Radio theranostics in paragangliomas and pheochromocytomas

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Abstract

This continuing education aims to present in a clear and easy-to-understand manner the biology of paragangliomas and pheochromocytomas (PPGLs), the functional imaging studies available for their diagnosis and therapeutic planning, the requirements necessary to administer radioligand therapy (RLT) and the characteristics of these treatments (inclusion criteria, administration protocols, adverse effects and future perspectives).

In this pathology we have two RLT options: [131I]MIBG and [177Lu]Lu-DOTA-TATE. The indication for treatment is determined by the expression of its therapeutic target in functional imaging studies, allowing precision and personalized medicine.

Although most of the results we have for both treatments have as origin small retrospective series, RLT is presented as a safe and well-tolerated therapeutic option in PPGLs with slow-moderate progression or with uncontrollable symptoms, obtaining high disease control rates.

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副神经节瘤和嗜铬细胞瘤的放射治疗技术。
本次继续教育旨在以清晰易懂的方式介绍副神经节瘤和嗜铬细胞瘤(PPGLs)的生物学特性、可用于诊断和治疗计划的功能成像研究、实施放射性配体疗法(RLT)的必要条件以及这些疗法的特点(纳入标准、实施方案、不良反应和未来展望)。在这种病理情况下,我们有两种 RLT 选择:[131I]MIBG和[177Lu]Lu-DOTA-TATE。治疗的适应症取决于功能成像研究中治疗靶点的表达,从而实现精准和个性化医疗。虽然这两种治疗方法的大多数结果都是小型回顾性系列研究的结果,但对于进展缓慢-中度或症状无法控制的 PPGLs 来说,RLT 是一种安全、耐受性良好的治疗选择,可获得较高的疾病控制率。
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