Targeting overexpressed receptors on the cancer cells with radiolabeled peptides has become very important in nuclear oncology in the recent years. Peptides are small and have easy preparation and easy radiolabeling protocol with no side-effect and toxicity. These properties made them a valuable tool for tumor targeting. Based on the successful imaging of neuroendocrine tumors with 111 In-octreotide, other receptor-targeting peptides such as bombesin (BBN), cholecystokinin/gastrin analogues, neurotensin analogues, glucagon-like peptide-1, and RGD peptides are currently under development or undergoing clinical trials. The most frequently used radionuclides for tumor imaging are 99m Tc and 111 In for single-photon emission computed tomography and 68 Ga and 18 F for positron emission tomography imaging. This review presents some of the 99m Tc-labeled peptides, with regard to their potential for radionuclide imaging of tumors in clinical and preclinical application. K E Y W O R D S 99m Tc, radiolabeled peptides, SPECT, tumor targeting 206 | REZAZADEH AnD SADEGHZADEH some of them are currently under development or undergoing clinical trials. [13] Some of the most important peptides and their overexpressed receptors on tumors are listed in Table 1. 99m Tc is used for medical imaging in 80% of cases all over the world due to its near ideal nuclear characteristics of 6-hr half-life and γ-ray emission energy of 142 keV. Therefore, 99m Tc-labeled peptides with specific and high receptor affinity are very useful for tumor targeting. [14] The focus of this article remains the main applications of 99m Tc radiolabeled peptides in cancer research and development, which have been used in clinic and most promising candidates for future clinical use.