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[18F]afatinib is a fluorine-18-radiolabeled positron emission tomography (PET) imaging tracer derived from afatinib, a second-generation, irreversible epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI). Developed at the Vrije Universiteit Medisch Centrum (VUmc) with support from Boehringer Ingelheim, this radiotracer is designed to non-invasively visualize and quantify EGFR expression and mutation status in patients with non-small cell lung cancer (NSCLC). By irreversibly binding to the kinase domain of EGFR, [18F]afatinib uptake serves as a predictive biomarker to identify tumors harboring activating EGFR mutations (such as exon 19 deletions or L858R) and to select patients most likely to benefit from therapeutic afatinib treatment.
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