FEASIBILITY OF [64CU]CU-TRASTUZUMAB PET/CT IMAGING IN BREAST CANCER: A SYSTEMATIC REVIEW

Main Article Content

Ali Abdulhasan Kadhim
Peyman Sheikhzadeh
Mehrshad Abbasi
Nasim Vahidfar
Saeed Afshar
Mohsen Bakhshi Kashi
Negisa Seyyedi
Mohammad Reza Ay

Keywords

[64Cu]Cu-trastuzumab, PET/CT, Breast Cancer, HER2

Abstract

Purpose: [64Cu]Cu-NOTA/DOTA-trastuzumab PET/CT imaging can non-invasively identify human epidermal growth factor receptor 2  (HER2)-positive breast cancer (BC). In addition to presenting literature-based evidence for dosimetry and pharmacologic safety of [64Cu]Cu- NOTA/DOTA-trastuzumab in patients, this systematic review aims to demonstrate the viability of [64Cu]Cu-trastuzumab PET/CT in identifying and assessing trastuzumab tumor uptake in people with HER2-positive metastatic BC.


Methods: We searched the PubMed, Scopus, and EMBASE databases to find pertinent English-language papers concerning [64Cu]Cu- NOTA/DOTA-trastuzumab PET/CT for BC diagnosis. Other items were also manually searched.


Conclusion: The feasibility of [64Cu]Cu -trastuzumab PET/CT for the identification of  HER2-positive lesions was reviewed. [64Cu]Cu-DOTA/NOTA-trastuzumab reveals HER2-positive metastatic BC with high sensitivity and is effective in surveying distributed disease. Moreover, [64Cu] Cu-labeled trastuzumab may possibly be applied to decide on the right patients and right timing for HER2 therapy, to observe the treatment response after HER2-targeted therapy, and not only for the detection of primary HER2-positive BC but also for metastatic HER2-positive lesions.  The advancement of [64Cu]Cu-trastuzumab PET/CT for the detection of BC is encouraging. However, more studies are required to determine the usefulness rate of imaging plans for clinical administrations.

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