Evidence mapPaperPMID 41006727Full record

ReviewMedical oncology (Northwood, London, England)2025

Theranostics in nuclear medicine: the era of precision oncology.

Noopur Gandhi, Ali M Alaseem, Rohitas Deshmukh, Artiben Patel, Omar Awad Alsaidan, Mohammad Fareed, Glowi Alasiri, Suhaskumar Patel, Bhupendra Prajapati

Abstract readReview
PubMed Publisher
In one paragraph

Review in Medical oncology (Northwood, London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Review
  6. Drug Discovery Strategies for Kallikrein-Related Peptidases.International journal of molecular sciences · 2025
    Review
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Noopur GandhiDepartment of Pharmaceutical Chemistry, L. M. College of Pharmacy, Ahmedabad, Gujarat, 380005, India.
Ali M AlaseemDepartment of Pharmacology, College of Medicine, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, 13317, Saudi Arabia.
Rohitas DeshmukhInstitute of Pharmaceutical Research, GLA University, Mathura, 281406, India.
Artiben PatelDepartment of Regulatory Affairs, Cosette Pharmaceutical Inc, 101 Coolidge Street,, S. Plainfield, NJ, 07080, USA.
Omar Awad AlsaidanDepartment of Pharmaceutics, College of Pharmacy, Jouf University, 72341, Sakaka, Saudi Arabia.
Mohammad FareedDepartment of Basic Medical Sciences, College of Medicine, AlMaarefa University, P.O. Box 71666, Riyadh , 13713, Saudi Arabia.
Glowi AlasiriDepartment of Biochemistry, College of Medicine, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, 13317, Saudi Arabia.
Suhaskumar PatelDepartment of Pharmaceutical Manufacturing, Stevens Institute of Technology, Hoboken, NJ, 07030, USA.
Bhupendra PrajapatiDepartment of Pharmaceutics, Faculty of Pharmacy, Parul Institute of Pharmacy, Parul University, Waghodia, Vadodara, Gujarat, 391760, India. bhupen27@gmail.com.

Funding

Deanship of Scientific Research at Imam Mohammad Ibn Saud Islamic University IMSIU-DDRSP2501
6 · The paper itself

Abstract

Theranostics represents a transformative advancement in nuclear medicine by integrating molecular imaging and targeted radionuclide therapy within the paradigm of personalized oncology. This review elucidates the historical evolution and contemporary clinical applications of theranostics, emphasizing its pivotal role in precision cancer management. The theranostic approach involves the coupling of diagnostic and therapeutic radionuclides that target identical molecular biomarkers, enabling simultaneous visualization and treatment of malignancies such as neuroendocrine tumors (NETs), prostate cancer, and differentiated thyroid carcinoma. Key theranostic radiopharmaceutical pairs, including Gallium-68-labeled DOTA-Tyr3-octreotate (Ga-68-DOTATATE) with Lutetium-177-labeled DOTA-Tyr3-octreotate (Lu-177-DOTATATE), and Gallium-68-labeled Prostate-Specific Membrane Antigen (Ga-68-PSMA) with Lutetium-177-labeled Prostate-Specific Membrane Antigen (Lu-177-PSMA), exemplify the "see-and-treat" principle central to this modality. This article further explores critical molecular targets such as somatostatin receptor subtype 2, prostate-specific membrane antigen, human epidermal growth factor receptor 2, CD20, and C-X-C chemokine receptor type 4, along with design principles for radiopharmaceuticals that optimize target specificity while minimizing off-target toxicity. Advances in imaging platforms, including positron emission tomography/computed tomography (PET/CT), single-photon emission computed tomography/CT (SPECT/CT), and hybrid positron emission tomography/magnetic resonance imaging (PET/MRI), have been instrumental in accurate dosimetry, therapeutic response assessment, and adaptive treatment planning. Integration of artificial intelligence (AI) and radiomics holds promise for enhanced image segmentation, predictive modeling, and individualized dosimetric planning. The review also addresses regulatory, manufacturing, and economic considerations, including guidelines from the United States Food and Drug Administration (USFDA) and European Medicines Agency (EMA), Good Manufacturing Practice (GMP) standards, and reimbursement frameworks, which collectively influence global adoption of theranostics. In summary, theranostics is poised to become a cornerstone of next-generation oncology, catalyzing a paradigm shift toward biologically driven, real-time personalized cancer care that seamlessly links diagnosis and therapy.

Indexed as

NeoplasmsNuclear MedicinePrecision MedicineRadiopharmaceuticalsTheranostic NanomedicineHumansRadiopharmaceuticalsMolecular imagingNuclear medicinePrecision oncologyRadionuclide therapyRadiopharmaceuticalsTheranostics

Identifiers

PMID41006727

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.