Radionuclide-based theranostics - a promising strategy for lung cancer

Eur J Nucl Med Mol Imaging. 2023 Jul;50(8):2353-2374. doi: 10.1007/s00259-023-06174-8. Epub 2023 Mar 16.

Abstract

Purpose: This review aims to provide a comprehensive overview of the latest literature on personalized lung cancer management using different ligands and radionuclide-based tumor-targeting agents.

Background: Lung cancer is the leading cause of cancer-related deaths worldwide. Due to the heterogeneity of lung cancer, advances in precision medicine may enhance the disease management landscape. More recently, theranostics using the same molecule labeled with two different radionuclides for imaging and treatment has emerged as a promising strategy for systemic cancer management. In radionuclide-based theranostics, the target, ligand, and radionuclide should all be carefully considered to achieve an accurate diagnosis and optimal therapeutic effects for lung cancer.

Methods: We summarize the latest radiotracers and radioligand therapeutic agents used in diagnosing and treating lung cancer. In addition, we discuss the potential clinical applications and limitations associated with target-dependent radiotracers as well as therapeutic radionuclides. Finally, we provide our views on the perspectives for future development in this field.

Conclusions: Radionuclide-based theranostics show great potential in tailored medical care. We expect that this review can provide an understanding of the latest advances in radionuclide therapy for lung cancer and promote the application of radioligand theranostics in personalized medicine.

Keywords: Cancer therapy; Molecular imaging; Personalized medicine; Radioligand theranostics (RLT).

Publication types

  • Review

MeSH terms

  • Diagnostic Imaging
  • Humans
  • Lung Neoplasms* / diagnostic imaging
  • Lung Neoplasms* / radiotherapy
  • Precision Medicine*
  • Radioisotopes / therapeutic use
  • Radiopharmaceuticals / therapeutic use

Substances

  • Radioisotopes
  • Radiopharmaceuticals