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<title>Theranostic Atlas · Imaging radar: what's new</title>
<link href="https://theranosticatlas.com/feed-imaging.xml" rel="self"/>
<link href="https://theranosticatlas.com/imaging/"/>
<id>https://theranosticatlas.com/feed-imaging.xml</id>
<updated>2026-10-26T06:00:00Z</updated>
<author><name>LaRadiopharmacie.fr</name></author>
<entry>
<title>Change of status: Adrenal tracers (metomidate, CETO) (active, not recruiting → completed)</title>
<link href="https://theranosticatlas.com/imaging/#nct=NCT06100367"/>
<id>https://theranosticatlas.com/imaging/#nct=NCT06100367#2026-10-26-58237</id>
<updated>2026-10-26T06:00:00Z</updated>
<summary>11C-Metomidate PET/CT for Endocrine Hypertension and Characterisation of Adrenal Tumours</summary>
</entry>
<entry>
<title>Change of status: CATI · Amyloid tracers (recruiting → completed)</title>
<link href="https://theranosticatlas.com/imaging/#nct=NCT06790394"/>
<id>https://theranosticatlas.com/imaging/#nct=NCT06790394#2026-10-26-20598</id>
<updated>2026-10-26T06:00:00Z</updated>
<summary>Test-retest Study With [18F]FBB in Cardiac Amyloidosis</summary>
</entry>
<entry>
<title>Change of status: Adrenal tracers (metomidate, CETO) (not yet recruiting → recruiting)</title>
<link href="https://theranosticatlas.com/imaging/#nct=NCT07814105"/>
<id>https://theranosticatlas.com/imaging/#nct=NCT07814105#2026-10-26-81608</id>
<updated>2026-10-26T06:00:00Z</updated>
<summary>[11C]Metomidate PET-CT vs Usual Care for People With Primary Aldosteronism: a Proof-of-concept Study</summary>
</entry>
<entry>
<title>Tracking starts</title>
<link href="https://theranosticatlas.com/imaging/"/>
<id>https://theranosticatlas.com/imaging/#2026-10-21-29375</id>
<updated>2026-10-21T06:00:00Z</updated>
<summary>Tracking of trials starts; each update adds new trials, changes of phase or status and published results here.</summary>
</entry>
<entry>
<title>Published result (positif): [18F]RCCB6 · [18F]RCCB6</title>
<link href="https://pubmed.ncbi.nlm.nih.gov/42112793/"/>
<id>https://pubmed.ncbi.nlm.nih.gov/42112793/#2026-10-01-39256</id>
<updated>2026-10-01T06:00:00Z</updated>
<summary>In 150 patients, this anti-CD70 tracer detects clear cell carcinoma metastases with 94% sensitivity and a 98% PPV. Versus FDG (99 patients), sensitivity 91% vs 41%; management changes in 59% of patients.</summary>
</entry>
<entry>
<title>Published result (positif): ZIRCON (reanalysis) · [89Zr]Zr-girentuximab</title>
<link href="https://pubmed.ncbi.nlm.nih.gov/42025513/"/>
<id>https://pubmed.ncbi.nlm.nih.gov/42025513/#2026-10-01-38053</id>
<updated>2026-10-01T06:00:00Z</updated>
<summary>Reanalysis of the pivotal trial: girentuximab also detects CAIX-expressing non-clear cell carcinomas, mostly papillary. For any malignant tumor, PPV of 98%, sensitivity 82% and specificity 87%.</summary>
</entry>
<entry>
<title>Published result (négatif): BMS-986229 / BMS-986192 · [18F]BMS-986229</title>
<link href="https://pubmed.ncbi.nlm.nih.gov/42809016/"/>
<id>https://pubmed.ncbi.nlm.nih.gov/42809016/#2026-09-29-86672</id>
<updated>2026-09-29T06:00:00Z</updated>
<summary>In stage IV lung cancer, the two anti-PD-L1 tracers show identical uptake, but uptake does not follow PD-L1 expression on immunohistochemistry. Low uptake might herald shorter survival (small cohort, exploratory).</summary>
</entry>
<entry>
<title>Published result (positif): FIG (TROG 18.06) · [18F]FET</title>
<link href="https://pubmed.ncbi.nlm.nih.gov/42784545/"/>
<id>https://pubmed.ncbi.nlm.nih.gov/42784545/#2026-09-24-82012</id>
<updated>2026-09-24T06:00:00Z</updated>
<summary>In 140 patients with newly diagnosed glioblastoma, adding FET PET to MRI enlarges the radiotherapy target volume in 83% of cases. The change is clinically significant in 76% of patients; the impact on tumor control remains to be shown.</summary>
</entry>
<entry>
<title>Published result (prometteur): DPI-4452 · [68Ga]Ga-DPI-4452</title>
<link href="https://pubmed.ncbi.nlm.nih.gov/42722441/"/>
<id>https://pubmed.ncbi.nlm.nih.gov/42722441/#2026-09-10-47279</id>
<updated>2026-09-10T06:00:00Z</updated>
<summary>In 30 patients with a renal mass, this anti-CAIX peptide imaged on the same day identifies clear cell carcinoma with 100% sensitivity and 86% specificity. It finds 20 metastases missed by conventional imaging; uptake follows tissue CAIX expression (r = 0.83).</summary>
</entry>
<entry>
<title>Published result (positif): PSMA PET-guided robotic biopsy · [68Ga]Ga-PSMA-11</title>
<link href="https://pubmed.ncbi.nlm.nih.gov/42315309/"/>
<id>https://pubmed.ncbi.nlm.nih.gov/42315309/#2026-09-02-75192</id>
<updated>2026-09-02T06:00:00Z</updated>
<summary>In 217 randomized men with a PI-RADS 4 or 5 lesion, robotic biopsy guided by PSMA PET detects cancer in 97% of patients vs 81% for ultrasound-guided biopsy with cognitive MRI fusion. Fewer complications (11% vs 51%), less pain and fewer cores.</summary>
</entry>
<entry>
<title>Published result (mitigé): GAME · [18F]FDG</title>
<link href="https://pubmed.ncbi.nlm.nih.gov/41793320/"/>
<id>https://pubmed.ncbi.nlm.nih.gov/41793320/#2026-09-01-47863</id>
<updated>2026-09-01T06:00:00Z</updated>
<summary>In suspected giant cell arteritis (103 patients), ultrasound remains the best first-line test (sensitivity 82%). FDG PET is 100% specific with few inconclusive results: a second-line test, before temporal artery biopsy.</summary>
</entry>
<entry>
<title>Published result (positif): Evuzamitide · [124I]I-evuzamitide</title>
<link href="https://pubmed.ncbi.nlm.nih.gov/42670739/"/>
<id>https://pubmed.ncbi.nlm.nih.gov/42670739/#2026-08-30-22914</id>
<updated>2026-08-30T06:00:00Z</updated>
<summary>In 126 patients with suspected cardiac amyloidosis, this pan-amyloid tracer (AL as well as ATTR forms) is positive in every patient with the disease and negative in all others: 100% sensitivity and specificity, excellent inter-reader agreement (κ 0.94).</summary>
</entry>
<entry>
<title>Published result (prometteur): TNPET01 · [18F]FDG / [18F]FLT</title>
<link href="https://pubmed.ncbi.nlm.nih.gov/42048392/"/>
<id>https://pubmed.ncbi.nlm.nih.gov/42048392/#2026-08-14-38560</id>
<updated>2026-08-14T06:00:00Z</updated>
<summary>In triple-negative breast cancer (22 patients), FDG and FLT are reproducible; FDG was chosen. Its drop in uptake after a single cycle predicts the final pathological response better than MRI. Small cohort; validation needed.</summary>
</entry>
<entry>
<title>Published result (positif): FAPeCa · [68Ga]Ga-FAPI-46</title>
<link href="https://pubmed.ncbi.nlm.nih.gov/42167805/"/>
<id>https://pubmed.ncbi.nlm.nih.gov/42167805/#2026-08-03-4168</id>
<updated>2026-08-03T06:00:00Z</updated>
<summary>In 61 patients with colorectal or ovarian peritoneal carcinomatosis, FAPI PET agrees best with surgical staging (ICC 0.81 vs 0.76 for MRI and 0.54 for FDG). More sensitive but less specific; performance maintained after chemotherapy.</summary>
</entry>
<entry>
<title>Published result (positif): BrIMA · [18F]FDG</title>
<link href="https://pubmed.ncbi.nlm.nih.gov/42307959/"/>
<id>https://pubmed.ncbi.nlm.nih.gov/42307959/#2026-08-01-83509</id>
<updated>2026-08-01T06:00:00Z</updated>
<summary>In 6 European centres (148 patients), PET/CT of the surgical specimen after a low FDG dose allows margins to be corrected during surgery: 95% success vs 83% without intraoperative assessment and 87% with the usual techniques.</summary>
</entry>
<entry>
<title>Published result (prometteur): NK224 · [68Ga]Ga-NK224</title>
<link href="https://pubmed.ncbi.nlm.nih.gov/42610817/"/>
<id>https://pubmed.ncbi.nlm.nih.gov/42610817/#2026-08-01-79482</id>
<updated>2026-08-01T06:00:00Z</updated>
<summary>In 48 patients, uptake of the anti-PD-L1 tracer correlates strongly with the immunohistochemistry tumor score (ρ 0.80). It reveals heterogeneity that a single biopsy misses: 5 patients classified as negative had avid lesions. Uptake is higher in lesions responding to immunotherapy.</summary>
</entry>
<entry>
<title>Published result (précoce): PSMA-11 with cyclotron gallium · [68Ga]Ga-PSMA-11</title>
<link href="https://pubmed.ncbi.nlm.nih.gov/42496850/"/>
<id>https://pubmed.ncbi.nlm.nih.gov/42496850/#2026-07-24-48180</id>
<updated>2026-07-24T06:00:00Z</updated>
<summary>In Japan, in 9 men, PSMA-11 labeled with cyclotron-produced gallium-68 (automated module, about 2.8 GBq per synthesis, purity above 99%) is well tolerated, with expected dosimetry and all primary lesions detected.</summary>
</entry>
<entry>
<title>Published result (négatif): PRISMA-PET · [18F]PSMA-1007</title>
<link href="https://pubmed.ncbi.nlm.nih.gov/42255253/"/>
<id>https://pubmed.ncbi.nlm.nih.gov/42255253/#2026-07-01-31334</id>
<updated>2026-07-01T06:00:00Z</updated>
<summary>In 385 patients randomized at diagnosis, staging with PSMA-1007 PET classifies fewer patients as non-metastatic than sodium fluoride PET (69% vs 77%), but progression-free survival does not differ significantly (HR 0.74, p = 0.19). A favourable trend in high-risk patients; longer follow-up needed.</summary>
</entry>
<entry>
<title>Published result (prometteur): [18F]NYM005 · [18F]NYM005</title>
<link href="https://pubmed.ncbi.nlm.nih.gov/41857358/"/>
<id>https://pubmed.ncbi.nlm.nih.gov/41857358/#2026-07-01-68205</id>
<updated>2026-07-01T06:00:00Z</updated>
<summary>In 38 patients, this anti-CAIX tracer is more accurate (94% vs 71%) and more specific (97% vs 62%) than FDG, with comparable sensitivity. Limited value for lymph nodes; uptake collapses under tyrosine kinase inhibitors.</summary>
</entry>
<entry>
<title>Published result (positif): AURORA (obese patients) · [18F]flurpiridaz</title>
<link href="https://pubmed.ncbi.nlm.nih.gov/42128226/"/>
<id>https://pubmed.ncbi.nlm.nih.gov/42128226/#2026-07-01-34723</id>
<updated>2026-07-01T06:00:00Z</updated>
<summary>Pre-specified subgroup of 298 obese patients from the phase 3 trial: flurpiridaz PET meets its primary endpoint and is more sensitive than technetium scintigraphy for two of three readers. No loss of performance in obese patients.</summary>
</entry>
<entry>
<title>Published result (précoce): Fluproxadine · [18F]fluproxadine</title>
<link href="https://pubmed.ncbi.nlm.nih.gov/42247617/"/>
<id>https://pubmed.ncbi.nlm.nih.gov/42247617/#2026-07-01-98055</id>
<updated>2026-07-01T06:00:00Z</updated>
<summary>First-in-human use (4 volunteers) of this fluorinated norepinephrine transporter tracer, an alternative to MIBG: simple synthesis, no serious adverse event, effective dose of 22 µSv/MBq and good visualisation of the myocardium at late time points.</summary>
</entry>
<entry>
<title>Published result (prometteur): PFBC01 · [68Ga]Ga-PFBC01</title>
<link href="https://pubmed.ncbi.nlm.nih.gov/42378054/"/>
<id>https://pubmed.ncbi.nlm.nih.gov/42378054/#2026-06-30-98502</id>
<updated>2026-06-30T06:00:00Z</updated>
<summary>In 50 patients, this anti-BCMA tracer is more sensitive (97% vs 85%) and more specific (71% vs 60%) than FDG. The measured tumor burden tracks myeloma markers and changed treatment decisions.</summary>
</entry>
<entry>
<title>Published result (positif): FDOPA in medullary thyroid cancer · [18F]FDOPA</title>
<link href="https://pubmed.ncbi.nlm.nih.gov/42337037/"/>
<id>https://pubmed.ncbi.nlm.nih.gov/42337037/#2026-06-24-32481</id>
<updated>2026-06-24T06:00:00Z</updated>
<summary>Multicentre study in 24 patients with raised calcitonin after surgery: FDOPA PET detects 1.5 times more metastatic lymph nodes than conventional imaging and changes management in 58% of cases. Reading is demanding, with a learning curve.</summary>
</entry>
<entry>
<title>Published result (positif): PRIMARY2 · [68Ga]Ga-PSMA-11</title>
<link href="https://pubmed.ncbi.nlm.nih.gov/42269655/"/>
<id>https://pubmed.ncbi.nlm.nih.gov/42269655/#2026-06-10-69844</id>
<updated>2026-06-10T06:00:00Z</updated>
<summary>In 660 men at high clinical risk but with a non-suspicious or equivocal MRI (PI-RADS 2-3), first-line PSMA PET is non-inferior to systematic biopsy for detecting significant cancer (12% vs 16%) and avoids biopsy in 49% of patients. Comparable biopsy safety.</summary>
</entry>
<entry>
<title>Published result (positif): PentixaFor in marginal zone lymphoma · [68Ga]Ga-PentixaFor</title>
<link href="https://pubmed.ncbi.nlm.nih.gov/42234002/"/>
<id>https://pubmed.ncbi.nlm.nih.gov/42234002/#2026-06-03-62421</id>
<updated>2026-06-03T06:00:00Z</updated>
<summary>In 41 untreated patients, PentixaFor detects far more disease sites than FDG (lymph nodes 97% vs 40%, stomach 72% vs 40%). It changes the stage in 29% of patients and management in 56%.</summary>
</entry>
<entry>
<title>Published result (positif): Co-PSMA · [64Cu]Cu-SAR-bisPSMA</title>
<link href="https://pubmed.ncbi.nlm.nih.gov/41904043/"/>
<id>https://pubmed.ncbi.nlm.nih.gov/41904043/#2026-06-01-12672</id>
<updated>2026-06-01T06:00:00Z</updated>
<summary>In 50 patients with early biochemical recurrence after prostatectomy (median PSA 0.43), copper-64 bisPSMA imaged at 24 h detects 2.6 times more lesions than gallium PSMA-11 and is positive in 78% of patients vs 36%. Management changes in 44% of patients.</summary>
</entry>
<entry>
<title>Published result (positif): PROSPET-BX · [68Ga]Ga-PSMA-11</title>
<link href="https://pubmed.ncbi.nlm.nih.gov/41784782/"/>
<id>https://pubmed.ncbi.nlm.nih.gov/41784782/#2026-06-01-96517</id>
<updated>2026-06-01T06:00:00Z</updated>
<summary>In 130 men with suspected cancer after at least one negative biopsy, the PSMA PET PRIMARY score is more accurate than MRI PI-RADS (92% vs 83%). The authors derive a predictive nomogram before repeat biopsy (AUC 0.90).</summary>
</entry>
<entry>
<title>Published result (positif): Fluciclovine contre DCFPyL · [18F]DCFPyL</title>
<link href="https://pubmed.ncbi.nlm.nih.gov/41762267/"/>
<id>https://pubmed.ncbi.nlm.nih.gov/41762267/#2026-06-01-12641</id>
<updated>2026-06-01T06:00:00Z</updated>
<summary>In 50 patients with biochemical recurrence at low PSA (0.2 to 2 ng/mL) after robotic prostatectomy, DCFPyL is positive in 44% of cases vs 24% for fluciclovine, with a clear advantage for pelvic lymph nodes (22% vs 8%).</summary>
</entry>
<entry>
<title>Published result (mitigé): EMPIRE-2 · [68Ga]Ga-PSMA-11 / [18F]fluciclovine</title>
<link href="https://pubmed.ncbi.nlm.nih.gov/42377125/"/>
<id>https://pubmed.ncbi.nlm.nih.gov/42377125/#2026-06-01-72340</id>
<updated>2026-06-01T06:00:00Z</updated>
<summary>In 134 patients with recurrence after prostatectomy, randomized between the two tracers, PET changes the radiotherapy decision in 29% (fluciclovine) and 42% (PSMA) of cases, with no significant difference between tracers. Radiation fields change more often with fluciclovine.</summary>
</entry>
<entry>
<title>Published result (précoce): TECANT · [99mTc]Tc-TECANT1</title>
<link href="https://pubmed.ncbi.nlm.nih.gov/41887731/"/>
<id>https://pubmed.ncbi.nlm.nih.gov/41887731/#2026-06-01-98745</id>
<updated>2026-06-01T06:00:00Z</updated>
<summary>First-in-human injection (10 patients) of this technetium-labeled SSTR2 antagonist: well tolerated, effective dose of 3.3 mSv. On SPECT, it detects as many or more lesions than gallium SSTR PET, with at least twice the contrast.</summary>
</entry>
<entry>
<title>Published result (précoce): AP-101 · [89Zr]Zr-DFO-AP-101</title>
<link href="https://pubmed.ncbi.nlm.nih.gov/41872337/"/>
<id>https://pubmed.ncbi.nlm.nih.gov/41872337/#2026-06-01-9106</id>
<updated>2026-06-01T06:00:00Z</updated>
<summary>Radiolabeled antibody targeting misfolded SOD1 in ALS, tested in 7 volunteers and 1 patient: no serious adverse event, liver as the limiting organ, effective dose of 0.2 to 0.3 mSv/MBq. Higher spinal cord uptake in the patient, to be confirmed.</summary>
</entry>
<entry>
<title>Published result (positif): IMPACT-MBC · [18F]FDG</title>
<link href="https://pubmed.ncbi.nlm.nih.gov/41989806/"/>
<id>https://pubmed.ncbi.nlm.nih.gov/41989806/#2026-06-01-40135</id>
<updated>2026-06-01T06:00:00Z</updated>
<summary>In 200 patients with metastatic breast cancer, an FDG PET without progression after 2 weeks of treatment has a 95% NPV for progression on CT at 8 weeks. Median progression-free survival of 19.4 vs 4.1 months according to the early PET.</summary>
</entry>
</feed>
