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Theranostics: When Targeted Imaging Guides Targeted Therapy.

Harshad R Kulkarni1

  • 1BAMF Health, 109 Michigan Street NW, Suite 700, Grand Rapids, MI 49503, USA.

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PubMed
Summary
This summary is machine-generated.

Nuclear medicine theranostics is evolving beyond matched radiopharmaceuticals. A target-centric approach uses molecular imaging as a companion diagnostic to guide various targeted therapies, enhancing precision medicine.

Keywords:
Companion diagnosticsMolecular imagingPersonalized medicineRadiopharmaceuticaltherapyTarget verificationTheranostics

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Area of Science:

  • Nuclear Medicine
  • Molecular Imaging
  • Precision Medicine

Background:

  • Traditional theranostics pairs diagnostic scans with matched radiopharmaceutical therapy.
  • A broader, target-centric framework is proposed for theranostics.
  • Molecular imaging can serve as an in vivo companion diagnostic.

Purpose of the Study:

  • To advocate for a target-centric framework for theranostics.
  • To redefine theranostics beyond radiopharmaceuticals.
  • To highlight the role of molecular imaging in guiding targeted therapies.

Main Methods:

  • Review of current theranostic practices.
  • Conceptual framework development for target-centric theranostics.
  • Integration of molecular imaging principles with therapeutic strategies.

Main Results:

  • Molecular imaging verifies target expression and guides therapy selection, initiation, and monitoring.
  • The proposed framework encompasses antibody-drug conjugates, immunotherapy, and endocrine therapy.
  • Theranostics is redefined as a clinical pathway linking target biology to treatment decisions via imaging.

Conclusions:

  • A target-centric model enhances the application of theranostics.
  • Molecular imaging is crucial for personalized treatment selection and monitoring.
  • This expanded view of theranostics supports the evolution of precision medicine.