From the Department of Cancer Imaging, School of Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas' Hospital, London, UK.
Division of Nuclear Radiology, Department of Radiology, Mayo Clinic, Rochester, MN.
Cancer J. 2024;30(3):202-209. doi: 10.1097/PPO.0000000000000717.
Bone metastases occur frequently in common malignancies such as breast and prostate cancer. They are responsible for considerable morbidity and skeletal-related events. Fortunately, there are now several systemic, focal, and targeted therapies that can improve quality and length of life, including radionuclide therapies. It is therefore important that bone metastases can be detected as early as possible and that treatment can be accurately and sensitively monitored. Several bone-specific and tumor-specific single-photon emission computed tomography and positron emission tomography molecular imaging agents are available, for detection and monitoring response to systemic therapeutics, as well as theranostic agents to confirm target expression and predict response to radionuclide therapies.
骨转移在常见的恶性肿瘤中经常发生,如乳腺癌和前列腺癌。它们导致相当大的发病率和与骨骼相关的事件。幸运的是,现在有几种全身性、局部性和靶向治疗方法可以改善生活质量和延长寿命,包括放射性核素治疗。因此,尽早发现骨转移并准确、敏感地监测治疗非常重要。有几种骨特异性和肿瘤特异性单光子发射计算机断层扫描和正电子发射断层扫描分子成像剂,可用于检测和监测全身性治疗的反应,以及治疗诊断剂,以确认靶表达并预测对放射性核素治疗的反应。