grade iv glioblastoma

  • 文章类型: Journal Article
    多形性胶质母细胞瘤(GBM)是一种原发性脑肿瘤,以其短的生存期而闻名。通常从诊断到死亡14-18个月。由于强大的血脑屏障等因素,管理GBM构成了重大挑战,GBM内的免疫抑制状况,以及外科手术的复杂性.目前,GBM的典型治疗方法是结合外科手术,放射治疗,和使用替莫唑胺的化疗。不幸的是,这种常规方法在显著延长GBM患者的生命方面尚未被证明是有效的.因此,研究人员正在探索GBM管理的替代方法。近年来受到关注的一个有希望的途径是免疫疗法。这种方法已经成功治疗了癌症类型,如非小细胞肺癌和血液相关恶性肿瘤。目前正在研究GBM治疗的各种免疫治疗策略,包括检查点抑制剂,疫苗,嵌合抗原受体(CAR)T细胞疗法,和溶瘤病毒。全面回顾了过去十年进行的26项高质量研究,涉及对PubMed和GoogleScholar等数据库的彻底搜索,已经进行了。这篇综述的结果表明,虽然免疫治疗策略显示出希望,它们在GBM治疗的实际应用中面临着巨大的局限性和挑战。这项研究强调了结合不同方法的重要性,为个别患者定制治疗方法,以及正在进行的研究努力,以改善GBM患者的前景。
    Glioblastoma multiforme (GBM) is a primary brain tumor known for its short survival time, typically 14-18 months from diagnosis to fatality. Managing GBM poses significant challenges due to factors like the formidable blood-brain barrier, the immunosuppressive conditions within GBM, and the intricacies of surgical procedures. Currently, the typical treatment for GBM combines surgical procedures, radiation therapy, and chemotherapy using temozolomide. Unfortunately, this conventional approach has not proven effective in substantially extending the lives of GBM patients. Consequently, researchers are exploring alternative methods for GBM management. One promising avenue receiving attention in recent years is immunotherapy. This approach has successfully treated cancer types like non-small cell lung cancer and blood-related malignancies. Various immunotherapeutic strategies are currently under investigation for GBM treatment, including checkpoint inhibitors, vaccines, chimeric antigen receptor (CAR) T-cell therapy, and oncolytic viruses. A comprehensive review of 26 high-quality studies conducted over the past decade, involving thorough searches of databases such as PubMed and Google Scholar, has been conducted. The findings from this review suggest that while immunotherapeutic strategies show promise, they face significant limitations and challenges in practical application for GBM treatment. The study emphasizes the importance of combining diverse approaches, customizing treatments for individual patients, and ongoing research efforts to improve GBM patients\' outlook.
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  • 文章类型: Case Reports
    放射学中人工智能(AI)的实施在识别急性颅内出血(ICHs)方面显示出巨大的希望。然而,认识到人工智能系统可能会产生假阳性结果至关重要,尤其是在术后期间。这里,我们介绍了两种情况,其中AI优先排序软件在术后非对比CT上错误地识别出急性ICH.这些病例强调需要对术后患者的AI标记图像进行更仔细的放射学审查,以避免放射科医生进一步不必要的成像和不必要的担忧。临床医生,和病人。
    The implementation of artificial intelligence (AI) in radiology has shown significant promise in the identification of acute intracranial hemorrhages (ICHs). However, it is crucial to recognize that AI systems may produce false-positive results, especially in the postoperative period. Here, we present two cases where AI prioritization software erroneously identified an acute ICH on a postoperative non-contrast CT. These cases highlight the need for a more careful radiology review of AI-flagged images in postoperative patients to avoid further unnecessary imaging and unwarranted concerns from radiologists, clinicians, and patients.
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  • 文章类型: Case Reports
    神经鞘瘤病是神经纤维瘤病的一个罕见子集。在没有双侧前庭神经鞘瘤的情况下,这是一种易于发生神经鞘瘤的疾病过程。将其与神经纤维瘤病2(NF2)区分开。它偶尔与某些肿瘤有关,例如恶性周围神经鞘瘤或横纹肌样瘤。目前,有限的文献表明神经鞘瘤病和胶质母细胞瘤(GB)之间存在关联.我们介绍了一例55岁的女性,其病史对神经鞘瘤病具有重要意义,该患者在目睹首次癫痫发作并伴有左侧面部无力和言语不清后出现。发现她有一个3厘米的右侧增强环病变,该病变被切除,发现是IV级异柠檬酸脱氢酶(IDH)野生型GB。
    Schwannomatosis is a rare subset of neurofibromatosis. It is a disease process with a predisposition to schwannomas in the absence of bilateral vestibular schwannomas, which differentiates it from neurofibromatosis 2 (NF2). It is occasionally associated with certain tumors such as malignant peripheral nerve sheath tumors or rhabdoid tumors. Currently, there is limited literature to suggest an association between schwannomatosis and glioblastoma (GB). We present a case of a 55-year-old female with a history significant for schwannomatosis who presented after a witnessed first-time seizure with left facial weakness and slurred speech. She was found to have a 3 cm right-sided ring-enhancing lesion that was excised and found to be a grade IV Isocitrate dehydrogenase (IDH) wildtype GB.
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