Emphasis on precision intelligent medical research, positive response to the development trend of bone tumor diagnosis and treatment
10.3760/cma.j.cn121113-20230517-00290
- VernacularTitle:重视精准智慧医疗研究,积极应对骨肿瘤诊治发展趋势
- Author:
Yongcheng HU
1
;
Dengxing LUN
;
Xiuchun YU
Author Information
1. 天津市天津医院骨与软组织肿瘤科,天津 300211
- Keywords:
Bone neoplasms;
Precision medicine;
Gene;
Treatment outcome
- From:
Chinese Journal of Orthopaedics
2023;43(16):1065-1067
- CountryChina
- Language:Chinese
-
Abstract:
Since the implementation of surgery-based comprehensive treatment, there have been great advances and breakthroughs in the diagnosis and treatment of bone tumors. The survival rate of primary malignant bone tumors has significantly improved, for example, the 5-year survival rate of osteosarcoma has increased from 5%-20% to 60%-70%. Characteristics of bone tumors are as follows: (1) have a wide range of lesion sites; (2) various types; (3) high heterogeneity; (4) structural reconstruction is as important as functional reconstruction; (5) metastatic tumors are more common than primary tumors. Based on the characteristics above, the combination of clinical, imaging and pathology is the basic principle in the diagnosis of bone tumors; Following the principle of tumor resection to achieve local control, it is necessary not only to carry out effective reconstruction of bone and soft tissue structural defects, but also to obtain as perfect motor function as possible. Due to the development of genetic research, bioinformatics technology, digital medicine and computer technology, the diagnosis and treatment of bone tumors have entered the stage of precision medicine with four characteristics: accuracy, punctuality, sharing and individualization. Using the multi-omics technology of genomics, transcriptomics, proteomics and metabolomics to explore the mechanism of the occurrence and development of bone tumors and find new target genes provides a direction for the application of precision medicine in bone tumors in the future. The application of Wise Information Technology of med based on artificial intelligence is of great significance for the auxiliary diagnosis and precise treatment.