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Dynamic Imaging of Chimeric Antigen Receptor T Cells with [18F]Tetrafluoroborate Positron Emission Tomography/Computed Tomography
Published on: February 17, 2022
Theragnostic imaging using radiolabeled antibodies and tyrosine kinase inhibitors
Mitsuyoshi Yoshimoto1, Hiroaki Kurihara2, Hirofumi Fujii1
1Division of Functional Imaging, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, Kashiwa, Chiba 277-8577, Japan.
Abstract:
During the past decade, the efficacy of new molecular targeted drugs such as tyrosine kinase inhibitors (TKIs) and monoclonal antibodies has been proven worldwide, and molecular targeted therapies have become the mainstream in cancer therapy. However, clinical use of these new drugs presents unexpected adverse effects or poor therapeutic effects. Therefore, we require diagnostic tools to estimate the target molecule status in cancer tissues and predict therapeutic efficacy and adverse effects. Although immunohistochemical, polymerase chain reaction (PCR) and fluorescence in situ hybridization (FISH) analyses of biopsy samples are conventional and popular for this diagnostic purpose, molecular imaging modalities such as positron emission tomography (PET) and single photon emission computed tomography (SPECT) are also useful for noninvasive estimation of gene and protein expression and drug pharmacokinetics. In this review, we introduce new radiolabeled TKIs, antibodies, and their clinical application in molecular targeted therapy and discuss the issues of these imaging probes.
Insights
Molecular targeted therapies are mainstream cancer treatments, but predicting efficacy and side effects requires better diagnostics. This review explores radiolabeled molecular imaging probes for noninvasive assessment of cancer drug targets.
Area of Science:
- Oncology
- Molecular Imaging
- Pharmacology
Background:
- Molecular targeted therapies, including tyrosine kinase inhibitors (TKIs) and monoclonal antibodies, are now standard cancer treatments.
- Despite their efficacy, these therapies can cause unexpected adverse effects or suboptimal therapeutic outcomes.
- Accurate diagnostic tools are needed to assess target molecule status, predict treatment response, and anticipate adverse events.
Purpose of the Study:
- To review the development and clinical applications of novel radiolabeled molecular imaging probes.
- To discuss the utility of these probes in evaluating molecular targeted therapy.
- To highlight challenges and future directions for molecular imaging in precision oncology.
Main Methods:
- Review of current literature on radiolabeled TKIs and antibodies for molecular imaging.
- Discussion of conventional diagnostic methods like immunohistochemistry, PCR, and FISH.
- Exploration of positron emission tomography (PET) and single photon emission computed tomography (SPECT) for noninvasive molecular assessment.
Main Results:
- Radiolabeled TKIs and antibodies show promise for noninvasive molecular imaging in targeted cancer therapy.
- Molecular imaging can provide insights into gene/protein expression and drug pharmacokinetics.
- These techniques offer potential for personalized treatment strategies and improved patient outcomes.
Conclusions:
- Molecular imaging probes are valuable tools for guiding molecular targeted therapy.
- Noninvasive assessment of drug targets and pharmacokinetics can optimize cancer treatment.
- Further research is needed to address current limitations and enhance the clinical utility of these imaging agents.
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