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基于放射性核素的治疗策略——肺癌的一种有前途的策略。

Radionuclide-based theranostics - a promising strategy for lung cancer.

机构信息

Department of Respiratory Medicine, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, 322000, Zhejiang, China.

Lingang Laboratory, Shanghai, 200031, China.

出版信息

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.

摘要

目的

本综述旨在提供使用不同配体和基于放射性核素的肿瘤靶向剂进行个体化肺癌管理的最新文献综述。

背景

肺癌是全球癌症相关死亡的主要原因。由于肺癌的异质性,精准医学的进步可能会改善疾病管理的前景。最近,使用同一分子标记两种不同放射性核素进行成像和治疗的治疗学已成为全身癌症管理的一种有前途的策略。在基于放射性核素的治疗学中,应仔细考虑靶标、配体和放射性核素,以实现对肺癌的准确诊断和最佳治疗效果。

方法

我们总结了用于诊断和治疗肺癌的最新放射性示踪剂和放射性配体治疗剂。此外,我们还讨论了基于靶标的放射性示踪剂以及治疗性放射性核素的潜在临床应用和局限性。最后,我们对该领域的未来发展前景提出了看法。

结论

基于放射性核素的治疗学在个体化医疗方面显示出巨大的潜力。我们希望本综述能帮助理解放射性核素治疗肺癌的最新进展,并促进放射性配体治疗学在个体化医学中的应用。

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