Abstract Positron Emission Tomography (PET) with 2-flouro-2-D-oxyglucose (FDG) has been the poster child for MI and several million studies are performed for oncology indications in the US alone. FDG takes advantage of the Warburg effect, which is the aerobic glycolysis that is a common feature of many malignant tumors. The incorporation of high resolution CT into the same gantry with a high resolution PET scanner, has given a further boost to PET imaging of tumors and in fact, PET CT is the most rapidly growing clinical imaging modality in the US today. Tumors for which staging, monitoring treatment response are common place include, Lung, Lymphoma, Thyroid, head and neck, melanoma, colorectal cancers. But MI with PET/CT is potentially much more than FDG PET imaging, and several 100 tracers for specific molecular imaging have been developed in the last decade. Examples include amino acid tracers, like F-18 FACBC, nucleoside analogs, like F-18 FLT, and Na 124I to imaging iodide metabolism, Androgen receptor imaging (AR) with F-18 FDHT, and Estrogen receptor imaging with F-18 FES. In addition to small molecules, positron emitting tracers like 124I-, 68 Ga and 89 Zr are widely used for radiolabeling of antibodies and peptides, opening the entire universe of ligand receptor binding for human tumors. Radiolabeled drugs are being developed and examples include F-18 desatinib, a src family tyrosine kinase inhibitor and 124I-PUH71, a heat-shock protein 90 inhibitor. These radiolabeled drugs should facilitate the study of intratumoral pharmacology of human cancers. In addition radiolabeled nanoparticles are being developed and promise specialized targeting properties, and to serve as carriers for drugs to improve therapeutic index. In summary, MI with PET is rapidly evolving as a major frontier for development of the knowledge of tumor biology and pharmacology needed to optimize treatment of the individual oncology patient. References Schoder H, Grimm J and Larson SM: Molecular Imaging Section 6 in DeVita VT Lawrence TS and Rosenberg SA: Cancer Principles and Practice of Oncology 8th Edition Volume 1 p 746 Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the 103rd Annual Meeting of the American Association for Cancer Research; 2012 Mar 31-Apr 4; Chicago, IL. Philadelphia (PA): AACR; Cancer Res 2012;72(8 Suppl):Abstract nr SY13-03. doi:1538-7445.AM2012-SY13-03
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