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中国物理学会期刊

太赫兹技术在胶质瘤诊疗中的应用: 从组织分级到分子分型

CSTR: 32037.14.aps.71.20212419

Terahertz technology applications in glioma diagnosis: From histological classification to molecular typing

CSTR: 32037.14.aps.71.20212419
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  • 太赫兹波(terahertz, THz)是位于微波和红外之间介观尺度波长的电磁波, 因其低电离性和指纹性的特点, 在生物医学领域有着巨大的应用潜力, 尤其是在肿瘤的术中定位定性诊断方面. 而对于定位定性诊断需求最迫切的肿瘤为胶质瘤, 因其侵袭性和异质性, 切除后极易复发且对临近脑区神经功能有显著影响, 快速确定瘤体边界以及肿瘤病理学特征, 是开展胶质瘤精准诊疗和临床研究的重要前提. 本文总结了胶质瘤诊断的生物物理技术, 梳理了太赫兹波这一新兴技术在胶质瘤诊断方面所取得的研究成果. 进一步, 基于胶质瘤组织病理和分子病理整合诊断研究进展, 提出不同分子分型肿瘤组织在太赫兹波段可能具有不同 “特异性蛋白组成”的太赫兹肿瘤亚型识别机制假说, 结合脑组织生物学特点与体液中胶质瘤标志物检测潜力, 全面设想了未来太赫兹波在胶质瘤临床诊疗中的应用模式和发展前景.

     

    Terahertz wave is an electromagnetic wave, whose wavelength is located between microwave wavelength and infrared wavelength. Based on low ionization and fingerprint characteristics, it has great potential applications in biomedical field, especially in the intraoperative localization and qualitative diagnosis of tumors. Glioma is the most urgent tumor for positioning qualitative diagnosis. Owing to its invasiveness and heterogeneity, it is easy to relapse after resection and has a significant influence on the nerve function of adjacent brain regions. Therefore, rapid determination of tumor boundary and pathological characteristics is an important prerequisite for accurate diagnosis, treatment and clinical research of glioma. Here, we summarize the biophysical technology of glioma diagnosis, and expound the new technique of terahertz wave and its research results in diagnosis of glioma. Furthermore, based on the research progress of integrated diagnosis of glioma histopathology and molecular pathology, we propose a hypothesis that different molecular subtypes of tumor tissue may have a consistent 'differential terahertz wave protein composition' of terahertz tumor subtype recognition mechanism. Finally, combining the biological characteristics of brain tissue and the potential of glioma marker detection in body fluids, we discuss the clinical application model and prospects of terahertz technologies in glioma detection.

     

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