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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
Norepinephrine Transporter as a Target for Imaging and Therapy.
Neeta Pandit-Taskar1, Shakeel Modak2
1Memorial Sloan Kettering Cancer Center, New York, New York pandit-n@mskcc.org.
Norepinephrine transporter (NET) theranostics, like 123I/131I-MIBG, target neuroendocrine tumors. While useful for imaging and some treatment, outcomes are suboptimal, prompting research into improved NET-targeting agents and PET tracers.
Area of Science:
- Nuclear medicine
- Oncology
- Pharmacology
Background:
- The norepinephrine transporter (NET) is crucial for norepinephrine uptake and a target for neuroendocrine tumor theranostics.
- Metaiodobenzylguanidine (MIBG) is a widely used NET-targeting agent for imaging and therapy, particularly in neuroblastoma and pheochromocytoma.
Purpose of the Study:
- To provide an overview of NET as a theranostic target in neuroendocrine tumors.
- To review the current clinical applications of NET-targeting agents.
- To discuss strategies for enhancing theranostic outcomes.
Main Methods:
- Review of current literature on NET-targeting theranostics.
- Analysis of the clinical utility of 123I/131I-MIBG in neuroendocrine tumors.
- Exploration of emerging PET tracers and combination therapies.
Main Results:
- 123I-MIBG is a standard for neuroblastoma imaging.
- 131I-MIBG offers limited palliative benefit for neuroblastoma and pheochromocytoma/paraganglioma.
- Current therapeutic outcomes for NET-targeted theranostics remain suboptimal.
Conclusions:
- NET remains a promising target for neuroendocrine tumor theranostics.
- Improved therapeutic efficacy requires novel approaches, including advanced imaging and combination therapies.
- PET tracers offer potential for more convenient imaging and post-treatment assessment.
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