Comparison of somatostatin receptor expression in patients with neuroendocrine tumours with and without somatostatin analogue treatment imaged with [18F]SiTATE

被引:4
|
作者
Eschbach, Ralf S. [1 ]
Hofmann, Markus [1 ]
Spaeth, Lukas [1 ]
Sheikh, Gabriel T. [1 ]
Delker, Astrid [1 ]
Lindner, Simon [1 ]
Jurkschat, Klaus [2 ]
Waengler, Carmen [3 ]
Waengler, Bjoern [4 ]
Schirrmacher, Ralf [5 ]
Tiling, Reinhold [1 ]
Brendel, Matthias [1 ]
Wenter, Vera [1 ]
Dekorsy, Franziska J. [1 ]
Zacherl, Mathias J. [1 ]
Todica, Andrei [1 ,6 ]
Ilhan, Harun [1 ,6 ]
Grawe, Freba [1 ,7 ]
Cyran, Clemens C. [7 ]
Unterrainer, Marcus [7 ]
Ruebenthaler, Johannes [7 ]
Knoesel, Thomas [6 ,8 ]
Paul, Tanja [6 ,8 ]
Boeck, Stefan [6 ,9 ]
Westphalen, Christoph Benedikt [6 ,9 ]
Spitzweg, Christine [6 ,10 ]
Auernhammer, Christoph J. [6 ,10 ]
Bartenstein, Peter [1 ,6 ]
Unterrainer, Lena M. [1 ]
Beyer, Leonie [1 ,6 ]
机构
[1] Ludwig Maximilians Univ Munchen, Univ Hosp, Dept Nucl Med, Munich, Germany
[2] Tech Univ Dortmund, Fak Chem & Chem Biol, Dortmund, Germany
[3] Heidelberg Univ, Med Fac Mannheim, Clin Radiol & Nucl Med, Biomed Chem, Mannheim, Germany
[4] Heidelberg Univ, Med Fac Mannheim, Clin Radiol & Nucl Med, Mol Imaging & Radiochem, Mannheim, Germany
[5] Univ Alberta, Dept Oncol, Div Oncol Imaging, Edmonton, AB, Canada
[6] Univ Hosp Munich, Interdisciplinary Ctr Neuroendocrine Tumours Gast, ENETS Ctr Excellence, Munich, Germany
[7] Ludwig Maximilians Univ Munchen, Univ Hosp, Dept Radiol, Munich, Germany
[8] LMU, Inst Pathol, Munich, Germany
[9] Univ Hosp, Dept Internal Med 3, Munich, Germany
[10] Ludwig Maximilians Univ Munchen, Univ Hosp, Dept Internal Med 4, Munich, Germany
来源
FRONTIERS IN ONCOLOGY | 2023年 / 13卷
关键词
NET; PET; CT; F-18]SiTATE; somatostatin analogues; somatostatin receptor; molecular imaging; ENETS CONSENSUS GUIDELINES; OCTREOTIDE; INTERNALIZATION; SCINTIGRAPHY; LANREOTIDE; PEPTIDES; PET/CT; SST(2);
D O I
10.3389/fonc.2023.992316
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
PurposeSomatostatin analogues (SSA) are frequently used in the treatment of neuroendocrine tumours. Recently, [F-18]SiTATE entered the field of somatostatin receptor (SSR) positron emission tomography (PET)/computed tomography (CT) imaging. The purpose of this study was to compare the SSR-expression of differentiated gastroentero-pancreatic neuroendocrine tumours (GEP-NET) measured by [18F]SiTATE-PET/CT in patients with and without previous treatment with long-acting SSAs to evaluate if SSA treatment needs to be paused prior to [18F]SiTATE-PET/CT. Methods77 patients were examined with standardised [18F]SiTATE-PET/CT within clinical routine: 40 patients with long-acting SSAs up to 28 days prior to PET/CT examination and 37 patients without pre-treatment with SSAs. Maximum and mean standardized uptake values (SUVmax and SUVmean) of tumours and metastases (liver, lymphnode, mesenteric/peritoneal and bones) as well as representative background tissues (liver, spleen, adrenal gland, blood pool, small intestine, lung, bone) were measured, SUV ratios (SUVR) were calculated between tumours/metastases and liver, likewise between tumours/metastases and corresponding specific background, and compared between the two groups. ResultsSUVmean of liver (5.4 +/- 1.5 vs. 6.8 +/- 1.8) and spleen (17.5 +/- 6.8 vs. 36.7 +/- 10.3) were significantly lower (p < 0.001) and SUVmean of blood pool (1.7 +/- 0.6 vs. 1.3 +/- 0.3) was significantly higher (p < 0.001) in patients with SSA pre-treatment compared to patients without. No significant differences between tumour-to-liver and specific tumour-to-background SUVRs were observed between both groups (all p > 0.05). ConclusionIn patients previously treated with SSAs, a significantly lower SSR expression ([18F]SiTATE uptake) in normal liver and spleen tissue was observed, as previously reported for 68Ga-labelled SSAs, without significant reduction of tumour-to-background contrast. Therefore, there is no evidence that SSA treatment needs to be paused prior to [18F]SiTATE-PET/CT.
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页数:9
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