Veenstra Mara M K, van Zanten Sophie Veldhuijzen, Vegt Erik, Boere Ingrid A, van Beekhuizen Heleen J, Nonnekens Julie, Verburg Frederik A, Thomeer Maarten G J
Department of Radiology & Nuclear Medicine, Erasmus MC - University Medical Centre Rotterdam, Rotterdam, the Netherlands.
Erasmus MC Cancer Institute, Rotterdam, the Netherlands.
Cancer Med. 2025 Sep;14(17):e71167. doi: 10.1002/cam4.71167.
This review summarizes the role and future prospects of nuclear medicine in ovarian cancer, focusing on novel radiopharmaceuticals beyond FDG for diagnostic, predictive, and therapeutic applications within a theranostic framework.
A narrative literature review was conducted using major databases. Peer-reviewed articles addressing non-FDG radiopharmaceuticals in ovarian cancer were identified and assessed; FDG-based studies were excluded due to the availability of prior comprehensive reviews.
Novel radiopharmaceuticals show potential to enhance diagnostic accuracy, allow early evaluation of treatment response, predict chemotherapy resistance, and support stratification for targeted therapies. Several tracers are under investigation for theranostic use, offering combined diagnostic and therapeutic benefits.
Incorporating novel radiopharmaceuticals into ovarian cancer management may help overcome limitations of conventional imaging and systemic therapy. Theranostic strategies, uniting molecular imaging with radionuclide therapy, represent a promising step toward personalized medicine and could significantly influence clinical outcomes.
Nuclear medicine, through innovative radiopharmaceuticals and theranostic approaches beyond FDG, is expected to expand its role in ovarian cancer care. Further research is needed to validate these applications and facilitate their integration into clinical practice.
本综述总结了核医学在卵巢癌中的作用及未来前景,重点关注除氟代脱氧葡萄糖(FDG)之外的新型放射性药物在诊断、预测和治疗应用中的作用,即在诊疗一体化框架内的应用。
使用主要数据库进行叙述性文献综述。检索并评估了关于卵巢癌中非FDG放射性药物的同行评议文章;由于已有全面的综述,基于FDG的研究被排除。
新型放射性药物显示出提高诊断准确性、早期评估治疗反应、预测化疗耐药性以及支持靶向治疗分层的潜力。几种示踪剂正在进行诊疗一体化应用的研究,具有联合诊断和治疗的益处。
将新型放射性药物纳入卵巢癌管理可能有助于克服传统成像和全身治疗的局限性。诊疗一体化策略将分子成像与放射性核素治疗相结合,是迈向个性化医疗的有希望的一步,可能会显著影响临床结果。
通过创新的放射性药物和超越FDG的诊疗一体化方法,核医学有望在卵巢癌治疗中扩大其作用。需要进一步研究来验证这些应用并促进其融入临床实践。