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基于镥的放射性药物治疗与剂量测定的进展。

Developments in Lu-based radiopharmaceutical therapy and dosimetry.

作者信息

George Siju C, Samuel E James Jebaseelan

机构信息

Radiation Oncology Department, Miami Cancer Institute, Baptist Health, Miami, FL, United States.

Vellore Institute of Technology, Vellore, India.

出版信息

Front Chem. 2023 Jul 31;11:1218670. doi: 10.3389/fchem.2023.1218670. eCollection 2023.

Abstract

Lu is a radioisotope that has become increasingly popular as a therapeutic agent for treating various conditions, including neuroendocrine tumors and metastatic prostate cancer. Lu-tagged radioligands are molecules precisely designed to target and bind to specific receptors or proteins characteristic of targeted cancer. This review paper will present an overview of the available Lu-labelled radioligands currently used to treat patients. Based on recurring, active, and completed clinical trials and other available literature, we evaluate current status, interests, and developments in assessing patient-specific dosimetry, which will define the future of this particular treatment modality. In addition, we will discuss the challenges and opportunities of the existing dosimetry standards to measure and calculate the radiation dose delivered to patients, which is essential for ensuring treatments' safety and efficacy. Finally, this article intends to provide an overview of the current state of Lu- tagged radioligand therapy and highlight the areas where further research can improve patient treatment outcomes.

摘要

镥是一种放射性同位素,作为治疗包括神经内分泌肿瘤和转移性前列腺癌在内的各种病症的治疗剂越来越受欢迎。镥标记的放射性配体是经过精确设计的分子,用于靶向并结合靶向癌症特有的特定受体或蛋白质。这篇综述文章将概述目前用于治疗患者的镥标记放射性配体。基于反复进行、正在进行和已完成的临床试验以及其他现有文献,我们评估了在评估患者特异性剂量测定方面的现状、兴趣和进展,这将决定这种特定治疗方式的未来。此外,我们将讨论现有剂量测定标准在测量和计算给予患者的辐射剂量方面的挑战和机遇,这对于确保治疗的安全性和有效性至关重要。最后,本文旨在概述镥标记放射性配体治疗的现状,并突出可以通过进一步研究改善患者治疗结果的领域。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0287/10424930/42d140cb48b3/fchem-11-1218670-g001.jpg

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