Clinical usefulness of Somatostatin Receptor Scintigraphy in the Diagnosis of Neuroendocrine Neoplasms.

Yoshitaka Inaba, Susumu Hijioka, Isanori Iwama, Tsubasa Asai, Hiroki Miyamura, Shohei Chatani, Takaaki Hasegawa, Shinichi Murata, Mina Kato, Yozo Sato, Hidekazu Yamaura, Hiroaki Onaya, Junichi Shimizu, Kazuo Hara
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引用次数: 1

Abstract

Objectives: We investigated the detectability of somatostatin receptor scintigraphy (SRS) for neuroendocrine neoplasms (NEN).

Methods: From January 2016 to October 2020, 125 SRS examinations using indium-111 pentetreotide performed for patients with NEN lesions were retrospectively evaluated. The detection rate of NEN lesions was determined according to histopathological classification by primary site and by organ.

Results: At least one NEN lesion was detected in 73% (91/125) with a positive Krenning score of ≥2 in SRS. The detection of abdominal NENs (gastrointestinal tract, 38; pancreas, 62; and others, 14) was 89% (49/55) for neuroendocrine tumor (NET)-grade (G) 1, 78% (32/41) for NET-G2, 66% (2/3) for NET-G3, 31% (4/13) for neuroendocrine carcinoma (NEC), 100% (1/1) for mixed neuroendocrine-non-neuroendocrine neoplasm, and 0% (0/1) for non-classified NEN. That of thoracic NENs was 33% (2/6) for typical carcinoid tumor and 40% (2/5) for atypical carcinoid tumor. For a total of 226 organ lesions, hepatic lesions were 76% (58/76); pancreatic lesions, 61% (31/51); lymph node lesions, 77% (27/35); bone lesions, 83% (20/24); duodenal lesions, 82% (9/11); and other lesions, 41% (11/27).

Conclusion: The detectability of SRS for NEN in Japan was verified at a center, and its usefulness was confirmed.

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生长抑素受体显像在神经内分泌肿瘤诊断中的临床应用。
目的:探讨生长抑素受体闪烁成像(SRS)对神经内分泌肿瘤(NEN)的检出率。方法:回顾性分析2016年1月至2020年10月125例NEN病变患者使用铟-111戊曲肽进行的SRS检查。根据原发部位和器官的组织病理学分类确定NEN病变的检出率。结果:73%(91/125)的患者在SRS中检出至少1个NEN病变,且Krenning评分≥2。腹部NENs检测(胃肠道,38;胰腺,62;神经内分泌肿瘤(NET)分级(G) 1为89% (49/55),NET- g2为78% (32/41),NET- g3为66%(2/3),神经内分泌癌(NEC)为31%(4/13),神经内分泌-非神经内分泌混合肿瘤为100%(1/1),非分类NEN为0%(0/1)。典型类癌胸廓NENs为33%(2/6),不典型类癌胸廓NENs为40%(2/5)。226例器官病变中,肝脏病变占76% (58/76);胰腺病变占61% (31/51);淋巴结病变,77% (27/35);骨病变,83% (20/24);十二指肠病变,82% (9/11);其他病变41%(11/27)。结论:日本某中心验证了SRS检测NEN的可检出性,确认了SRS的实用性。
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来源期刊
Asia Oceania Journal of Nuclear Medicine and Biology
Asia Oceania Journal of Nuclear Medicine and Biology Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
1.80
自引率
0.00%
发文量
28
审稿时长
12 weeks
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