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PET Radiopharmaceuticals for Specific Bacteria Imaging: A Systematic Review
Sveva Auletta1, Michela Varani2, Rika Horvat3
1Nuclear Medicine Unit, Department of Medical-Surgical Sciences and of Translational Medicine, "Sapienza" University of Rome, 00161 Rome, Italy. sveva.auletta@hotmail.it.
Positron emission tomography (PET) radiopharmaceuticals show promise for bacterial imaging, but standardization is needed. Few PET agents have advanced to human trials due to varied models and settings.
Area of Science:
- Nuclear medicine
- Infectious disease diagnostics
- Radiopharmaceutical development
Background:
- Bacterial infections remain a leading cause of global mortality.
- Radiopharmaceuticals for bacterial imaging utilize SPECT and PET isotopes.
- This review specifically examines PET radiopharmaceuticals for bacterial imaging.
Purpose of the Study:
- To systematically review PET radiopharmaceuticals for bacterial imaging.
- To assess the literature published between 2005 and 2018.
- To identify promising agents and research gaps.
Main Methods:
- Systematic literature review of studies from 2005-2018.
- Independent screening of eligible studies by a review team.
- Data pooling where feasible; separate description otherwise.
- Quality assessment using the QUADAS approach.
Main Results:
- 35 eligible studies were included in the review.
- Studies were categorized by bacterium type (Gram-positive, Gram-negative, etc.) due to heterogeneity.
- Significant heterogeneity in animal models and bacterial strains was observed.
Conclusions:
- Numerous promising PET radiopharmaceuticals for bacterial imaging exist.
- Limited translation to human subjects due to biases and lack of standardization.
- A need for standardized infection models and experimental settings was identified.
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