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Updated: Jul 15, 2026

Harnessing the Bioorthogonal Inverse Electron Demand Diels-Alder Cycloaddition for Pretargeted PET Imaging
Published on: February 3, 2015
Targeted therapy in nuclear medicine--current status and future prospects
W J G Oyen1, L Bodei, F Giammarile
1Therapy Committee of the European Association of Nuclear Medicine, Hollandstrasse 14 / Mezzanine, A-1020 Vienna, Austria. w.oyen@nucmed.umcn.nl
Targeted radionuclide therapy has advanced significantly, offering new options for thyroid cancer, lymphoma, and solid tumors using radiolabeled compounds. These targeted therapies, including antibodies and small molecules, are improving treatment for various cancers.
Area of Science:
- Oncology
- Nuclear Medicine
- Radiopharmaceutical Therapy
Background:
- Targeted radionuclide therapy has seen significant advancements.
- New developments include radioiodine treatment, radiolabeled monoclonal antibodies (mAbs), and small receptor-specific molecules.
Purpose of the Study:
- To review recent developments in targeted therapies using radiolabeled compounds.
- To discuss the application of these therapies in various cancers, including thyroid cancer, lymphoma, and solid tumors.
- To explore locoregional treatment for liver malignancies.
Main Methods:
- Review of current literature on targeted radionuclide therapy.
- Discussion of specific radiolabeled agents like radioiodine, mAbs, meta-iodobenzylguanidine, peptides, and somatostatin derivatives.
- Analysis of treatment protocols and outcomes for different cancer types.
Main Results:
- Radioiodine treatment protocols for thyroid cancer have been updated with recombinant human thyroid-stimulating hormone and retinoids.
- Radiolabeled mAbs offer new options for lymphoma but are challenging for solid tumors.
- Radiolabeled small molecules and peptides enable high-dose radiation delivery to disseminated tumors, with somatostatin derivatives as a model.
- Locoregional radiopharmaceutical treatment is effective for inoperable liver cancers and can be used in neoadjuvant/adjuvant settings.
Conclusions:
- Targeted radionuclide therapy has significantly advanced, with new clinical modalities introduced.
- Combining therapeutic radiopharmaceuticals with other treatment modalities is an area of increasing exploration.
- These developments offer improved treatment strategies for various malignancies.
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