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. 2014 Feb 13:2014:194123.
doi: 10.1155/2014/194123. eCollection 2014.

PET and PET/CT with 68gallium-labeled somatostatin analogues in Non GEP-NETs Tumors

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PET and PET/CT with 68gallium-labeled somatostatin analogues in Non GEP-NETs Tumors

Martina Sollini et al. ScientificWorldJournal. .

Abstract

Somatostatin (SST) is a 28-amino-acid cyclic neuropeptide mainly secreted by neurons and endocrine cells. A major interest for SST receptors (SSTR) as target for in vivo diagnostic and therapeutic purposes was born since a series of stable synthetic SST-analouges PET became available, being the native somatostatin non feasible for clinical use due to the very low metabolic stability. The rationale for the employment of SST-analogues to image cancer is both based on the expression of SSTR by tumor and on the high affinity of these compounds for SSTR. The primary indication of SST-analogues imaging is for neuroendocrine tumors (NETs), which usually express a high density of SSTR, so they can be effectively targeted and visualized with radiolabeled SST-analogues in vivo. Particularly, SST-analogues imaging has been widely employed in gastroenteropancreatic (GEP) NETs. Nevertheless, a variety of tumors other than NETs expresses SSTR thus SST-analogues imaging can also be used in these tumors, particularly if treatment with radiolabeled therapeutic SST-analouges PET is being considered. The aim of this paper is to provide a concise overview of the role of positron emission tomography/computed tomography (PET/CT) with (68)Ga-radiolabeled SST-analouges PET in tumors other than GEP-NETs.

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Figures

Figure 1
Figure 1
68Ga-DOTATOC PET/CT images (MIP, sagittal, axial) in a patient with metastatic paraganglioma.
Figure 2
Figure 2
68Ga-DOTATOC PET/CT images (MIP, axial) in a patient affected by metastatic phaeocromochytoma.
Figure 3
Figure 3
68Ga-DOTATATE PET/CT images (MIP, axial) in a case of metastatic atypical lung carcinoid.
Figure 4
Figure 4
68Ga-DOTATOC PET/CT images (MIP, sagittal) in a patient with metastatic small cell lung carcinoma.
Figure 5
Figure 5
68Ga-DOTATATE PET/CT images (MIP, coronal, sagittal, and axial) in a patient with meningioma.
Figure 6
Figure 6
68Ga-DOTATATE PET/CT images (MIP, axial) in a patient affected by metastatic medullary thyroid carcinoma.
Figure 7
Figure 7
68Ga-DOTATATE PET/CT images (MIP, axial) in a patient with metastatic iodine-negative differentiated thyroid carcinoma.
Figure 8
Figure 8
68Ga-DOTATATE PET/CT images (MIP, axial) in a patient with thymoma.
Figure 9
Figure 9
68Ga-DOTATOC PET/CT images (MIP, axial) in a patient with metastatic breast cancer.
Figure 10
Figure 10
68Ga-DOTATATE PET/CT images (MIP, axial) in a patient with non-Hodgkin lymphoma.

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