Radioisotopes have a growing impact in various fields of industry and
medicine. Especially in modern medicine, based on the synergies of nuclear physics,
radiochemistry, and radiobiology, the demand for more readily available, higher
quality, and also new radioisotopes is constantly increasing. As key components of
radiopharmaceuticals, they are used in many ways for diagnostics imaging, and
treatments of cancer or other health issues. Diagnostics based on the precise positioning
of imaging photons have improved due to recent advances in molecular biology.
Ongoing intense research of biological vehicles (transporters), such as monoclonal
antibodies (mAbs), specific proteins and peptides, or other designed molecules led to
new and more precise methods to place specific radioisotopes, exactly there where they
are intended. The techniques of targeted therapy were developed, based on the precise
delivery of cell-killing radiation directly and specifically to cancer cells, too. Imaging
techniques are used not only to diagnose but also to monitor the therapy efficacy and
follow-up, using highly selective and specific vectors, allowing for the quantification
of essential tumour parameters such as receptor density, proliferation index, or hypoxia.
Thus, theranostics, which combines matching radioisotopes of similar elements or,
ideally, different emissions of the same radioisotope(s) for treatment and monitoring of
the therapeutic response at the same time, became an important tool of clinical practice.