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Inicio Revista Española de Medicina Nuclear e Imagen Molecular (English Edition) State of the art and future perspectives of new radionuclides in Nuclear Medicin...
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Vol. 44. Issue 1.
(January - February 2025)
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Vol. 44. Issue 1.
(January - February 2025)
Continuing Education
State of the art and future perspectives of new radionuclides in Nuclear Medicine
Estado del arte y perspectivas futuras de nuevos radionúclidos en Medicina Nuclear
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J.J. Rosalesa,1, M.L. Domínguezb,1, L. Sanchoc, E. Prietod, M. de Arcochae, I. Torresf, A. Rotetag, R. Ramosh,
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rramosm@unav.es

Corresponding author.
, G. Quincocesh
a Servicio de Medicina Nuclear, Clínica Universidad de Navarra, Pamplona, Spain
b Servicio de Medicina Nuclear, Hospital Universitario Central de Asturias, Oviedo, Spain
c Servicio de Medicina Nuclear, Clínica Universidad de Navarra, Madrid, Spain
d Servicio de Radiofísica y Protección Radiológica, Clínica Universidad de Navarra, Pamplona, Spain
e Unidad de Radiofarmacia, Servicio de Medicina Nuclear, Hospital Universitario Marqués de Valdecilla, Santander, Spain
f Servicio de Medicina Nuclear, Hospital La Fe, Valencia, Spain
g Servicio de Medicina Nuclear, Hospital Universitario de Donostia, San Sebastián, Spain
h Unidad de Radiofarmacia, Servicio de Medicina Nuclear Clínica Universidad de Navarra, Madrid, Spain
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Table 1. Radionuclides and their main physical characteristics, energies, obtainment methods and radiopharmaceuticals with the greatest clinical relevance.
Abstract

This continuing education analyzes recent advances in Nuclear Medicine focused on the development of new radiopharmaceuticals that improve both the diagnosis and treatment of complex diseases. The focus is on teragnosis, which combines diagnosis and treatment by means of pairs of radiopharmaceuticals directed to the same molecular target, which allows the personalization of treatments.

This first part specifically reviews the teragnostic pairs copper-64/copper-67, lead-212/lead-203 and scandium-44/scandium-47, highlighting their physical characteristics, methods of production and potential clinical applications.

Despite the challenges in their production, their versatility and effectiveness are driving their clinical application in oncology and other diseases. The text also addresses the development of new radiopharmaceuticals and their impact on precision medicine, pointing out future directions and opportunities for research in this field.

Keywords:
Radionuclides
Diagnostic pairs
Radiopharmaceuticals
Molecular imaging
Personalised therapy
Resumen

En esta formación continuada se analizan los recientes avances en Medicina Nuclear centrados en el desarrollo de nuevos radiofármacos que mejoran tanto el diagnóstico como el tratamiento de enfermedades complejas. Destaca la teragnosis, que combina diagnóstico y tratamiento mediante pares de radiofármacos dirigidos a una misma diana molecular, lo que permite personalizar los tratamientos.

En esta primera parte se revisan específicamente los pares teragnósticos cobre-64/cobre-67, plomo-212/plomo-203 y escandio-44/escandio-47, resaltando sus características físicas, métodos de obtención y potenciales aplicaciones clínicas.

A pesar de los desafíos en su producción, su versatilidad y efectividad están impulsando su aplicación clínica en oncología y otras enfermedades. El texto también aborda el desarrollo de nuevos radiofármacos y su impacto en la medicina de precisión, señalando las futuras direcciones y oportunidades de investigación en este campo.

Palabras clave:
Radionúclidos
Pares teragnósticos
Radiofármacos
Imagen molecular
Terapia personalizada

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