首页|HER-2阳性胃癌的影像学表现及研究进展

HER-2阳性胃癌的影像学表现及研究进展

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胃癌是消化系统最常见的恶性肿瘤之一,早期症状不明显,一经发现常为晚期,预后极差,迫切需要新的治疗策略改善胃癌患者的预后.分子靶向药物曲妥珠单抗(针对人表皮生长因子受体2的单克隆抗体)联合化疗能显著改善胃癌患者的总体生存期及预后.传统的HER-2检测方法是对手术标本或活检标本进行免疫组织化学染色和荧光原位杂交,但胃癌具有高度异质性,活检标本仅显示肿瘤的一部分,这将会使测试结果不正确,假阴性的风险增高,患者失去靶向治疗的机会.随着医疗技术的日益成熟,越来越多的临床试验开始挖掘无创影像手段在甄别HER-2表达方面的价值.本文就无创影像手段在评估HER-2阳性胃癌方面的价值进行综述.
Imaging Manifestations and Research Progress of Human Epidermal Growth Factor Receptor2 Positive Gastric Cancer
Gastric cancer is one of the most common malignant tumors in the digestive system.The early symptoms are not obvious,and the prognosis is often very poor once found.New therapeutic strategies are urgently needed to improve the prognosis of patients with gastric cancer.Trastuzumab(Monoclonal antibody against human epidermal growth factor receptor 2)combined with chemotherapy can significantly improve the overall survival and prognosis of patients with gastric cancer.The traditional methods for the detection of human epidermal growth factor receptor2 are immunohistochemical staining and fluorescence in situ hybridization of surgical specimens or biopsy specimens,Gastric cancer is highly heterogeneous tumor,and biopsy specimens show only part of the tumor,which can lead to incorrect test results,an increased risk of false negative results,and patients losing the opportunity to target therapy.With the increasing maturity of medical technology,more and more clinical trials begin to explore the value of non-invasive imaging methods in identifying human epidermal growth factor receptor2 expression.This review documents the value of noninvasive imaging in evaluating human epidermal growth factor receptor2 positive gastric cancer.

Gastric CancerHuman Epidermal Growth Factor Receptor2Computer TomographMagnetic Resonance ImagingRadiomics

马伟琴、张婷、任基伟

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山西医科大学医学影像学院(山西太原 030012)

山西省肿瘤医院(中国医学科学院肿瘤医院山西医院)CT/MRI室(山西太原 030013)

胃癌 人表皮生长因子受体-2 电子计算机断层扫描 磁共振成像 影像组学

山西省卫生计生委科研项目山西省重点研发计划

2015053201903D321201

2024

中国CT和MRI杂志
北京大学深圳临床医学院 北京大学第一医院

中国CT和MRI杂志

CSTPCD
影响因子:1.578
ISSN:1672-5131
年,卷(期):2024.22(4)
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