Liquid Biopsy-Guided Interventional Oncology: A Proof of Concept with a Special Focus on Radiotherapy and Radiology.
Natalia MalaraGyörgy KovacsFrancesco BussuTeresa FerrazzoVirginia GaroCinzia RasoPatrizia CornacchioneRoberto IezziLuca TagliaferriPublished in: Cancers (2022)
Although the role of liquid biopsy (LB) to measure minimal residual disease (MRD) in the treatment of epithelial cancer is well known, the biology of the change in the availability of circulating biomarkers arising throughout treatments such as radiotherapy and interventional radio-oncology is less explained. Deep knowledge of how therapeutic effects can influence the biology of the release mechanism at the base of the biomarkers available in the bloodstream is needed for selecting the appropriate treatment-induced tumor circulating biomarker. Combining existing progress in the LB and interventional oncology (IO) fields, a proof of concept is provided, discussing the advantages of the traditional risk assessment of relapsing lesions, limitations, and the timing of detection of the circulating biomarker. The current review aims to help both interventional radiologists and interventional radiation oncologists evaluate the possibility of drawing a tailor-made board of blood-based surveillance markers to reveal subclinical diseases and avoid overtreatment.
Keyphrases
- risk assessment
- palliative care
- early stage
- artificial intelligence
- multiple sclerosis
- public health
- healthcare
- radiation therapy
- locally advanced
- squamous cell carcinoma
- ionic liquid
- ultrasound guided
- machine learning
- single cell
- fine needle aspiration
- genome wide
- gene expression
- dna methylation
- young adults
- gram negative
- rectal cancer
- diabetic rats
- deep learning
- combination therapy
- drug induced