Improving Cancer Detection and Treatment with Liquid Biopsies and ptDNA.

Improving Cancer Detection and Treatment with Liquid Biopsies and ptDNA.
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DOI:
10.1016/j.trecan.2018.07.004
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发表时间:
2018-09
期刊:
影响因子:
18.4
通讯作者:
O'Connor TD
O'Connor TD
中科院分区:
医学1区
文献类型:
--
作者:
Kessler MD;Pawar NR;Martin SS;Antalis TM;O'Connor TD

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液体活检,或使用血液样本非侵入性分离和分析血浆肿瘤DNA(ptDNA)的能力,代表了现代肿瘤学的重要工具,可以实现越来越安全,个性化和强大的癌症诊断和治疗。在这里,我们回顾了液体活检方法的发展和实施的进展,我们专注于液体活检的能力,非侵入性检测肿瘤疾病,提高早期检测策略。除了注意到突变靶向和突变不可知方法之间的区别,我们还讨论了基因组分析和纵向测试的潜力,以早期识别体细胞病变,并指导在更易于管理的疾病阶段进行干预。
Liquid biopsy, or the capacity to non-invasively isolate and analyze plasma tumor DNA (ptDNA) using blood samples, represents an important tool for modern oncology that enables increasingly safe, personalized and robust cancer diagnosis and treatment. Here, we review advances in the development and implementation of liquid biopsy approaches, and we focus on the capacity of liquid biopsy to non-invasively detect oncological disease and enhance early detection strategies. In addition to noting the distinctions between mutation targeted and mutation agnostic approaches, we discuss the potential for genomic analysis and longitudinal testing to identify somatic lesions early, and to guide intervention at more manageable disease stages.
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