Radiotheranostics Market Size, Share & Trends Analysis Report By Radioisotope, By Source (Nuclear Reactors, Cyclotrons), By Approach, By Application(Oncology, Non-Oncology), By End-User, By Region, And Segment Forecasts, 2025-2034

Global Radiotheranostics Market Size is valued at USD 2.54 billion in 2024 and is predicted to reach USD 8.73 billion by the year 2034 at an 6.0% CAGR during the forecast period for 2025-2034.

Key Industry Insights & Findings from the Report:

• The global radio theranostics market is expected to be driven by the expanding role of nuclear medicine in managing various chronic diseases and the rising demand for precision medicine.
• An increasing number of cancer cases are prompting healthcare providers to seek out radiotheranostics, which is leading to growth in the market.
• North America dominated the market and accounted for a revenue share of global revenue in 2023.
• The high cost of radiopharmaceuticals and radiotheranostics procedures can be a burden for both patients and healthcare providers.

Radiotheranostics is a division of radiology that combines molecular imaging (primarily PET and SPECT) with targeted radionuclide therapy, which involves the use of small molecules, peptides, and/or antibodies as carriers for therapeutic radionuclides, typically those emitting -, -, or auger-radiation. The approval of new radiotheranostic agents such as 177Lu-DOTATATE and 177Lu-PSMA-617, as well as the availability of companion diagnostic agents (such as 68Ga-DOTATATE and 68Ga-PSMA-11, respectively), has fueled a resurgence of interest in the field, fueling a slew of clinical trials testing novel radiotheranostics.

Increased public-private funding for target research initiatives, growing public awareness of the advantages of alpha radio immunotherapy-based targeted cancer treatment, and increased product innovations and development due to global technological advancements is expected to create lucrative opportunities for market participants during the forecast period. Hospital budget cuts, particularly during the pandemic, a lack of sufficient infrastructure in low- and middle-income nations, and an unfavorable reimbursement environment are all anticipated to pose challenges to the market throughout the projection period. 

Increasing investment in R&D, particularly in developed and developing economies, for medical instruments and devices will further open up lucrative market expansion opportunities. The nuclear medical field's research and development capabilities also support the market growth rate. Growing numbers of strategic alliances and partnerships between public and private players are opening up lucrative new market opportunities for the funding and use of cutting-edge technology.

Competitive Landscape

Some major key players in the Radiotheranostics market 

• Novartis AG
• Telix Pharmaceuticals
• Curium
• ITM Isotope Technologies
• Eli Lilly (via POINT Biopharma)
• AstraZeneca (via Fusion Pharmaceuticals)
• Radiopharm Theranostics
• Advanced Accelerator Applications (AAA)
• Ratio Therapeutics
• Radionetics Oncology

Market Segmentation:

The radiotheranostics market is segmented on the radioisotope, source, approach, applications and end users. Based on radioisotope, the market is segmented into technetium-99, gallium-68, iodine-131, iodine-123, 18F, y-90, lutetium (lu) 177, copper (Cu) 67, copper (Cu) 64, others. Based on source, the market is segmented into Nuclear Reactors, Cyclotrons. Based on approach market is segmented into Targeted Therapeutic (Rx), Companion Diagnostic (DX). Based on application, the radiotheranostics market is segmented into oncology (thyroid cancer, neuroendocrine cancer, hepatocellular carcinoma, multiple myeloma, lymphoma, others) and non-oncology (joint infections, arthritis, bone pain, others). Based on end-use, the radiotheranostics market is segmented into hospitals & clinics, pharmaceutical & biotechnology companies and others.

The  177 Lu segment witnessed growth at a rapid rate

177 Lu segment grabbed the highest revenue share, and it is anticipated that they will continue to hold that position during the anticipated time. The majority of radioisotopes are employed in oncology for radiation therapy or diagnosis. Theranostics frequently utilized in diagnosing and treating neuroendocrine tumors include 68 Ga DONATE and 177 Lu DOTATOC. The main causes of the intense interest in the clinical application of this radionuclide are its good nuclear properties and the simplicity of obtaining high activity levels of 177Lu.

Cyclotrons are expected to expand at the fastest CAGR during forecast period.

Cyclotrons are fast evolving and will play an increasingly significant role in the pharmaceutical industry, particularly in advanced medical imaging techniques, since radiopharmaceuticals generated by cyclotrons are exceptionally effective at identifying various diseases.

The North American radiotheranostics market holds a significant revenue share in the region.

The North American radiotheranostics market is expected to register the highest market share in revenue soon because of the region's robust healthcare infrastructure, rising overweight population, large patient population suffering from chronic diseases like cancer, coronary artery disease, and strokes, and increased research activity. In addition, Asia Pacific is projected to grow rapidly in the global radiotheranostics market. However, this business is still expected to have substantial development potential due to the expanding number of clinical settings where flow cytometry is used.

Recent Developments:

• In January 2024, Lantheus broadened its portfolio of radiopharmaceuticals for the treatment of cancer by entering into strategic partnerships with Perspective Therapeutics. These strategic transactions increased the size of the pipeline and established a route for significant progress in the treatment of neuroendocrine tumors as well as prostate cancer.

Global Radiotheranostics Market Report Scope