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Radionuclide Theranostics in Neuroendocrine Neoplasms: An Update.
Di Franco, Martina; Zanoni, Lucia; Fortunati, Emilia; Fanti, Stefano; Ambrosini, Valentina.
Affiliation
  • Di Franco M; Nuclear Medicine, Alma Mater Studiorum, University of Bologna, Via Massarenti 9, 40138, Bologna, Italy. martina.difranco2@studio.unibo.it.
  • Zanoni L; Nuclear Medicine, IRCCS, Azienda Ospedaliero-Universitaria Di Bologna, Bologna, Italy.
  • Fortunati E; Nuclear Medicine, IRCCS, Azienda Ospedaliero-Universitaria Di Bologna, Bologna, Italy.
  • Fanti S; Nuclear Medicine, Alma Mater Studiorum, University of Bologna, Via Massarenti 9, 40138, Bologna, Italy.
  • Ambrosini V; Nuclear Medicine, IRCCS, Azienda Ospedaliero-Universitaria Di Bologna, Bologna, Italy.
Curr Oncol Rep ; 26(5): 538-550, 2024 05.
Article in En | MEDLINE | ID: mdl-38581469
ABSTRACT
PURPOSE OF REVIEW This paper aims to address the latest findings in neuroendocrine tumor (NET) theranostics, focusing on new evidence and future directions of combined diagnosis with positron emission tomography (PET) and treatment with peptide receptor radionuclide therapy (PRRT). RECENT

FINDINGS:

Following NETTER-1 trial, PRRT with [177Lu]Lu-DOTATATE was approved by FDA and EMA and is routinely employed in advanced G1 and G2 SST (somatostatin receptor)-expressing NET. Different approaches have been proposed so far to improve the PRRT therapeutic index, encompassing re-treatment protocols, combinations with other therapies and novel indications. Molecular imaging holds a potential added value in characterizing disease biology and heterogeneity using different radiopharmaceuticals (e.g., SST and FDG) and may provide predictive and prognostic parameters. Response assessment criteria are still an unmet need and new theranostic pairs showed preliminary encouraging results. PRRT for NET has become a paradigm of modern theranostics. PRRT holds a favorable toxicity profile, and it is associated with a prolonged time to progression, reduction of symptoms, and improved patients' quality of life. In light of further optimization, different new strategies have been investigated, along with the development of new radiopharmaceuticals.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Organometallic Compounds / Octreotide / Neuroendocrine Tumors / Radiopharmaceuticals Limits: Humans Language: En Journal: Curr Oncol Rep Journal subject: NEOPLASIAS Year: 2024 Document type: Article Affiliation country: Country of publication:

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Organometallic Compounds / Octreotide / Neuroendocrine Tumors / Radiopharmaceuticals Limits: Humans Language: En Journal: Curr Oncol Rep Journal subject: NEOPLASIAS Year: 2024 Document type: Article Affiliation country: Country of publication: