Prostate Cancer: Molecular Imaging and Radionuclide Therapy

A special issue of Biomedicines (ISSN 2227-9059). This special issue belongs to the section "Cancer Biology and Oncology".

Deadline for manuscript submissions: closed (30 November 2023) | Viewed by 6310

Special Issue Editor

Special Issue Information

Dear Colleagues,

I am thrilled to announce the upcoming release of a Special Issue in Biomedicines, entitled "Prostate Cancer: Molecular Imaging and Radionuclide Therapy." This collection of articles will feature contributions from leading experts in the field of positron emission tomography/computed tomography (PET/CT) and radionuclide therapies for prostate cancer. The rapidly evolving field of theranostics, which combines diagnostic and therapeutic radiopharmaceutical agents, is revolutionizing prostate cancer imaging and paving the way for improved treatment strategies. This Special Issue aims to highlight recent advancements in molecular imaging and radionuclide therapy that have already impacted the management of prostate cancer and those that have the potential to shape the diagnostic and treatment paths of the disease in the near future.

Dr. Sara Harsini
Guest Editor

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Keywords

  • prostate cancer
  • theranostics
  • positron emission tomography
  • PET
  • radionuclide therapy
  • prostate-specific membrane antigen

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Published Papers (2 papers)

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Review

16 pages, 1170 KiB  
Review
Lutetium-177-Prostate-Specific Membrane Antigen Radioligand Therapy: What Is the Value of Post-Therapeutic Imaging?
by Jules Zhang-Yin
Biomedicines 2024, 12(7), 1512; https://doi.org/10.3390/biomedicines12071512 - 8 Jul 2024
Cited by 1 | Viewed by 1867
Abstract
Lutetium-177 (Lu-177)-labelled radioligand therapies (RLT) targeting prostate-specific membrane antigen (PSMA) present a promising treatment for patients with progressive metastasized castration-resistant prostate cancer (mCRPC). Personalized dosimetry, facilitated by post-therapeutic imaging, offers the potential to enhance treatment efficacy by customizing radiation doses to individual patient [...] Read more.
Lutetium-177 (Lu-177)-labelled radioligand therapies (RLT) targeting prostate-specific membrane antigen (PSMA) present a promising treatment for patients with progressive metastasized castration-resistant prostate cancer (mCRPC). Personalized dosimetry, facilitated by post-therapeutic imaging, offers the potential to enhance treatment efficacy by customizing radiation doses to individual patient needs, thereby maximizing therapeutic benefits while minimizing toxicity to healthy tissues. However, implementing personalized dosimetry is resource-intensive, requiring multiple single-photon emission-computed tomography (SPECT)/CT scans and posing significant logistical challenges for both healthcare facilities and patients. Despite these challenges, personalized dosimetry can lead to optimized radiation delivery, improved safety, and better management of complex cases. Nevertheless, the financial and resource burdens complicate its adoption in routine clinical practice. While the European Association of Nuclear Medicine (EANM) supports personalized dosimetry, standardization is lacking due to these practical constraints. Further research and streamlined methodologies are essential to balance the benefits and feasibility of personalized dosimetry, potentially improving treatment outcomes for mCRPC patients. Full article
(This article belongs to the Special Issue Prostate Cancer: Molecular Imaging and Radionuclide Therapy)
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25 pages, 1887 KiB  
Review
Bipolar Androgen Therapy: When Excess Fuel Extinguishes the Fire
by Nima Nabavi, Seied Rabi Mahdavi, Mohammad Afshar Ardalan, Mohsen Chamanara, Reza Mosaed, Aline Lara, Diogo Bastos, Sara Harsini, Emran Askari, Pedro Isaacsson Velho and Hamed Bagheri
Biomedicines 2023, 11(7), 2084; https://doi.org/10.3390/biomedicines11072084 - 24 Jul 2023
Cited by 4 | Viewed by 3275
Abstract
Androgen deprivation therapy (ADT) remains the cornerstone of advanced prostate cancer treatment. However, the progression towards castration-resistant prostate cancer is inevitable, as the cancer cells reactivate androgen receptor signaling and adapt to the castrate state through autoregulation of the androgen receptor. Additionally, the [...] Read more.
Androgen deprivation therapy (ADT) remains the cornerstone of advanced prostate cancer treatment. However, the progression towards castration-resistant prostate cancer is inevitable, as the cancer cells reactivate androgen receptor signaling and adapt to the castrate state through autoregulation of the androgen receptor. Additionally, the upfront use of novel hormonal agents such as enzalutamide and abiraterone acetate may result in long-term toxicities and may trigger the selection of AR-independent cells through “Darwinian” treatment-induced pressure. Therefore, it is crucial to develop new strategies to overcome these challenges. Bipolar androgen therapy (BAT) is one such approach that has been devised based on studies demonstrating the paradoxical inhibitory effects of supraphysiologic testosterone on prostate cancer growth, achieved through a variety of mechanisms acting in concert. BAT involves rapidly alternating testosterone levels between supraphysiological and near-castrate levels over a period of a month, achieved through monthly intramuscular injections of testosterone plus concurrent ADT. BAT is effective and well-tolerated, improving quality of life and potentially re-sensitizing patients to previous hormonal therapies after progression. By exploring the mechanisms and clinical evidence for BAT, this review seeks to shed light on its potential as a promising new approach to prostate cancer treatment. Full article
(This article belongs to the Special Issue Prostate Cancer: Molecular Imaging and Radionuclide Therapy)
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