Liposomes, microscopic lipid vesicles consisting of concentric phospholipid
bilayers enclosing discrete aqueous spaces, have been investigated extensi
vely as carriers for drugs in attempts to achieve selective deposition and/
or reduced toxicity. Liposomes radiolabeled with gamma emitters (Ga-67, In-
111 and (99)mTc) have been used for imaging purposes. Liposomes as formulat
ed in the past, are rapidly taken up by cells of the mononuclear phagocyte
system, primarily those located in Liver and spleen. However, it has been s
hown during the last two decades that the in vivo behavior of liposomes can
be modulated by modifying their formulation. The size and the lipid compos
ition have a major influence on the blood clearance rate, hepatic uptake an
d splenic uptake of liposomes. The development of long circulating liposome
s, in particular coating of the bilayer with polyethyleneglycol (PEG) resul
ted in Liposomes that oppose recognition by the MPS, thus displaying even l
onger circulatory half-lives. By carefully adjusting the liposomal formulat
ion, the in vivo characteristics of liposomes can be tailored such that the
y become suitable vehicles for imaging various pathological processes in vi
vo. Liposomes have been proposed for tumor imaging, for infection imaging a
nd as blood pool markers. Here, the factors that determine the in vivo beha
vior of liposomes and the current status of liposome-based radiopharmaceuti
cals are reviewed.