The Radiobiology of Radiopharmaceuticals.
The Radiobiology of Radiopharmaceuticals.
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DOI:
10.1016/j.semradonc.2020.07.002
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发表时间:
2021-01
影响因子:
3.5
通讯作者:
Knox SJ
中科院分区:
文献类型:
--
作者:
Morris ZS;Wang AZ;Knox SJ
Radiopharmaceutical therapy or targeted radionuclide therapy (TRT) is a well-established class of cancer therapeutics that includes a growing number of FDA-approved drugs and a promising pipeline of experimental therapeutics. Radiobiology is fundamental to a mechanistic understanding of the therapeutic capacity of these agents and their potential toxicities. However, the field of radiobiology has historically focused on external beam radiation. Critical differences exist between TRT and external beam radiotherapy with respect to dosimetry, dose rate, linear energy transfer, duration of treatment delivery, fractionation, range, and target volume. These distinctions simultaneously make it difficult to extrapolate from the radiobiology of external beam radiation to that of TRT and pose considerable challenges for preclinical and clinical studies investigating TRT. Here, we discuss these challenges and explore the current understanding of the radiobiology of radiopharmaceuticals.
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