Multimodal theranostics in oncology
We develop theranostic tools to detect, treat, and monitor cancer by integrating nuclear imaging, radioligand therapy, targeted drug delivery, radiobiology, and fluorescence-guided surgery. We design and synthesize multimodal biomarker-specific ligands and validate them from in vitro models to animal studies to enable clinical translation in challenging tumor entities.


Focus Group: Gene-regulatory Mechanisms
Prof. Susanne Kossatz (TUM), Alumna Rudolf Mößbauer Tenure Track Assistant Professor
image: Kathrin Czoppelt, TUM Klinikum rechts der Isar

diagram: Biorender.com
Overall scientific concepts and goals
The “Imaging and Biomarkers in Oncology” lab is focused on the discovery, development, and clinical translation of theranostic strategies for cancer, bridging basic research and translational efforts in nuclear medicine, molecular imaging, and targeted therapies. Its overarching aim is to enhance cancer patient outcomes through innovative approaches covering early tumor detection, therapy monitoring, radioligand therapy, targeted drug delivery, and intraoperative precision guidance. By leveraging tumor-specific biomarkers, we develop highly selective agents for PET/SPECT imaging and targeted radioligand therapy, as well as novel conjugates for cytotoxic or targeted drug delivery — addressing critical unmet clinical needs across a broad spectrum of cancer types (Fig. 1). We combine this breadth of topics with a systems-level analysis of molecular mechanisms of resistance and toxicity, applying interdisciplinary techniques from chemistry, cell biology, molecular imaging, and immunology within a research environment that fosters collaboration across local, national, and international partners.
Progress and Current Activities
Significant advances have been achieved in both the conception and translation of new theranostic agents. Over the past years, the program has:
Developed peptide-drug conjugates integrating imaging and therapy aspects for tumor-selective delivery and radiosensitization, including candidates already supported by major academic and industry funding (Fig. 2).
Investigated hematotoxicity of SSTR2-targeting radioligands and discovered active targeting of hematopoietic stem cells that had not been described previously.
Established preclinical models and protocols to evaluate promising therapeutic radioligands against different targets (e.g. PSMA, SSTR2, integrin αvβ6) and has conducted projects with a range of isotopes including Lutetium-177, Actinium-225, Terbium-161, and Lead-212, maintaining early access to emerging isotopes and supporting cutting-edge radioligand therapy research.
Initiated combination therapy studies, such as pairing SSTR2-targeted radioligand therapy with PARP inhibitors in small cell lung cancer models, leading to plans for a phase I clinical trial.
Advanced antibody-based diagnostics by developing radiolabeled antibodies for novel targets, such as PRDX4, and launched collaborations for innovative pre-targeting strategies to minimize side effects

Biorender.com (unpublished data).
Monitoring the photochemical reactivity of 2-D materials
Two-dimensional transition metal dichalcogenides (2-D TMDs) are promising material platforms for optoelectronics, sensing, and quantum information technologies, showing significant potential for groundbreaking applications. They also hold immense potential for photocatalysis, due to their earth-abundance, strong light-matter interaction, and high surface-to-volume ratio, which means they can host many active sites for chemical reactions. However, progress has been limited due to an incomplete understanding of their photocatalytic reactive sites and their reactivity.
Therefore, it is essential to identify active chemical sites and monitor their reactivity under appropriate operando conditions, using advanced approaches that can probe these aspects. Employing this unique, performance-oriented feedback, the material synthesis can be optimized regarding morphology, dopants, and other defects. This will provide a deeper understanding that will lead to novel photocatalyst design, fully leveraging the tunability of 2-D TMDs to develop next-generation materials and set new benchmarks in efficiency and sustainability.
To accomplish this goal, we developed a novel operando imaging method capable of identifying the spatial distribution of reactive sites for oxidation and reduction on a 2-D TMD: an MoS2 monolayer (ML), using light as the sole external driving force (see Fig. 3). We observed the effects of the electronic properties of the material, electron/hole transport, and lateral confinement of photocarriers on chemical reactivity. Unlike other imaging techniques that have been recently utilized to study photocatalytic systems, this new imaging method enables the direct mapping of efficiency with high spatial resolution (~200 nm) and allows the local measurements of hydrogen generation under light excitation for the first time.
The separation and transport of charge carriers during photocatalysis are also critical factors in solar-driven devices. Building on insights from our study, we explored strategies to enhance charge carrier mobility on 2-D platforms. We observed a significant improvement in the efficiency of MoS₂ under visible light, with charge extraction increasing by 5 to 30 when connected to a conductive material. Notably, this enhanced performance extended over distances of several hundred micrometers from the connection point.
These findings offer a clear path toward designing highly efficient sunlight-powered devices by improving charge transport over long distances and optimizing photocatalytic performance. Such advancements could significantly impact solar energy conversion technologies, hydrogen production, and sustainable energy systems.
Major Outcomes, Impact, and Applications
The research group’s work has yielded major high-impact practical and scientific outcomes, including:
- Identification and implementation of lead candidates for clinical translation.
- Filing key patents for both theranostic ligands and combination strategies, underlining the translational potential of our research.
- Publication of over 35 peer-reviewed articles in leading journals (e.g., Nature Biomedical Engineering), as well as significant contributions to field standards in the management of the Preclinical Imaging Core Facility and technology access initiatives.
- Implementation of workflows and protocols capable of reducing animal use in radiopharmaceutical development by creating advanced in vitro kidney toxicity and uptake screening platforms.
- Acquisition of research grants via competitive national and international grants as well as industry partners.
- Application-wise, our research aims to enable more precise cancer imaging, personalized dosing of radiotherapy, safer drug delivery, and next-generation surgical guidance.
Future Goals
The strategic plan for the coming years includes:
- Comprehensive exploration of new therapeutic isotopes and next-generation modalities for hard-to-treat, non-responding cancer types, prioritizing rapid translation to first-in-human studies.
- Intensified research on the biological mechanisms of resistance and immunologic responses to radioligand therapies, supported by new collaborations and acquisition of advanced in vitro and multi-modal imaging tools.
- Broadening the technology platform for personalized cancer therapy, including AI-driven pharmacokinetic modeling for patient stratification, optimization of minimally invasive surgery through novel optical imaging agents, and innovative nanoparticle-based drug delivery.
- Continued commitment to mentoring and training the next generation of interdisciplinary scientists, and to expanding the group’s impact through international scientific leadership and guideline-defining publications.
Lab members:
Dr. Nadine Holzleitner, postdoctoral researcher
Dr. Carolin Kitzberger, postdoctoral researcher
Daniel Andresen, doctoral candidate
Amira Daoud Ghadieh, doctoral candidate
Maximilian Irl, doctoral candidate
Lena Koller, doctoral candidate
Yu Min, doctoral candidate
Tim Rheinfrank, doctoral candidate
Baiging Sun, doctoral candidate
Anna Weber, doctoral candidate
Marius Kesselring, master student
Michelle Leiser, master student
Selected publications
- N. Nguyen et al., “Limitations of the radiotheranostic concept in neuroendocrine tumors due to lineage-dependent somatostatin receptor expression on hematopoietic stem and progenitor cells,” Theranostics, vol. 15, no. 13, pp. 6497-6515, 2025. doi: 10.7150/thno.113354.
- H. Rauch et al., “Combining [(177)Lu]Lu-DOTA-TOC PRRT with PARP inhibitors to enhance treatment efficacy in small cell lung cancer,” Eur. J. Nucl. Med. Mol. Imaging, vol. 51, no. 13, pp. 4099-4110, 2024. doi: 10.1007/s00259-024-06844-1.
- S. Marcazzan et al., “PARP1-targeted fluorescence molecular endoscopy as novel tool for early detection of esophageal dysplasia and adenocarcinoma,” J. Exp. Clin. Cancer Res., vol. 43, no. 1, p. 53, 2024. doi: 10.1186/s13046-024-02963-7.
- B. S. Ludwig et al., “The organometallic ferrocene exhibits amplified anti-tumor activity by targeted delivery via highly selective ligands to alphavbeta3, alphavbeta6, or alpha5beta1 integrins,” Biomaterials, vol. 271, p. 120754, 2021. doi: 10.1016/j.biomaterials.2021.120754.
- S. Kossatz et al., “Validation of the use of a fluorescent PARP1 inhibitor for the detection of oral, oropharyngeal and oesophageal epithelial cancers,” Nat Biomed Eng, vol. 4, no. 3, pp. 272-285, 2020. DOI: 10.1038/s41551-020-0526-9.