RT Journal Article SR Electronic T1 Tumor Response to Radiopharmaceutical Therapies: The Knowns and the Unknowns JF Journal of Nuclear Medicine JO J Nucl Med FD Society of Nuclear Medicine SP 12S OP 22S DO 10.2967/jnumed.121.262750 VO 62 IS Supplement 3 A1 George Sgouros A1 Yuni K. Dewaraja A1 Freddy Escorcia A1 Stephen A. Graves A1 Thomas A. Hope A1 Amir Iravani A1 Neeta Pandit-Taskar A1 Babak Saboury A1 Sara St. James A1 Pat B. Zanzonico YR 2021 UL http://jnm.snmjournals.org/content/62/Supplement_3/12S.abstract AB Radiopharmaceutical therapy (RPT) is defined as the delivery of radioactive atoms to tumor-associated targets. In RPT, imaging is built into the mode of treatment since the radionuclides used in RPT often emit photons or can be imaged using a surrogate. Such imaging may be used to estimate tumor-absorbed dose. We examine and try to elucidate those factors that impact the absorbed dose–versus–response relationship for RPT agents. These include the role of inflammation- or immune-mediated effects, the significance of theranostic imaging, radiobiology, differences in dosimetry methods, pharmacokinetic differences across patients, and the impact of tumor hypoxia on response to RPT.