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Value of combined 6-[18F]fluorodihydroxyphenylalanine PET/CT for imaging of neuroendocrine tumours.

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Value of combined 6-[18F]fluorodihydroxyphenylalanine PET/CT for imaging of neuroendocrine tumours.

Auteurs : RBID : pubmed:20225244

English descriptors

Abstract

Accurate knowledge of tumour presence and location is essential to treat neuroendocrine tumours (NETs). Standard imaging has been hampered by low sensitivity and lack of spatial resolution. This study assessed prospectively the diagnostic value and impact of combined 6-[18F]fluorodihydroxyphenylalanine positron emission tomography-computed tomography (18F-DOPA-PET/CT) in the management of NET.

DOI: 10.1002/bjs.6937
PubMed: 20225244

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Le document en format XML

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<title xml:lang="en">Value of combined 6-[18F]fluorodihydroxyphenylalanine PET/CT for imaging of neuroendocrine tumours.</title>
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<name sortKey="Schiesser, M" uniqKey="Schiesser M">M Schiesser</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Surgery, University Hospital Zurich, Zurich, Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Department of Surgery, University Hospital Zurich, Zurich</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Veit Haibach, P" uniqKey="Veit Haibach P">P Veit-Haibach</name>
</author>
<author>
<name sortKey="Muller, M K" uniqKey="Muller M">M K Muller</name>
</author>
<author>
<name sortKey="Weber, M" uniqKey="Weber M">M Weber</name>
</author>
<author>
<name sortKey="Bauerfeind, P" uniqKey="Bauerfeind P">P Bauerfeind</name>
</author>
<author>
<name sortKey="Hany, T" uniqKey="Hany T">T Hany</name>
</author>
<author>
<name sortKey="Clavien, P A" uniqKey="Clavien P">P-A Clavien</name>
</author>
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<date when="2010">2010</date>
<idno type="doi">10.1002/bjs.6937</idno>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Dihydroxyphenylalanine (analogs & derivatives)</term>
<term>Dihydroxyphenylalanine (diagnostic use)</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neuroendocrine Tumors (diagnosis)</term>
<term>Neuroendocrine Tumors (surgery)</term>
<term>Octreotide (analogs & derivatives)</term>
<term>Octreotide (diagnostic use)</term>
<term>Positron-Emission Tomography (methods)</term>
<term>Prospective Studies</term>
<term>Radiopharmaceuticals (diagnostic use)</term>
<term>Sensitivity and Specificity</term>
<term>Tomography, Spiral Computed (methods)</term>
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<keywords scheme="MESH" type="chemical" qualifier="analogs & derivatives" xml:lang="en">
<term>Dihydroxyphenylalanine</term>
<term>Octreotide</term>
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<term>Dihydroxyphenylalanine</term>
<term>Octreotide</term>
<term>Radiopharmaceuticals</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Neuroendocrine Tumors</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Positron-Emission Tomography</term>
<term>Tomography, Spiral Computed</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Neuroendocrine Tumors</term>
</keywords>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
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<front>
<div type="abstract" xml:lang="en">Accurate knowledge of tumour presence and location is essential to treat neuroendocrine tumours (NETs). Standard imaging has been hampered by low sensitivity and lack of spatial resolution. This study assessed prospectively the diagnostic value and impact of combined 6-[18F]fluorodihydroxyphenylalanine positron emission tomography-computed tomography (18F-DOPA-PET/CT) in the management of NET.</div>
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<DateCreated>
<Year>2010</Year>
<Month>04</Month>
<Day>15</Day>
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<DateCompleted>
<Year>2010</Year>
<Month>05</Month>
<Day>05</Day>
</DateCompleted>
<DateRevised>
<Year>2013</Year>
<Month>11</Month>
<Day>21</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">1365-2168</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>97</Volume>
<Issue>5</Issue>
<PubDate>
<Year>2010</Year>
<Month>May</Month>
</PubDate>
</JournalIssue>
<Title>The British journal of surgery</Title>
<ISOAbbreviation>Br J Surg</ISOAbbreviation>
</Journal>
<ArticleTitle>Value of combined 6-[18F]fluorodihydroxyphenylalanine PET/CT for imaging of neuroendocrine tumours.</ArticleTitle>
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<MedlinePgn>691-7</MedlinePgn>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Accurate knowledge of tumour presence and location is essential to treat neuroendocrine tumours (NETs). Standard imaging has been hampered by low sensitivity and lack of spatial resolution. This study assessed prospectively the diagnostic value and impact of combined 6-[18F]fluorodihydroxyphenylalanine positron emission tomography-computed tomography (18F-DOPA-PET/CT) in the management of NET.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">18F-DOPA-PET/CT findings in 61 patients with suspected NET were compared with a composite reference standard including somatostatin receptor scintigraphy (SRS), magnetic resonance imaging, computed tomography, histological examination and clinical follow-up. The impact on clinical management was estimated by calculating the proportion of patients whose treatment changed as a result of 18F-DOPA-PET/CT findings.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">18F-DOPA-PET/CT correctly identified 32 of 36 patients with NET. The sensitivity and specificity of 18F-DOPA-PET/CT for the detection of NET were 91 and 96 per cent respectively. Sensitivity using SRS was significantly lower (59 per cent), whereas the specificity was similar (86 per cent). In 16 (26 per cent) of the 61 patients the management was altered as a result of new findings on 18F-DOPA-PET/CT.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">18F-DOPA-PET/CT yields a high sensitivity and specificity in the detection of NET. The clinical impact was highly relevant as changes in therapy were observed in more than a quarter of the patients.</AbstractText>
<CopyrightInformation>Copyright 2010 British Journal of Surgery Society Ltd.</CopyrightInformation>
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<RegistryNumber>2C598205QX</RegistryNumber>
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<QualifierName MajorTopicYN="N">diagnostic use</QualifierName>
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<DescriptorName MajorTopicYN="N">Middle Aged</DescriptorName>
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<DescriptorName MajorTopicYN="N">Neuroendocrine Tumors</DescriptorName>
<QualifierName MajorTopicYN="Y">diagnosis</QualifierName>
<QualifierName MajorTopicYN="N">surgery</QualifierName>
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<MeshHeading>
<DescriptorName MajorTopicYN="N">Octreotide</DescriptorName>
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<DescriptorName MajorTopicYN="N">Positron-Emission Tomography</DescriptorName>
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<DescriptorName MajorTopicYN="N">Radiopharmaceuticals</DescriptorName>
<QualifierName MajorTopicYN="Y">diagnostic use</QualifierName>
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<DescriptorName MajorTopicYN="N">Sensitivity and Specificity</DescriptorName>
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