TABLE 1

Hybrid Tracers Applied for Surgical Guidance in Clinical Setting

TracerApplicationParental tracerYear of first clinical implementationNo. of patientsClinical routine?
ICG-99mTc-nanocoloid (4,1921)Sentinel node imaging,  radioguided occult lesion  localization, tumor  margin delineation99mTc-nanocolloid  (head-to-head  reproducibility  study performed  (28)2009>1,500Yes
131I-fluorescein (3)Brain tumor identificationFluorescein1950104No
Cerenkov (18)Rectal cancer  identification, head  and neck  cancer, melanoma18F-FDG2014>60*No
111In-DOTA-girentuximab-IRDye800CW (37)Clear cell renal cell  carcinoma identificationPET tracer  girentuximab201815No
68Ga-IRDye800CW-BBN (38)Glioblastoma multiforme  identificationRadiolabeled BBN201814No
125I-methylene blue (17)Sentinel lymph node  biopsy; parathyroid  adenoma identificationMethylene blue200712No
123I-methylene blue (2)19725No
FITC-125I-CEA-mAb (39)Colorectal carcinomaRadiolabeled  CEA-mAb19926No
124I-cRGDY-PEG-C (40)Metastatic melanoma  identificationcRGDY-PEG-C20145No
  • * Number was provided in oral communication with Jan Grimm during the World Molecular Imaging Congress 2019.

  • Not clinically used.

  • IRDye800CW = infrared dye 800CW; BBN = bombesin; FITC = fluorescein isothiocyanate; CEA = carcinoembryonic antigen; mAb = monoclonal antibody.