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Immune-Checkpoint Inhibitors in the Era of Precision Medicine: What Radiologists Should Know

  • Braschi-Amirfarzan, Marta (Department of Radiology, Brigham and Women's Hospital and Dana Farber Cancer Institute) ;
  • Tirumani, Sree Harsha (Department of Radiology, Brigham and Women's Hospital and Dana Farber Cancer Institute) ;
  • Hodi, Frank Stephen Jr. (Department of Medical Oncology and Medicine, Dana Farber Cancer Institue) ;
  • Nishino, Mizuki (Department of Radiology, Brigham and Women's Hospital and Dana Farber Cancer Institute)
  • Received : 2016.08.10
  • Accepted : 2016.09.11
  • Published : 2017.01.01

Abstract

Over the past five years immune-checkpoint inhibitors have dramatically changed the therapeutic landscape of advanced solid and hematologic malignancies. The currently approved immune-checkpoint inhibitors include antibodies to cytotoxic T-lymphocyte antigen-4, programmed cell death (PD-1), and programmed cell death ligand (PD-L1 and PD-L2). Response to immune-checkpoint inhibitors is evaluated on imaging using the immune-related response criteria. Activation of immune system results in a unique toxicity profile termed immune-related adverse events. This article will review the molecular mechanism, clinical applications, imaging of immune-related response patterns and adverse events associated with immune-checkpoint inhibitors.

Keywords

References

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