When Should F-18 FDG PET/CT Be Used Instead of 68Ga-DOTA-Peptides to Investigate Metastatic Neuroendocrine Tumors?

被引:5
作者
Fuccio, Chiara [4 ]
Musto, Alessandra [2 ,3 ]
Cambioli, Silvia [4 ]
Castellucci, Paolo [4 ]
Pantaleo, Maria A. [5 ]
Nanni, Cristina [4 ]
Montini, Gian C. [4 ]
Campana, Davide [6 ]
Tomassetti, Paolo [6 ]
Bellan, Elena [2 ,3 ]
Massaro, Arianna [2 ,3 ]
Grassetto, Gaia [2 ,3 ]
Rubello, Domenico [1 ,2 ,3 ]
Fanti, Stefano [4 ]
机构
[1] Santa Maria della Misericordia Hosp, Dept Nucl Med, PET Ctr, I-45100 Rovigo, Italy
[2] Santa Maria della Misericordia Hosp, Dept Med Phys, I-45100 Rovigo, Italy
[3] Santa Maria della Misericordia Hosp, Dept Radiol, I-45100 Rovigo, Italy
[4] S Orsola Malpighi Univ Hosp, Azienda Osped Univ Bologna, Dept Nucl Med, Bologna, Italy
[5] S Orsola Malpighi Univ Hosp, Azienda Osped Univ Bologna, Dept Oncol, Bologna, Italy
[6] S Orsola Malpighi Univ Hosp, Azienda Osped Univ Bologna, Dept Internal Med, Bologna, Italy
关键词
aggressive NETs; PET/CT; F-18; FDG; Ga-68-DOTA-NOC; management; POSITRON-EMISSION-TOMOGRAPHY; Y-90-DOTATOC THERAPY; PHARMACOKINETICS; GA-68-DOTATOC;
D O I
10.1097/RLU.0b013e31823361f7
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
A 67-year-old man, previously operated for a pancreatic neuroendocrine tumor (NET), had progressive increase of serum chromogranin A during follow-up. Sequential Ga-68-DOTA-NOC and F-18 FDG PET/CT were performed. Ga-68-DOTA-NOC imaging was negative, whereas F-18 FDG PET/CT showed 2 hypermetabolic hepatic lesions demonstrated at CT-guided biopsy as metastatic deposits from a high-grade (G3) aggressive NET. Despite the large consensus of SPECT or PET with radiolabeled somatostatin analogs as first choice in functional imaging for detecting NETs metastasis, F-18 FDG may occasionally be the right tracer to provide accurate diagnostic and prognostic information in aggressive G3 NET.
引用
收藏
页码:1109 / 1111
页数:3
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