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Biomarkers for cancer staging, prognosis and individualized treatment. 癌症分期、预后和个体化治疗的生物标志物。
Pub Date : 2026-01-01 Epub Date: 2025-12-27 DOI: 10.1016/bs.acr.2025.12.007
Subhabrata Guha, Jenifer Bhattacharya, Gaurav Das

In this particular chapter, we have tried to explore the essential role of biomarkers in managing different cancers, focusing on their importance in staging, prognosis, and guiding individualized treatment methodologies. We also gain significant insights into how different molecular, proteomic, and genetic cancer biomarkers can control tumor behavior, aid in predicting the outcome of patients, especially the stage of cancer, and facilitate the selection of the appropriate treatment modality. This chapter also sheds light on the most recent developments that have taken place in the field of biomarker discovery, different types of cancer biomarkers, the challenges that lie ahead in translating the research on biomarkers to a new treatment modality, and the future role of biomarkers in precision oncology.

在本章中,我们试图探讨生物标志物在治疗不同癌症中的重要作用,重点关注它们在分期、预后和指导个体化治疗方法方面的重要性。我们还获得了重要的见解,了解不同的分子,蛋白质组学和遗传癌症生物标志物如何控制肿瘤行为,帮助预测患者的预后,特别是癌症的阶段,并促进选择适当的治疗方式。本章还阐述了生物标志物发现领域的最新进展,不同类型的癌症生物标志物,将生物标志物研究转化为新的治疗方式所面临的挑战,以及生物标志物在精准肿瘤学中的未来作用。
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引用次数: 0
Challenges in translating nanotechnology from research to clinical practice. 将纳米技术从研究转化为临床实践的挑战。
Pub Date : 2026-01-01 Epub Date: 2026-01-30 DOI: 10.1016/bs.acr.2026.01.002
Yash, Bhavesh Dharmani, Rajwinder Kaur, Diksha Choudhary, Rohit Bhatia, Ankush Kumar, Arun Kumar Singh

Nanotechnology has emerged as a promising frontier in the identification and treatment of skin cancer by offering innovative platforms for targeted drug administration, real-time imaging, and enhanced therapeutic efficacy. Though preclinical results are promising and scientific enthusiasm is rising, the shift of nanotechnological breakthroughs from research laboratories to clinical environments remains hampered. The main translational problems preventing the clinical acceptance of nanomedicine in skin cancer treatment are investigated in this chapter. It explores obstacles like manufacturing scalability, reproducibility, regulatory uncertainty, clinical trial design restrictions, financial limits, and intellectual property complexity. Moreover, the chapter describes strategic ways to get beyond these obstacles: multidisciplinary cooperation, regulatory harmonization, and the inclusion of digital technologies into development pipelines together with artificial intelligence (AI). This chapter seeks to give a complete knowledge of what it takes to propel nanotechnology beyond the bench and into pragmatic, patient-centred applications in oncology by closely analysing both the challenges and possible solutions.

纳米技术为靶向药物管理、实时成像和提高治疗效果提供了创新的平台,已成为皮肤癌识别和治疗的一个有前途的前沿。尽管临床前的结果很有希望,科学热情也在上升,但纳米技术突破从研究实验室向临床环境的转变仍然受到阻碍。本章探讨了阻碍纳米医学在皮肤癌治疗中的临床应用的主要转化问题。它探讨了制造可扩展性、可重复性、监管不确定性、临床试验设计限制、财务限制和知识产权复杂性等障碍。此外,本章还描述了克服这些障碍的战略途径:多学科合作、监管协调以及将数字技术与人工智能(AI)一起纳入开发管道。本章试图通过仔细分析纳米技术面临的挑战和可能的解决方案,全面了解如何将纳米技术从实验室推向实用的、以患者为中心的肿瘤学应用。
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引用次数: 0
Patient-centric approaches and personalized nanomedicine in skin cancer. 以患者为中心的方法和个性化的皮肤癌纳米医学。
Pub Date : 2026-01-01 Epub Date: 2026-02-04 DOI: 10.1016/bs.acr.2026.01.004
Umesh Kumar, Lakshita Tyagi, Garima Rathi, Satbir Singh Sehgal

One of the most common cancers in the world is still skin cancer, which includes both melanoma and non-melanoma forms like squamous cell carcinoma and basal cell carcinoma. Non-specificity, drug resistance, recurrence, and patient response variability are some of the drawbacks of traditional treatment modalities. In order to overcome these obstacles and improve the treatment of skin cancer, this review investigates the combination of personalized nanomedicine and patient-centric care models. Patient-centric approaches place a high value on shared decision-making, customized treatment plans, and ongoing feedback via mobile health technologies and patient-reported outcome measures (PROMs). At the same time, personalized nanomedicine uses sophisticated nanocarriers like liposomes, dendrimers, and gold nanoparticles to deliver targeted, effective, and less toxic therapies by utilizing molecular profiling and biomarker-guided strategies. When these paradigms are applied in concert, precise drug delivery is made possible, therapeutic results are improved, and treatments are tailored to the biological and psychosocial characteristics of the patients. The potential for these integrative approaches to revolutionize standard care in dermatologic oncology is highlighted in this paper along with their recent developments, clinical uses, and potential future directions.

世界上最常见的癌症之一仍然是皮肤癌,它包括黑色素瘤和非黑色素瘤形式,如鳞状细胞癌和基底细胞癌。非特异性、耐药、复发和患者反应可变性是传统治疗方式的一些缺点。为了克服这些障碍并改善皮肤癌的治疗,本文综述了个性化纳米医学与以患者为中心的护理模式的结合。以患者为中心的方法高度重视共享决策、定制治疗计划以及通过移动医疗技术和患者报告的结果测量(PROMs)进行的持续反馈。与此同时,个性化纳米医学利用复杂的纳米载体,如脂质体、树状大分子和金纳米颗粒,利用分子谱分析和生物标志物引导的策略,提供有针对性、有效和毒性较小的治疗。当这些范例协同应用时,可以精确地给药,改善治疗结果,并根据患者的生物学和社会心理特征量身定制治疗。本文强调了这些综合方法在皮肤肿瘤学标准治疗中的革命性潜力,以及它们的最新发展、临床应用和潜在的未来方向。
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引用次数: 0
Nanotechnology and immunotherapy synergies in skin cancer. 纳米技术和免疫疗法在皮肤癌中的协同作用。
Pub Date : 2026-01-01 Epub Date: 2026-02-16 DOI: 10.1016/bs.acr.2026.01.016
Aryan Borana, Prabha Rajput, Girdhari Lal Gupta, Mahaveer Singh, Saurabh Maru

The world's most prevalent malignancy, skin cancer, is a major public health problem due to its high mortality, morbidity, and rising incidence. There are still limitations, such as off-target toxicity, risk of recurrence, and resistance to therapy, particularly in advanced disease, even with the progress in early detection and conventional therapies such as surgery, radiation, and chemotherapy. Employing the immune system of the body to generate targeted anti-tumor responses, immunotherapy is a game-changing strategy. Its broader success is, however, limited by clinical challenges, including immune evasion, low response rates, and adverse immune-related side effects. The application of nanotechnology to immunotherapy and theranostics is discussed in this chapter and presents a synergistic approach to refining the precision, efficacy, and individualization of skin cancer therapy. Real-time image-guided therapy, better local concentration, reduced systemic toxicity, and enhanced immunotherapeutic delivery are all facilitated through nanomaterials, ranging from liposomes and polymeric nanoparticles to metallic and carbon-based platforms. Molecular pathophysiology of the two most common types of skin cancer, melanoma and non-melanoma and most current immunotherapeutic strategies, clinical outcomes, and associated toxicities are discussed in this chapter. The applications of nanotechnology in theranostics for concurrent therapy and diagnosis, targeted delivery of checkpoint inhibitors, cancer vaccines, and adoptive cell therapy are highlighted with specific emphasis. Combinatorial nanoplatforms and bionanomaterials that can be programmed have the possibility to bypass tumor resistance and offer truly personalized treatment. The chapter concludes with consideration of the present clinical applications, challenges, and possible future directions of theranostics and nanotechnology-enabled immunotherapy for skin cancer.

皮肤癌是世界上最普遍的恶性肿瘤,由于其高死亡率、发病率和发病率不断上升,是一个重大的公共卫生问题。尽管在早期检测和常规治疗(如手术、放疗和化疗)方面取得了进展,但仍然存在局限性,如脱靶毒性、复发风险和对治疗的耐药性,特别是在晚期疾病中。利用人体的免疫系统产生有针对性的抗肿瘤反应,免疫疗法是一种改变游戏规则的策略。然而,其更广泛的成功受到临床挑战的限制,包括免疫逃避、低应答率和不良的免疫相关副作用。本章讨论了纳米技术在免疫治疗和治疗学中的应用,并提出了一种提高皮肤癌治疗精度、疗效和个体化的协同方法。实时图像引导治疗、更好的局部浓度、降低全身毒性和增强免疫治疗递送都是通过纳米材料实现的,从脂质体、聚合纳米颗粒到金属和碳基平台。本章讨论了两种最常见类型的皮肤癌,黑色素瘤和非黑色素瘤的分子病理生理学以及最新的免疫治疗策略、临床结果和相关毒性。纳米技术在治疗学中的应用,包括并发治疗和诊断、靶向递送检查点抑制剂、癌症疫苗和过继细胞治疗。可编程的组合纳米平台和生物纳米材料有可能绕过肿瘤耐药性,提供真正的个性化治疗。本章最后考虑了目前的临床应用,挑战,以及治疗学和纳米技术支持的皮肤癌免疫治疗的可能的未来方向。
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引用次数: 0
Nanotechnology in photodynamic and photothermal therapy for skin cancer. 纳米技术在光动力和光热治疗皮肤癌中的应用。
Pub Date : 2026-01-01 Epub Date: 2026-02-03 DOI: 10.1016/bs.acr.2026.01.005
Steffy Mary Chandy, Sangeeta Dwivedi, Saurabh Maru, Rakhi Khabiya

Skin is the largest organ of the body, which comprises of 16 % of the body weight. It has layered structure which consists of epidermis and dermis and plays a crucial role in protection. Due to factors like UV exposure, there is rising global incidence and mortality of skin cancer and thus there is requirement for advanced treatment methods beyond current methods. So, leading to the exploration of nanotechnology-driven therapies that provide improved diagnostic capabilities, targeted drug delivery and minimized adverse effects. Photodynamic therapy (PDT) uses photosensitizers that is activated by specific light wavelengths and offers minimal invasive treatment with the help of production of reactive oxygen species that destroy cancer cells. The challenges faced by conventional PDT is overcome by advancements such as targeted delivery systems, nanocarriers and oxygen-enhancing strategies. Photothermal therapy (PTT) is also a minimally invasive cancer treatment that uses absorbing agents like nanoparticles which absorb near-infrared (NIR) light. It destroys the cancer cells whiles sparing the healthy tissue by generation of localized heat. Nanotechnology significantly enhances both photodynamic therapy (PDT) and photothermal therapy (PTT) by controlled drug release, precise tumour targeting and improved heat agent or photosensitizer stability. With the use of advanced nanocarriers and NIR-responsive systems greater efficacy in hypoxic environments, reduced side effects and deeper tissue penetration is achieved when compared to conventional approaches. While clinical translation faces challenges like scalability, standardization and safety ongoing advancements in theranostics, AI and biodegradable nanomaterials has the potential to enhance therapeutic outcomes by overcoming these drawbacks.

皮肤是人体最大的器官,占体重的16%。它具有由表皮和真皮层组成的层状结构,起着至关重要的保护作用。由于紫外线照射等因素,全球皮肤癌的发病率和死亡率不断上升,因此需要超越现有方法的先进治疗方法。因此,导致探索纳米技术驱动的疗法,提供改进的诊断能力,靶向药物输送和最小化的副作用。光动力疗法(PDT)使用由特定光波长激活的光敏剂,在产生破坏癌细胞的活性氧的帮助下提供最小的侵入性治疗。传统PDT面临的挑战被诸如靶向递送系统、纳米载体和增氧策略等进步所克服。光热疗法(PTT)也是一种微创癌症治疗,它使用吸收剂,如吸收近红外(NIR)光的纳米颗粒。它通过产生局部热量来摧毁癌细胞,同时保留健康组织。纳米技术通过控制药物释放、精确的肿瘤靶向和改善热剂或光敏剂的稳定性,显着增强了光动力治疗(PDT)和光热治疗(PTT)。与传统方法相比,先进的纳米载体和nir反应系统在缺氧环境中具有更高的疗效,更少的副作用和更深的组织穿透。尽管临床翻译面临着可扩展性、标准化和安全性等挑战,但治疗学、人工智能和可生物降解纳米材料的持续进步有可能通过克服这些缺点来提高治疗效果。
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引用次数: 0
Role of biomarkers in cancer detection, diagnosis, and treatment. 生物标志物在癌症检测、诊断和治疗中的作用。
Pub Date : 2026-01-01 Epub Date: 2026-01-30 DOI: 10.1016/bs.acr.2025.12.004
Puja Sohal, Randeep Guleria

In oncology, biomarkers have various probable applications. They are crucial in cancer detection and are vital in diagnosis, predicting outcomes, and determining the prognosis of various types of cancer. Biomarkers are critical in enhancing treatment outcomes and reducing healthcare costs. Numerous biomolecules can be used as diagnostic, predictive, and prognostic cancer biomarkers. These biomolecules include genetic, epigenetic, transcriptomic, metabolomic, proteomic, cellular, physiological, or imaging-based biomarkers. Cancer cells or surrounding non-cancerous cells produce cancer biomarkers in response to the presence of tumors. It offers a critical insight into molecular and cellular changes associated with malignancy. Once a biomarker is identified, it helps elucidate the molecular pathways linked to the onset and progression of cancer and is used to formulate treatment. Many cancer biomarkers are already in therapeutic practice. One major challenge is the development of early-stage detection and prognostic biomarkers, as most early-stage cancers are often asymptomatic and therefore difficult to detect. This chapter will cover the broad spectrum of the role of cancer biomarkers and their application in the context of cancer detection, diagnosis, and treatment.

在肿瘤学中,生物标志物有各种可能的应用。它们在癌症检测中至关重要,在诊断、预测结果和确定各种类型癌症的预后方面至关重要。生物标志物在提高治疗效果和降低医疗成本方面至关重要。许多生物分子可以用作诊断、预测和预后癌症的生物标志物。这些生物分子包括遗传、表观遗传、转录组、代谢组、蛋白质组、细胞、生理或基于成像的生物标志物。癌细胞或周围的非癌细胞在肿瘤出现时产生癌症生物标志物。它为与恶性肿瘤相关的分子和细胞变化提供了重要的见解。一旦确定了生物标志物,它有助于阐明与癌症发生和发展有关的分子途径,并用于制定治疗方案。许多癌症生物标志物已经在治疗实践中。一个主要的挑战是早期检测和预后生物标志物的发展,因为大多数早期癌症通常无症状,因此难以检测。本章将涵盖癌症生物标志物的广泛作用及其在癌症检测、诊断和治疗方面的应用。
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引用次数: 0
Emerging trends in cancer biomarkers and their clinical effect on personalized treatment. 癌症生物标志物的新趋势及其在个性化治疗中的临床作用。
Pub Date : 2026-01-01 Epub Date: 2025-12-16 DOI: 10.1016/bs.acr.2025.12.002
Julius Oluwafemi Opatoyinbo, Clinton Ayodeji Akanbi, Adebola Busola Ojo, Akingbolabo Daniel Ogunlakin, Olorunfemi Raphael Molehin, Oluwafemi Adeleke Ojo

One of the most difficult global health issues is cancer, whose incidence and mortality rates are expected to rise significantly over the next several decades. This increasing burden highlights the need for early diagnosis, accurate prognostic tools, and predictive markers for individualized treatment plans. Biomarkers, which are measurable indicators of disease states or therapeutic responses, have become essential to modern oncology and are driving the precision medicine revolution by improving patient stratification, directing therapy choices, and facilitating disease monitoring. This review explores the development of cancer biomarkers, tracing their progression from early histopathological and serum markers to advanced molecular and immunological tools. The key biomarker categories discussed include genomic alterations such as somatic mutations, gene fusions, and copy number variations, all of which offer actionable insights for targeted therapies. Epigenetic markers, which include noncoding RNAs, histone modifications, and DNA methylation, are notable for their regulatory functions and hold promise as noninvasive diagnostic instruments. Proteomic and metabolomic methods offer useful insights into tumor biology, while circulating biomarkers, including circulating tumor DNA (ctDNA), circulating tumor cells (CTCs), and exosomes, allow real-time, noninvasive monitoring of disease progression and minimal residual disease. Immunological biomarkers such as the tumor mutational burden (TMB) and programmed cell death ligand-1 (PD-L1) expression are becoming increasingly important in guiding immunotherapy choices. This study also highlights how emerging technologies, including next-generation sequencing, liquid biopsy platforms, and artificial intelligence-based analytics, have accelerated biomarker discovery and integration into clinical workflows. The observable advantages of biomarker-driven care are demonstrated by case studies and real-world applications in a variety of cancer types. Despite tremendous advancements, obstacles such as tumor heterogeneity, intertest variability, high costs, inconsistent regulations, and differences in healthcare infrastructure prevent widespread adoption, particularly in low- and middle-income nations where access to biomarker technologies is still unequal and could exacerbate global disparities in cancer outcomes. Future directions include the use of multiplex biomarker panels, the integration of digital pathology, and the exploration of novel biomarker domains such as the tumor microenvironment and microbiome. Personalized neoantigen-based vaccines and immunotherapies also represent promising frontiers. Overall, this review underscores the transformative potential of biomarkers in reshaping cancer diagnostics and therapeutics and calls for sustained collaborative research, technological advancements, and equitable policy frameworks to realize their full global impact.

最棘手的全球健康问题之一是癌症,其发病率和死亡率预计在今后几十年将显著上升。这一日益增加的负担凸显了对早期诊断、准确预后工具和个性化治疗计划预测标记物的需求。生物标志物是疾病状态或治疗反应的可测量指标,已成为现代肿瘤学的关键,并通过改善患者分层、指导治疗选择和促进疾病监测,推动了精准医学革命。本文综述了癌症生物标志物的发展,从早期的组织病理学和血清标志物到先进的分子和免疫学工具。讨论的关键生物标志物类别包括基因组改变,如体细胞突变、基因融合和拷贝数变异,所有这些都为靶向治疗提供了可行的见解。表观遗传标记,包括非编码rna、组蛋白修饰和DNA甲基化,以其调控功能而闻名,有望成为无创诊断工具。蛋白质组学和代谢组学方法为肿瘤生物学提供了有用的见解,而循环生物标志物,包括循环肿瘤DNA (ctDNA)、循环肿瘤细胞(CTCs)和外泌体,允许实时、无创地监测疾病进展和最小残留疾病。肿瘤突变负荷(TMB)和程序性细胞死亡配体-1 (PD-L1)表达等免疫生物标志物在指导免疫治疗选择方面变得越来越重要。这项研究还强调了新兴技术,包括下一代测序、液体活检平台和基于人工智能的分析,如何加速生物标志物的发现并融入临床工作流程。生物标志物驱动的护理的可观察到的优势是通过案例研究和实际应用在各种癌症类型证明。尽管取得了巨大的进步,但诸如肿瘤异质性、兴趣变异、高成本、不一致的法规和医疗基础设施差异等障碍阻碍了生物标志物技术的广泛采用,特别是在低收入和中等收入国家,这些国家获得生物标志物技术的机会仍然不平等,并可能加剧全球癌症结果的差异。未来的方向包括使用多重生物标志物面板,整合数字病理学,以及探索新的生物标志物域,如肿瘤微环境和微生物组。个体化新抗原疫苗和免疫疗法也代表着前景广阔的前沿。总的来说,这篇综述强调了生物标志物在重塑癌症诊断和治疗方面的变革潜力,并呼吁持续的合作研究、技术进步和公平的政策框架,以实现其全面的全球影响。
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引用次数: 0
Biomarkers for cancer screening, diagnosis and targeted therapeutic approaches. 用于癌症筛查、诊断和靶向治疗方法的生物标志物。
Pub Date : 2026-01-01 Epub Date: 2026-01-19 DOI: 10.1016/bs.acr.2025.12.008
Manish Shukla, Jai Chand Patel, Meenakshi Shukla, Karishma Das Purkayastha

The introduction of molecular diagnostics has completely changed oncology, moving the classification based on histology to biomarker-driven precision medicine. Through the use of biomarkers genomic, transcriptomic, proteomic, metabolomic, and epigenetic changes the cancer field is able to gain much needed insights for detection at an early stage, prognosis that is accurate, and treatment selection that is personalized. The current paper looks at the high-tech molecular processes that make the discovery and use of biomarkers possible, including next-generation sequencing, mass spectrometry, and PCR-based techniques, which are capable of very sensitive detection of everything from single-nucleotide variants to complete proteomic profiles. The talk points out the successful clinical translations like EGFR inhibitors in lung cancer and PARP inhibitors in BRCA-mutant cancers, at the same time acknowledging the biggest hurdles in biomarker validation such as standardization, ethical issues, and making sure no one is left out in access to the benefits. Some of the most promising new technologies like single-cell sequencing, CRISPR-based diagnostics, and artificial intelligence are expected to bring about further revolution in the area by unraveling the complexities of tumor heterogeneity, facilitating super-sensitive detection, and assimilating data from multiple omics. The future of cancer biomarker analysis is in the application of diverse molecular layers to evolve dynamic and comprehensive profiles of individual tumors. This will enable real-time monitoring through liquid biopsy and point-of-care devices. Ultimately, the constant improvement and the interdisciplinary partnership in biomarker science are of utmost importance to the full realization of the personalized oncology's promise and the enhancement of the survival rate of all cancer patients.

分子诊断学的引入彻底改变了肿瘤学,将基于组织学的分类转变为生物标志物驱动的精准医学。通过使用生物标志物基因组学、转录组学、蛋白质组学、代谢组学和表观遗传学变化,癌症领域能够获得早期检测、准确预后和个性化治疗选择急需的见解。当前的论文着眼于使生物标志物的发现和使用成为可能的高科技分子过程,包括下一代测序,质谱分析和基于pcr的技术,这些技术能够非常灵敏地检测从单核苷酸变异到完整的蛋白质组学图谱的一切。该演讲指出了成功的临床转化,如肺癌中的EGFR抑制剂和brca突变癌症中的PARP抑制剂,同时承认生物标志物验证中的最大障碍,如标准化,伦理问题,并确保没有人被排除在获益之外。一些最有前途的新技术,如单细胞测序、基于crispr的诊断和人工智能,有望通过揭示肿瘤异质性的复杂性、促进超灵敏检测和吸收来自多个组学的数据,带来该领域的进一步革命。癌症生物标志物分析的未来是应用不同的分子层来进化个体肿瘤的动态和全面的概况。这将通过液体活检和即时护理设备实现实时监测。最终,生物标志物科学的不断进步和跨学科合作对于充分实现个性化肿瘤学的承诺和提高所有癌症患者的生存率至关重要。
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引用次数: 0
Recent advances in detection techniques regarding predictive, prognostic and diagnostic biomarkers in body fluids and its future challenges. 体液中生物标志物的预测、预后和诊断检测技术的最新进展及其未来的挑战。
Pub Date : 2026-01-01 Epub Date: 2025-12-19 DOI: 10.1016/bs.acr.2025.12.003
Sanjeev Kumar, Lal Chuangsangi, Girish Chandra Mohanta, Satish Kumar Pandey

Cancer remains a major health concern worldwide owing to deceased millions of individuals annually. Therefore, early detection and precise diagnosis of this deadly threat is primarily concern of the scientific community to reduce the treatment complications and improve the survival rate of individual. In this context, molecular biomarkers found in body fluids such as blood, urine, saliva, tears and cerebrospinal fluid have become important tools for predicting, diagnosing, and monitoring different cancers. These biomarkers include DNA, RNA, protein, exosomes and metabolites etc., provide valuable information about tumour development and progression. Additionally, continuous progress and advancement in molecular biology and analytical sciences playing a pivotal role in identification, real time monitoring and validation of these biomarkers with greater accuracy, sensitivity and less invasiveness approach. Techniques such as next-generation sequencing, quantitative PCR, proteomics, and liquid biopsy are increasingly being used to detect circulating tumour DNA, microRNAs, and other disease-related molecules. Even though, after these encouraging advances, few limitations still persist such as variation in biomarker levels among individuals, limited standardization of analytical methods, and the need for large-scale clinical validation. This book chapter concise the overview of predictive, prognostic, and diagnostic biomarkers in body fluids, highlighting their biological origins, numerous detection technologies, as well as their clinical significance across major cancer types. Additionally, it also includes the recent progress in integrating nanotechnology, bioinformatics, and artificial intelligence to strengthen cancer diagnostics. Besides to the above discussed major points, this chapter concludes by emphasizing the future potential of multi-omics integration and body fluid-based diagnostics in advancing precision oncology and improving patient outcomes.

由于每年有数百万人死亡,癌症仍然是全世界的一个主要健康问题。因此,早期发现和准确诊断这一致命威胁是科学界关注的首要问题,以减少治疗并发症,提高个体生存率。在这种情况下,在血液、尿液、唾液、眼泪和脑脊液等体液中发现的分子生物标志物已成为预测、诊断和监测不同癌症的重要工具。这些生物标志物包括DNA、RNA、蛋白质、外泌体和代谢物等,为肿瘤的发生和发展提供了有价值的信息。此外,分子生物学和分析科学的不断进步和进步在识别、实时监测和验证这些生物标志物方面发挥着关键作用,这些生物标志物具有更高的准确性、灵敏度和更低的侵入性。新一代测序、定量PCR、蛋白质组学和液体活检等技术越来越多地用于检测循环肿瘤DNA、microrna和其他疾病相关分子。尽管取得了这些令人鼓舞的进展,但仍然存在一些限制,例如个体间生物标志物水平的差异、分析方法的有限标准化以及对大规模临床验证的需求。这本书的章节简明扼要的预测,预后和诊断的生物标志物在体液的概述,突出其生物起源,众多的检测技术,以及他们的临床意义跨主要癌症类型。此外,它还包括整合纳米技术,生物信息学和人工智能以加强癌症诊断的最新进展。除了上述讨论的要点外,本章最后强调了多组学整合和基于体液的诊断在推进精确肿瘤学和改善患者预后方面的未来潜力。
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引用次数: 0
Case studies and real-world applications of skin cancer. 皮肤癌的案例研究和实际应用。
Pub Date : 2026-01-01 Epub Date: 2026-02-19 DOI: 10.1016/bs.acr.2026.01.007
Bhavesh Dharmani, Iresha Malhotra, Rajwinder Kaur, Diksha Choudhary, Arun Kumar Singh, Manoj Kumar Mishra

Skin cancer carries a significant global health concern; the incidence is further rising due to environmental exposure and genetic predisposition. In this chapter, nanotechnology is explored in the context of its practical and clinical importance for skin cancer diagnosis, treatment, and prevention. It discusses, through real-world applications and case-based insights, how nanotechnology played a role in precise drug delivery, improved immunohistochemistry (i.e., for diagnosis and marking cells), and the manufacture of diagnostic tools for early detection. The manuscript emphasizes the use of nano enabled strategies like nanovaccines that modulate the immune system against tumor antigens, nano biosensors/ biomarker detectors, nano photothermal and photodynamic therapies. Furthermore, preventive nano-devices for high-risk people are presented in terms of wearable nano-devices that monitor ultraviolet exposure. Current literature and clinical outcomes allow this to be supported for each application, showcasing the integration of advanced materials science with oncology and how this benefits patient care. The chapter bridges theoretical innovation to clinical utility in dermatologic oncology through the example of these translational advances.

皮肤癌是一个重大的全球卫生问题;由于环境暴露和遗传易感性,发病率进一步上升。本章将探讨纳米技术在皮肤癌诊断、治疗和预防方面的实际和临床重要性。它通过现实世界的应用和基于案例的见解,讨论了纳米技术如何在精确的药物输送、改进的免疫组织化学(即用于诊断和标记细胞)以及制造用于早期检测的诊断工具方面发挥作用。该手稿强调使用纳米策略,如纳米疫苗,调节免疫系统对抗肿瘤抗原,纳米生物传感器/生物标志物探测器,纳米光热和光动力疗法。此外,针对高危人群的预防性纳米设备是监测紫外线暴露的可穿戴纳米设备。目前的文献和临床结果允许每个应用都支持这一点,展示了先进材料科学与肿瘤学的整合,以及这如何有利于患者护理。本章通过这些转化进步的例子,将理论创新连接到皮肤肿瘤学的临床应用。
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Advances in cancer research
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