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Updated: Jul 3, 2026

A Practical Guide for the Production and PET/CT Imaging of 68Ga-DOTATATE for Neuroendocrine Tumors in Daily Clinical Practice
Published on: April 17, 2019
Validation of (68)Ge/(68)Ga generator processing by chemical purification for routine clinical application of
Mattia Asti1, Giovanni De Pietri, Alessandro Fraternali
1Nuclear Medicine Department, Santa Maria Nuova Hospital, Reggio Emilia, Italy. asti.mattia@asmn.re.it
Introduction:
Imaging of somatostatin receptor expressing tumours has been greatly enhanced by the use of (68)Ga-DOTATOC and PET/CT.
Methods:
In this work, a purification method for the (68)Ge/(68)Ga generator eluate and a method to produce (68)Ga-DOTATOC suitable for clinical use were evaluated. The generator eluate was purified and concentrated on a cation-exchange cartridge in HCl/acetone media. The efficacy of this procedure in eliminating metal impurities from the (68)Ga solution was investigated by ICP-MS. The radiotracer quality was evaluated by radio-TLC, GC and gamma-ray spectrometry.
Results:
(68)Ga-DOTATOC preparations (n=33) were carried out with a mean synthesis yield of 59.3+/-2.8% (not corrected for decay) and a batch activity ranging from 555 to 296 MBq. The radiochemical and radionuclidic purity were >98% and 99.9999%, respectively. With this purification process, >95% of the Fe(III), Zn(II) and Mn(II) were eliminated from the solution.
Conclusions:
(68)Ga-DOTATOC produced with this method can be efficiently used in nuclear medicine departments for PET evaluations.

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