Study of urine-based mRNA biomarkers for early detection of nonmuscle invasive bladder cancer (NMIBC)
Urologic Oncology Seminars and Original Investigations,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 1, 2025
Language: Английский
Personalizing perioperative therapy in muscle-invasive bladder cancer: balancing oncologic benefit, toxicity, and the risk of overtreatment
Geehyun Song,
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Whi‐An Kwon,
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Eui Jung
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et al.
Journal of Korean Medical Association,
Journal Year:
2025,
Volume and Issue:
68(4), P. 215 - 227
Published: April 10, 2025
Purpose:
Muscle-invasive
bladder
cancer
(MIBC)
is
an
aggressive
with
a
high
recurrence
risk
due
to
micrometastases.
Standard
treatment,
neoadjuvant
cisplatin-based
chemotherapy
followed
by
radical
cystectomy,
not
suitable
for
all
patients,
many
being
ineligible
or
experiencing
recurrence,
alongside
significant
toxicity
concerns.Current
Concepts:
The
introduction
of
immune
checkpoint
inhibitors
(ICIs)
into
the
perioperative
setting
—including
ICI
use
in
cisplatin-ineligible
adjuvant
high-risk
individuals,
and
chemoimmunotherapy
either
preoperative
postoperative
period—has
demonstrated
promising
clinical
outcomes.
Additionally,
preservation
strategies
are
currently
under
investigation
select
patients
who
exhibit
favorable
treatment
responses,
aiming
maintain
quality
life
without
compromising
oncologic
Nevertheless,
challenges
such
as
overtreatment,
long-term
toxicity,
immune-related
adverse
events
remain
significant,
underscoring
necessity
precise
patient
selection.Discussion
Conclusion:
To
personalize
management
MIBC,
it
essential
develop
clinically
implement
robust
predictive
biomarkers.
Assessment
molecular
residual
disease
using
circulating
tumor
DNA
emerging
method
stratify
risk,
guide
decisions,
monitor
therapeutic
response
real
time.
Future
research
should
prioritize
validation
these
biomarkers,
refinement
selection
criteria
strategies,
evaluation
novel
agents
antibody-drug
conjugates
fibroblast
growth
factor
receptor
setting.
Ultimately,
adopting
precision
oncology
approach
will
be
critical
balancing
efficacy
achieving
patient-centered
Language: Английский
Enhancing detection and monitoring of circulating tumor cells: Integrative approaches in liquid biopsy advances
Thanmayi Velpula,
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Buddolla Viswanath
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The Journal of Liquid Biopsy,
Journal Year:
2025,
Volume and Issue:
8, P. 100297 - 100297
Published: April 29, 2025
Language: Английский
Over-expression of KRT17 and MDK genes at mRNA levels in urine-exfoliated cells is associated with early non-invasive diagnosis of non-muscle-invasive bladder cancer
Parisa Dayati,
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Nasser Shakhssalim,
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Abdolamir Allameh
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et al.
Clinical Biochemistry,
Journal Year:
2024,
Volume and Issue:
131-132, P. 110808 - 110808
Published: July 27, 2024
Language: Английский
Improving platelet‐RNA‐based diagnostics: a comparative analysis of machine learning models for cancer detection and multiclass classification
Molecular Oncology,
Journal Year:
2024,
Volume and Issue:
18(11), P. 2743 - 2754
Published: June 17, 2024
Liquid
biopsy
demonstrates
excellent
potential
in
patient
management
by
providing
a
minimally
invasive
and
cost‐effective
approach
to
detecting
monitoring
cancer,
even
at
its
early
stages.
Due
the
complexity
of
liquid
data,
machine‐learning
techniques
are
increasingly
gaining
attention
sample
analysis,
especially
for
multidimensional
data
such
as
RNA
expression
profiles.
Yet,
there
is
no
agreement
community
on
which
methods
most
effective
or
how
process
data.
To
circumvent
this,
we
performed
large‐scale
study
using
various
techniques.
First,
took
closer
look
existing
datasets
filtered
out
some
patients
assert
collection
quality.
The
final
included
platelet
samples
acquired
from
1397
cancer
(17
types
cancer)
354
asymptomatic,
presumed
healthy,
donors.
Then,
assessed
an
array
different
models
(e.g.,
feature
selection
transcripts)
pan‐cancer
detection
multiclass
classification.
Our
results
show
that
simple
logistic
regression
performs
best,
reaching
68%
rate
99%
specificity
level,
classification
accuracy
79.38%
when
distinguishing
between
five
types.
In
summary,
revisiting
classical
models,
have
exceeded
previously
used
method
5%
9.65%
classification,
respectively.
ease
further
research,
open‐source
our
code
processing
pipelines
(
https://gitlab.com/jopekmaksym/improving‐platelet‐rna‐based‐diagnostics
),
hope
will
serve
strong
baseline.
Language: Английский