Abstract
Highly “tumor-specific” and “tumor cell signal-specific” radiopharmaceuticals are essential to meet the growing demand of molecular imaging technology to manage complex patient-specific tumor biology. At present, PET/CT is one of the most rapidly growing medical imaging techniques with many applications, such as diagnosis, grading malignancy, staging, identification of residual disease, and monitoring response to therapy. Numerous molecular imaging radiopharmaceuticals are in various stages of preclinical and clinical development and, hopefully, some of them will be approved in the near future for routine clinical use. In this chapter, the basic aspects of tumor biology, the design and development strategies of the most promising new radiopharmaceuticals, and the mechanism(s) of tumor cell uptake and localization of radiotracers are presented. Specifically, the clinical utility of molecular imaging radiotracers to assess tumor metabolism, proliferation, membrane synthesis, amino acid transport, protein synthesis, angiogenesis, apoptosis, and specific binding to tumor specific antigens and receptors is discussed providing specific examples of investigational clinical studies.
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(2009). Molecular Imaging in Oncology. In: Molecular Imaging. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-76735-0_15
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