salem, Richard Finn, Tim F Greten, S Nahum Goldberg, Julius Chapiro
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Abstract

The management of hepatocellular carcinoma (HCC) is undergoing transformational changes due to the emergence of various novel immunotherapies and their combination with image-guided locoregional therapies. In this setting, immunotherapy is expected to become one of the standards of care in both neoadjuvant and adjuvant settings across all disease stages of HCC. Currently, more than 50 ongoing prospective clinical trials are investigating various end points for the combination of immunotherapy with both percutaneous and catheter-directed therapies. This review will outline essential tumor microenvironment mechanisms responsible for disease evolution and therapy resistance, discuss the rationale for combining locoregional therapy with immunotherapy, summarize ongoing clinical trials, and report on developing imaging end points and novel biomarkers that are relevant to both diagnostic and interventional radiologists participating in the management of HCC.

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介入肿瘤学与免疫肿瘤学的结合:肝细胞癌的联合疗法。
由于出现了各种新型免疫疗法并将其与图像引导的局部疗法相结合,肝细胞癌(HCC)的治疗正在经历变革。在这种情况下,免疫疗法有望成为新辅助治疗和辅助治疗各期 HCC 的标准疗法之一。目前,有 50 多项正在进行的前瞻性临床试验正在研究免疫疗法与经皮疗法和导管引导疗法相结合的各种终点。本综述将概述导致疾病演变和耐药性的基本肿瘤微环境机制,讨论将局部治疗与免疫疗法相结合的理由,总结正在进行的临床试验,并报告与参与 HCC 治疗的诊断和介入放射科医生相关的影像学终点和新型生物标记物的发展情况。
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来源期刊
Radiology
Radiology 医学-核医学
CiteScore
35.20
自引率
3.00%
发文量
596
审稿时长
3.6 months
期刊介绍: Published regularly since 1923 by the Radiological Society of North America (RSNA), Radiology has long been recognized as the authoritative reference for the most current, clinically relevant and highest quality research in the field of radiology. Each month the journal publishes approximately 240 pages of peer-reviewed original research, authoritative reviews, well-balanced commentary on significant articles, and expert opinion on new techniques and technologies. Radiology publishes cutting edge and impactful imaging research articles in radiology and medical imaging in order to help improve human health.
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