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Published in: European Journal of Nuclear Medicine and Molecular Imaging 1/2017

01-08-2017 | Review Article

Therapy assessment of bone metastatic disease in the era of 223radium

Authors: Elba Etchebehere, Ana Emilia Brito, Alireza Rezaee, Werner Langsteger, Mohsen Beheshti

Published in: European Journal of Nuclear Medicine and Molecular Imaging | Special Issue 1/2017

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Abstract

Purpose

Defining an optimal imaging modality for assessment of therapy and the best time of evaluation are pivotal for ideal patient’s management.

Methods

223Ra (Xofigo®, formerly Alpharadin) has been approved by the FDA and European Medicines Agency for treatment of metastatic castration-resistant prostate cancer with painful osseous involvement.

Results

PET/CT imaging using various radiotracers such as 18F–FDG, 18F–FCH, 68Ga-PSMA and 18F–NaF have been investigated to mitigate the limitations of conventional imaging modalities. Diagnostic radiotracers that have properties similar to a therapeutic radiotracer will precisely assess of the possibility and efficacy of a treatment; this is the theranostic concept. An example of a diagnostic test employed for selecting targeted therapy is the combined use of 18F–fluoride PET/CT for evaluation of possible therapy with 223Ra.

Conclusion

This review examines the most recent publications related to this topic.
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Metadata
Title
Therapy assessment of bone metastatic disease in the era of 223radium
Authors
Elba Etchebehere
Ana Emilia Brito
Alireza Rezaee
Werner Langsteger
Mohsen Beheshti
Publication date
01-08-2017
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Nuclear Medicine and Molecular Imaging / Issue Special Issue 1/2017
Print ISSN: 1619-7070
Electronic ISSN: 1619-7089
DOI
https://doi.org/10.1007/s00259-017-3734-0

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