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Theranostic Options for Radioiodine-Refractory Differentiated Thyroid Carcinoma: Recent Advances, Challenges, and
Swayamjeet Satapathy1, Chandrasekhar Bal1
1Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India.
Abstract:
Radioiodine-refractory differentiated thyroid cancer (RAIR-DTC), though uncommon, presents a considerable therapeutic challenge with poor long-term outcomes. Currently, tyrosine kinase inhibitors are the mainstay of treatment for advanced RAIR-DTC patients. However, these agents are associated with a multitude of adverse events with resultant deterioration in the quality-of-life of the patients. Targeted theranostic approaches with radiolabelled integrin binders and fibroblast activation protein- (FAP)-inhibitors seem to have a promising role in the management of such patients. This mini-review focuses on these novel theranostic strategies in RAIR-DTC, with emphasis on recent advances, existing challenges, and future directions.
Insights
Novel theranostic approaches, including radiolabeled integrin binders and fibroblast activation protein (FAP)-inhibitors, show promise for treating radioiodine-refractory differentiated thyroid cancer (RAIR-DTC). These strategies may offer improved outcomes compared to current tyrosine kinase inhibitors.
Area of Science:
- Oncology
- Nuclear Medicine
- Radiochemistry
Background:
- Radioiodine-refractory differentiated thyroid cancer (RAIR-DTC) is challenging to treat, often leading to poor patient outcomes.
- Current treatments like tyrosine kinase inhibitors have significant side effects impacting quality of life.
Purpose of the Study:
- To review novel theranostic strategies for RAIR-DTC.
- To highlight recent advancements, challenges, and future directions in this field.
Main Methods:
- Review of current literature on targeted theranostic agents.
- Focus on radiolabeled integrin binders and fibroblast activation protein (FAP)-inhibitors.
Main Results:
- Theranostic approaches offer a promising alternative to conventional therapies.
- Radiolabeled integrin binders and FAP-inhibitors demonstrate potential for targeted treatment.
Conclusions:
- Novel theranostic strategies are emerging as a significant advancement in managing RAIR-DTC.
- Further research is needed to overcome existing challenges and optimize these treatments.
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