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Journal of Zhejiang University SCIENCE B

ISSN 1673-1581(Print), 1862-1783(Online), Monthly

Advancements in molecular imaging probes for precision diagnosis and treatment of prostate cancer

Abstract: Prostate cancer is the second most common cancer in men, accounting for 14.1% of new cancer cases in 2020. The aggressiveness of prostate cancer is highly variable, depending on its grade and stage at the time of diagnosis. Despite recent advances in prostate cancer treatment, some patients still experience recurrence or even progression after undergoing radical treatment. Accurate initial staging and monitoring for recurrence determine patient management, which in turn affect patient prognosis and survival. Classical imaging has limitations in the diagnosis and treatment of prostate cancer, but the use of novel molecular probes has improved the detection rate, specificity, and accuracy of prostate cancer detection. Molecular probe-based imaging modalities allow the visualization and quantitative measurement of biological processes at the molecular and cellular levels in living systems. An increased understanding of tumor biology of prostate cancer and the discovery of new tumor biomarkers have allowed the exploration of additional molecular probe targets. The development of novel ligands and advances in nano-based delivery technologies have accelerated the research and development of molecular probes. Here, we summarize the use of molecular probes in positron emission tomography (PET), single-photon emission computed tomography (SPECT), magnetic resonance imaging (MRI), optical imaging, and ultrasound imaging, and provide a brief overview of important target molecules in prostate cancer.

Key words: Molecular imaging; Prostate cancer; Nuclear medicine; Prostate-specific membrane antigen (PSMA); Nanoparticle

Chinese Summary  <2> 前列腺癌精确诊断与治疗的分子成像探针技术的研究进展

方家杰1,Ahmad ALHASKAWI2,董延钊2,程澄1,3,徐志杰1,3,田俊杰1,3,Sahar Ahmed ABDALBARY4,5,卢荟2,6
1浙江大学医学院附属第一医院泌尿外科,中国杭州市,310006
2浙江大学医学院附属第一医院骨科,中国杭州市,310024
3浙江省膀胱癌创新诊断治疗工程技术研究中心,中国杭州市,310024
4那赫达大学物理治疗学院骨科物理治疗系,埃及本尼苏伊夫,62511
5那赫达大学生物力学与显微外科实验室,埃及本尼苏伊夫,62511
6浙江大学阿里巴巴-浙江大学未来数字医疗联合研究中心,中国杭州市,310058
摘要:前列腺癌是男性第二常见癌症,在2020年占新发癌症病例的14.1%。前列腺癌的侵袭性高度变异,取决于其在诊断时的分级和分期。尽管近年来前列腺癌治疗有所进步,但仍有一些患者在接受根治性治疗后会出现疾病的复发甚至进展的情况。精确的初始分期和复发监测决定了患者的治疗方案,进而影响患者的预后和生存率。相比传统影像学在前列腺癌的诊断和治疗中的局限性,新型分子探针的使用提高了前列腺癌检测的检出率、特异性和准确性。基于分子探针的影像学方式可以在活体系统中实现分子和细胞水平的生物学过程的可视化和定量测量。对前列腺癌肿瘤生物学的深入理解和新肿瘤生物标志物的发现,使得探索新的分子探针目标成为可能。新型配体的开发和基于纳米的传递技术的进步加速了分子探针的研究和开发。在此,我们总结了分子探针在正电子发射断层扫描(PET)、单光子发射计算机断层扫描(SPECT)、磁共振成像(MRI)、光学成像和超声成像中的应用,并简述了前列腺癌中重要的靶分子。

关键词组:分子影像学;前列腺癌;核医学;前列腺特异性膜抗原(PSMA);纳米颗粒


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DOI:

10.1631/jzus.B2300614

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On-line Access:

2025-02-26

Received:

2023-08-29

Revision Accepted:

2023-11-30

Crosschecked:

2025-02-27

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