The invention provides a 
fluorescence-radioactivity combined in-vitro 
targeted screening method. The method comprises the following steps of: binding a 
drug to be detected to a 
solid phase carrier, and adding 
radionuclide labeled target molecules and fluorescent probe labeled same target molecules; after forming competitive bindings, synchronously detecting 
fluorescence and radioactive signals,obtaining two groups of data results which can be mutually verified and used for more accurately analyzing the binding capacity of the 
drug and the target molecules, thereby realizing targeted 
drug screening. The method provided by the invention can realize simultaneous detection of 
fluorescence and radioactive binding 
signal intensity of a plurality of to-be-detected drugs through a 
single test, andrapidly and efficiently screens out drugs with high specific binding capacity to target molecules. The method can effectively reduce the false positive probability, and has the characteristics of 
high flux, high accuracy, simple operation and the like. With the method adopted, 
antibody drugs specifically binding to target molecules can be rapidly screened out, pre-target antibodies can be developed for expanding indications of target radiopharmaceuticals in radioactive 
targeted therapy.