RT Journal Article SR Electronic T1 Trending: Radioactive and fluorescent bimodal/hybrid tracers as multiplexing solutions for surgical guidance JF Journal of Nuclear Medicine JO J Nucl Med FD Society of Nuclear Medicine SP jnumed.119.228684 DO 10.2967/jnumed.119.228684 A1 van Leeuwen, Fijs W.B. A1 Schottelius, Margret A1 Brouwer, Oscar Roberto A1 Vidal-Sicart, Sergi A1 Achilefu, Samuel A1 Klode, Joachim A1 Wester, Hans-Jurgen A1 Buckle, Tessa YR 2019 UL http://jnm.snmjournals.org/content/early/2019/11/07/jnumed.119.228684.abstract AB By contributing to non-invasive molecular imaging and radioguided surgery, nuclear medicine has been instrumental in the realization of precision medicine. During the last decade it has also became apparent that nuclear medicine (e.g., in the form of bimodal/hybrid tracers) can help empower fluorescence guided surgery. More specifically, when using hybrid tracers, lesions can be non-invasively identified and localized with a high sensitively and precision (guided by the radioisotope) and ultimately resected under real-time optical guidance (fluorescent dye). This topical review discusses early clinical successes, preclinical directions and key aspects that could impact the future of this field.