热栓塞伪影模拟治疗后疾病进展177Lu DOTATE扫描:SPECT/CT的增量值。

IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Nuclear Medicine and Molecular Imaging Pub Date : 2023-06-01 Epub Date: 2023-02-18 DOI:10.1007/s13139-023-00789-3
Piyush Aggarwal, Anupriya Anwariya, Anwin Joseph Kavanal, Ashwani Sood, Santosh Ranjan Jena, Bhagwant Rai Mittal
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引用次数: 0

摘要

肽受体放射性核素治疗(PRRT)已成为治疗生长抑素受体2型(SSTR-2)过度表达的无法手术和/或转移性、分化良好的神经内分泌肿瘤患者的既定治疗方法。治疗后177Lu DOTATATE全身扫描不仅评估了治疗前68Ga SSTR PET/CT扫描中所见病变的生物分布,而且还提供了治疗期间疾病状态和剂量测定的快速评估。与任何其他放射性核素扫描一样,全身177Lu DOTATE扫描也可能显示放射性示踪剂摄取异常,这可能需要进一步的成像来确定其确切病因。尽管18F-FDG和68Ga-DOTANOC PET/CT扫描描述了类似放射性示踪剂栓塞的局灶性肺部病变,但治疗后177Lu-DOTATE扫描的类似伪影尚未描述。在此,我们报告两例热栓塞的治疗后177Lu DOTATE扫描。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hot Embolus Artifact Mimicking Disease Progression in Post-therapy 177Lu-DOTATATE Scan: Incremental Value of SPECT/CT.

Peptide receptor radionuclide therapy (PRRT) has become an established treatment for patients with inoperable and/or metastatic, well-differentiated neuroendocrine tumors with overexpression of somatostatin receptor type 2 (SSTR-2). The post-therapy 177Lu-DOTATATE whole-body scan not only assesses the biodistribution of the lesions seen on pre-therapy 68 Ga-SSTR PET/CT scan but also provides a quick assessment of disease status and dosimetry during treatment. Like any other radionuclide scan, the whole-body 177Lu-DOTATATE scan may also show abnormal radiotracer uptake, which may require further imaging to establish its exact etiology. Though radiotracer emboli mimicking focal pulmonary lesions have been described with 18F-FDG and 68 Ga-DOTANOC PET/CT scans, similar artifacts with post-therapy 177Lu-DOTATATE scans have not been described. Herein, we report two cases of hot emboli in the post-therapy 177Lu-DOTATATE scans.

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来源期刊
Nuclear Medicine and Molecular Imaging
Nuclear Medicine and Molecular Imaging RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
2.20
自引率
7.70%
发文量
58
期刊介绍: Nuclear Medicine and Molecular Imaging (Nucl Med Mol Imaging) is an official journal of the Korean Society of Nuclear Medicine, which bimonthly publishes papers on February, April, June, August, October, and December about nuclear medicine and related sciences such as radiochemistry, radiopharmacy, dosimetry and pharmacokinetics / pharmacodynamics of radiopharmaceuticals, nuclear and molecular imaging analysis, nuclear and molecular imaging instrumentation, radiation biology and radionuclide therapy. The journal specially welcomes works of artificial intelligence applied to nuclear medicine. The journal will also welcome original works relating to molecular imaging research such as the development of molecular imaging probes, reporter imaging assays, imaging cell trafficking, imaging endo(exo)genous gene expression, and imaging signal transduction. Nucl Med Mol Imaging publishes the following types of papers: original articles, reviews, case reports, editorials, interesting images, and letters to the editor. The Korean Society of Nuclear Medicine (KSNM) KSNM is a scientific and professional organization founded in 1961 and a member of the Korean Academy of Medical Sciences of the Korean Medical Association which was established by The Medical Services Law. The aims of KSNM are the promotion of nuclear medicine and cooperation of each member. The business of KSNM includes holding academic meetings and symposia, the publication of journals and books, planning and research of promoting science and health, and training and qualification of nuclear medicine specialists.
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