Assessing Outcomes in NSCLC: Radiomic analysis, kinetic analysis and circulating tumor DNA

IF 3 3区 医学 Q2 ONCOLOGY Seminars in oncology Pub Date : 2022-06-01 DOI:10.1053/j.seminoncol.2022.06.002
Ashray Maniar , Alexander Z. Wei , Laurent Dercle , Harold H. Bien , Tito Fojo , Susan E. Bates , Lawrence H. Schwartz
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引用次数: 1

Abstract

Current radiographic methods of measuring treatment response for patients with nonsmall cell lung cancer have significant limitations. Recently, new modalities using standard of care images or minimally invasive blood-based DNA tests have gained interest as methods of evaluating treatment response. This article highlights three emerging modalities: radiomic analysis, kinetic analysis and serum-based measurement of circulating tumor DNA, with a focus on the clinical evidence supporting these methods. Additionally, we discuss the possibility of combining these modalities to develop a robust biomarker with strong correlation to clinically meaningful outcomes that could impact clinical trial design and patient care. At Last, we focus on how these methods specifically apply to a Veteran population.

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评估NSCLC的预后:放射组学分析、动力学分析和循环肿瘤DNA
目前测量非小细胞肺癌患者治疗反应的放射学方法有明显的局限性。最近,使用标准护理图像或微创血液DNA测试的新模式作为评估治疗反应的方法已经引起了人们的兴趣。本文重点介绍了三种新兴模式:放射组学分析、动力学分析和基于血清的循环肿瘤DNA测量,并重点介绍了支持这些方法的临床证据。此外,我们还讨论了将这些模式结合起来开发一种强大的生物标志物的可能性,这种生物标志物与可能影响临床试验设计和患者护理的临床有意义的结果有很强的相关性。最后,我们将重点讨论这些方法如何具体适用于退伍军人群体。
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来源期刊
Seminars in oncology
Seminars in oncology 医学-肿瘤学
CiteScore
6.60
自引率
0.00%
发文量
58
审稿时长
104 days
期刊介绍: Seminars in Oncology brings you current, authoritative, and practical reviews of developments in the etiology, diagnosis and management of cancer. Each issue examines topics of clinical importance, with an emphasis on providing both the basic knowledge needed to better understand a topic as well as evidence-based opinions from leaders in the field. Seminars in Oncology also seeks to be a venue for sharing a diversity of opinions including those that might be considered "outside the box". We welcome a healthy and respectful exchange of opinions and urge you to approach us with your insights as well as suggestions of topics that you deem worthy of coverage. By helping the reader understand the basic biology and the therapy of cancer as they learn the nuances from experts, all in a journal that encourages the exchange of ideas we aim to help move the treatment of cancer forward.
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