Laboratório de radioisótopos, Departamento de análises Clinicas, Universidade Federal de Minas Gerais (UFMG), Avenida Presidente Antônio Carlos, 6627, Belo Horizonte, Minas Gerais, Brazil.
Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, 53705, USA.
Biomed Pharmacother. 2017 Nov;95:469-476. doi: 10.1016/j.biopha.2017.08.079. Epub 2017 Sep 12.
Despite recent advances in the development of new therapeutic agents and diagnostic imaging modalities, cancer is still one of the main causes of death worldwide. A better understanding of the molecular signature of cancer has promoted the development of a new generation of anti-cancer drugs and diagnostic agents that specifically target molecular components such as genes, ligands, receptors and signaling pathways. However, intrinsic heterogeneity of tumors has hampered the overall success of target therapies even among patients with similar tumor types but unpredictable different responses to therapy. In this sense, post-treatment response monitoring becomes indispensable and nuclear medicine imaging modalities could provide the tools for an early indication of therapeutic efficacy. Herein, we briefly discuss the current role of PET and SPECT imaging in monitoring cancer therapy together with an update on the current radiolabeled probes that are currently investigated for tumor therapy response assessment.
尽管近年来在新的治疗药物和诊断成像方式的发展方面取得了进展,但癌症仍然是全球主要的死亡原因之一。对癌症分子特征的更好理解促进了新一代抗癌药物和诊断剂的发展,这些药物和诊断剂专门针对基因、配体、受体和信号通路等分子成分。然而,肿瘤的内在异质性即使在具有相似肿瘤类型的患者中也阻碍了靶向治疗的总体成功,因为这些患者对治疗的反应不可预测。从这个意义上说,治疗后反应监测变得不可或缺,核医学成像方式可以为早期治疗效果提供工具。在此,我们简要讨论了 PET 和 SPECT 成像在监测癌症治疗中的当前作用,并更新了目前正在研究用于肿瘤治疗反应评估的放射性标记探针。