The application of radionuclide therapy for breast cancer

Anna Musket, Sandra Davern, Brianna M. Elam, Philip R. Musich, Jonathan P. Moorman, Yong Jiang
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Abstract

Radionuclide-mediated diagnosis and therapy have emerged as effective and low-risk approaches to treating breast cancer. Compared to traditional anatomic imaging techniques, diagnostic radionuclide-based molecular imaging systems exhibit much greater sensitivity and ability to precisely illustrate the biodistribution and metabolic processes from a functional perspective in breast cancer; this transitions diagnosis from an invasive visualization to a noninvasive visualization, potentially ensuring earlier diagnosis and on-time treatment. Radionuclide therapy is a newly developed modality for the treatment of breast cancer in which radionuclides are delivered to tumors and/or tumor-associated targets either directly or using delivery vehicles. Radionuclide therapy has been proven to be eminently effective and to exhibit low toxicity in eliminating both primary tumors and metastases, and even undetected tumors. In addition, the specific interaction between the surface modules of the delivery vehicles and the targets on the surface of tumor cells enables radionuclide targeting therapy, and this represents an exceptional potential for this treatment in breast cancer. This article reviews the development of radionuclide molecular imaging techniques that are currently employed for early breast cancer diagnosis and both the progress and challenges of radionuclide therapy employed in breast cancer treatment.
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应用放射性核素治疗乳腺癌
放射性核素介导的诊断和治疗已成为治疗乳腺癌的有效和低风险方法。与传统的解剖成像技术相比,基于放射性核素的分子成像诊断系统具有更高的灵敏度和能力,能从功能角度精确显示乳腺癌的生物分布和代谢过程;这就使诊断从有创可视化转变为无创可视化,从而可能确保更早的诊断和及时的治疗。放射性核素疗法是一种新开发的治疗乳腺癌的方法,通过直接或使用运载工具将放射性核素输送到肿瘤和/或肿瘤相关靶点。事实证明,放射性核素疗法在消除原发肿瘤和转移瘤,甚至是未发现的肿瘤方面非常有效,而且毒性低。此外,运载工具的表面模块与肿瘤细胞表面的靶点之间的特异性相互作用使放射性核素靶向治疗成为可能,这为乳腺癌的治疗带来了非凡的潜力。本文回顾了目前用于早期乳腺癌诊断的放射性核素分子成像技术的发展,以及放射性核素疗法在乳腺癌治疗中的进展和挑战。
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