Publications by authors named "Raquel Perez Lopez"

Article Synopsis
  • FGFR2 fusions, found in 10-15% of intrahepatic cholangiocarcinoma (iCCA) patients, may benefit from FGFR inhibitors, and this study evaluated detecting these fusions in plasma samples.
  • In a study of 18 iCCA patients with known FGFR2 fusions, 88.9% tested positive for the fusion in plasma, suggesting that lower levels of circulating tumor DNA (ctDNA) correlate with better clinical outcomes.
  • The research indicates that monitoring plasma biomarkers can not only predict treatment success but also detect disease progression earlier than traditional imaging methods, aiding in better clinical management for iCCA patients.
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Cancer Core Europe brings together the expertise, resources, and interests of seven leading cancer institutes committed to leveraging collective innovation and collaboration in precision oncology. Through targeted efforts addressing key medical challenges in cancer and partnerships with multiple stakeholders, the consortium seeks to advance cancer research and enhance equitable patient care.

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Artificial intelligence (AI) has been commoditized. It has evolved from a specialty resource to a readily accessible tool for cancer researchers. AI-based tools can boost research productivity in daily workflows, but can also extract hidden information from existing data, thereby enabling new scientific discoveries.

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Radiomics, the science of extracting quantifiable data from routine medical images, is a powerful tool that has many potential applications in oncology. The Response Evaluation Criteria in Solid Tumors Working Group (RWG) held a workshop in May 2022, which brought together various stakeholders to discuss the potential role of radiomics in oncology drug development and clinical trials, particularly with respect to response assessment. This article summarizes the results of that workshop, reviewing radiomics for the practicing oncologist and highlighting the work that needs to be done to move forward the incorporation of radiomics into clinical trials.

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Despite the development of new therapies in the last few years, metastatic prostate cancer (PCa) is still a lethal disease. Radium-223 (Ra-223) is approved for patients with advanced castration-resistant prostate cancer (CRPC) with bone metastases and no visceral disease. However, patients' outcomes are heterogenous, and there is lack of validated predictive biomarkers of response, while biomarkers for early identification of patients who benefit from treatment are limited.

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Noninvasive differential diagnosis of brain tumors is currently based on the assessment of magnetic resonance imaging (MRI) coupled with dynamic susceptibility contrast (DSC). However, a definitive diagnosis often requires neurosurgical interventions that compromise patients' quality of life. We apply deep learning on DSC images from histology-confirmed patients with glioblastoma, metastasis, or lymphoma.

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Article Synopsis
  • * Although many studies are being done, there isn't a common way to conduct these studies, making it hard to compare results and use them in real-life medicine.
  • * The review shows that while only a few studies are good enough to compare, they have promising results that emphasize the need for standard methods so doctors can better choose patients who will benefit from immunotherapy.
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Among the 'most wanted' targets in cancer therapy is the oncogene MYC, which coordinates key transcriptional programs in tumor development and maintenance. It has, however, long been considered undruggable. OMO-103 is a MYC inhibitor consisting of a 91-amino acid miniprotein.

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Article Synopsis
  • The study aimed to identify specific three-dimensional radiomics features from CT images to better assess cancer heterogeneity through machine learning.
  • It analyzed 2436 liver and lung lesions from 605 CT scans of 331 cancer patients, focusing on the repeatability and reproducibility of these radiomics features using statistical measures.
  • Results indicated that while some radiomics features showed poor repeatability, a subset of 26 precise features led to more stable and biologically meaningful habitats for both lung and liver lesions compared to using all features combined.
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Objective: Presurgical differentiation between astrocytomas and oligodendrogliomas remains an unresolved challenge in neuro-oncology. This research aims to provide a comprehensive understanding of each tumor's DSC-PWI signatures, evaluate the discriminative capacity of cerebral blood volume (CBV) and percentage of signal recovery (PSR) percentile values, and explore the synergy of CBV and PSR combination for pre-surgical differentiation.

Methods: Patients diagnosed with grade 2 and 3 IDH-mutant astrocytomas and IDH-mutant 1p19q-codeleted oligodendrogliomas were retrospectively retrieved (2010-2022).

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  • The study introduces a deep learning (DL) method to predict PD-L1 status in cancer patients directly from raw immunohistochemistry (IHC) images, without needing traditional manual quantification methods.
  • The model was trained on a significant number of slides from non-small cell lung cancer patients and validated on a broader cancer cohort, showing strong performance in predicting PD-L1 expression.
  • Results indicate that this DL approach may enhance patient stratification for immunotherapy, effectively considering both PD-L1 staining intensity and morphological features in tissue slides.
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Diffusion-weighted magnetic resonance imaging (DW-MRI) aims to disentangle multiple biological signal sources in each imaging voxel, enabling the computation of innovative maps of tissue microstructure. DW-MRI model development has been dominated by brain applications. More recently, advanced methods with high fidelity to histology are gaining momentum in other contexts, for example, in oncological applications of body imaging, where new biomarkers are urgently needed.

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Chimeric antigen receptor (CAR) T-cell therapy is a promising treatment option for relapsed or refractory (R/R) large B-cell lymphoma (LBCL). However, only a subset of patients will present long-term benefit. In this study, we explored the potential of PET-based radiomics to predict treatment outcomes with the aim of improving patient selection for CAR T-cell therapy.

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Background: More accurate predictive biomarkers in patients with gastroenteropancreatic neuroendocrine tumours (GEP-NETs) are needed. This study aims to investigate radiomics-based tumour phenotypes as a surrogate biomarker of the tumour vasculature and response prediction to antiangiogenic targeted agents in patients with GEP-NETs.

Methods: In this retrospective study, a radiomics signature was developed in patients with GEP-NETs and liver metastases receiving lenvatinib.

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Article Synopsis
  • The study investigates adult solitary intra-axial cerebellar tumors and emphasizes the importance of differentiating them using neuroimaging techniques, specifically dynamic-susceptibility-contrast perfusion-weighted imaging (DSC-PWI).
  • A retrospective analysis of 68 patients with various types of tumors (metastasis, medulloblastoma, hemangioblastoma, and pilocytic astrocytoma) was conducted to assess differences in perfusion metrics like relative cerebral blood volume (rCBV), percentage of signal recovery (PSR), and more.
  • The results showed significant differences between tumor types, leading to a classifier that demonstrated high accuracy in identifying tumor types based on their DSC
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Anti-BRAF/EGFR therapy was recently approved for the treatment of metastatic BRAF colorectal cancer (mCRC). However, a large fraction of patients do not respond, underscoring the need to identify molecular determinants of treatment response. Using whole-exome sequencing in a discovery cohort of patients with mCRC treated with anti-BRAF/EGFR therapy, we found that inactivating mutations in RNF43, a negative regulator of WNT, predict improved response rates and survival outcomes in patients with microsatellite-stable (MSS) tumors.

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Immunotherapy by immune checkpoint inhibitors has become a standard treatment strategy for many types of solid tumors. However, the majority of patients with cancer will not respond, and predicting response to this therapy is still a challenge. Artificial intelligence (AI) methods can extract meaningful information from complex data, such as image data.

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The tumour immune microenvironment influences the efficacy of immune checkpoint inhibitors. Within this microenvironment are CD8-expressing tumour-infiltrating lymphocytes (CD8 TILs), which are an important mediator and marker of anti-tumour response. In practice, the assessment of CD8 TILs via tissue sampling involves logistical challenges.

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