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Molecular PET and immuno-PET in gastric cancer immunotherapy: current evidence, clinical utilities, and translational barriers
by
Hu, Qiang
, Sun, Yuanshui
in
Animals
/ Antibodies
/ Biology
/ Biomarkers
/ Biomarkers, Tumor
/ Biopsy
/ Cancer immunotherapy
/ Cancer therapies
/ Chemotherapy
/ Decision making
/ ErbB-2 protein
/ FAPI
/ Fibroblasts
/ Gastric cancer
/ Granzyme B
/ HER2
/ Humans
/ immuno-PET
/ Immunotherapy
/ Immunotherapy - methods
/ Lesions
/ Malignancy
/ Metabolism
/ Metastasis
/ Mini Review
/ Patients
/ PD-L1 protein
/ Pharmacodynamics
/ Positron emission tomography
/ Positron-Emission Tomography - methods
/ Public health
/ Stomach Neoplasms - diagnostic imaging
/ Stomach Neoplasms - immunology
/ Stomach Neoplasms - metabolism
/ Stomach Neoplasms - therapy
/ Temporal variability
/ Translation
/ Translational Research, Biomedical
/ Tumors
2026
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Molecular PET and immuno-PET in gastric cancer immunotherapy: current evidence, clinical utilities, and translational barriers
by
Hu, Qiang
, Sun, Yuanshui
in
Animals
/ Antibodies
/ Biology
/ Biomarkers
/ Biomarkers, Tumor
/ Biopsy
/ Cancer immunotherapy
/ Cancer therapies
/ Chemotherapy
/ Decision making
/ ErbB-2 protein
/ FAPI
/ Fibroblasts
/ Gastric cancer
/ Granzyme B
/ HER2
/ Humans
/ immuno-PET
/ Immunotherapy
/ Immunotherapy - methods
/ Lesions
/ Malignancy
/ Metabolism
/ Metastasis
/ Mini Review
/ Patients
/ PD-L1 protein
/ Pharmacodynamics
/ Positron emission tomography
/ Positron-Emission Tomography - methods
/ Public health
/ Stomach Neoplasms - diagnostic imaging
/ Stomach Neoplasms - immunology
/ Stomach Neoplasms - metabolism
/ Stomach Neoplasms - therapy
/ Temporal variability
/ Translation
/ Translational Research, Biomedical
/ Tumors
2026
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Do you wish to request the book?
Molecular PET and immuno-PET in gastric cancer immunotherapy: current evidence, clinical utilities, and translational barriers
by
Hu, Qiang
, Sun, Yuanshui
in
Animals
/ Antibodies
/ Biology
/ Biomarkers
/ Biomarkers, Tumor
/ Biopsy
/ Cancer immunotherapy
/ Cancer therapies
/ Chemotherapy
/ Decision making
/ ErbB-2 protein
/ FAPI
/ Fibroblasts
/ Gastric cancer
/ Granzyme B
/ HER2
/ Humans
/ immuno-PET
/ Immunotherapy
/ Immunotherapy - methods
/ Lesions
/ Malignancy
/ Metabolism
/ Metastasis
/ Mini Review
/ Patients
/ PD-L1 protein
/ Pharmacodynamics
/ Positron emission tomography
/ Positron-Emission Tomography - methods
/ Public health
/ Stomach Neoplasms - diagnostic imaging
/ Stomach Neoplasms - immunology
/ Stomach Neoplasms - metabolism
/ Stomach Neoplasms - therapy
/ Temporal variability
/ Translation
/ Translational Research, Biomedical
/ Tumors
2026
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Molecular PET and immuno-PET in gastric cancer immunotherapy: current evidence, clinical utilities, and translational barriers
Journal Article
Molecular PET and immuno-PET in gastric cancer immunotherapy: current evidence, clinical utilities, and translational barriers
2026
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Overview
This mini-review aims to examine how molecular PET and immuno-PET may complement tissue-based biomarkers in gastric cancer immunotherapy by enabling whole-body assessment of target expression, stromal biology, immune effector activity, and treatment-related inflammatory changes. Gastric cancer remains a major global health burden, while immunotherapy is expanding from advanced disease into perioperative and conversion settings. However, clinical benefit remains heterogeneous, and conventional biomarkers such as PD-L1, HER2, and MSI/dMMR do not fully capture spatial and temporal variation across lesions. Molecular PET broadly encompasses tracers targeting metabolism, receptors, stromal components, and immune biology, whereas immuno-PET uses radiolabeled antibodies or related scaffold proteins to visualize target distribution and, in some settings, pharmacodynamic changes in vivo . Current evidence in gastric cancer suggests potential roles for HER2-targeted PET, FAPI PET, and granzyme B PET in lesion characterization, stromal phenotyping, early response assessment, and prognostic stratification. However, PD-L1 imaging in gastric cancer remains supported mainly by preclinical data, and much of the checkpoint-imaging literature is extrapolated from non-gastric malignancies. Major barriers include limited gastric-cancer-specific prospective cohorts, heterogeneous tracer formats and imaging time points, lack of standardized quantitative thresholds, and a shortage of outcome-driven studies. Overall, molecular PET and immuno-PET should currently be viewed as promising translational tools rather than routine clinical biomarkers, with their greatest near-term value likely lying in multimodal patient stratification and early pharmacodynamic assessment.
Publisher
Frontiers Media SA,Frontiers Media S.A
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