A New Look at Toxicity in the Era of Precision Oncology: Imaging Findings, Their Relationship With Tumor Response, and Effect on Metastasectomy

AJR Am J Roentgenol. 2016 Jul;207(1):4-14. doi: 10.2214/AJR.15.15480. Epub 2016 Apr 11.

Abstract

Objective: As cancer care becomes increasingly personalized and patients with metastatic disease live longer, oncologists' approach to drug toxicity is also evolving.

Conclusion: This article aims to broaden the radiologist's understanding of imaging-evident toxicity by describing how oncologists grade toxicity, exploring toxicity as a biomarker of treatment response, discussing the effect of toxicity in patients who are candidates for metastasectomy, and illustrating how combining drugs of varying classes amplifies toxicity.

Keywords: adverse events; biomarker; metastasectomy; toxicity.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / adverse effects*
  • Biomarkers, Tumor / analysis
  • Diagnostic Imaging*
  • Humans
  • Medical Oncology*
  • Neoplasm Metastasis*
  • Neoplasms / diagnostic imaging*
  • Neoplasms / drug therapy*
  • Precision Medicine*

Substances

  • Antineoplastic Agents
  • Biomarkers, Tumor