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64Cu-iPSMA (also known as 64Cu-NOTA-HYNIC-iPSMA) is a positron emission tomography (PET) radiopharmaceutical developed for the diagnostic imaging of prostate cancer. It consists of the iPSMA ligand, which has high affinity for prostate-specific membrane antigen (PSMA), conjugated to the bifunctional chelator NOTA (or DOTA) and radiolabeled with the positron-emitting isotope copper-64 (64Cu). PSMA is a transmembrane glycoprotein that is significantly overexpressed in prostate cancer cells, particularly in advanced and metastatic stages. Upon binding to PSMA, 64Cu-iPSMA is internalized into the cells, allowing for high-contrast PET imaging of prostate cancer lesions and metastases. The longer half-life of copper-64 (12.7 hours) compared to gallium-68 or fluorine-18 allows for delayed imaging timepoints, which can improve tumor-to-background ratios and facilitate dosimetry planning for theranostic applications.
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