Academic Journal

A radiogenomic clinical decision support system to inform individualized treatment in advanced nasopharyngeal carcinoma

التفاصيل البيبلوغرافية
العنوان: A radiogenomic clinical decision support system to inform individualized treatment in advanced nasopharyngeal carcinoma
المؤلفون: Xue-Liang Fang, Lian-Zhen Zhong, Wei Jiang, Cheng-Long Huang, Yuan Lei, Si-Qi Tang, Qing-Jie Li, Li-Zhi Liu, Li Tian, Ying-Qin Li, Yu-Pei Chen, Li Lin, Rui Guo, Wen-Fei Li, Jie Tian, Na Liu, Di Dong, Jun Ma, Ling-Long Tang
المصدر: iScience, Vol 27, Iss 8, Pp 110431- (2024)
بيانات النشر: Elsevier, 2024.
سنة النشر: 2024
المجموعة: LCC:Science
مصطلحات موضوعية: Health sciences, Medicine, Medical specialty, Precision medicine, Science
الوصف: Summary: Both concurrent chemoradiotherapy (CCRT) and induction chemotherapy (ICT) followed by CCRT are standard care of advanced nasopharyngeal carcinoma (NPC). However, tailoring personalized treatment is lacking. Herein, we established a radiogenomic clinical decision support system to classify patients into three subgroups according to their predicted disease-free survival (DFS) with CCRT and ICT response. The CCRT-preferred group was suitable for CCRT since they achieved good survival with CCRT, which could not be improved by ICT. The ICT-preferred group was suitable for ICT plus CCRT since they had poor survival with CCRT; additional ICT could afford an improved DFS. The clinical trial–preferred group was suitable for clinical trials since they exhibited poor survival regardless of receiving CCRT or ICT plus CCRT. These findings suggest that our radiogenomic clinical decision support system could identify optimal candidates for CCRT, ICT plus CCRT, and clinical trials, and may thus aid in personalized management of advanced NPC.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2589-0042
Relation: http://www.sciencedirect.com/science/article/pii/S2589004224016560; https://doaj.org/toc/2589-0042
DOI: 10.1016/j.isci.2024.110431
URL الوصول: https://doaj.org/article/69e1c5ba585a4d68ab1d04e74e8260b5
رقم الانضمام: edsdoj.69e1c5ba585a4d68ab1d04e74e8260b5
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:25890042
DOI:10.1016/j.isci.2024.110431