Radioteragnosis en paragangliomas y feocromocitomas

IF 1.6 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Revista Espanola De Medicina Nuclear E Imagen Molecular Pub Date : 2024-07-01 DOI:10.1016/j.remn.2024.500017
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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诊断
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,我们有两种放射性同位素治疗选择:[131I]MIBG 和 [177Lu]Lu-DOTA-TATE。治疗的适应症由功能成像研究中治疗靶点的表达决定,从而实现精准和个性化医疗。虽然我们对这两种治疗方法的大多数结果都是小规模的回顾性系列研究,但 RLT 被认为是一种安全、耐受性良好的治疗方案,适用于病情发展缓慢或症状无法控制的 PPGL,可获得较高的疾病控制率。
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来源期刊
Revista Espanola De Medicina Nuclear E Imagen Molecular
Revista Espanola De Medicina Nuclear E Imagen Molecular RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
1.10
自引率
16.70%
发文量
85
审稿时长
24 days
期刊介绍: The Revista Española de Medicina Nuclear e Imagen Molecular (Spanish Journal of Nuclear Medicine and Molecular Imaging), was founded in 1982, and is the official journal of the Spanish Society of Nuclear Medicine and Molecular Imaging, which has more than 700 members. The Journal, which publishes 6 regular issues per year, has the promotion of research and continuing education in all fields of Nuclear Medicine as its main aim. For this, its principal sections are Originals, Clinical Notes, Images of Interest, and Special Collaboration articles.
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