Molecular Theranostics in Radioiodine-Refractory Differentiated Thyroid Cancer

  • Petra Petranović Ovčariček*
  • , Alfredo Campenni
  • , Bart de Keizer
  • , Desiree Deandreis
  • , Michael C. Kreissl
  • , Alexis Vrachimis
  • , Murat Tuncel
  • , Luca Giovanella
  • *Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

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Abstract

Differentiated thyroid cancer (DTC) is the most common subtype of thyroid cancer and has an excellent overall prognosis. However, metastatic DTC in certain cases may have a poor prognosis as it becomes radioiodine-refractory. Molecular imaging is essential for disease evaluation and further management. The most commonly used tracers are [18F]FDG and isotopes of radioiodine. Several other radiopharmaceuticals may be used as well, with different diagnostic performances. This review article aims to summarize radiopharmaceuticals used in patients with radioiodine-refractory DTC (RAI-R DTC), focusing on their different molecular pathways. Additionally, it will demonstrate possible applications of the theranostics approach to this subgroup of metastatic DTC.

Original languageEnglish
Article number4290
Pages (from-to)1-15
JournalCancers
Volume15
Issue number17
DOIs
Publication statusPublished - Sept 2023

Keywords

  • FAPI
  • FDG
  • molecular imaging
  • PRRT
  • PSMA
  • radioiodine-refractory DTC
  • radioligand therapy
  • somatostatin analogues
  • theranostics

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