Empowering Renal Cancer Management with AI and Digital Pathology: Pathology, Diagnostics and Prognosis DOI Creative Commons
Елена Иванова, Alexey Fayzullin,

Victor Grinin

et al.

Biomedicines, Journal Year: 2023, Volume and Issue: 11(11), P. 2875 - 2875

Published: Oct. 24, 2023

Renal cell carcinoma is a significant health burden worldwide, necessitating accurate and efficient diagnostic methods to guide treatment decisions. Traditional pathology practices have limitations, including interobserver variability time-consuming evaluations. In recent years, digital tools emerged as promising solution enhance the diagnosis management of renal cancer. This review aims provide comprehensive overview current state potential in context carcinoma. Through advanced image analysis algorithms, artificial intelligence (AI) technologies facilitate quantification cellular molecular markers, leading improved accuracy reproducibility cancer diagnosis. Digital platforms empower remote collaboration between pathologists help with creation databases for further research machine learning applications. The integration other modalities, such radiology genomics, enables novel multimodal characterization different types With continuous advancements refinement, AI are expected play an integral role diagnostics clinical decision-making, improving patient outcomes. this article, we explored instruments available clear cell, papillary chromophobe cancers from pathologist data analyst perspectives.

Language: Английский

Immune Checkpoint Inhibitors in Renal Cell Carcinoma: Molecular Basis and Rationale for Their Use in Clinical Practice DOI Creative Commons
Francesco Lasorsa,

Nicola Antonio di Meo,

Monica Rutigliano

et al.

Biomedicines, Journal Year: 2023, Volume and Issue: 11(4), P. 1071 - 1071

Published: April 2, 2023

Renal cell carcinoma (RCC) is the seventh most common cancer in men and ninth women worldwide. There plenty of evidence about role immune system surveillance against tumors. Thanks to a better understanding immunosurveillance mechanisms, immunotherapy has been introduced as promising treatment recent years. long thought chemoresistant but highly immunogenic. Considering that up 30% patients present metastatic disease at diagnosis, around 20–30% undergoing surgery will suffer recurrence, we need identify novel therapeutic targets. The introduction checkpoint inhibitors (ICIs) clinical management RCC revolutionized approach this tumor. Several trials have shown therapy with ICIs combination or tyrosine kinase inhibitor very good response rate. In review article summarize mechanisms immunity modulation checkpoints discuss potential strategies renal treatment.

Language: Английский

Citations

75

Cellular and Molecular Players in the Tumor Microenvironment of Renal Cell Carcinoma DOI Open Access
Francesco Lasorsa,

Monica Rutigliano,

Martina Milella

et al.

Journal of Clinical Medicine, Journal Year: 2023, Volume and Issue: 12(12), P. 3888 - 3888

Published: June 7, 2023

Globally, clear-cell renal cell carcinoma (ccRCC) represents the most prevalent type of kidney cancer. Surgery plays a key role in treatment this cancer, although one third patients are diagnosed with metastatic ccRCC and about 25% will develop recurrence after nephrectomy curative intent. Molecular-target-based agents, such as tyrosine kinase inhibitors (TKIs) immune checkpoint (ICIs), recommended for advanced cancers. In addition to cancer cells, tumor microenvironment (TME) includes non-malignant types embedded an altered extracellular matrix (ECM). The evidence confirms that interactions among cells TME elements exist thought play crucial roles development making them promising therapeutic targets. TME, unfavorable pH, waste product accumulation, competition nutrients between may be regarded further possible mechanisms escape. To enhance immunotherapies reduce resistance, it is first understand how work interact other cancer-associated complex microenvironment.

Language: Английский

Citations

71

Urinary MicroRNAs as Biomarkers of Urological Cancers: A Systematic Review DOI Open Access
Achille Aveta, Simone Cilio, Roberto Contieri

et al.

International Journal of Molecular Sciences, Journal Year: 2023, Volume and Issue: 24(13), P. 10846 - 10846

Published: June 29, 2023

MicroRNAs (miRNAs) are emerging as biomarkers for the detection and prognosis of cancers due to their inherent stability resilience. To summarize evidence regarding role urinary miRNAs (umiRNAs) in detection, prognosis, therapy genitourinary cancers, we performed a systematic review most important scientific databases using following keywords: (urinary miRNA) AND (prostate cancer); (bladder (renal (testicular (urothelial cancer). Of all, 1364 articles were screened. Only original studies English language on human specimens considered inclusion our review. Thus, convenient sample 60 was identified. UmiRNAs up- or downregulated prostate cancer may serve potential non-invasive molecular biomarkers. Several umiRNAs have been identified diagnostic urothelial carcinoma bladder (BC), allowing us discriminate malignant from nonmalignant forms hematuria. could therapeutic targets recurrence markers non-muscle-invasive BC predict aggressivity muscle-invasive BC. In renal cell carcinoma, predictors tumor aggressiveness, progression metastasis. play an diagnosis, urological cancers.

Language: Английский

Citations

57

Cancer Stem Cells in Renal Cell Carcinoma: Origins and Biomarkers DOI Open Access
Francesco Lasorsa,

Monica Rutigliano,

Martina Milella

et al.

International Journal of Molecular Sciences, Journal Year: 2023, Volume and Issue: 24(17), P. 13179 - 13179

Published: Aug. 24, 2023

The term "cancer stem cell" (CSC) refers to a cancer cell with the following features: clonogenic ability, expression of markers, differentiation into cells different lineages, growth in nonadhesive spheroids, and vivo ability generate serially transplantable tumors that reflect heterogeneity primary cancers (tumorigenicity). According this model, CSCs may arise from normal cells, progenitor and/or differentiated because striking genetic/epigenetic mutations or fusion tissue-specific circulating bone marrow (BMSCs). use signaling pathways similar those controlling fate during early embryogenesis (Notch, Wnt, Hedgehog, morphogenetic proteins (BMPs), fibroblast factors, leukemia inhibitory factor, transforming factor-β). Recent studies identified subpopulation CD133+/CD24+ ccRCC specimens displayed self-renewal multipotency. development agents targeting CSC signaling-specific not only surface ultimately become utmost importance for patients RCC.

Language: Английский

Citations

38

PI3K/AKT/mTOR Dysregulation and Reprogramming Metabolic Pathways in Renal Cancer: Crosstalk with the VHL/HIF Axis DOI Open Access
Silviu Constantin Badoiu,

Maria Greabu,

Daniela Miricescu

et al.

International Journal of Molecular Sciences, Journal Year: 2023, Volume and Issue: 24(9), P. 8391 - 8391

Published: May 7, 2023

Renal cell carcinoma (RCC) represents 85–95% of kidney cancers and is the most frequent type renal cancer in adult patients. It accounts for 3% all cases 7th place among histological types cancer. Clear (ccRCC), 75% RCCs has cancer-related deaths. One-third patients with ccRCC develop metastases. presents cellular alterations sugars, lipids, amino acids, nucleic acid metabolism. RCC characterized by several metabolic dysregulations including oxygen sensing (VHL/HIF pathway), glucose transporters (GLUT 1 GLUT 4) energy sensing, nutrient cascade. Metabolic reprogramming an important characteristic cells to survive oxygen-deprived environments, proliferate metastasize different body sites. The phosphoinositide 3-kinase-AKT-mammalian target rapamycin (PI3K/AKT/mTOR) signaling pathway usually dysregulated various This molecular frequently correlated tumor growth survival. main aim this review present types, dysregulation PI3K/AKT/mTOR members, crosstalk VHL/HIF axis, carbohydrates, alterations.

Language: Английский

Citations

36

Artificial Intelligence in the Advanced Diagnosis of Bladder Cancer-Comprehensive Literature Review and Future Advancement DOI Creative Commons
Matteo Ferro, Ugo Giovanni Falagario, Biagio Barone

et al.

Diagnostics, Journal Year: 2023, Volume and Issue: 13(13), P. 2308 - 2308

Published: July 7, 2023

Artificial intelligence is highly regarded as the most promising future technology that will have a great impact on healthcare across all specialties. Its subsets, machine learning, deep and artificial neural networks, are able to automatically learn from massive amounts of data can improve prediction algorithms enhance their performance. This area still under development, but latest evidence shows potential in diagnosis, prognosis, treatment urological diseases, including bladder cancer, which currently using old tools historical nomograms. review focuses significant comprehensive literature management cancer investigates near introduction clinical practice.

Language: Английский

Citations

33

Urinary Micro-RNAs As Biomarkers of Urological Cancers: A Systematic Review DOI Open Access
Achille Aveta, Simone Cilio, Roberto Contieri

et al.

Published: May 29, 2023

Background: Micro-RNAs (miRNA) are emerging as biomarkers in the detection and prognosis of cancers due to their inherent stability resilience. Methods: To summarize evidence regarding urinary miRNA (umiRNAs) role detection, therapeutic management urological cancers, we performed a systematic review most important scientific databases using following keywords: (urinary mir-na)AND(prostate cancer); mirna)AND(bladder mirna)AND(renal mirna)AND(testicular mirna)AND(urothelial cancer). Results: Of all, 1364 articles were initially selected. Only original studies English language on human specimens considered for inclusion our review. Thus, convenient sample 60 was identified. Urinary (UmiRNAs) downregulated prostate may serve potential non-invasive molecular biomarkers. Several umiR-NAs have been identified diagnostic urothelial carcinoma bladder cancer (BCa), allowing discriminate malignant from non-malignant forms haematuria. UmiRNAs could targets or recurrence markers non-muscle invasive BCa predict aggressivity muscle-invasive BCa. In renal cell carcinoma, miRNAs predictors tumour aggressiveness, progression metastasis. Conclusion: umiRNAs play an diagnosis, prognosis, therapy cancers.

Language: Английский

Citations

31

Emerging Trends in AI and Radiomics for Bladder, Kidney, and Prostate Cancer: A Critical Review DOI Open Access
Georgios Feretzakis, Patrick Juliebø‐Jones, Arman Tsaturyan

et al.

Cancers, Journal Year: 2024, Volume and Issue: 16(4), P. 810 - 810

Published: Feb. 16, 2024

This comprehensive review critically examines the transformative impact of artificial intelligence (AI) and radiomics in diagnosis, prognosis, management bladder, kidney, prostate cancers. These cutting-edge technologies are revolutionizing landscape cancer care, enhancing both precision personalization medical treatments. Our provides an in-depth analysis latest advancements AI radiomics, with a specific focus on their roles urological oncology. We discuss how have notably improved accuracy diagnosis staging bladder cancer, especially through advanced imaging techniques like multiparametric MRI (mpMRI) CT scans. tools pivotal assessing muscle invasiveness pathological grades, critical elements formulating treatment plans. In realm kidney aid distinguishing between renal cell carcinoma (RCC) subtypes grades. The integration radiogenomics offers view disease biology, leading to tailored therapeutic approaches. Prostate also seen substantial benefits from these technologies. AI-enhanced has significantly tumor detection localization, thereby aiding more effective planning. addresses challenges integrating into clinical practice, such as need for standardization, ensuring data quality, overcoming “black box” nature AI. emphasize importance multicentric collaborations extensive studies enhance applicability generalizability diverse settings. conclusion, represent major paradigm shift oncology, offering precise, personalized, patient-centric approaches care. While potential improve diagnostic accuracy, patient outcomes, our understanding biology is profound, application persist. advocate continued research development underscoring address existing limitations fully leverage capabilities field

Language: Английский

Citations

16

Predictive value of SIRI and SII for metastases in RCC: a prospective clinical study DOI Creative Commons
Emre Arı, Hikmet Köseoğlu, Tolga Eroğlu

et al.

BMC Urology, Journal Year: 2024, Volume and Issue: 24(1)

Published: Jan. 13, 2024

Abstract Objectives In this prospective cross-sectional clinical study, we aimed to determine the efficiency of preoperative hematological markers namely SIRI (systemic inflammatory response index) and SII for renal cell cancer predict possibility postoperative metastases. Methods Istanbul Education Research Hospital, Clinic Urology Medical Oncology in clinic between dates June 2022 2023 February, a diagnosis by surgical or medical oncology units imported into treatment planning 72 patients were included study. All cases with diagnoses carcinoma searched from hospital records. Patients secondary malignancy, rheumatological disorders ones recent blood product transfusion infection within 1-month-time excluded data analyses. The complete counts (CBC) analyzed just before time biopsy surgery studied calculations. Twenty-two metastatic 50 non-metastatic RCC included. values compared among groups seek change case metastasis cut-off value sought indicate malignancy pathological diagnosis. Results Mean age 60.12+/-11.55 years 60.25+/-11.72. Histological sub-types specimens clear (72%), chromophobe (17%), papillary (7%) others (4%). Median 1.26 2.1 (mean+/-S.D. 1.76 +/-1.9 3.12+/-4.22 respectively ( p < 0.05). 566 1434 870 +/-1019 1537+/-917) 0.001). AUC detection 0.809 0.737 SIRI. Conclusions indexes seem show moderate metastases RCC.

Language: Английский

Citations

10

Deep transfer learning hybrid techniques for precision in breast cancer tumor histopathology classification DOI
Muniraj Gupta, Nidhi Verma, Naveen Sharma

et al.

Health Information Science and Systems, Journal Year: 2025, Volume and Issue: 13(1)

Published: Feb. 11, 2025

Language: Английский

Citations

2