1. [Moving towards a personalized oncology: The contribution of genomic techniques and artificial intelligence in the use of circulating tumor biomarkers].
- Author
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Perrier A, Hainaut P, Guenoun A, Nguyen DP, Lamy PJ, Guerber F, Troalen F, Denis JA, and Boissan M
- Subjects
- Artificial Intelligence ethics, Circulating Tumor DNA blood, Data Management, Early Detection of Cancer methods, High-Throughput Nucleotide Sequencing trends, Humans, Immunotherapy, Medical Oncology methods, MicroRNAs blood, Neoplasm Recurrence, Local blood, Neoplasm Recurrence, Local diagnosis, Neoplasms genetics, Neoplasms therapy, Neoplastic Cells, Circulating, Artificial Intelligence trends, Biomarkers, Tumor blood, Liquid Biopsy methods, Medical Oncology trends, Neoplasms blood, Precision Medicine trends
- Abstract
Technological advances, in particular the development of high-throughput sequencing, have led to the emergence of a new generation of molecular biomarkers for tumors. These new tools have profoundly changed therapeutic management in oncology, with increasingly precise molecular characterization of tumors leading to increasingly personalized therapeutic targeting. Detection of circulating tumor cells and/or circulating tumor DNA in blood samples -so-called 'liquid biopsies'- can now provide a genetic snapshot of the patient's tumor through an alternative and less invasive procedure than biopsy of the tumor tissue itself. This procedure for characterizing and monitoring the disease in real time facilitates the search for possible relapses, the emergence of resistance, or emergence of a new therapeutic target. In the long term, it might also provide a means of early detection of cancer. These new approaches require the treatment of ever-increasing amounts of clinical data, notably, with the goal of calculating composite clinical-biological predictive scores. The use of artificial intelligence will be unavoidable in this domain, but it raises ethical questions and implications for the health-care system that will have to be addressed., (Copyright © 2021 Société Française du Cancer. Published by Elsevier Masson SAS. All rights reserved.)
- Published
- 2022
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