Image-guided biopsy in the age of personalised medicine: strategies for success and safety.
Clin Radiol
; 76(2): 154.e1-154.e9, 2021 Feb.
Article
en En
| MEDLINE
| ID: mdl-32896425
ABSTRACT
Oncology has progressed into an era of personalised medicine, whereby the therapeutic regimen is tailored to the molecular profile of the patient's cancer. Determining personalised therapeutic options is achieved by using tumour genomics and proteomics to identify the specific molecular targets against which candidate drugs can interact. Several dozen targeted drugs, many for multiple cancer types are already widely in clinical use. Molecular profiling of tumours is contingent on high-quality biopsy specimens and the most common method of tissue sampling is image-guided biopsy. Thus, for radiologists performing these biopsies, the paradigm has now shifted away from obtaining specimens simply for histopathological diagnosis to acquiring larger amounts of viable tumour cells for DNA, RNA, or protein analysis. These developments have highlighted the central role now played by radiologists in the delivery of personalised cancer care. This review describes the principles of molecular profiling assays and biopsy techniques for optimising yield, and describes a scoring system to assist in patient selection for percutaneous biopsy.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Diagnóstico por Imagen
/
Genómica
/
Medicina de Precisión
/
Neoplasias
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
Límite:
Humans
Idioma:
En
Revista:
Clin Radiol
Año:
2021
Tipo del documento:
Article