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Table 2 Radiotracers in the evaluation of tumor characteristics

From: How clinical imaging can assess cancer biology

Radiotracer

Biological Correlation

Tumor Type

Main indications

FDG

Energetic glycolytic metabolism

Many tumor types

Diagnosis, staging, response, prognostic value, relapsing tumor

Choline radiotracers

Cellular membrane turnover and phosphatidylcholine metabolism

Prostate

Bladder, Brain

Diagnosis, staging, relapsing tumor

Methionine

Amino acid transport and protein synthesis

Brain and head and neck

Diagnosis, grading, response, prognostic value, relapsing tumor

Acetate

Lipid synthesis and energetic metabolism

Prostate

Hepatocellular carcinoma

Diagnosis, staging, relapsing tumor

DOPA

Dopamine uptake and metabolism

Neuroendocrine tumors

Diagnosis, staging, relapsing tumor

FLT

Cellular proliferation and tyrosine kinases-1 activity

Lung, Lymphoma, Colorectal. Gastric and Pancreas

Diagnosis and tumor response

Sigma-2 (σ2) Receptor

σ2 receptors are expressed in proliferating tumor cells

 

Diagnosis and treatment evaluation

Integrin targeted Imaging agents (RGD) and VEGFR targeted Imaging agents

Angiogenesis

 

Preclinical use

Annexin V

Tumor Apoptosis

 

Preclinical use

Nitroimidazoles (FAZA, FMISO)

Cu-ATSM

Tumor hypoxia

 

Preclinical use

Radiotracers Specific Tumor Types

 Radiotracers Targeting Specific Tumor Markers

EGFR expression

PSMA expression

Chemokine receptor type 4 (CXCR4)

DOTA-peptides (Somatostatin receptors)

Bombesin receptors

Lung, Colorectal

Prostate

Breast and head and neck cancer metastasis

Neuroendocrine tumors

Prostate, breast, small cell lung cancer, GIST

Preclinical use

Relapsing tumor. Staging and tumor response

Preclinical use

Diagnosis, staging, relapsing tumor, response assessment

Non-Tumoral metabolic pathways

 NaF

Bone metabolism (non-specific tumor tracer)

Bone metastases

Diagnosis and staging

  1. 64CuATSM diacetyl-bis(N4-methylthiosemi-carbazone) copper(II)), EGFR epidermal growth factor receptor, FAZA fluoroazomycin arabinoside, FDG fluorodeoxyglucose, FLT fluorothymidine, FMISO fluoromisonidazole, GIST gastrointestinal stromal tumors, NaF sodium fluoride, PSMA prostate-specific membrane antigen, VEGFR vascular endothelial growth factor receptor