List of Contributors |
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xiii | |
Preface |
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xv | |
List of Abbreviations |
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xvii | |
1 Genomic Strategies for Personalized Cancer Therapy |
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1 | (248) |
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1 | (2) |
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1.1.1 Definition of Precision Medicine in Oncology |
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1 | (1) |
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1.1.2 DNA and RNA Sequencing Techniques |
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2 | (1) |
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1.2 Precision Medicine in Specific Tumors |
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3 | (25) |
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3 | (3) |
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4 | (1) |
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1.2.1.2 Squamous Cell Carcinoma |
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4 | (1) |
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1.2.1.3 Small-Cell Lung Carcinoma (SCLC) |
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4 | (1) |
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1.2.1.4 Epidermal Growth Factor Receptor (EGFR) Mutations |
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4 | (1) |
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1.2.1.5 Anaplastic Lymphoma Kinase (ALK) |
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5 | (1) |
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5 | (1) |
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6 | (1) |
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6 | (1) |
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1.2.2 Head and Neck Cancers |
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6 | (3) |
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1.2.2.1 HPV-Positive Cancers |
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7 | (1) |
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1.2.2.2 HPV-Negative Cancers |
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8 | (1) |
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1.2.2.3 Targeting the Epidermal Growth Factor Receptor (EGFR) Pathway |
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8 | (1) |
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8 | (1) |
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8 | (1) |
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1.2.3 Hematological Malignancies |
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9 | (2) |
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9 | (1) |
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10 | (1) |
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1.2.3.3 Myelodysplastic Syndrome |
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11 | (1) |
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1.2.4 Gynecologic Malignancies |
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11 | (2) |
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11 | (1) |
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11 | (1) |
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12 | (1) |
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13 | (3) |
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1.2.6 Gastrointestinal Malignancies |
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16 | (3) |
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1.2.6.1 Gastroesophageal Cancers |
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17 | (1) |
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1.2.6.2 Colorectal Cancers |
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17 | (2) |
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19 | (2) |
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1.2.7.1 Basal-Like, or Triple Negative Breast Cancer |
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19 | (1) |
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1.2.7.2 Luminal A/B, or Hormone Positive |
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20 | (1) |
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1.2.7.3 HER2 Positive Breast Cancer |
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20 | (1) |
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20 | (1) |
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1.2.7.5 Germline Testing in Breast Cancer |
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21 | (1) |
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21 | (1) |
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1.2.8 Genitourinary Malignancies |
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21 | (3) |
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21 | (2) |
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1.2.8.2 Renal Cell Cancer (RCC) |
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23 | (1) |
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1.2.8.3 Urothelial Cancers |
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23 | (1) |
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24 | (3) |
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24 | (1) |
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1.2.9.2 Leukemia and Lymphoma |
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24 | (1) |
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1.2.9.3 Central and Peripheral Nervous System Tumors |
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25 | (1) |
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1.2.9.4 Bone and Soft Tissue Sarcomas |
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26 | (1) |
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1.2.9.5 Other Embryonal Tumors |
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26 | (1) |
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27 | (1) |
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1.2.10 Cancers of Unknown Primary Origin |
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27 | (1) |
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27 | (1) |
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1.2.10.2 Gene Expression Profiling |
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28 | (1) |
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1.2.10.3 Mutational Testing with Next-Generation Sequencing (NGS) |
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28 | (1) |
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28 | (1) |
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1.3 Biomarkers for Immunotherapy of Cancer |
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28 | (4) |
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29 | (1) |
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1.3.2 Soluble PD-L1 (sPD-L1) |
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29 | (1) |
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1.3.3 Combined Positive Score (CPS) |
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30 | (1) |
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1.3.4 Tumor Microenvironment |
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30 | (1) |
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1.3.5 Tumor Mutational Burden (TMB) |
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30 | (1) |
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1.3.6 Microsatellite Instability (MSI) |
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31 | (1) |
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31 | (1) |
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1.3.8 Peripheral Blood Absolute Neutrophil Count/Absolute Lymphocyte Count |
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31 | (1) |
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31 | (1) |
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1.4 Clinical Trial Design in the Era of Precision Oncology |
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32 | (1) |
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1.5 Ethical, Legal, and Social Issues of Precision Oncology |
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33 | (3) |
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33 | (1) |
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34 | (1) |
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35 | (1) |
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1.6 Databases, Data Sharing, and Challenges of Precision Oncology |
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36 | (1) |
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37 | (24) |
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2 Blood-Based Biomarkers for the Diagnosis and Prognosis of Cancer |
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61 | (22) |
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Shreetama Bandyopadhayaya |
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61 | (1) |
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2.2 Importance of Blood-Based Biomarkers |
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61 | (1) |
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2.3 Circulating Proteins as Biomarkers |
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62 | (2) |
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2.4 Circulating Long Non-coding RNAs as Biomarkers |
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64 | (1) |
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2.5 Circulating miRNAs as Biomarkers |
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65 | (2) |
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2.6 Circulating Autoantibodies as Biomarkers |
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67 | (2) |
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2.7 Circulating Tumor DNA as Biomarkers |
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69 | (1) |
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2.8 Metabolites as Biomarkers |
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70 | (2) |
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72 | (2) |
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2.10 Exosomes as Biomarkers |
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74 | (3) |
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77 | (1) |
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77 | (6) |
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3 Application of Circulating Cell-free DNA for Personalized Cancer Therapy |
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83 | (16) |
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83 | (1) |
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3.2 Drawbacks and Challenges of Invasive Tumor Tissue in Treatment and Diagnosis of Cancer |
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84 | (1) |
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3.3 Importance of Noninvasive Biomarkers in Treatment and Diagnosis of Cancer |
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84 | (1) |
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3.4 Liquid Biopsy: cfDNA and ctDNA |
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85 | (1) |
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3.4.1 Biogenesis of ctDNA: Mechanisms of Release, Characteristics, Quantity, and Quality |
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85 | (1) |
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3.4.2 Role of Preanalytical Factors that Affect cfDNA Measurements |
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86 | (1) |
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3.5 Practical Approach to Estimate ctDNA in Liquid Biopsy |
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86 | (2) |
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3.5.1 Isolation of cfDNA and ctDNA |
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86 | (1) |
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3.5.2 Analysis of ctDNA by Real-Time Quantitative PCR |
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86 | (1) |
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3.5.3 Analysis of ctDNA by Digital PCR (dPCR) |
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87 | (1) |
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3.5.4 Analysis of ctDNA by Beads, Emulsion, Amplification, and Magnetics (BEAMing) |
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87 | (1) |
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3.5.5 Analysis of ctDNA by Next-Generation Sequencing (NGS) |
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87 | (1) |
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3.6 Clinical Application of ctDNA Detection in Various Cancers |
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88 | (4) |
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3.6.1 Clinical Applications of ctDNA in Lung Cancer |
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88 | (1) |
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3.6.2 Clinical Application of ctDNA in Head and Neck Cancer |
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89 | (1) |
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3.6.3 Clinical Utility of Circulating Tumor DNA in Pancreatic Cancer |
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90 | (1) |
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3.6.4 Clinical Utility of Circulating Tumor DNA in Early and Metastatic Breast Cancer |
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90 | (1) |
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3.6.5 Clinical Utility of Circulating Tumor DNA in Colorectal Cancer |
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91 | (1) |
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3.6.6 Clinical Utility of Circulating Tumor DNA in Melanoma |
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91 | (1) |
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3.7 Clinical Utility of Methylation in ctDNA in Personalized Oncology |
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92 | (1) |
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92 | (1) |
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93 | (6) |
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4 Prognostic Implications of EGFR, p53, p16, Cyclin D1, and Bcl-2 in Head and Neck Squamous Cell Carcinoma (HNSCC) |
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99 | (34) |
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99 | (1) |
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4.2 Epidermal Growth Factor Receptor (EGFR) |
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99 | (5) |
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4.2.1 EGFR Structure and Ligands |
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99 | (1) |
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100 | (1) |
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4.2.3 EGFR Expression and Genetic Changes |
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100 | (1) |
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4.2.3.1 EGFR Expression in HNSCC |
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100 | (1) |
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4.2.3.2 Normal Adjacent Oral Mucosa and Pre-malignant Lesions |
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101 | (1) |
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4.2.4 EGFR Genetic Changes: Gene Copy Numbers, Amplifications, and Mutations in HNSCC |
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101 | (1) |
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4.2.4.1 Association of EGFR Expression or Genetic Changes with HPV Infection |
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101 | (1) |
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4.2.5 EGFR as a Prognostic and Predictive Marker |
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102 | (1) |
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4.2.5.1 EGFR as a Prognostic Marker |
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102 | (1) |
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4.2.5.2 EGFR as a Predictive Marker |
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102 | (1) |
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4.2.6 Future Perspectives |
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103 | (1) |
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4.2.6.1 EGFR in Immuno-SPECT or PET Imaging |
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103 | (1) |
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4.2.6.2 Molecular Profiling for Precision Medicine |
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104 | (1) |
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4.3 TP53 Mutations in Head and Neck Cancer |
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104 | (3) |
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4.3.1 Pathogenesis and Prevalence |
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104 | (1) |
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104 | (1) |
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4.3.3 TP53 Structure and Physiology |
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105 | (1) |
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105 | (1) |
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4.3.3.2 TP53 as a Tumor Suppressor Gene |
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105 | (1) |
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4.3.4 TP53 Gain of Function Properties |
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105 | (1) |
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4.3.5 TP53 as a Prognostic and Predictive Marker |
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106 | (1) |
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4.3.6 Therapeutic Strategies Targeting TP53 |
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106 | (1) |
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4.4 P16 and Cyclin Dl Mutations in Head and Neck Cancer |
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107 | (2) |
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107 | (1) |
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108 | (1) |
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4.5 Bcl-2 Mutations in Head and Neck Cancer |
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109 | (4) |
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109 | (1) |
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4.5.1.1 Physiological Role of Bcl-2 |
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109 | (1) |
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4.5.2 Bcl-2 Family of Proteins |
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109 | (1) |
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4.5.3 Significance of Bcl-2 Overexpression |
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110 | (1) |
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4.5.4 Association with Chemoresistance and Radioresistance |
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111 | (1) |
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4.5.5 Role of Bcl-2 as a Marker of Prognosis |
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111 | (1) |
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4.5.6 Chemotherapeutics Targeting Bcl-2 |
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112 | (1) |
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113 | (1) |
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113 | (1) |
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114 | (19) |
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5 Immunotherapy and Cancer |
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133 | (24) |
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133 | (1) |
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5.2 What Is Cancer Immunotherapy? |
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134 | (1) |
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5.3 How Does Immunotherapy Work? |
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135 | (1) |
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5.4 Timing of Immunotherapy |
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135 | (1) |
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5.5 Combination Immunotherapy |
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136 | (1) |
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5.6 Side Effects of Immunotherapy |
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137 | (1) |
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5.7 Types of Cancer Immunotherapy Treatments |
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137 | (2) |
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5.7.1 Immune Checkpoint Inhibitors |
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137 | (1) |
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5.7.2 Monoclonal Antibodies and Tumor-Agnostic Therapies |
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138 | (1) |
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5.7.3 Adoptive T Cell Therapy |
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138 | (1) |
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139 | (1) |
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5.9 Oncolytic Viral Immunotherapy (OVIs) |
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140 | (1) |
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5.10 Non-specific Immunotherapies |
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141 | (1) |
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5.11 Immunotherapy by Cancer Type |
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141 | (9) |
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141 | (1) |
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142 | (1) |
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142 | (1) |
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5.11.4 Kidney and Prostate Cancers |
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143 | (2) |
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145 | (1) |
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146 | (1) |
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147 | (1) |
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147 | (1) |
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147 | (1) |
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148 | (2) |
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150 | (1) |
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5.13 Cancer Immunity Pathway |
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150 | (1) |
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5.14 Recent Developments in Immunotherapy |
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150 | (1) |
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5.15 Neoantigens for Cancer Immunotherapy |
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151 | (1) |
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152 | (1) |
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153 | (4) |
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6 Predictive and Prognostic Markers for Cancer Medicine |
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157 | (46) |
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157 | (1) |
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6.2 Historical Development of Cancer Markers |
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157 | (1) |
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6.3 Characteristics of the Ideal Cancer Markers |
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158 | (5) |
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6.3.1 Ideal Source of Cancer Markers |
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159 | (3) |
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6.3.2 Kinetics of Cancer Markers |
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162 | (1) |
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6.3.3 Sensitivity and Specificity for Evaluation of Cancer Markers |
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163 | (1) |
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6.4 Utilization of Cancer Markers in Most Common Cancers |
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163 | (13) |
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166 | (1) |
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166 | (1) |
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167 | (1) |
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168 | (1) |
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168 | (1) |
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169 | (1) |
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6.4.1.6 Oncotype DX Colon Cancer Test |
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169 | (1) |
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169 | (1) |
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169 | (1) |
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169 | (1) |
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170 | (1) |
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171 | (1) |
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171 | (1) |
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171 | (1) |
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172 | (1) |
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172 | (1) |
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172 | (1) |
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173 | (1) |
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6.4.4.2 ALK Rearrangements |
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173 | (1) |
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6.4.4.3 ROS1 Rearragements |
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174 | (1) |
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174 | (1) |
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174 | (1) |
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175 | (1) |
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6.5 Classification and Techniques for Studying of Cancer Markers |
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176 | (9) |
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6.5.1 Circulating Tumor Cells as Cancer Markers |
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176 | (1) |
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6.5.2 DNA-Based Cancer Markers |
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177 | (1) |
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6.5.2.1 Microsatellite Alterations |
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177 | (1) |
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177 | (1) |
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178 | (1) |
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6.5.2.4 Mutations and Single Nucleotide Polymorphisms (SNPs) |
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178 | (2) |
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6.5.3 RNA-Based Tumor Markers |
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180 | (1) |
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180 | (1) |
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180 | (1) |
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6.5.4 Protein-Based Tumor Markers |
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181 | (4) |
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6.6 Clinical Validation of Cancer Markers |
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185 | (1) |
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6.7 Conclusions and Future Perspectives |
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186 | (1) |
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187 | (16) |
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7 Dual Energy Imaging in Precision Radiation Therapy |
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203 | (26) |
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7.1 Introduction and Overview |
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203 | (1) |
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7.2 Historical Perspective |
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203 | (5) |
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204 | (1) |
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7.2.2 X-Ray Interactions in Matter |
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205 | (1) |
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7.2.3 Planar Image Formation |
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205 | (1) |
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7.2.4 Computed Tomography |
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206 | (1) |
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7.2.5 X-Ray Imaging in Radiation Oncology |
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207 | (1) |
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7.2.6 Dual Energy Imaging in Radiation Therapy |
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207 | (1) |
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7.3 Planar Dual Energy Imaging |
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208 | (6) |
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209 | (1) |
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7.3.2 Planar Dual Energy Imaging Methods |
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210 | (1) |
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7.3.3 Applications in Radiation Therapy |
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210 | (1) |
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7.3.3.1 Image-Guided Radiation Therapy |
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211 | (1) |
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7.3.3.2 Markerless Tumor Tracking |
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211 | (1) |
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7.3.3.3 Megavoltage Dual Energy Imaging |
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214 | (1) |
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7.4 Dual Energy Computed Tomography |
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214 | (8) |
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215 | (1) |
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7.4.2 Dual Energy Scanning Methods |
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216 | (2) |
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7.4.3 Applications in Radiation Therapy |
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218 | (1) |
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7.4.3.1 Brachytherapy Planning |
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218 | (1) |
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218 | (1) |
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7.4.3.3 Normal Tissue Segmentation |
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220 | (1) |
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7.4.3.4 Assessment of Therapy Response |
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221 | (1) |
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7.4.3.5 Dual Energy Cone Beam Computed Tomography |
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222 | (1) |
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7.5 Summary and Future Directions |
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222 | (1) |
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223 | (1) |
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224 | (5) |
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8 The Role of Big Data in Personalized Medicine |
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229 | (20) |
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229 | (1) |
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8.2 The Concept of Big Data and the Specificities of Healthcare |
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230 | (3) |
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8.2.1 Volume: How Big Is Big Data? |
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230 | (1) |
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8.2.2 Variety: Where Does Big Data Come from? |
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231 | (1) |
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8.2.3 Velocity: How Fast Is Big Data Generated and Interpreted? |
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232 | (1) |
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8.2.4 Variability: How Does Big Data Change? |
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232 | (1) |
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8.2.5 Veracity: How Accurate Is Big Data? |
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232 | (1) |
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8.2.6 Value: Why Is Big Data Important? |
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232 | (1) |
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233 | (3) |
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8.3.1 Genomics, Epigenomics, and Transcriptomics |
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233 | (1) |
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8.3.2 Proteomics and Metabolomics |
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234 | (1) |
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8.3.3 Medical Imaging and Radiomics |
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235 | (1) |
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8.3.4 Clinical Informatics |
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236 | (1) |
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8.4 Big Data Analytical Techniques |
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236 | (3) |
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236 | (1) |
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237 | (1) |
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8.4.3 Natural Language Processing |
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238 | (1) |
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8.5 Challenges in Big Data Analytics |
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239 | (2) |
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8.5.1 Implementing a Big Data Approach |
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239 | (1) |
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8.5.2 Developing an Information-Sharing Culture |
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239 | (1) |
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240 | (1) |
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8.5.4 Ethics in Big Data Analysis |
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240 | (1) |
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8.5.4.1 Consent in the Era of Big Data |
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240 | (1) |
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240 | (1) |
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241 | (1) |
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241 | (1) |
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241 | (8) |
Index |
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249 | |