[Somatostatin receptor scintigraphy. Methodology, indications, results]
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Published on: April 17, 2019
E G Eising1, D Bier, E J Knust
1Klinik und Poliklinik f Nuklearmedizin der Universität, Essen.
Abstract:
Somatostatin-receptor scintigraphy has been in clinical use for several years. Most of the experience with somatostatin tumor scintigraphy has been obtained with gastro-enteropathic (GEP) tumors and carcinoids. Clinical applications of somatostatin imaging have been reported in small-cell lung carcinomas, malignant lymphomas, renal-cell carcinomas, breast cancers and medullary thyroid cancers. Somatostatin analogues were initially applicable in larger medical institutions because of the necessity for radioactive labeling with iodine (octreotide to [123I-Tyr3]-octreotide); however, the clinical results with iodinated analogues were worse than the relatively new analogue [111In-DTPA-D-Phe1]octreotide, now available as Octreoscan. This review describes the current status of the clinical application of somatostatin receptor imaging, together with our own experience in carcinoids, GEP tumors and medullary thyroid carcinomas.
Insights
Somatostatin receptor scintigraphy is a valuable tool for diagnosing various tumors, especially carcinoids and gastro-enteropathic tumors. Newer analogues like Octreoscan offer improved clinical results compared to older iodinated versions.
Area of Science:
- Nuclear medicine
- Oncology
- Radiopharmacology
Background:
- Somatostatin-receptor scintigraphy has established clinical utility.
- Experience is primarily with gastro-enteropathic (GEP) tumors and carcinoids.
- Applications extend to lung, lymphoma, renal, breast, and thyroid cancers.
Purpose of the Study:
- To review the current clinical applications of somatostatin receptor imaging.
- To present institutional experience with specific tumor types.
Main Methods:
- Utilized somatostatin analogues for tumor imaging.
- Compared iodinated analogues (e.g., [123I-Tyr3]-octreotide) with [111In-DTPA-D-Phe1]octreotide (Octreoscan).
Main Results:
- [111In-DTPA-D-Phe1]octreotide (Octreoscan) demonstrated superior clinical results compared to iodinated analogues.
- Somatostatin imaging is applicable across a range of malignancies.
Conclusions:
- Somatostatin receptor imaging, particularly with Octreoscan, is a key diagnostic modality.
- Further experience with carcinoids, GEP tumors, and medullary thyroid carcinomas is detailed.
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