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Theranostics in Neurooncology: Heading Toward New Horizons

Tolboom, Nelleke; Verger, Antoine; Albert, Nathalie L; Fraioli, Francesco; Guedj, Eric; Traub-Weidinger, Tatjana; Morbelli, Silvia; ... Van Weehaeghe, Donatienne; + view all (2024) Theranostics in Neurooncology: Heading Toward New Horizons. Journal of Nuclear Medicine , 65 (1) pp. 1-7. 10.2967/jnumed.123.266205.

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Abstract

Therapeutic approaches to brain tumors remain a challenge, with considerable limitations regarding delivery of drugs. There has been renewed and increasing interest in translating the popular theranostic approach well known from prostate and neuroendocrine cancer to neurooncology. Although far from perfect, some of these approaches show encouraging preliminary results, such as for meningioma and leptomeningeal spread of certain pediatric brain tumors. In brain metastases and gliomas, clinical results have failed to impress. Perspectives on these theranostic approaches regarding meningiomas, brain metastases, gliomas, and common pediatric brain tumors will be discussed. For each tumor entity, the general context, an overview of the literature, and future perspectives will be provided. Ongoing studies will be discussed in the supplemental materials. As most theranostic agents are unlikely to cross the blood-brain barrier, the delivery of these agents will be dependent on the successful development and clinical implementation of techniques enhancing permeability and retention. Moreover, the international community should strive toward sufficiently large and randomized studies to generate high-level evidence on theranostic approaches with radioligand therapies for central nervous system tumors.

Type: Article
Title: Theranostics in Neurooncology: Heading Toward New Horizons
Location: United States
DOI: 10.2967/jnumed.123.266205
Publisher version: http://dx.doi.org/10.2967/jnumed.123.266205
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions.
Keywords: blood–tumor barrier, brain tumor, neurooncology, radionuclide therapy, theranostics
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine > Department of Imaging
URI: https://discovery.ucl.ac.uk/id/eprint/10186199
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