The changing face of percutaneous image-guided biopsy: molecular profiling and genomic analysis in current practice

J Vasc Interv Radiol. 2013 Aug;24(8):1094-103. doi: 10.1016/j.jvir.2013.04.027. Epub 2013 Jun 24.

Abstract

Oncology is undergoing a revolutionary change. Image-guided biopsy is expected to play an increasingly important role in this radical transformation. Current concepts of disease and treatment are based on an established set of physical signs and symptoms and laboratory tests broken down by organ system. However, soon diseases will be categorized and treated based on much more specific and detailed molecular and genetic information. This transformation in how disease is categorized and treated will depend on the ability to harvest tissue from tumors and analyze it appropriately.

Keywords: EGFR; FISH; FNA; H&E; HCC; IHC; MMR; NSCLC; PCR; RCC; epidermal growth factor receptor; fine-needle aspiration; fluorescence in situ hybridization; hematoxylin and eosin; hepatocellular carcinoma; immunohistochemistry; mismatch repair; non–small-cell lung cancer; polymerase chain reaction; renal cell carcinoma.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / therapeutic use
  • Biomarkers, Tumor / genetics
  • Biomarkers, Tumor / metabolism
  • Genetic Predisposition to Disease
  • Genetic Testing
  • Genomics*
  • Humans
  • Image-Guided Biopsy*
  • Medical Oncology / methods*
  • Molecular Targeted Therapy
  • Neoplasms / genetics
  • Neoplasms / metabolism
  • Neoplasms / pathology*
  • Neoplasms / therapy
  • Patient Selection
  • Phenotype
  • Precision Medicine
  • Predictive Value of Tests
  • Signal Transduction / drug effects
  • Signal Transduction / genetics

Substances

  • Antineoplastic Agents
  • Biomarkers, Tumor