Juweid Malik E, Al-Qasem Soud F, Khuri Fadlo R, Gallamini Andrea, Lohmann Philipp, Ziellenbach Hans-Joachim, Mottaghy Felix M
Department of Radiology and Nuclear Medicine, School of Medicine, University of Jordan, Amman, Jordan.
The National Center for Diabetes, Endocrinology, and Genetics, University of Jordan, Amman, Jordan.
CA Cancer J Clin. 2025 May-Jun;75(3):226-242. doi: 10.3322/caac.70007. Epub 2025 Apr 4.
Cancer molecular imaging is the noninvasive visualization of a process unique to or altered in neoplasia, such as proliferation, glucose metabolism, and receptor expression, which is relevant to patient management. Several molecular imaging modalities are now available, including magnetic resonance, optical, and nuclear imaging. Nuclear imaging, particularly using fluorine-18-fluorodeoxyglucose positron emission tomography, is widely used in the staging and response assessment of multiple cancer types. However, at this writing, new nuclear medicine probes, especially positron emission tomography tracers, are increasingly used or are being investigated for cancer evaluation. This review focuses on these probes, their biologic targets, and the applications or potential applications for their use in the assessment of various neoplasms, including both probes available for commercial use-such as somatostatin receptor ligands in neuroendocrine tumors, prostate-specific membrane antigen ligands in prostate cancer, norepinephrine analogs in neural crest tumors like neuroblastoma, and estrogen analogs in breast cancer-and others in clinical development, such as fibroblast-activating protein inhibitors, C-X-C chemokine receptor type 4 ligands, and monoclonal antibodies targeting receptor tyrosine kinases, CD4-positive or CD8-positive tumor-infiltrating lymphocytes, tumor-associated macrophages, and cancer stem cell biomarkers. These developments represent a major step toward the integration of molecular imaging as a powerful tool in precision medicine, with an expectedly significant impact on patient management and outcome.
癌症分子成像是对肿瘤中特有的或发生改变的过程进行无创可视化,如增殖、葡萄糖代谢和受体表达等,这与患者管理相关。目前有几种分子成像模式,包括磁共振成像、光学成像和核成像。核成像,特别是使用氟-18-氟脱氧葡萄糖正电子发射断层扫描,广泛用于多种癌症类型的分期和疗效评估。然而,在撰写本文时,新型核医学探针,尤其是正电子发射断层扫描示踪剂,越来越多地被用于或正在被研究用于癌症评估。本综述重点关注这些探针、它们的生物学靶点以及在评估各种肿瘤中的应用或潜在应用,包括可用于商业用途的探针,如神经内分泌肿瘤中的生长抑素受体配体、前列腺癌中的前列腺特异性膜抗原配体、神经母细胞瘤等神经嵴肿瘤中的去甲肾上腺素类似物以及乳腺癌中的雌激素类似物,以及其他处于临床开发阶段的探针,如成纤维细胞激活蛋白抑制剂、C-X-C趋化因子受体4配体以及靶向受体酪氨酸激酶、CD4阳性或CD8阳性肿瘤浸润淋巴细胞、肿瘤相关巨噬细胞和癌症干细胞生物标志物的单克隆抗体。这些进展代表了分子成像作为精准医学中一种强大工具整合的重要一步,预计将对患者管理和治疗结果产生重大影响。
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