Application and progress of the detection technologies in hepatocellular carcinoma

Hepatocellular carcinoma (HCC) has a very high incidence and fatality rate, and in most cases, it is already at an advanced stage when diagnosed. Therefore, early prevention and detection of HCC are two of the most effective strategies. However, the methods recommended in the practice guidelines for...

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Main Authors: Qi Yan, Yuan-song Sun, Ran An, Fang Liu, Qi Fang, Zhen Wang, Tao Xu, Lijian Chen, Jian Du
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2023-09-01
Series:Genes and Diseases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352304222001003
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author Qi Yan
Yuan-song Sun
Ran An
Fang Liu
Qi Fang
Zhen Wang
Tao Xu
Lijian Chen
Jian Du
author_facet Qi Yan
Yuan-song Sun
Ran An
Fang Liu
Qi Fang
Zhen Wang
Tao Xu
Lijian Chen
Jian Du
author_sort Qi Yan
collection DOAJ
description Hepatocellular carcinoma (HCC) has a very high incidence and fatality rate, and in most cases, it is already at an advanced stage when diagnosed. Therefore, early prevention and detection of HCC are two of the most effective strategies. However, the methods recommended in the practice guidelines for the detection of HCC cannot guarantee high sensitivity and specificity except for the liver biopsy, which is known as the “gold standard”. In this review, we divided the detection of HCC into pre-treatment diagnosis and post-treatment monitoring, and found that in addition to the traditional imaging detection and liver biopsy, alpha fetoprotein (AFP), lens culinaris-agglutinin-reactive fraction of AFP (AFP-L3), protein induced by vitamin K absence or antagonist-II (PIVKA-II) and other biomarkers are excellent biomarkers for HCC, especially when they are combined together. Most notably, the emerging liquid biopsy shows great promise in detecting HCC. In addition, lactic dehydrogenase (LDH), suppressor of cytokine signaling (SOCS) and other relevant biomarkers may become promising biomarkers for HCC post-treatment monitoring. Through the detailed introduction of the diagnostic technology of HCC, we can have a detailed understanding of its development process and then obtain some enlightenment from the diagnosis, to improve the diagnostic rate of HCC and reduce its mortality.
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spelling doaj.art-d5e6c79ab52c424299b08588972aef8e2023-07-12T04:19:35ZengKeAi Communications Co., Ltd.Genes and Diseases2352-30422023-09-0110518571869Application and progress of the detection technologies in hepatocellular carcinomaQi Yan0Yuan-song Sun1Ran An2Fang Liu3Qi Fang4Zhen Wang5Tao Xu6Lijian Chen7Jian Du8School of Basic Medical Sciences, Anhui Medical University, Hefei, Anhui 230032, ChinaDepartment of Emergency Surgery, The Second Hospital of Anhui Medical University, Hefei, Anhui 230032, ChinaSchool of Basic Medical Sciences, Anhui Medical University, Hefei, Anhui 230032, ChinaSchool of Basic Medical Sciences, Anhui Medical University, Hefei, Anhui 230032, ChinaDepartment of Anesthesiology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230032, ChinaDepartment of Anesthesiology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230032, ChinaInflammation and Immune Mediated Diseases Laboratory of Anhui Province, Anhui Institute of Innovative Drugs, School of Pharmacy, Hefei, Anhui 230032, China; Institute for Liver Diseases of Anhui Medical University, Anhui Medical University, Hefei, Anhui 230032, China; Corresponding author. School of Pharmacy, Anhui Medical University, 81 Meishan Road, Hefei, Anhui 230032, China.Department of Anesthesiology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230032, China; Corresponding author.School of Basic Medical Sciences, Anhui Medical University, Hefei, Anhui 230032, China; Corresponding author. School of Basic Medical Sciences, Anhui Medical University, No.81 Meishan Road, Hefei, Anhui 230032, China.Hepatocellular carcinoma (HCC) has a very high incidence and fatality rate, and in most cases, it is already at an advanced stage when diagnosed. Therefore, early prevention and detection of HCC are two of the most effective strategies. However, the methods recommended in the practice guidelines for the detection of HCC cannot guarantee high sensitivity and specificity except for the liver biopsy, which is known as the “gold standard”. In this review, we divided the detection of HCC into pre-treatment diagnosis and post-treatment monitoring, and found that in addition to the traditional imaging detection and liver biopsy, alpha fetoprotein (AFP), lens culinaris-agglutinin-reactive fraction of AFP (AFP-L3), protein induced by vitamin K absence or antagonist-II (PIVKA-II) and other biomarkers are excellent biomarkers for HCC, especially when they are combined together. Most notably, the emerging liquid biopsy shows great promise in detecting HCC. In addition, lactic dehydrogenase (LDH), suppressor of cytokine signaling (SOCS) and other relevant biomarkers may become promising biomarkers for HCC post-treatment monitoring. Through the detailed introduction of the diagnostic technology of HCC, we can have a detailed understanding of its development process and then obtain some enlightenment from the diagnosis, to improve the diagnostic rate of HCC and reduce its mortality.http://www.sciencedirect.com/science/article/pii/S2352304222001003HCCInvasive diagnosisMinimally invasive diagnosisNoninvasive diagnosisPrognostic monitoring
spellingShingle Qi Yan
Yuan-song Sun
Ran An
Fang Liu
Qi Fang
Zhen Wang
Tao Xu
Lijian Chen
Jian Du
Application and progress of the detection technologies in hepatocellular carcinoma
Genes and Diseases
HCC
Invasive diagnosis
Minimally invasive diagnosis
Noninvasive diagnosis
Prognostic monitoring
title Application and progress of the detection technologies in hepatocellular carcinoma
title_full Application and progress of the detection technologies in hepatocellular carcinoma
title_fullStr Application and progress of the detection technologies in hepatocellular carcinoma
title_full_unstemmed Application and progress of the detection technologies in hepatocellular carcinoma
title_short Application and progress of the detection technologies in hepatocellular carcinoma
title_sort application and progress of the detection technologies in hepatocellular carcinoma
topic HCC
Invasive diagnosis
Minimally invasive diagnosis
Noninvasive diagnosis
Prognostic monitoring
url http://www.sciencedirect.com/science/article/pii/S2352304222001003
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