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CA A Cancer Journal for Clinicians
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Beyond fluorodeoxyglucose: Molecular imaging of cancer in precision medicine

Molecular imaging of cancer in precision medicine
Authors: Malik E. Juweid; Soud F. Al‐Qasem; Fadlo R. Khuri; Andrea Gallamini; Philipp Lohmann; Hans‐Joachim Ziellenbach; Felix M. Mottaghy;

Beyond fluorodeoxyglucose: Molecular imaging of cancer in precision medicine

Abstract

Abstract 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.

Keywords

Male, precision medicine, 610, Review Article, prostate-specific membrane antigen (PSMA), POSITRON-EMISSION-TOMOGRAPHY, Fluorodeoxyglucose F18, METASTATIC PHEOCHROMOCYTOMA, Neoplasms, cancer, BREAST-CANCER, Humans, Precision Medicine, info:eu-repo/classification/ddc/610, DEFINITIVE RADIOTHERAPY, molecular imaging, F-18-FDG PET/CT, somatostatin analogs, PROSTATE-CANCER, Molecular Imaging, PROGNOSTIC VALUE, Positron-Emission Tomography, PHASE-II, Female, Radiopharmaceuticals, positron-emission tomography (PET), NEUROENDOCRINE TUMORS, estrogen receptor, SINGLE-CENTER

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    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    5
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
5
Top 10%
Average
Top 10%
Green
Published in a Diamond OA journal
Related to Research communities
Cancer Research