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Trends in oncologic hybrid imaging.

Andreas G Wibmer1,2, Hedvig Hricak1, Gary A Ulaner1,2

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Hybrid imaging is revolutionizing cancer care with new tracers and technologies for diagnosis and treatment. This review covers advancements in hybrid imaging, including PET/MRI, and their impact on patient care and medical training.

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11C–choline18F –Fluciclovine18F–Fluorodehydrotestosterone18F–Fluoroestradiol68Ga/ 177Lu -DOTA-TATE89Zr-trastuzumabOncologic hybrid molecular imagingOne-minute whole-body PET explorerProstate-specific membrane antigenTime-of-flight positron emission tomography computed tomography

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Area of Science:

  • Oncology
  • Radiology
  • Nuclear Medicine

Background:

  • Hybrid imaging is crucial for diagnosing and managing various cancers.
  • Advancements in radiotracers and imaging technologies are expanding its clinical utility.

Purpose of the Study:

  • To review historical developments and emerging applications of hybrid imaging in oncology.
  • To discuss novel tracers, imaging technologies, and their implications for clinical practice and training.

Main Methods:

  • Review of historical data and current literature on hybrid imaging in oncology.
  • Overview of novel radiotracers for specific cancers (prostate, breast, neuroendocrine).
  • Discussion of technological advancements like PET/MRI and time-of-flight PET.

Main Results:

  • Emerging applications include assessing tumor heterogeneity and image-guided 'biologically relevant dosing'.
  • Theranostic applications are expanding the role of hybrid imaging.
  • Technological progress enables faster and more comprehensive imaging, such as 'one-minute whole-body PET'.

Conclusions:

  • Hybrid imaging is transforming cancer diagnosis, management, and treatment planning.
  • Future practice will be shaped by novel tracers, advanced technologies, and big data analysis.
  • Training curricula need adaptation to incorporate these rapidly evolving hybrid imaging applications.