Imaging of Adverse Events Related to Checkpoint Inhibitor Therapy

Immunotherapy with checkpoint inhibitors (ICIs) is becoming standard of practice for an increasing number of cancer types. ICIs enhance T-cell action against the cancer cells. By unbalancing the immune system ICIs may cause dysimmune toxicities, a series of disorders broadly defined immune-related a...

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Main Authors: Vanina Vani, Daniele Regge, Giovanni Cappello, Michela Gabelloni, Emanuele Neri
Format: Article
Language:English
Published: MDPI AG 2020-04-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/10/4/216
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author Vanina Vani
Daniele Regge
Giovanni Cappello
Michela Gabelloni
Emanuele Neri
author_facet Vanina Vani
Daniele Regge
Giovanni Cappello
Michela Gabelloni
Emanuele Neri
author_sort Vanina Vani
collection DOAJ
description Immunotherapy with checkpoint inhibitors (ICIs) is becoming standard of practice for an increasing number of cancer types. ICIs enhance T-cell action against the cancer cells. By unbalancing the immune system ICIs may cause dysimmune toxicities, a series of disorders broadly defined immune-related adverse events (irAEs). IrAEs may affect any organ or apparatus and most frequently involve skin, colon, endocrine organs, liver, and lungs. Early identification and appropriate treatment of irAEs can improve patient outcome. The paper aims at reviewing mechanisms of the occurrence of irAEs, the importance of a proper diagnosis and the main pillars of therapy. To provide effective guidance to the comprehension of major irAEs imaging findings will be reviewed.
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spelling doaj.art-953be26b658447f081684643137271322023-11-19T21:26:30ZengMDPI AGDiagnostics2075-44182020-04-0110421610.3390/diagnostics10040216Imaging of Adverse Events Related to Checkpoint Inhibitor TherapyVanina Vani0Daniele Regge1Giovanni Cappello2Michela Gabelloni3Emanuele Neri4Department of Translational Research, University of Pisa, Via Roma 67, 56126 Pisa, ItalyRadiology Unit, Candiolo Cancer Institute, FPO-IRCCS, University of Torino, Candiolo, ‎10060 Turin, ItalyCandiolo Cancer Institute, FPO-IRCCS, Candiolo, 10060 Turin, ItalyDepartment of Translational Research, University of Pisa, Via Roma 67, 56126 Pisa, ItalyDepartment of Translational Research, University of Pisa, Via Roma 67, 56126 Pisa, ItalyImmunotherapy with checkpoint inhibitors (ICIs) is becoming standard of practice for an increasing number of cancer types. ICIs enhance T-cell action against the cancer cells. By unbalancing the immune system ICIs may cause dysimmune toxicities, a series of disorders broadly defined immune-related adverse events (irAEs). IrAEs may affect any organ or apparatus and most frequently involve skin, colon, endocrine organs, liver, and lungs. Early identification and appropriate treatment of irAEs can improve patient outcome. The paper aims at reviewing mechanisms of the occurrence of irAEs, the importance of a proper diagnosis and the main pillars of therapy. To provide effective guidance to the comprehension of major irAEs imaging findings will be reviewed.https://www.mdpi.com/2075-4418/10/4/216immune checkpoint inhibitorstherapytoxicityoncologic imaging
spellingShingle Vanina Vani
Daniele Regge
Giovanni Cappello
Michela Gabelloni
Emanuele Neri
Imaging of Adverse Events Related to Checkpoint Inhibitor Therapy
Diagnostics
immune checkpoint inhibitors
therapy
toxicity
oncologic imaging
title Imaging of Adverse Events Related to Checkpoint Inhibitor Therapy
title_full Imaging of Adverse Events Related to Checkpoint Inhibitor Therapy
title_fullStr Imaging of Adverse Events Related to Checkpoint Inhibitor Therapy
title_full_unstemmed Imaging of Adverse Events Related to Checkpoint Inhibitor Therapy
title_short Imaging of Adverse Events Related to Checkpoint Inhibitor Therapy
title_sort imaging of adverse events related to checkpoint inhibitor therapy
topic immune checkpoint inhibitors
therapy
toxicity
oncologic imaging
url https://www.mdpi.com/2075-4418/10/4/216
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AT giovannicappello imagingofadverseeventsrelatedtocheckpointinhibitortherapy
AT michelagabelloni imagingofadverseeventsrelatedtocheckpointinhibitortherapy
AT emanueleneri imagingofadverseeventsrelatedtocheckpointinhibitortherapy