Imaging of Small-Bowel Neuroendocrine Neoplasms: AJR Expert Panel Narrative Review

被引：6

作者：

Navin, Patrick J. ^{[1
]}

Ehman, Eric C. ^{[1
]}

Liu, Jason B. ^{[2
]}

Halfdanarson, Thorvardur R. ^{[3
]}

Gupta, Akshya ^{[4
]}

Laghi, Andrea ^{[5
]}

Yoo, Don C. ^{[6
]}

Carucci, Laura R. ^{[7
]}

Schima, Wolfgang ^{[8
]}

Sheedy, Shannon P. ^{[1
]}

机构：

[1] Mayo Clin, Dept Radiol, 200 1st St SW, Rochester, MN 55905 USA

[2] Brigham & Womens Hosp, Dept Surg, Div Surg Oncol, Boston, MA USA

[3] Mayo Clin, Dept Oncol, Div Med Oncol, Rochester, MN USA

[4] Univ Rochester, Dept Imaging Sci, Rochester, NY USA

[5] Sapienza Univ Rome, Dept Med Surg Sci & Translat Med, AOU St Andrea, Rome, Italy

[6] Brown Univ, Warren Alpert Med Sch, Dept Diagnost Imaging, Providence, RI USA

[7] Virginia Commonwealth Univ, Med Ctr, Dept Radiol, Richmond, VA USA

[8] Barmherzige Schwestern Krankenhaus & Sankt Josef, Dept Diagnost & Intervent Radiol, Goettlicher Heiland Krankenhaus, Vienna, Austria

来源：

AMERICAN JOURNAL OF ROENTGENOLOGY | 2023年 / 221卷 / 03期

关键词：

CT; MRI; neuroendocrine neoplasm; PET; small bowel; GA-68-DOTATATE PET/CT; CARCINOID-TUMORS; GADOXETATE DISODIUM; COMPUTED-TOMOGRAPHY; CAPSULE ENDOSCOPY; LIVER METASTASES; CT-ENTEROGRAPHY; NEEDLE-BIOPSY; DIAGNOSIS; EXPERIENCE;

D O I：

10.2214/AJR.22.28877

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Neuroendocrine neoplasms (NENs) of the small bowel are typically slow-growing lesions that remain asymptomatic until reaching an advanced stage. Imaging modalities for lesion detection, staging, and follow-up in patients with known or suspected NEN include CT enterography, MR enterography, and PET/CT using a somatostatin receptor analog. FDG PET/CT may have a role in the evaluation of poorly differentiated NENs. Liver MRI, ideally with a hepatocyte-specific contrast agent, should be used in the evaluation of hepatic metastases. Imaging informs decisions regarding both surgical approaches and systematic therapy (specifically, peptide receptor radionuclide therapy). This AJR Expert Panel Narrative Review describes the multimodality imaging features of small-bowel NENs; explores the optimal imaging modalities for their diagnosis, staging, and follow-up; and discusses how imaging may be used to guide therapy.

引用

页码：289 / 301

页数：13

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