F-Labeled Somatostatin Analogs as PET Tracers for the Somatostatin Receptor: Ready for Clinical Use.

Hannes Leupe, Stephen Ahenkorah, Jeroen Dekervel, Marcus Unterrainer, Eric Van Cutsem, Chris Verslype, Frederik Cleeren, Christophe M Deroose

Journal: Journal of nuclear medicine : official publication, Society of Nuclear Medicine 2023;64(6):835-841

PMID: 37169533

Abstract

Molecular imaging of the somatostatin receptor plays a key role in the clinical management of neuroendocrine tumors. PET imaging with somatostatin analogs (SSAs) labeled with Ga or Cu is currently the gold standard in clinical practice. However, widespread implementation of Ga imaging is often hampered by practical and economic issues related to Ge/Ga generators. F offers several advantages to tackle these issues. Recent developments in radiochemistry have allowed a shift from Ga toward F labeling, leading to promising clinical translations of F-labeled SSAs, such as Gluc-Lys-[F]FP-TOCA, [F]F-FET-βAG-TOCA, [F]AlF-NOTA-octreotide, [F]SiTATE, and [F]AlF-NOTA-JR11. This review gives an update of currently available clinical data regarding F-labeled SSA tracers and provides justification for the clinical application of this class of tracers.

© 2023 by the Society of Nuclear Medicine and Molecular Imaging.

Address: Nuclear Medicine, University Hospitals Leuven, and Nuclear Medicine and Molecular Imaging, Department of Imaging and Pathology, University of Leuven, Leuven, Belgium.; Radiopharmaceutical Research, Department of Pharmacy and Pharmacology, University of Leuven, Leuven, Belgium.; Digestive Oncology, University Hospitals Leuven, Leuven, Belgium.; Department of Radiology, University Hospital, LMU Munich, Munich, Germany; and.; Department of Nuclear Medicine, University Hospital, LMU Munich, Munich, Germany.; Nuclear Medicine, University Hospitals Leuven, and Nuclear Medicine and Molecular Imaging, Department of Imaging and Pathology, University of Leuven, Leuven, Belgium; [email protected].
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