“…Radiometal-based radiotheranostics has gained much interest as a promising strategy for treating cancer. Of the various chelators used to produce radioligands for radiotheranostics, 1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid (DOTA) derivatives, which are macrocyclic chelators, are the most widely used since they can form complexes with a variety of radiometals, including γ-emitters, which are used for single-photon emission computed tomography (SPECT); β + -emitters, which are used for positron emission tomography (PET); and β – - or α-emitters, which are used for targeted radionuclide therapy (TRNT), and exhibit favorable radiolabeling rates and kinetic stability. − In particular, DOTA-based radioligands targeting prostate-specific membrane antigen (PSMA), e.g., PSMA-617 and PSMA-I&T, have been investigated as potentially useful radiotheranostic agents. ,,, In the past few years, DOTA-based PSMA-targeting radioligands labeled with α-emitting radiometals, such as 225 Ac, have shown greater therapeutic efficacy and lower toxicity in normal tissues than β – -emitter-based therapies when they were used to treat metastatic castration-resistant prostate cancer; thus, performing TRNT with α-emitters has attracted much attention as a new treatment for cancer.…”