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18F-AlF-ETN is a radiolabeled bicyclic peptide designed for positron emission tomography (PET) imaging. It specifically targets the erythropoietin-producing hepatocellular receptor A2 (EphA2), a receptor overexpressed in several cancers, including prostate cancer and pancreatic ductal adenocarcinoma (PDAC). The compound was developed to address limitations of prostate-specific membrane antigen (PSMA) PET/CT imaging, particularly in patients with low PSMA expression due to androgen deprivation therapy or neuroendocrine differentiation. Preclinical studies have demonstrated that 18F-AlF-ETN selectively accumulates in EphA2-positive tumors, providing high tumor-to-background contrast and enabling detection of PSMA-negative prostate cancer as well as other EphA2-expressing malignancies[1][3][4][5]. The agent shows high in vivo stability and enhanced imaging contrast in animal models[3].
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