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Nuclear imaging in cancer theranostics
S Del Vecchio1, A Zannetti, R Fonti
1Department of Biomorphological and Functional Sciences, University of Naples Federico II, Naples, Italy. delvecc@unina.it
Abstract:
The combination of a diagnostic test with a therapeutic entity is termed theranostics. The diagnostic test aims at identifying patients who will likely benefit from a specific therapeutic intervention, fail to respond or eventually manifest side effects to a given drug. The appropriate selection of patients for innovative therapies would promote an enrichment of patient population that can potentiate clinical trials and, eventually, accelerate the drug development process. For these reasons, many drug companies adopted a theranostic approach as a new and promising avenue for drug development. From an historical perspective, the concepts underlying the theranostic strategy are well known in nuclear medicine and constituted the basis of many nuclear imaging procedures currently used in clinical practice. Nevertheless the adoption of these concepts by regulatory authorities is a real progress and reflects the remarkable advances in the development of drugs against molecular targets. In this respect, the oncological field provides the strongest evidence of the clinical need to link diagnostics to therapeutics. Here, we review the contribution that non-invasive nuclear imaging may give to cancer theranostics and report prominent examples of nuclear imaging procedures that can be coupled to specific therapies. The main focus lies on imaging procedures that can identify patients who will benefit from molecularly targeted therapy or are going to fail to respond to standard treatment.
Insights
Theranostics combines diagnostic tests with therapies to identify patients who will benefit from specific treatments. This approach accelerates drug development, particularly in oncology, by improving patient selection for clinical trials.
Area of Science:
- Oncology
- Nuclear Medicine
- Pharmacology
Background:
- Theranostics integrates diagnostic testing with therapeutic interventions.
- This approach identifies patients likely to benefit from, or experience adverse effects from, specific drugs.
- The drug development process can be accelerated by enriching patient populations in clinical trials.
Purpose of the Study:
- To review the role of non-invasive nuclear imaging in cancer theranostics.
- To highlight examples of nuclear imaging procedures coupled with specific therapies.
- To focus on imaging methods for identifying patients who will benefit from targeted therapy or fail standard treatment.
Main Methods:
- Review of existing literature on theranostics and nuclear imaging in oncology.
- Identification of prominent examples of theranostic nuclear imaging procedures.
- Analysis of the contribution of non-invasive imaging to patient selection for cancer therapies.
Main Results:
- Theranostics is a promising avenue adopted by many drug companies for drug development.
- Nuclear medicine provides historical and practical foundations for theranostic strategies.
- Non-invasive nuclear imaging offers significant contributions to cancer theranostics.
Conclusions:
- The adoption of theranostic concepts by regulatory authorities signifies progress in molecularly targeted drug development.
- Oncology presents strong clinical evidence for the necessity of linking diagnostics with therapeutics.
- Nuclear imaging procedures are crucial for identifying patient eligibility for targeted therapies and predicting treatment response.
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