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Research ArticleSPECIAL CONTRIBUTION
Open Access

Computational Nuclear Oncology Toward Precision Radiopharmaceutical Therapies: Ethical, Regulatory, and Socioeconomic Dimensions of Theranostic Digital Twins

Lidia Strigari, Jazmin Schwarz, Tyler Bradshaw, Julia Brosch-Lenz, Geoffrey Currie, Georges El-Fakhri, Abhinav K. Jha, Signe Mežinska, Neeta Pandit-Taskar, Emilie Roncali, Kuangyu Shi, Carlos Uribe, Tahir Yusufaly, Habib Zaidi, Arman Rahmim and Babak Saboury
Journal of Nuclear Medicine May 2025, 66 (5) 748-756; DOI: https://doi.org/10.2967/jnumed.124.268186
Lidia Strigari
1Department of Medical Physics, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy;
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Jazmin Schwarz
2Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, New York;
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Tyler Bradshaw
3Department of Radiology, University of Wisconsin–Madison, Wisconsin;
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Julia Brosch-Lenz
4Institute of Nuclear Medicine, Glen Burnie, Maryland;
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Geoffrey Currie
5School of Dentistry and Health Sciences, Charles Sturt University, Wagga Wagga, New South Wales, Australia;
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Georges El-Fakhri
6Department of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, Connecticut;
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Abhinav K. Jha
7Department of Biomedical Engineering and Mallinckrodt Institute of Radiology, Washington University, St. Louis, Missouri;
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Signe Mežinska
8Institute of Clinical and Preventive Medicine, University of Latvia, Riga, Latvia;
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Neeta Pandit-Taskar
9Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York;
10Department of Radiology, Weill Cornell Medical College, New York, New York;
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Emilie Roncali
11Department of Biomedical Engineering, University of California Davis, Davis, California;
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Kuangyu Shi
12Department of Nuclear Medicine, University of Bern, Bern, Switzerland;
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Carlos Uribe
13Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada;
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Tahir Yusufaly
14Division of Radiology and Radiological Sciences, Johns Hopkins School of Medicine, Baltimore, Maryland;
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Habib Zaidi
15Division of Nuclear Medicine and Molecular Imaging, Geneva University Hospital, Geneva, Switzerland;
16Department of Nuclear Medicine and Molecular Imaging, University of Groningen, University Medical Center Groningen, Groningen, Netherlands;
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Arman Rahmim
17Departments of Radiology and Physics, University of British Columbia, Vancouver, British Columbia, Canada; and
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Babak Saboury
18United Theranostics, Bethesda, Maryland
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Article Information

vol. 66 no. 5 748-756
DOI 
https://doi.org/10.2967/jnumed.124.268186
PubMed 
39848769

Published By 
Society of Nuclear Medicine
Print ISSN 
0161-5505
Online ISSN 
2159-662X
History 
  • Received for publication June 8, 2024
  • Accepted for publication December 10, 2024
  • Published online May 1, 2025.

Article Versions

  • previous version (January 23, 2025 - 10:22).
  • You are viewing the most recent version of this article.
Copyright & Usage 
© 2025 by the Society of Nuclear Medicine and Molecular Imaging. Immediate Open Access: Creative Commons Attribution 4.0 International License (CC BY) allows users to share and adapt with attribution, excluding materials credited to previous publications. License: https://creativecommons.org/licenses/by/4.0/. Details: https://jnm.snmjournals.org/page/permissions.

Author Information

  1. Lidia Strigari1,
  2. Jazmin Schwarz2,
  3. Tyler Bradshaw3,
  4. Julia Brosch-Lenz4,
  5. Geoffrey Currie5,
  6. Georges El-Fakhri6,
  7. Abhinav K. Jha7,
  8. Signe Mežinska8,
  9. Neeta Pandit-Taskar9,10,
  10. Emilie Roncali11,
  11. Kuangyu Shi12,
  12. Carlos Uribe13,
  13. Tahir Yusufaly14,
  14. Habib Zaidi15,16,
  15. Arman Rahmim17 and
  16. Babak Saboury18
  1. 1Department of Medical Physics, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy;
  2. 2Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, New York;
  3. 3Department of Radiology, University of Wisconsin–Madison, Wisconsin;
  4. 4Institute of Nuclear Medicine, Glen Burnie, Maryland;
  5. 5School of Dentistry and Health Sciences, Charles Sturt University, Wagga Wagga, New South Wales, Australia;
  6. 6Department of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, Connecticut;
  7. 7Department of Biomedical Engineering and Mallinckrodt Institute of Radiology, Washington University, St. Louis, Missouri;
  8. 8Institute of Clinical and Preventive Medicine, University of Latvia, Riga, Latvia;
  9. 9Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York;
  10. 10Department of Radiology, Weill Cornell Medical College, New York, New York;
  11. 11Department of Biomedical Engineering, University of California Davis, Davis, California;
  12. 12Department of Nuclear Medicine, University of Bern, Bern, Switzerland;
  13. 13Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada;
  14. 14Division of Radiology and Radiological Sciences, Johns Hopkins School of Medicine, Baltimore, Maryland;
  15. 15Division of Nuclear Medicine and Molecular Imaging, Geneva University Hospital, Geneva, Switzerland;
  16. 16Department of Nuclear Medicine and Molecular Imaging, University of Groningen, University Medical Center Groningen, Groningen, Netherlands;
  17. 17Departments of Radiology and Physics, University of British Columbia, Vancouver, British Columbia, Canada; and
  18. 18United Theranostics, Bethesda, Maryland
  1. For correspondence or reprints, contact Lidia Strigari (lidia.strigari{at}aosp.bo.it)
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Journal of Nuclear Medicine: 66 (5)
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Computational Nuclear Oncology Toward Precision Radiopharmaceutical Therapies: Ethical, Regulatory, and Socioeconomic Dimensions of Theranostic Digital Twins
Lidia Strigari, Jazmin Schwarz, Tyler Bradshaw, Julia Brosch-Lenz, Geoffrey Currie, Georges El-Fakhri, Abhinav K. Jha, Signe Mežinska, Neeta Pandit-Taskar, Emilie Roncali, Kuangyu Shi, Carlos Uribe, Tahir Yusufaly, Habib Zaidi, Arman Rahmim, Babak Saboury
Journal of Nuclear Medicine May 2025, 66 (5) 748-756; DOI: 10.2967/jnumed.124.268186

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Computational Nuclear Oncology Toward Precision Radiopharmaceutical Therapies: Ethical, Regulatory, and Socioeconomic Dimensions of Theranostic Digital Twins
Lidia Strigari, Jazmin Schwarz, Tyler Bradshaw, Julia Brosch-Lenz, Geoffrey Currie, Georges El-Fakhri, Abhinav K. Jha, Signe Mežinska, Neeta Pandit-Taskar, Emilie Roncali, Kuangyu Shi, Carlos Uribe, Tahir Yusufaly, Habib Zaidi, Arman Rahmim, Babak Saboury
Journal of Nuclear Medicine May 2025, 66 (5) 748-756; DOI: 10.2967/jnumed.124.268186
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  • Article
    • Abstract
    • REGULATORY FRAMEWORK FOR AI-BASED TDTS AND RPT
    • ETHICAL AND REGULATORY CONSIDERATIONS IN THE USE OF TDTS FOR RPT
    • RISK MANAGEMENT
    • DATA MANAGEMENT AND INTEROPERABILITY IN TDT DEVELOPMENT
    • SOCIAL CHALLENGES AND OPPORTUNITIES FOR AI-BASED TDT AND RPT
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