Localization of neuroendocrine tumours with [111In] DTPA-octreotide scintigraphy (Octreoscan): a comparative study with CT and MR imaging
| Autor: | C F Johnston, W Shi, K D Buchanan, J D Laird, W.R. Ferguson, J G Crothers, E. M. Mcilrath |
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| Rok vydání: | 1998 |
| Předmět: |
Adult
Male Adolescent Octreotide Carcinoid Tumor Neuroendocrine tumors Scintigraphy Sensitivity and Specificity Humans Medicine Thyroid Neoplasms Child Radionuclide Imaging Multiple endocrine neoplasia Aged medicine.diagnostic_test business.industry Somatostatin receptor Indium Radioisotopes Magnetic resonance imaging General Medicine Middle Aged Pentetic Acid medicine.disease Magnetic Resonance Imaging Zollinger-Ellison syndrome Pancreatic Neoplasms Neuroendocrine Tumors medicine.anatomical_structure Carcinoma Medullary Female Radiopharmaceuticals Tomography X-Ray Computed business Pancreas Nuclear medicine medicine.drug |
| Zdroj: | QJM. 91:295-301 |
| ISSN: | 1460-2393 |
| DOI: | 10.1093/qjmed/91.4.295 |
| Popis: | A wide variety of neuroendocrine tumours express somatostatin receptors, and can be visualized by radiolabelled somatostatin analogue scintigraphy. To investigate the value of [111In]-octreotide scintigraphy (Octreoscan), 48 patients (37 with proven carcinoid, pancreatic endocrine and medullary carcinoma of thyroid tumours, 11 with neuroendocrine syndromes multiple endocrine neoplasia (MEN-I) and Zollinger-Ellison syndrome (ZES) were examined with 111In-DTPA-D-Phe1-octreotide. Scintigrams were obtained at 24 and 48 h, and the results were compared with CT and magnetic resonance imaging (MRI). Thirty-five of 48 patients had positive [111In]-octreotide scintigraphy (23/25 (92%) carcinoids, 8/9 (89%) PETs, 4/11 (36%) MEN-I & ZES). Of the 42 lesions located by conventional imaging techniques, 37 (88%) were also identified by Octreoscan. Unexpected lesions (40 sites), not detected by CT or MR imaging were found in 24/48 (50%) patients. [111In]-octreotide scintigraphy has a higher sensitivity for tumour detection, and is superior to MR imaging and CT scanning in the identification of previously unsuspected extraliver and lymph node metastases. It may also be helpful for the localization of clinically suspected tumours in patients with MEN-I and ZES. |
| Databáze: | OpenAIRE |
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