• ʻO nā Theranostics

He aha ka theranostics?

ʻO Theranostics ka huaʻōlelo no ka hui pū ʻana o nā therapeutics a me nā diagnostics (me ka hoʻohana ʻana i hoʻokahi radionuclide e kiʻi i nā puʻupuʻu a me ka lua o ka radionuclide e mālama i nā puʻupuʻu ma ka hāʻawi ʻana i ka radiation pepehi kanesa). ʻO ke kumu, ʻo ia hoʻi ke kuhikuhi ʻana i hoʻokahi mole receptor ma nā cell kanesa me ʻelua mau radionuclides like ʻole (imaging a me therapy). ʻO kēia ke hoʻokō i kahi hoʻolālā lapaʻau pololei a pilikino.

ʻO ka pae hōʻoia o Theranostics

He pūpū ko nā pūnaewele tumora, i kapa ʻia he membrane; aia kekahi mau protein e like me ka somatostatin receptor (SSTR2) ma ka membrane cell tumora hiki ke lawelawe ma ke ʻano he pahuhopu no nā lāʻau lapaʻau kanesa.

He lāʻau lapaʻau hōʻoia radioactive ʻo Ga-68 DOTATOC e kuhikuhi ana iā SSTR2. Hoʻokomo ʻia ʻo Ga-68 DOTATOC i loko o ke aʻa o ka mea maʻi a hele i loko o ke kahe koko i nā ʻōpū a me nā ʻiʻo āpau o ke kino. Inā loaʻa i ka mea maʻi kahi puʻupuʻu neuroendocrine me SSTR2 ma nā membrane cell tumor, e hoʻopaʻa ka Ga-68 DOTATOC i ka SSTR2 a e hoʻomālamalama ka puʻupuʻu ma kahi scan PET.

ʻO ka pae hoʻōla o Theranostics

Ke ʻike ʻia ka maʻi kanesa neuroendocrine me ka hoʻohana ʻana i ka Ga68-DOTATOC PET scan, hiki ke pani ʻia ka Ga-68 me kahi radionuclide ʻē aʻe, e like me ka lutetium-177 (Lu-177) a i ʻole yttrium-90 (Y-90), hiki ke kuhikuhi a pepehi i nā cell tumor i loaʻa iā SSTR2 ma ko lākou mau membrane.

Hiki ke hoʻokomo ʻia ka lāʻau lapaʻau Y-90-DOTATOC a me Lu-177-DOTATATE i loko o nā aa koko o ka mea maʻi a hele i kekahi ʻāpana o ke kino i loaʻa nā protein SSTR2. Hoʻopaʻa kēia mau lāʻau lapaʻau i nā protein SSTR2 e like me ke kī i loko o ka laka, e ʻae ana i ka lāʻau e komo i loko o nā pūnaewele tumor a pepehi iā ia ma ka hōʻino ʻana i ka DNA o kēlā cell. ʻAʻole pilikia ka lāʻau i nā pūnaewele olakino a puni ka tumor ʻaʻohe protein SSTR2 ma ko lākou membrane.

ʻO ia ʻano hoʻolālā e hiki ai i nā oncologists ke kiʻi i nā ʻiʻo kanesa hiki ke mālama ʻia me ka piha, koho i nā mea maʻi no nā noi therapeutic, ʻike pololei i kahi e hāʻawi ʻia ai nā mea therapeutic, a nānā i ka hiki o ka mea therapeutic ke hoʻemi i nā ʻōpū i ka hala ʻana o ka manawa. Hāʻawi ʻo Theranostics i nā oncologists me nā mea hana hou a maikaʻi loa e hana i nā hoʻolālā lapaʻau pololei a wānana i nā pono o kahi lāʻau lapaʻau e pili ana i ka ʻike molekala a me genomic kū hoʻokahi o ka mea maʻi.

THERANOSTICS: KE ʻIKE ʻANA I KA MEA A MĀKOU E LĀʻAU AI—KA LĀʻAU ʻANA I KA MEA A MĀKOU E ʻIKE AI

He mea hoʻi kēia i kapa ʻia ka lāʻau lapaʻau radionuclide i kuhikuhi ʻia ʻoiai ke kuhikuhi ʻia nei i ka pahuhopu molekala kikoʻī o nā hunaola kanesa e hana nei. No laila, hiki ke kuhikuhi ʻia kahi mahele kiʻekiʻe o ka radiation i ka puʻupuʻu me ka ʻole o ka hoʻopilikia ʻana i nā hunaola olakino maʻamau.

Pehea ka ʻokoʻa o ka theranostics mai ka radiotherapy kuʻuna?

Hiki i ka radiation therapy ke lilo i mea kūpono loa i ka mālama ʻana i ke kanesa, a i ʻole ka hōʻoluʻolu ʻana i nā hōʻailona i nā poʻe maʻi me nā maʻi kanesa pae holomua hiki ʻole ke mālama ʻia. Ma kahi o ka hapalua o nā poʻe maʻi kanesa āpau e loaʻa i ka radiation therapy i kekahi manawa o kā lākou mālama ʻana, kahi e hoʻohana ai i nā x-ray i hāʻawi ʻia i waho a i loko paha, nā protons a i ʻole nā ​​​​​​mea ikehu kiʻekiʻe ʻē aʻe e kuhikuhi a luku i nā cell kanesa. ʻOiai ua hōʻemi nā ʻano hana ʻenehana i hoʻomaikaʻi ʻia i ka hōʻino ʻana o nā ʻiʻo olakino, hoʻoulu mau ka radiotherapy kuʻuna i nā hopena ʻaoʻao i hiki ke paʻakikī i kekahi mau poʻe maʻi ke ʻae. Eia kekahi, ʻaʻole hiki i ka radiotherapy kuʻuna ke kuhikuhi i kahi o ka maʻi, e kaupalena ana i kona pono no nā poʻe maʻi me ka maʻi kanesa metastatic. Eia nō naʻe, ʻo ka radiotherapy kuʻuna kekahi o nā mea hana lapaʻau ikaika loa o ka oncology.

ʻO kēia ʻano hana hou i ka mālama ʻana i ka maʻi puʻupuʻu - ka lāʻau radionuclide i kuhikuhi ʻia - ke hana hou nei i ka hoʻohana ʻana i nā lāʻau lapaʻau radiation i ka oncology pololei a me ka hāʻawi ʻana i kahi papa hou o nā lāʻau lapaʻau kanesa. ʻO ka pahuhopu o ka hoʻomohala ʻana i ka lāʻau radionuclide i kuhikuhi ʻia, ʻo ia ka hoʻohui ʻana i nā isotopes alpha-, beta- a i ʻole gamma-particle e hoʻopuka ana - a i ʻole radionuclides - me nā peptides, antibodies, a i ʻole nā ​​​​mole liʻiliʻi, e hoʻomohala i nā lāʻau lapaʻau me ke kikoʻī kiʻekiʻe no kekahi mau ʻano tumors. Hāʻawi ʻia i ka mea maʻi ma o ka intravenous, ua hoʻolālā ʻia nā lāʻau lapaʻau radionuclide i kuhikuhi ʻia e hele pololei i ka tumor e hāʻawi i ka radiation therapeutic me ka pololei kiʻekiʻe. Manaʻo ʻia kēia pololei e kālele i ka hāʻawi ʻana o ka radiation i ka ʻiʻo tumor me ka hoʻemi ʻana i ka ʻike ʻana o ka radiation i nā ʻiʻo maʻamau.

 

He aha ke ʻano o ke kanesa e hiki ke mālama ʻia me nā theranostics?

Hiki i nā Theranostics ke lilo i mea pono i ka mālama ʻana i nā puʻupuʻu metastatic, inoperable i ke kahua holomua o ka maʻi e like me nā maʻi kanesa prostate, nā puʻupuʻu neuroendocrine o nā ʻano kino like ʻole e like me ka ʻōpū, pancreas, nā ʻōpū liʻiliʻi a me nā ʻōpū nui a me ka māmā. ʻO ka mea hope loa akā ʻaʻole ka mea liʻiliʻi loa, ʻo ka ablation post-operative o ke koena thyroid a me ka mālama ʻana i ka maʻi kanesa thyroid metastatic aia pū kekahi i loko o ka gamut o theranostics.

Loaʻa i nā maʻi kanesa i luna aʻe nā hōʻike lawa i loaʻa i kēia manawa e loaʻa ana kahi pōmaikaʻi maopopo i ka hoʻohana ʻana i ka lāʻau radionuclide. Eia nō naʻe, hiki i nā maʻi kanesa ʻē aʻe ke loaʻa kahi pōmaikaʻi ke hōʻike lākou i kekahi mau ʻano o nā mea loaʻa i manaʻo ʻia e like me ka fibroblast activation protein (FAP) a me nā mea loaʻa chemokine (CXCR4), hiki ke hoʻopaʻa ʻia me nā theranostics.

ʻO kā mākou Molecular a me nā Radionuclide Theranostics i hoʻolālā ʻia e komo pū me:
      • PRRT: Lutetium -177 DOTA Therapy
        ʻAktinium - 225 DOTA Therapy
        ʻO Yttrium- 90 DOTA Therapy no nā puʻupuʻu Neuro endocrine
      • PRLT: Lutetium -177 PSMA Therapy no nā maʻi ʻaʻai prostate
      • TARE: ʻO ka lāʻau lapaʻau Yttrium- 90 SIR sphere no nā maʻi ʻaʻai ate / metastases ate
      • FAPI: Hoʻoulu ʻana o ka Fibroblast Protein inhibitor Therapy
        ʻO ka Lutetium-177 FAPI Therapy a me
        ʻO ka lāʻau lapaʻau Actinium -225 FAPI no kahi o 28 mau ʻano maʻi kanesa holomua

    Manaʻo ʻia wale nō ma nā kūlana lapaʻau kūikawā ma nā kumu aloha e like me kēia manawa.

    • A ME: ʻIke nui ʻia ʻo I - 131 Radio Iodine Therapy no nā maʻi ʻaʻai thyroidSamarium - 153 Pain Palliation Therapy no nā metastases iwi.I-131 MIBG therapy no ka pheochromocytoma
Hoʻoiho i ka Pepa Hoʻolaha Hōʻailona hoʻoiho

Lanakila ma luna o ke Kanesa me ke Kikowaena Kanesa ʻo Apollo Proton

He holomua nui i ka Mālama Kanesa! Ke haʻi nei ke kaumaha o ka maʻi kanesa e ulu ana ma ka honua i kahi moʻolelo weliweli. No ke kūʻē ʻana i kēia hoʻoweliweli e ulu nei, hāʻawi ʻo Apollo Proton Cancer Center i kahi hopena piha a piha. I ka lilo ʻana o ka mālama ʻana i ka maʻi kanesa i hoʻokahi o nā koi mālama ola wikiwiki loa ma ka honua holoʻokoʻa, manaʻo mākou he mea nui e wehewehe hou i kā mākou pahuhopu, e hoʻomaka hou i kā mākou kūpaʻa ma ka manaʻo hoʻokahi - e hakakā i ka maʻi kanesa, e lanakila i ka maʻi kanesa! Kū ʻo APCC ma ke ʻano he kukuna o ka manaʻolana no nā miliona, e hoʻokomo ana iā lākou me ka wiwo ʻole e kū a nānā i ka maʻi kanesa i lalo.