Endocrine oncology

[18F]Tetrafluoroborate, a new natrium-iodide symporter (NIS) PET/CT radiopharmaceutical: an overview focused on differentiated thyroid cancer

Eur Thyroid JPublished Systematic review

Authors' conclusion

TFB is a promising tracer in relapsing DTC, showing higher sensitivity and less radiation exposure than the standard methods. The TFB and 18F-FDG combination appears particularly intriguing, especially when disease heterogeneity is suspected. However, data are still sparse and need to be confirmed by further investigations.

Study context

Population
Patients with differentiated thyroid cancer (DTC) (relapsing DTC)5 studies
Comparison
TFB PET/CT vs standard NIS imaging and 18F-FDG PET/CT
Outcome
TFB diagnostic performance (sensitivity) vs standard methods; biodistribution and dosimetry
Methodological detailsQUADAS-2 risk of bias assessment
  • QUADAS-2 risk of bias assessment

Pooled result

As reported in the abstract

Diagnostic performance and dosimetry
  • TFB performed better than 131I
  • TFB + 18F-FDG PET/CT combination achieved the best sensitivity
  • TFB delivered significantly less dose than the other NIS tracers
  • 2 studies on biodistribution and dosimetry; 3 on diagnostic performance

Original publication

[18F]Tetrafluoroborate, a new NIS PET/CT radiopharmaceutical: an overview focused on differentiated thyroid cancer. Eur Thyroid J. Published 10 January 2025. doi:10.1530/etj-24-0320

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