Document Detail


'Image and treat': an individualized approach to urological tumors.
MedLine Citation:
PMID:  20150811     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE OF REVIEW: The current treatment options for advanced urologic cancers demonstrate limited efficacy. To obtain optimal clinical results, there is a need for new, individualized, therapeutic strategies, which have only recently been applied to these malignancies. Nuclear medicine plays an important role in establishing imaging biomarkers necessary for personalized medicine. This review focuses on the current status of the 'image and treat' approach combining molecular imaging with targeted radionuclide therapy of urological malignancies
RECENT FINDINGS: Tumor-specific targets in uro-oncology are showing promising results for development of personalized therapy using positron emission tomography/computed tomography (PET/CT) molecular imaging and radioimmunotherapy. The antibody cG250, which binds to carbonic anhydrase IX, is being evaluated as a radiolabeled imaging and therapeutic agent in clear-cell renal cell carcinoma. I-cG250 PET/CT has demonstrated excellent targeting of clear-cell renal cell carcinoma. Prostate-specific membrane antigen is a promising target for both PET/CT and radioimmunotherapy of prostate cancer. HER2 may be another potential target in bladder and prostate cancer.
SUMMARY: Tumor-specific targets and biomarkers are being studied for PET/CT and radioimmunotherapy. This may lead to development of new therapeutic strategies. However, considerable investment in new research will be required for personalized medicine to be routinely used in uro-oncology.
Authors:
Kirsten Bouchelouche; Jacek Capala
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in oncology     Volume:  22     ISSN:  1531-703X     ISO Abbreviation:  Curr Opin Oncol     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-15     Completed Date:  2010-07-09     Revised Date:  2011-07-28    
Medline Journal Info:
Nlm Unique ID:  9007265     Medline TA:  Curr Opin Oncol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  274-80     Citation Subset:  IM    
Affiliation:
PET and Cyclotron Unit, PET 3982 Rigshospitalet, University of Copenhagen, Copenhagen, Denmark. bouchelouche@mail.tele.dk
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MeSH Terms
Descriptor/Qualifier:
Diagnostic Imaging / methods*
Humans
Individualized Medicine / methods*
Radioimmunotherapy / methods*
Radioisotopes / diagnostic use*,  therapeutic use*
Urologic Neoplasms / drug therapy,  radionuclide imaging*
Grant Support
ID/Acronym/Agency:
ZIA BC010727-04/BC/NCI NIH HHS
Chemical
Reg. No./Substance:
0/Radioisotopes
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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