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
Hauptverfasser: McElroy, Kevin M., Binkovitz, Larry A., Trout, Andrew T., Czachowski, Michael R., Seghers, Victor J., Lteif, Aida N., States, Lisa J.
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container_end_page 897
container_issue 7
container_start_page 882
container_title Pediatric radiology
container_volume 50
creator McElroy, Kevin M.
Binkovitz, Larry A.
Trout, Andrew T.
Czachowski, Michael R.
Seghers, Victor J.
Lteif, Aida N.
States, Lisa J.
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
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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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