Clinical utility of indigenously formulated single-vial lyophilized HYNIC-TOC kit in evaluating Gastro-entero Pancreatic neuro endocrine tumours

Authors

  • Ajit S Shinto Nuclear Medicine Department, Kovai Medical Center and Hospital, India
  • Aruna Korde Isotope Applications & Radiopharmaceuticals Division, Bhabha Atomic Research Centre, Mumbai, India
  • Grace Samuel Isotope Applications & Radiopharmaceuticals Division, Bhabha Atomic Research Centre, Mumbai, India
  • K Vyshak Nuclear Medicine Department, Kovai Medical Center and Hospital, India
  • K. Kamaleshwaran Nuclear Medicine Department, Kovai Medical Center and Hospital, India
  • Madhav Mallia Isotope Applications & Radiopharmaceuticals Division, Bhabha Atomic Research Centre, Mumbai, India
  • Natarajan Sudhakar Nuclear Medicine Department, Kovai Medical Center and Hospital, India
  • Sharmila Banerjee Isotope Applications & Radiopharmaceuticals Division, Bhabha Atomic Research Centre, Mumbai, India
Abstract:

  Objective(s): The objective of this study was to evaluate the performance and utility of 99mTc HYNIC-TOC planar scintigraphy and SPECT/CT in the diagnosis, staging and management of gastroenteropancreatic neuroendocrine tumors (GPNETs). Methods: 22 patients (median age, 46 years) with histologically proven gastroentero-pancreatic NETs underwent 99mTc HYNIC-TOC whole body scintigraphy and regional SPECT/CT as indicated. Scanning was performed after injection of 370-550 MBq (10-15 mCi) of 99mTc HYNIC-TOC intravenously. Images were evaluated by two experienced nuclear medicine physicians both qualitatively as well as semi quantitatively (tumor to background and tumor to normal liver ratios on SPECT -CT images). Results of SPECT/CT were compared with the results of conventional imaging. Histopathology results and follow-up somatostatin receptor scintigraphy with 99mTc HYNIC TOC or conventional imaging with biochemical markers were considered to be the reference standards. Results: 99mTc HYNIC TOC showed sensitivity and specificity of 87.5% and 85.7%, respectively, for primary tumor and 100% and 86% for metastases. It was better than conventional imaging modalities for the detection of both primary tumor (P

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Journal title

volume 2  issue 1

pages  30- 41

publication date 2014-05-01

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