Targeted radiotherapy is the administration of 3 radiolabelled molecule des
igned to deliver therapeutic doses of radiation to malignant tumours with h
igh specificity. Radionuclides tl-lat are used to label radiopharmaceutical
s ;for cancer therapy generally decay by particle emission, i.e., alpha, be
ta(-), beta(+), Auger or conversion electrons. Bifunctional chelators have
been designed to attach, metal radionuclides to biological molecules that t
arget rumours. Four types of targeted radiotherapy agents are discussed: sm
all molecules, carrier particles, receptor-targeted agents and pre-targetin
g agents. Human trials of targeted radiotherapy for radiolabelled somatosta
tin analogues and pre-targeting agents are encouraging. This review focuses
on selected disclosures in the patent literature, primarily between 1993 a
nd 1999, for radionuclide production, bifunctional chelators and radiopharm
aceuticals, which may prove successful in the development of future agents
for cancer radiotherapy.