New PET Tracers: Current Knowledge and Perspectives in Lung Cancer
Marie M K Krarup1, Barbara M Fischer2, Tine N Christensen1
1Department of Clinical Physiology and Nuclear Medicine, Rigshospitalet Copehagen University Hospital, Copenhagen, Denmark.
Seminars in Nuclear Medicine
|June 25, 2022
Summary
New positron emission tomography (PET) tracers show promise for lung cancer diagnosis beyond standard 2-[18F]fluoro-2-deoxy-D-glucose ([18F]FDG) PET/CT scans. While not replacing current methods, these novel tracers offer supplementary insights into tumor biology and heterogeneity.
Area of Science:
- Nuclear Medicine
- Oncology
- Radiochemistry
Background:
- 18F]FDG-PET/CT is standard for lung cancer management but has limitations.
- Lung cancer remains a leading cause of cancer death with high recurrence rates.
- There is a need for more sensitive and specific PET tracers for improved lung cancer diagnosis and treatment.
Purpose of the Study:
- To review current knowledge and future perspectives of novel PET tracers for lung cancer.
- To discuss tracers targeting specific tumor characteristics and hallmarks of cancer.
Main Methods:
- Literature search of PubMed and clinicaltrials.gov (past decade).
- Exclusion of case reports, preclinical studies, and established tracers ([18F]FDG, DOTATE).
- Evaluation of relevant studies on new PET tracers for lung cancer.
Main Results:
- Several new PET tracers targeting cancer hallmarks have been developed.
- Some tracers show promise but require further clinical validation.
- No new tracer currently replaces [18F]FDG-PET/CT for lung cancer.
Conclusions:
- Novel PET tracers may serve as supplementary tools in lung cancer management.
- These tracers can provide deeper insights into tumor biological characteristics.
- They have the potential to visualize intra- and inter-tumoral heterogeneity, aiding personalized treatment strategies.
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