1.Immune-Checkpoint Inhibitors in the Era of Precision Medicine: What Radiologists Should Know.
Marta BRASCHI-AMIRFARZAN ; Sree Harsha TIRUMANI ; Frank Stephen Jr HODI ; Mizuki NISHINO
Korean Journal of Radiology 2017;18(1):42-53
Over the past five years immune-checkpoint inhibitors have dramatically changed the therapeutic landscape of advanced solid and hematologic malignancies. The currently approved immune-checkpoint inhibitors include antibodies to cytotoxic T-lymphocyte antigen-4, programmed cell death (PD-1), and programmed cell death ligand (PD-L1 and PD-L2). Response to immune-checkpoint inhibitors is evaluated on imaging using the immune-related response criteria. Activation of immune system results in a unique toxicity profile termed immune-related adverse events. This article will review the molecular mechanism, clinical applications, imaging of immune-related response patterns and adverse events associated with immune-checkpoint inhibitors.
Antibodies
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Cell Death
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Hematologic Neoplasms
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Immune System
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Precision Medicine*
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T-Lymphocytes, Cytotoxic
2.Molecular Targeted Therapy in Modern Oncology: Imaging Assessment of Treatment Response and Toxicities.
Katherine M KRAJEWSKI ; Marta BRASCHI-AMIRFARZAN ; Pamela J DIPIRO ; Jyothi P JAGANNATHAN ; Atul B SHINAGARE
Korean Journal of Radiology 2017;18(1):28-41
Oncology is a rapidly evolving field with a shift toward personalized cancer treatment. The use of therapies targeted to the molecular features of individual tumors and the tumor microenvironment has become much more common. In this review, anti-angiogenic and other molecular targeted therapies are discussed, with a focus on typical and atypical response patterns and imaging manifestations of drug toxicities.
Drug-Related Side Effects and Adverse Reactions
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Humans
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Molecular Targeted Therapy*
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Receptor, Epidermal Growth Factor
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Response Evaluation Criteria in Solid Tumors
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Tumor Microenvironment
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Vascular Endothelial Growth Factor A
3.T-Cell Non-Hodgkin Lymphomas: Spectrum of Disease and the Role of Imaging in the Management of Common Subtypes.
Hye Sun PARK ; Lacey MCINTOSH ; Marta BRASCHI-AMIRFARZAN ; Atul B SHINAGARE ; Katherine M KRAJEWSKI
Korean Journal of Radiology 2017;18(1):71-83
T-cell non-Hodgkin lymphomas (NHLs) are biologically diverse, uncommon malignancies characterized by a spectrum of imaging findings according to subtype. The purpose of this review is to describe the common subtypes of T-cell NHL, highlight important differences between cutaneous, various peripheral and precursor subtypes, and summarize imaging features and the role of imaging in the management of this diverse set of diseases.
Lymphoma, Non-Hodgkin*
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Lymphoma, T-Cell
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Magnetic Resonance Imaging
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T-Lymphocytes*
4.Radiology Consultation in the Era of Precision Oncology: A Review of Consultation Models and Services in the Tertiary Setting.
Pamela J DIPIRO ; Katherine M KRAJEWSKI ; Angela A GIARDINO ; Marta BRASCHI-AMIRFARZAN ; Nikhil H RAMAIYA
Korean Journal of Radiology 2017;18(1):18-27
The purpose of the article is to describe the various radiology consultation models in the Era of Precision Medicine. Since the inception of our specialty, radiologists have served as consultants to physicians of various disciplines. A variety of radiology consultation services have been described in the literature, including clinical decision support, patient-centric, subspecialty interpretation, and/or some combination of these. In oncology care in particular, case complexity often merits open dialogue with clinical providers. To explore the utility and impact of radiology consultation services in the academic setting, this article will further describe existing consultation models and the circumstances that precipitated their development. The hybrid model successful at our tertiary cancer center is discussed. In addition, the contributions of a consultant radiologist in breast cancer care are reviewed as the archetype of radiology consultation services provided to oncology practitioners.
Breast Neoplasms
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Consultants
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Decision Support Systems, Clinical
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Humans
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Precision Medicine