A Review of Theranostics: Perspectives on Emerging Approaches and Clinical Advancements.
Brian J BurkettDavid J BartlettPatrick W McGarrahAkeem R LewisDerek Richard JohnsonKezban BerberoğluMukesh K PandeyAnnie T PackardThorvardur R HalfdanarsonCarrie B HruskaGeoffrey B JohnsonAyse Tuba KendiPublished in: Radiology. Imaging cancer (2023)
Theranostics is the combination of two approaches-diagnostics and therapeutics-applied for decades in cancer imaging using radiopharmaceuticals or paired radiopharmaceuticals to image and selectively treat various cancers. The clinical use of theranostics has increased in recent years, with U.S. Food and Drug Administration (FDA) approval of lutetium 177 ( 177 Lu) tetraazacyclododecane tetraacetic acid octreotate (DOTATATE) and 177 Lu-prostate-specific membrane antigen vector-based radionuclide therapies. The field of theranostics has imminent potential for emerging clinical applications. This article reviews critical areas of active clinical advancement in theranostics, including forthcoming clinical trials advancing FDA-approved and emerging radiopharmaceuticals, approaches to dosimetry calculations, imaging of different radionuclide therapies, expanded indications for currently used theranostic agents to treat a broader array of cancers, and emerging ideas in the field. Keywords: Molecular Imaging, Molecular Imaging-Cancer, Molecular Imaging-Clinical Translation, Molecular Imaging-Target Development, PET/CT, SPECT/CT, Radionuclide Therapy, Dosimetry, Oncology, Radiobiology © RSNA, 2023.
Keyphrases
- pet ct
- drug administration
- clinical trial
- high resolution
- papillary thyroid
- randomized controlled trial
- magnetic resonance imaging
- palliative care
- systematic review
- photodynamic therapy
- young adults
- mass spectrometry
- molecular dynamics simulations
- open label
- molecular dynamics
- cell therapy
- density functional theory
- double blind