Review Article

放射性核素靶向治疗疼痛性骨转移:过去的发展,现状,最近的进展和未来的方向

卷 27, 期 19, 2020

页: [3187 - 3249] 页: 63

弟呕挨: 10.2174/0929867326666190201142814

价格: $65

摘要

由继发性骨骼恶性肿瘤引起的骨痛是癌症患者最常见的慢性疼痛类型之一,可导致生活质量的迅速恶化。使用寻骨放射性药物的放射性核素治疗是一种有效的缓解症状性骨转移的治疗方式,其基础是在骨转移部位定位放射药剂,以提供局灶性细胞毒性水平的辐射。寻骨放射性药物不仅提供姑息效益,而且在整体和无进展生存率方面提高临床结果。用于或可能以离子形式或与载体分子结合用于治疗骨转移的治疗放射性核素的清单正在稳步扩大。这篇文章提供了一个基于目前批准的研究和潜在有用的放射性核素的骨靶向放射性药物的医疗设备的叙述回顾,并研究了它们在治疗疼痛性骨转移的疗效。此外,文章还强调了过程,机遇,和挑战涉及发展骨头寻求放射性药物。在该类药物中,Radium-223是第一种表现出对有骨转移的抗去势前列腺癌(CRPC)患者总体生存优势的药物。本文综述了放射药物治疗骨痛的最新进展、临床应用现状,并展望了该领域的发展前景。

关键词: 骨,癌症,疼痛,姑息疗法,放射性核素,放射性药物,转移,二磷酸盐,羟基磷灰石。

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