Gastro-Enteric-Pancreatic Neuroendocrine Tumor Treatment: Actinium-225-DOTATATE and Combined Therapies.

(225)Ac-DOTATATE Capecitabine GEP-NETs Neuroendocrine tumors PRRT Peptide receptor radionuclide therapy Targeted alpha therapy Temozolomide

Journal

PET clinics
ISSN: 1879-9809
Titre abrégé: PET Clin
Pays: United States
ID NLM: 101260152

Informations de publication

Date de publication:
Apr 2023
Historique:
entrez: 1 3 2023
pubmed: 2 3 2023
medline: 4 3 2023
Statut: ppublish

Résumé

The role of lutetium-177-DOTATATE in advanced well-differentiated gastro-entero-pancreatic neuroendocrine tumors is well established. However, there is a scope for improving treatment outcomes. Actinium-225-DOTATATE is a form of targeted alpha therapy (TAT) that results in more efficient tumor cell killing owing to the substantially higher linear energy transfer of alpha particles. Systemic TAT is also safe given that the shorter path length of the alpha particles spares the surrounding healthy tissue and results in relatively fewer adverse events. Combination therapies with radiosensitizing and other chemotherapeutic agents have also gained popularity, especially in the setting of higher grade and fluorodeoxyglucose-avid tumors.

Identifiants

pubmed: 36858746
pii: S1556-8598(22)00091-8
doi: 10.1016/j.cpet.2022.11.004
pii:
doi:

Substances chimiques

Actinium-225 0
copper dotatate CU-64 0
Actinium NIK1K0956U

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

215-221

Informations de copyright

Copyright © 2022 Elsevier Inc. All rights reserved.

Auteurs

Swayamjeet Satapathy (S)

Department of Nuclear Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India.

Kunal Ramesh Chandekar (KR)

Department of Nuclear Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India.

Chandrasekhar Bal (C)

Department of Nuclear Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India. Electronic address: csbal@hotmail.com.

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Classifications MeSH