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68Ga-NODAGA-E(c[RGDyK])2 is a radiopharmaceutical PET imaging agent developed by Rigshospitalet (Copenhagen University Hospital) for the detection of angiogenesis. It consists of the positron-emitting radionuclide gallium-68 chelated by NODAGA and conjugated to a dimeric cyclic RGD peptide, E(c[RGDyK])2. The tracer specifically targets integrin αvβ3, a cell surface receptor that is significantly upregulated on endothelial cells during angiogenesis and on various tumor cells. By binding to these integrins, the tracer allows for the non-invasive visualization and quantification of angiogenic activity, which is a hallmark of cancer growth and metastasis. It has been evaluated in clinical trials for neuroendocrine neoplasms, breast cancer, and ovarian cancer to assess tumor burden and potential response to anti-angiogenic therapies.
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