Toward tailored medicine (and beyond): the phaeochromocytoma and paraganglioma model

Using the PCC (phaeochromocytomas)/PGL (paragangliomas) as the model, Cuccurullo and Mansi discuss whether new better performing radio-compounds necessarily determine the disappearance of the older ones. 123I MIBG remains the first choice when the presence of a PCC or a PGL is suspected. 68Ga-DOTA p...

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Veröffentlicht in:European journal of nuclear medicine and molecular imaging 2012-08, Vol.39 (8), p.1262-1265
Hauptverfasser: Cuccurullo, Vincenzo, Mansi, Luigi
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container_issue 8
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container_title European journal of nuclear medicine and molecular imaging
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creator Cuccurullo, Vincenzo
Mansi, Luigi
description Using the PCC (phaeochromocytomas)/PGL (paragangliomas) as the model, Cuccurullo and Mansi discuss whether new better performing radio-compounds necessarily determine the disappearance of the older ones. 123I MIBG remains the first choice when the presence of a PCC or a PGL is suspected. 68Ga-DOTA peptides should be considered: (a) as the first-line investigation in patients at high risk of PGL and metastatic disease, for example for screening carriers for mutations associated with familial PGL syndromes; (b) as the next investigation if 123I-MIBG does not detect lesions in patients with a high pretest probability of PCC or PGL; and (c) in preference to 123I-MIBG if metastatic spread, particularly to the bone, is suspected.
doi_str_mv 10.1007/s00259-012-2156-2
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subjects 3-Iodobenzylguanidine
Adrenal Gland Neoplasms - diagnostic imaging
Cancer
Cardiology
Editorial Commentary
Endocrinology
Humans
Imaging
Medicine
Medicine & Public Health
Multimodal Imaging - methods
Nuclear Medicine
Oncology
Organometallic Compounds
Orthopedics
Paraganglioma - diagnostic imaging
Pheochromocytoma - diagnostic imaging
Positron-Emission Tomography
Radiology
Tomography
Tomography, Emission-Computed, Single-Photon - methods
Tomography, X-Ray Computed
Tumors
title Toward tailored medicine (and beyond): the phaeochromocytoma and paraganglioma model
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