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A radiopharmaceutical imaging agent consisting of a small engineered protein (affibody) that specifically binds to the human epidermal growth factor receptor 2 (HER2). The affibody is conjugated with NOTA (1,4,7-triazacyclononane-1,4,7-triacetic acid) as a chelator and labeled with aluminum fluoride-18 (^18F), enabling positron emission tomography (PET) imaging. This agent is designed for noninvasive detection and quantification of HER2 expression in tumors—primarily breast cancer—allowing for improved staging and assessment of HER2-positive lesions. The mechanism involves high-affinity binding to the extracellular domain of HER2 on tumor cells; after intravenous administration and PET/CT scanning at defined intervals post-injection, it provides high-contrast images correlating with HER2 status[3][4][5]. Developed primarily for diagnostic purposes rather than therapy.
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