Table 2.
Isotopes | Half-life | Radiotracer | Year | First author | Animal models | Related notable findings | Limitations |
18F | 110 min | 18F-FPGLU | 2017 | Sun et al[19] | Tumor-bearing mice (HCC SMCC-7721) | Radiochemical purity is higher than 95% with a specific activity of 30-40 GBq/μmol | Unstable in plasma, tumor, and urine |
Stable in vitro | |||||||
High uptake and retention in tumor | |||||||
64Cu | 12.7 h | 64CuCl2 | 2011 | Lièvre et al[71] | Athymic mice bearing extrahepatic HCC xenografts | Increased 64Cu radioactivity is well visualized | Abundant physiological distribution in liver |
Useful for detection of intracranial HCC metastasis | |||||||
68Ga | 68 min | 68Ga-NGR | 2017 | Gao et al[32] | Tumor-bearing mice (HCC SMCC-7721) | 68Ga-NGR could visualize CD13-positive tumors | The uptake performance of 68Ga-NGR for poorly differentiated HCC needs further investigation |
68Ga-NGR uptake is significantly higher than that of 18F-FDG in well-differentiated HCC xenografts | |||||||
89Zr | 78.4 h | 89Zr-αGPC3 | 2014 | Sham et al[79] | HepG2 tumor-bearing mice | Excellent specificity | Long half-life in the blood, leading to suboptimal imaging pharmacokinetics, poorer tumor penetration, and increased immunogenicity due to relatively large size and intact Fc regions |
Even smaller tumors (<1 mm) are able to be identified | |||||||
89Zr-αGPC3-F(ab′)2 | 2014 | Sham et al[80] | HepG2 tumor-bearing mice | Significantly reduces blood circulation time | Potential risk of fragment concentration in the kidneys, leading to organ dysfunction | ||
Lower background liver uptake allows for early imaging | |||||||
89Zr-DFO-1G12 | 2014 | Yang et al[81] | HepG2 tumor-bearing mice | Specifically taken up by GPC3-positive HCC xenografts regardless of GPC3 expression levels | This probe should be further validated using a humanized anti-GPC3 antibody | ||
High tumor-to-liver ratio | |||||||
89Zr-Df-YY146-ZW800 | 2016 | Hernandez et al[82] | HepG2 tumor-bearing mice | Excellent CD146-affinity, specificity, and stability | Bone-displaying PET signal is not matched by NIRF | ||
Both PET and NIRF imaging are achieved |
HCC: Hepatocellular carcinoma; PET: Positron emission tomography;
F-FPGLU: N-(2-18F-fluoropropionyl)-L-glutamate;
Ga-NGR: 68Ga-labeled asparagine-glycine-arginine;
Zr-αGPC3: 89Zr-anti glypican-3; 89Zr-αGPC3-F(ab’)2: 89Zr-anti glypican-3-F(ab’)2; 89Zr-DFO-1G12: 89Zr-desferrioxamine-1G12; 89Zr-Df-YY146-ZW800: 89Zr- deferoxamine-YY146-ZW800; NIRF: Near-infrared fluorescence.