The Additional Value of Somatostatin Receptor Positron Emission Computed Tomography ([ 68 Ga]Ga-DOTATOC PET/CT) Compared with Magnetic Resonance Imaging of the Head and Neck Region in Paraganglioma Patients: A Pilot Study

The Dutch guideline for patients suspected of head and neck paragangliomas (HNPGLs) recommends magnetic resonance imaging (MRI) and/or computed tomography (CT) of the head and neck area. Additionally, it suggests considering additional nuclear imaging. The aim of this study was to evaluate the outco...

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Veröffentlicht in:Cancers 2024-02, Vol.16 (5), p.986
Hauptverfasser: de Bresser, Carolijn J M, Petri, Bart-Jeroen, Braat, Arthur J A T, de Keizer, Bart, van Treijen, Mark J C, Dankbaar, Jan Willem, Pameijer, Frank A, Kok, Marius G J, de Ridder, Mischa, van Nesselrooij, Bernadette P M, de Bree, Remco, de Borst, Gert J, Rijken, Johannes A
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container_issue 5
container_start_page 986
container_title Cancers
container_volume 16
creator de Bresser, Carolijn J M
Petri, Bart-Jeroen
Braat, Arthur J A T
de Keizer, Bart
van Treijen, Mark J C
Dankbaar, Jan Willem
Pameijer, Frank A
Kok, Marius G J
de Ridder, Mischa
van Nesselrooij, Bernadette P M
de Bree, Remco
de Borst, Gert J
Rijken, Johannes A
description The Dutch guideline for patients suspected of head and neck paragangliomas (HNPGLs) recommends magnetic resonance imaging (MRI) and/or computed tomography (CT) of the head and neck area. Additionally, it suggests considering additional nuclear imaging. The aim of this study was to evaluate the outcomes of [ Ga]Ga-DOTATOC PET/CT compared to MRI in patients with suspected HNPGLs and carriers of genetic variations. In this single-center pilot study, retrospective data were obtained from consecutive patients between 2016 and 2023. Both MRI and [ Ga]Ga-DOTATOC PET/CT were performed within 12 months. The primary outcome was the location of HNPGLs. A total of 25 consecutive patients were included, and 7 patients (28.0%, = 0.5) showed differences between the imaging modalities, of whom 5 patients had unexpected localizations with additional uptake by somatostatin receptors (SSTR) on the [ Ga]Ga-DOTATOC PET/CT. The authors recommend performing baseline imaging with [ Ga]Ga-DOTATOC PET/CT (if available) in variant carriers and using MRI/CT for follow-up according to the regional protocol, thereby shifting the gold standard for baseline imaging from MRI/CT to [ Ga]Ga-DOTATOC PET/CT.
doi_str_mv 10.3390/cancers16050986
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Additionally, it suggests considering additional nuclear imaging. The aim of this study was to evaluate the outcomes of [ Ga]Ga-DOTATOC PET/CT compared to MRI in patients with suspected HNPGLs and carriers of genetic variations. In this single-center pilot study, retrospective data were obtained from consecutive patients between 2016 and 2023. Both MRI and [ Ga]Ga-DOTATOC PET/CT were performed within 12 months. The primary outcome was the location of HNPGLs. A total of 25 consecutive patients were included, and 7 patients (28.0%, = 0.5) showed differences between the imaging modalities, of whom 5 patients had unexpected localizations with additional uptake by somatostatin receptors (SSTR) on the [ Ga]Ga-DOTATOC PET/CT. 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subjects Biopsy
Catecholamines
Computed tomography
Genetic counseling
Genetic diversity
Head and neck
Histopathology
Magnetic resonance imaging
Medical research
Medicine, Experimental
Paraganglioma
Patients
Pilot projects
Radiation therapy
Radiation, Background
Somatostatin
Somatostatin receptors
Standard of care
Tomography
title The Additional Value of Somatostatin Receptor Positron Emission Computed Tomography ([ 68 Ga]Ga-DOTATOC PET/CT) Compared with Magnetic Resonance Imaging of the Head and Neck Region in Paraganglioma Patients: A Pilot Study
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