Related Experiment Video
Updated: Jun 3, 2025

Gene Regulation and Targeted Therapy in Gastric Cancer Peritoneal Metastasis: Radiological Findings from Dual Energy CT and PET/CT
Published on: January 22, 2018
Non-[18F]FDG PET-Radiopharmaceuticals in Oncology
Antonia Dimitrakopoulou-Strauss1, Leyun Pan1, Christos Sachpekidis1
1Clinical Cooperation Unit Nuclear Medicine, German Cancer Research Center, Im Neuenheimer Feld 280, 69120 Heidelberg, Germany.
Abstract:
Molecular imaging is a growing field, driven by technological advances, such as the improvement of PET-CT scanners through the introduction of digital detectors and scanners with an extended field of view, resulting in much higher sensitivity and a variety of new specific radiopharmaceuticals that allow the visualization of specific molecular pathways and even theragnostic approaches. In oncology, the development of dedicated tracers is crucial for personalized therapeutic approaches. Novel peptides allow the visualization of many different targets, such as PD-1 and PD-L1 expression, chemokine expression, HER expression, T-cell imaging, microenvironmental imaging, such as FAP imaging, and many more. In this article, we review recent advances in the development of non-[18F]FDG PET radiopharmaceuticals and their current clinical applications in oncology, as well as some future aspects.
Insights
Advancements in molecular imaging, particularly novel PET radiopharmaceuticals beyond [18F]FDG, are enhancing cancer diagnostics and personalized therapies by visualizing specific molecular targets and pathways.
Area of Science:
- Molecular imaging
- Radiopharmaceutical development
- Oncology
Background:
- Technological progress in PET-CT scanners (digital detectors, extended field of view) increases sensitivity.
- Development of specific radiopharmaceuticals is vital for personalized cancer treatment.
- Novel peptides enable visualization of diverse targets like PD-1/PD-L1, chemokines, HER, T-cells, and the tumor microenvironment (e.g., FAP imaging).
Purpose of the Study:
- To review recent advancements in non-[18F]FDG PET radiopharmaceuticals for oncology.
- To discuss their current clinical applications.
- To explore future directions in the field.
Main Methods:
- Review of recent scientific literature on novel PET radiopharmaceuticals.
- Analysis of technological improvements in PET-CT imaging.
- Compilation of data on clinical applications and theranostic potential.
Main Results:
- Significant progress in developing targeted radiotracers beyond [18F]FDG.
- Demonstrated utility in visualizing specific molecular pathways and cellular targets in cancer.
- Emerging theranostic applications for improved patient management.
Conclusions:
- Non-[18F]FDG PET radiopharmaceuticals represent a significant leap in molecular imaging for oncology.
- These tracers offer precise visualization for personalized diagnostics and therapeutic strategies.
- Continued research promises further expansion of their clinical utility and theranostic capabilities.
Related Concept Videos
Positron Emission Tomography
One of the main requirements of a PET scan is a positron-emitting radioisotope, which is produced in a cyclotron and then attached to a substance used by the part of the body...
Imaging Studies II: Positron Emission Tomography and Scintigraphy
Fundamental Principles of PET
Radiological Investigation III: Pulmonary Angiogram and PET Scan
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
![Automated Radiochemical Synthesis of [18F]3F4AP: A Novel PET Tracer for Imaging Demyelinating Diseases](/_next/image?url=https%3A%2F%2Fcloudfront.jove.com%2FCDNSource%2Fteasers%2F55537.jpg&w=3840&q=50)
![Microwave-assisted One-pot Synthesis of N-succinimidyl-4-[18F]fluorobenzoate [18F]SFB](/_next/image?url=https%3A%2F%2Fcloudfront.jove.com%2FCDNSource%2Fteasers%2F2755.jpg&w=3840&q=50)