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Value of SPET/CT image fusion in the assessment of neuroendocrine tumours with 111In-pentetreotide scintigraphy

dc.contributor.authorMoreira, AP
dc.contributor.authorDuarte, LH
dc.contributor.authorVieira, F
dc.contributor.authorJoão, F
dc.contributor.authorPedroso de Lima, J
dc.date.accessioned2011-01-27T13:03:19Z
dc.date.available2011-01-27T13:03:19Z
dc.date.issued2005
dc.description.abstractOBJECTIVE: The purpose of this study was to evaluate the impact and clinical value of anatomical-functional image fusion in the study interpretation and clinical management of patients with neuroendocrine tumours (NET) using somatostatin receptor scintigraphy (SRS) and combined transmission and emission tomography -- single-photon emission tomography/CT (SPET/CT). MATERIAL AND METHODS: Twelve patients (8 female and 4 male; age range 32-74 y, mean 56 y) with proven or clinically suspected NET were studied with routine planar SRS and SPET/CT at 2 and 24 hours after injection of 111-222 MBq 111In-Pentetreotide. Seven patients came for staging/follow-up and 5 patients for primary tumour localization with staging. Analysis of fused images (SPET/CT) was done on a patient basis, with separated evaluation of SPET, low-dose CT images and fusion images. The gold standard for presence or absence of malignancy was pathology or clinical and imaging follow-up data. RESULTS: SRS was negative in 6 patients and positive in 6. SPET/CT provided no additional information in 6 patients, including all 6 negative studies. SPET/CT improved localization of SPET detected lesions in 6 positive studies. It defined the extent of the disease and showed bone involvement in 3 of the 6 positive studies. SPET/CT affected the diagnostic interpretation in 6 patients (50 %) and induced changes of management in 3 (25 %). CONCLUSION: The results of this study indicate that combined anatomical-functional imaging with SPET/CT significantly improves tumour localization and characterization, contributing to a better therapeutic management of patients with NET.por
dc.identifier.citationRev Esp Med Nucl. 2005 Jan-Feb;24(1):14-8.por
dc.identifier.urihttp://hdl.handle.net/10400.4/980
dc.language.isoengpor
dc.peerreviewedyespor
dc.subjectTumores Neuroendócrinospor
dc.subjectTomografia de Emissão de Positrõespor
dc.subjectTomografia Computorizadapor
dc.subjectSomatostatinapor
dc.titleValue of SPET/CT image fusion in the assessment of neuroendocrine tumours with 111In-pentetreotide scintigraphypor
dc.typejournal article
dspace.entity.typePublication
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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