神经内分泌肿瘤PET/CT的应用现状与进展

Application status and progress of PET/CT in neuroendocrine tumors

  • 摘要: 神经内分泌肿瘤(NETs)是一组异质性肿瘤,18F-FDG不是NETs的理想显像剂,大多数NETs分化良好、生长缓慢,通常糖代谢水平很低,18F-FDG PET显像对分化差、侵袭性强的神经内分泌癌的诊断灵敏度较高。11C-5-羟基色氨酸、18F-氟代多巴、18F-多巴和11C-多巴等胺前体类PET显像剂在类癌、胰岛细胞癌、嗜铬细胞瘤、副神经节瘤、甲状腺髓样癌、高胰岛素血症等实体肿瘤的成像诊断中具有独特价值。最近研发的68Ga-DOTA-peptide(其中,DOTA为1,4,7,10-四氮杂环十二烷-N,N′,N″,N″′-四乙酸)中几种新型的生长抑素类似物PET已用于NETs的诊断和肽受体的放射性核素治疗。68Ga-DOTA-peptide PET/CT显像可改善半数以上NETs患者的病程和治疗计划,是一种极具发展前景的NETs显像模式。

     

    Abstract: Neuroendocrine tumors (NETs) are a group of heterogeneous tumors, 18F-FDG is not an ideal tracer for NETs. Most of the NETs are well-differentiated, slow growth, low levels of glucose metabolism. 18F-FDG PET usually show high sensitivity for poorly-differentiated and invasive neuroendocrine carcinoma. Other pro-amine PET agents such as 11C-5-hydroxytryptophan, 18F-fluoro-dopa, 18F-dopa and 11C-dopa have great values for the diagnosis of carcinoid, islet cell carcinoma, pheochromocytoma, paraganglioma, medullary thyroid carcinoma, hyperinsulinemia and other solid NETs. Some new developed 68Ga-DOTA-peptide1, 4, 7, 10-tetraazacyclododecane-N, N′, N″, N″′-tetraacetic acid(DOTA) somatostatin PET tracers had already been used in NETs diagnosis and peptide receptor radionuclide therapy. The preliminary results show that 68Ga-DOTA-peptide PET/CT can improve the course and treatment program design in more than half of NETs patients, which is a promising NETs imaging mode.

     

/

返回文章
返回