Clinical Applications of Immuno-PET in Lymphoma: A Systematic Review

<b>Objective:</b> Immuno-positron emission tomography (iPET) combines the sensitivity of the PET imaging technique and the targeting specificity of radio-labelled monoclonal antibodies (mAb). Its first clinical applications in humans were described in the late 1990s, and several patholog...

Full description

Bibliographic Details
Main Authors: Elizabeth Katherine Anna Triumbari, David Morland, Riccardo Laudicella, Matteo Bauckneht, Domenico Albano, Salvatore Annunziata
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/14/14/3488
_version_ 1797407107172007936
author Elizabeth Katherine Anna Triumbari
David Morland
Riccardo Laudicella
Matteo Bauckneht
Domenico Albano
Salvatore Annunziata
author_facet Elizabeth Katherine Anna Triumbari
David Morland
Riccardo Laudicella
Matteo Bauckneht
Domenico Albano
Salvatore Annunziata
author_sort Elizabeth Katherine Anna Triumbari
collection DOAJ
description <b>Objective:</b> Immuno-positron emission tomography (iPET) combines the sensitivity of the PET imaging technique and the targeting specificity of radio-labelled monoclonal antibodies (mAb). Its first clinical applications in humans were described in the late 1990s, and several pathologies have benefitted from this molecular imaging modality since then. Our scope was to assess current clinical applications of immuno-PET in patients with lymphoma. Therefore, a systematic review of the published literature was performed. <b>Methods:</b> PubMed/Medline and Scopus databases were independently searched by two nuclear medicine physicians, to identify studies describing the clinical use of immuno-PET in patients with lymphoma. Methodological quality of the included articles was assessed by using the Quality Assessment of Diagnostic Accuracy Studies criteria. The studies were then analyzed concerning the molecular target of interest. <b>Results:</b> The initial search yielded 1407 articles. After elimination of duplicates, 1339 titles/abstracts were evaluated. Only two articles were found to comply with the inclusion criteria and two more were found during the cross-reference check. Among the four included articles, three described the use of <sup>89</sup>Zr-labelled antibodies targeting CD20+ relapsed/refractory B-cell lymphomas and one concerned the use of <sup>68</sup>Ga-labelled mAb targeting CXCR4 in patients with non-Hodgkin lymphomas. <b>Conclusions:</b> Very limited literature data are currently available on the clinical use of iPET in patients with lymphoma. This technique is encountering obstacles in its wider use, possibly because of the need of specific facilities, unfavorable dosimetry, and unclear correlation of immuno-tracer biodistribution with patients’ clinical and tumors’ molecular characteristics. However, iPET may represent a useful tool to non-invasively visualize the heterogenous individual immunological environment, thus potentially guiding treatment-planning in lymphoma patients, and hence deserves further exploitation.
first_indexed 2024-03-09T03:36:28Z
format Article
id doaj.art-67fa8fd3ff9e406392f7e2d865a80fc5
institution Directory Open Access Journal
issn 2072-6694
language English
last_indexed 2024-03-09T03:36:28Z
publishDate 2022-07-01
publisher MDPI AG
record_format Article
series Cancers
spelling doaj.art-67fa8fd3ff9e406392f7e2d865a80fc52023-12-03T14:48:03ZengMDPI AGCancers2072-66942022-07-011414348810.3390/cancers14143488Clinical Applications of Immuno-PET in Lymphoma: A Systematic ReviewElizabeth Katherine Anna Triumbari0David Morland1Riccardo Laudicella2Matteo Bauckneht3Domenico Albano4Salvatore Annunziata5Unità di Medicina Nucleare, TracerGLab, Dipartimento di Radiologia, Radioterapia ed Ematologia, Fondazione Policlinico Universitario A. Gemelli, IRCCS, 00168 Rome, ItalyUnità di Medicina Nucleare, TracerGLab, Dipartimento di Radiologia, Radioterapia ed Ematologia, Fondazione Policlinico Universitario A. Gemelli, IRCCS, 00168 Rome, ItalyDepartment of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, via Consolare Valeria n1, 98125 Messina, ItalyDepartment of Health Sciences (DISSAL), University of Genova, 16132 Genova, ItalyNuclear Medicine, ASST SpedaliCivili Brescia, 25122 Brescia, ItalyUnità di Medicina Nucleare, TracerGLab, Dipartimento di Radiologia, Radioterapia ed Ematologia, Fondazione Policlinico Universitario A. Gemelli, IRCCS, 00168 Rome, Italy<b>Objective:</b> Immuno-positron emission tomography (iPET) combines the sensitivity of the PET imaging technique and the targeting specificity of radio-labelled monoclonal antibodies (mAb). Its first clinical applications in humans were described in the late 1990s, and several pathologies have benefitted from this molecular imaging modality since then. Our scope was to assess current clinical applications of immuno-PET in patients with lymphoma. Therefore, a systematic review of the published literature was performed. <b>Methods:</b> PubMed/Medline and Scopus databases were independently searched by two nuclear medicine physicians, to identify studies describing the clinical use of immuno-PET in patients with lymphoma. Methodological quality of the included articles was assessed by using the Quality Assessment of Diagnostic Accuracy Studies criteria. The studies were then analyzed concerning the molecular target of interest. <b>Results:</b> The initial search yielded 1407 articles. After elimination of duplicates, 1339 titles/abstracts were evaluated. Only two articles were found to comply with the inclusion criteria and two more were found during the cross-reference check. Among the four included articles, three described the use of <sup>89</sup>Zr-labelled antibodies targeting CD20+ relapsed/refractory B-cell lymphomas and one concerned the use of <sup>68</sup>Ga-labelled mAb targeting CXCR4 in patients with non-Hodgkin lymphomas. <b>Conclusions:</b> Very limited literature data are currently available on the clinical use of iPET in patients with lymphoma. This technique is encountering obstacles in its wider use, possibly because of the need of specific facilities, unfavorable dosimetry, and unclear correlation of immuno-tracer biodistribution with patients’ clinical and tumors’ molecular characteristics. However, iPET may represent a useful tool to non-invasively visualize the heterogenous individual immunological environment, thus potentially guiding treatment-planning in lymphoma patients, and hence deserves further exploitation.https://www.mdpi.com/2072-6694/14/14/3488immuno-PETlymphomasystematic reviewhuman<sup>89</sup>Zr<sup>68</sup>Ga-pentixafor
spellingShingle Elizabeth Katherine Anna Triumbari
David Morland
Riccardo Laudicella
Matteo Bauckneht
Domenico Albano
Salvatore Annunziata
Clinical Applications of Immuno-PET in Lymphoma: A Systematic Review
Cancers
immuno-PET
lymphoma
systematic review
human
<sup>89</sup>Zr
<sup>68</sup>Ga-pentixafor
title Clinical Applications of Immuno-PET in Lymphoma: A Systematic Review
title_full Clinical Applications of Immuno-PET in Lymphoma: A Systematic Review
title_fullStr Clinical Applications of Immuno-PET in Lymphoma: A Systematic Review
title_full_unstemmed Clinical Applications of Immuno-PET in Lymphoma: A Systematic Review
title_short Clinical Applications of Immuno-PET in Lymphoma: A Systematic Review
title_sort clinical applications of immuno pet in lymphoma a systematic review
topic immuno-PET
lymphoma
systematic review
human
<sup>89</sup>Zr
<sup>68</sup>Ga-pentixafor
url https://www.mdpi.com/2072-6694/14/14/3488
work_keys_str_mv AT elizabethkatherineannatriumbari clinicalapplicationsofimmunopetinlymphomaasystematicreview
AT davidmorland clinicalapplicationsofimmunopetinlymphomaasystematicreview
AT riccardolaudicella clinicalapplicationsofimmunopetinlymphomaasystematicreview
AT matteobauckneht clinicalapplicationsofimmunopetinlymphomaasystematicreview
AT domenicoalbano clinicalapplicationsofimmunopetinlymphomaasystematicreview
AT salvatoreannunziata clinicalapplicationsofimmunopetinlymphomaasystematicreview