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OtherPractice Standards (Guidelines)
Open Access

Joint EANM, SNMMI and IAEA Enabling Guide: How to Set Up a Theranostics Centre

Ken Herrmann, Luca Giovanella, Andrea Santos, Jonathan Gear, Pinar Ozgen Kiratli, Jens Kurth, Ana M. Denis-Bacelar, Roland Hustinx, Marianne Patt, Richard L. Wahl, Diana Paez, Francesco Giammarile, Hossein Jadvar, Neeta Pandit-Taskar, Munir Ghesani and Jolanta Kunikowska
Journal of Nuclear Medicine April 2022, jnumed.122.264321; DOI: https://doi.org/10.2967/jnumed.122.264321
Ken Herrmann
1 Department of Nuclear Medicine, University of Duisburg-Essen, and German Cancer Consortium (DKTK)-University Hospital Essen, Essen, Germany, Germany;
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Luca Giovanella
2 Clinic for Nuclear Medicine and Molecular Imaging, Imaging Institute of Southern Switzerland, Ente Ospedaliero Cantonale, Bellinzona (Switzerland);
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Andrea Santos
3 Department of Nuclear Medicine, Hospital Cuf Descobertas, Lisbon, Portugal;
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Jonathan Gear
4 Joint Department of Physics, Royal Marsden NHS Foundation Trust, Sutton, United Kingdom;
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Pinar Ozgen Kiratli
5 Department of Nuclear Medicine, Hacettepe University, Ankara, Turkey;
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Jens Kurth
6 Department of Nuclear Medicine, Rostock University Medical Center, Rostock, Germany;
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Ana M. Denis-Bacelar
7 National Physical Laboratory, Teddington, United Kingdom;
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Roland Hustinx
8 Division of Nuclear Medicine and Oncological Imaging, University Hospital of Liège, Belgium and GIGA-CRC in vivo imaging, University of Liège, Belgium;
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Marianne Patt
9 Department for Nuclear Medicine, University Hospital Leipzig, Leipzig, Germany;
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Richard L. Wahl
10 Department of Radiology, Washington University School of Medicine, St. Louis, MO, USA;
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Diana Paez
11 Nuclear Medicine and Diagnostic Imaging Section, Division of Human Health, Department of Nuclear Sciences and Application, International Atomic Energy Agency, Vienna, Austria;
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Francesco Giammarile
11 Nuclear Medicine and Diagnostic Imaging Section, Division of Human Health, Department of Nuclear Sciences and Application, International Atomic Energy Agency, Vienna, Austria;
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Hossein Jadvar
12 Division of Nuclear Medicine, Department of Radiology, University of Southern California, Los Angeles, CA, USA;
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Neeta Pandit-Taskar
13 Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA;
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Munir Ghesani
14 Diagnostic, Molecular & Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, USA.;
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Jolanta Kunikowska
15 Nuclear Medicine Department, Medical University of Warsaw, Poland
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Abstract

The theranostics concept using the same target for both imaging and therapy dates back to the middle of the last century, when radioactive iodine was first used to treat thyroid diseases. Since then, radioiodine has become broadly established clinically for diagnostic imaging and therapy of benign and malignant thyroid disease, worldwide. However, only since the approval of SSTR2-targeting theranostics following the NETTER-1 trial in neuroendocrine tumours, and the positive outcome of the VISION trial has theranostics gained substantial attention beyond nuclear medicine. The roll-out of radioligand therapy for treating a high-incidence tumour such as prostate cancer requires the expansion of existing, and the establishment of new theranostics centres. Despite wide global variation in the regulatory, financial and medical landscapes, this guide attempts to provide valuable information to enable interested stakeholders to safely initiate and operate theranostic centres. This enabling guide does not intend to answer all possible questions, but rather to serve as an overarching framework for multiple, more detailed future initiatives. It recognizes that there are regional differences in the specifics of regulation of radiation safety, but common elements of best practice valid globally.

  • Nuclear Medicine
  • PRRT
  • PSMA
  • Radionuclide Theranostics
  • Theranostics

Footnotes

  • This article was originally published in "Herrmann K, Giovanella L, Santos A, Gear J, et al. Joint EANM, SNMMI and IAEA enabling guide: how to set up a theranostics centre. Eur J Nucl Med Mol Imaging. 2022 Apr 11. doi: 10.1007/s00259-022-05785-x" under a Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as appropriate credit is provided to the original author(s) and source, a link is provided to the Creative Commons licence, and indication of changes is provided. This version was submitted to The Journal of Nuclear Medicine by the authors. Any changes between this version and the originally published version should be limited to editing, formatting, and typographical discrepancies.

  • Copyright © 2022 by the Society of Nuclear Medicine and Molecular Imaging, Inc.

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Journal of Nuclear Medicine
Vol. 63, Issue 5
May 1, 2022
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Joint EANM, SNMMI and IAEA Enabling Guide: How to Set Up a Theranostics Centre
Ken Herrmann, Luca Giovanella, Andrea Santos, Jonathan Gear, Pinar Ozgen Kiratli, Jens Kurth, Ana M. Denis-Bacelar, Roland Hustinx, Marianne Patt, Richard L. Wahl, Diana Paez, Francesco Giammarile, Hossein Jadvar, Neeta Pandit-Taskar, Munir Ghesani, Jolanta Kunikowska
Journal of Nuclear Medicine Apr 2022, jnumed.122.264321; DOI: 10.2967/jnumed.122.264321

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Joint EANM, SNMMI and IAEA Enabling Guide: How to Set Up a Theranostics Centre
Ken Herrmann, Luca Giovanella, Andrea Santos, Jonathan Gear, Pinar Ozgen Kiratli, Jens Kurth, Ana M. Denis-Bacelar, Roland Hustinx, Marianne Patt, Richard L. Wahl, Diana Paez, Francesco Giammarile, Hossein Jadvar, Neeta Pandit-Taskar, Munir Ghesani, Jolanta Kunikowska
Journal of Nuclear Medicine Apr 2022, jnumed.122.264321; DOI: 10.2967/jnumed.122.264321
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Keywords

  • Nuclear Medicine
  • PRRT
  • PSMA
  • Radionuclide Theranostics
  • theranostics
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