Pediatric applications of Dotatate: early diagnostic and therapeutic experience
In recent years, new somatostatin receptor agents (SSTRs) have become available for diagnostic imaging and therapy in neuroendocrine tumors. The novel SSTR ligand DOTA-DPhel-Tyr3-octreotate (Dotatate) in particular can be linked with 68 Gallium for diagnostic imaging purposes, and with the β-emitter...
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Veröffentlicht in: | Pediatric radiology 2020-06, Vol.50 (7), p.882-897 |
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description | In recent years, new somatostatin receptor agents (SSTRs) have become available for diagnostic imaging and therapy in neuroendocrine tumors. The novel SSTR ligand DOTA-DPhel-Tyr3-octreotate (Dotatate) in particular can be linked with
68
Gallium for diagnostic imaging purposes, and with the β-emitter
177
Lutetium for radiotherapy in the setting of neuroendocrine tumors. Dotatate imaging offers distinct advantages in the evaluation of neuroendocrine tumors compared to standard techniques, including greater target-to-background ratio and lesion conspicuity, high sensitivity/specificity, improved spatial resolution with positron emission tomography (PET)/CT or PET/MR, and decreased radiation exposure. Although currently off-label in pediatrics, Dotatate theranostics in children are being explored, most notably in the setting of neuroblastoma and hereditary neuroendocrine syndromes. This article provides a multicenter case series of Dotatate imaging and therapy in pediatric patients in order to highlight the spectrum of potential clinical applications. |
doi_str_mv | 10.1007/s00247-020-04688-z |
format | Article |
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68
Gallium for diagnostic imaging purposes, and with the β-emitter
177
Lutetium for radiotherapy in the setting of neuroendocrine tumors. Dotatate imaging offers distinct advantages in the evaluation of neuroendocrine tumors compared to standard techniques, including greater target-to-background ratio and lesion conspicuity, high sensitivity/specificity, improved spatial resolution with positron emission tomography (PET)/CT or PET/MR, and decreased radiation exposure. Although currently off-label in pediatrics, Dotatate theranostics in children are being explored, most notably in the setting of neuroblastoma and hereditary neuroendocrine syndromes. This article provides a multicenter case series of Dotatate imaging and therapy in pediatric patients in order to highlight the spectrum of potential clinical applications.</description><identifier>ISSN: 0301-0449</identifier><identifier>EISSN: 1432-1998</identifier><identifier>DOI: 10.1007/s00247-020-04688-z</identifier><identifier>PMID: 32495176</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Child ; Computed tomography ; Conspicuity ; Contrast Media ; Diagnostic software ; Diagnostic systems ; Early experience ; Emitters ; Humans ; Imaging ; Medical diagnosis ; Medical imaging ; Medicine ; Medicine & Public Health ; Multimodal Imaging ; Neuroblastoma ; Neuroblastoma - diagnostic imaging ; Neuroblastoma - metabolism ; Neuroblastoma - radiotherapy ; Neuroendocrine tumors ; Neuroendocrine Tumors - diagnostic imaging ; Neuroendocrine Tumors - metabolism ; Neuroendocrine Tumors - radiotherapy ; Neuroradiology ; Nuclear Medicine ; Octreotide - analogs & derivatives ; Octreotide - therapeutic use ; Oncology ; Organometallic Compounds - therapeutic use ; Pediatrics ; Positron emission ; Positron emission tomography ; Precision medicine ; Radiation effects ; Radiation therapy ; Radiology ; Radiopharmaceuticals ; Receptors, Somatostatin - metabolism ; Review ; Sensitivity and Specificity ; Somatostatin ; Somatostatin receptors ; Spatial discrimination ; Spatial resolution ; Therapeutic applications ; Tomography ; Tumors ; Ultrasound</subject><ispartof>Pediatric radiology, 2020-06, Vol.50 (7), p.882-897</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020</rights><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-d4628a35a727018c19f86150a5a5e187647751e987686ef1bcde1d0c4a10cc713</citedby><cites>FETCH-LOGICAL-c375t-d4628a35a727018c19f86150a5a5e187647751e987686ef1bcde1d0c4a10cc713</cites><orcidid>0000-0002-3807-7455</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00247-020-04688-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00247-020-04688-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32495176$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McElroy, Kevin M.</creatorcontrib><creatorcontrib>Binkovitz, Larry A.</creatorcontrib><creatorcontrib>Trout, Andrew T.</creatorcontrib><creatorcontrib>Czachowski, Michael R.</creatorcontrib><creatorcontrib>Seghers, Victor J.</creatorcontrib><creatorcontrib>Lteif, Aida N.</creatorcontrib><creatorcontrib>States, Lisa J.</creatorcontrib><title>Pediatric applications of Dotatate: early diagnostic and therapeutic experience</title><title>Pediatric radiology</title><addtitle>Pediatr Radiol</addtitle><addtitle>Pediatr Radiol</addtitle><description>In recent years, new somatostatin receptor agents (SSTRs) have become available for diagnostic imaging and therapy in neuroendocrine tumors. The novel SSTR ligand DOTA-DPhel-Tyr3-octreotate (Dotatate) in particular can be linked with
68
Gallium for diagnostic imaging purposes, and with the β-emitter
177
Lutetium for radiotherapy in the setting of neuroendocrine tumors. Dotatate imaging offers distinct advantages in the evaluation of neuroendocrine tumors compared to standard techniques, including greater target-to-background ratio and lesion conspicuity, high sensitivity/specificity, improved spatial resolution with positron emission tomography (PET)/CT or PET/MR, and decreased radiation exposure. Although currently off-label in pediatrics, Dotatate theranostics in children are being explored, most notably in the setting of neuroblastoma and hereditary neuroendocrine syndromes. This article provides a multicenter case series of Dotatate imaging and therapy in pediatric patients in order to highlight the spectrum of potential clinical applications.</description><subject>Child</subject><subject>Computed tomography</subject><subject>Conspicuity</subject><subject>Contrast Media</subject><subject>Diagnostic software</subject><subject>Diagnostic systems</subject><subject>Early experience</subject><subject>Emitters</subject><subject>Humans</subject><subject>Imaging</subject><subject>Medical diagnosis</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Multimodal Imaging</subject><subject>Neuroblastoma</subject><subject>Neuroblastoma - diagnostic imaging</subject><subject>Neuroblastoma - metabolism</subject><subject>Neuroblastoma - radiotherapy</subject><subject>Neuroendocrine tumors</subject><subject>Neuroendocrine Tumors - diagnostic imaging</subject><subject>Neuroendocrine Tumors - 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experience</atitle><jtitle>Pediatric radiology</jtitle><stitle>Pediatr Radiol</stitle><addtitle>Pediatr Radiol</addtitle><date>2020-06-01</date><risdate>2020</risdate><volume>50</volume><issue>7</issue><spage>882</spage><epage>897</epage><pages>882-897</pages><issn>0301-0449</issn><eissn>1432-1998</eissn><abstract>In recent years, new somatostatin receptor agents (SSTRs) have become available for diagnostic imaging and therapy in neuroendocrine tumors. The novel SSTR ligand DOTA-DPhel-Tyr3-octreotate (Dotatate) in particular can be linked with
68
Gallium for diagnostic imaging purposes, and with the β-emitter
177
Lutetium for radiotherapy in the setting of neuroendocrine tumors. Dotatate imaging offers distinct advantages in the evaluation of neuroendocrine tumors compared to standard techniques, including greater target-to-background ratio and lesion conspicuity, high sensitivity/specificity, improved spatial resolution with positron emission tomography (PET)/CT or PET/MR, and decreased radiation exposure. Although currently off-label in pediatrics, Dotatate theranostics in children are being explored, most notably in the setting of neuroblastoma and hereditary neuroendocrine syndromes. This article provides a multicenter case series of Dotatate imaging and therapy in pediatric patients in order to highlight the spectrum of potential clinical applications.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32495176</pmid><doi>10.1007/s00247-020-04688-z</doi><tpages>16</tpages><orcidid>https://orcid.org/0000-0002-3807-7455</orcidid></addata></record> |
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subjects | Child Computed tomography Conspicuity Contrast Media Diagnostic software Diagnostic systems Early experience Emitters Humans Imaging Medical diagnosis Medical imaging Medicine Medicine & Public Health Multimodal Imaging Neuroblastoma Neuroblastoma - diagnostic imaging Neuroblastoma - metabolism Neuroblastoma - radiotherapy Neuroendocrine tumors Neuroendocrine Tumors - diagnostic imaging Neuroendocrine Tumors - metabolism Neuroendocrine Tumors - radiotherapy Neuroradiology Nuclear Medicine Octreotide - analogs & derivatives Octreotide - therapeutic use Oncology Organometallic Compounds - therapeutic use Pediatrics Positron emission Positron emission tomography Precision medicine Radiation effects Radiation therapy Radiology Radiopharmaceuticals Receptors, Somatostatin - metabolism Review Sensitivity and Specificity Somatostatin Somatostatin receptors Spatial discrimination Spatial resolution Therapeutic applications Tomography Tumors Ultrasound |
title | Pediatric applications of Dotatate: early diagnostic and therapeutic experience |
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