Molecular imaging for neuroendocrine tumours

Swiss Med Wkly. 2019 Mar 10:149:w20017. doi: 10.4414/smw.2019.20017. eCollection 2019 Feb 25.

Abstract

Molecular imaging has found numerous applications in oncology as many tumours express or activate tumour specific target molecules or pathways. This relatively new imaging technique results in a better localisation of tumours and improved tumour staging, especially in the setting of hybrid imaging that is in combination with morphological imaging such as computed tomography. In well differentiated neuroendocrine tumours, somatostatin receptor imaging, as one of the first examples of receptor targeted imaging in humans, plays an important role in the diagnostic work-up of these patients. In poorly differentiated neuroendocrine tumours or medullary thyroid carcinoma, 18F-fluorodeoxyglucose PET/CT and dihydroxyphenylalanine PET/CT play an important role due to the limitations of the somatostatin receptor imaging in these tumour entities. These limitations prompted the development of innovations such as radiolabelled somatostatin receptor antagonists for imaging all types of NET and glucagon-like peptide-1 receptor agonists for the imaging of insulinomas. The current review summarises the actual state of knowledge in the field.

Publication types

  • Review

MeSH terms

  • Carcinoma, Neuroendocrine / diagnostic imaging*
  • Fluorodeoxyglucose F18
  • Glucagon-Like Peptide-1 Receptor*
  • Humans
  • Molecular Imaging / methods*
  • Neoplasm Staging / methods
  • Neuroendocrine Tumors / diagnostic imaging*
  • Neuroendocrine Tumors / pathology
  • Positron Emission Tomography Computed Tomography
  • Radiopharmaceuticals / administration & dosage
  • Receptors, Somatostatin* / metabolism
  • Thyroid Neoplasms / diagnostic imaging*
  • Tomography, X-Ray Computed

Substances

  • Glucagon-Like Peptide-1 Receptor
  • Radiopharmaceuticals
  • Receptors, Somatostatin
  • Fluorodeoxyglucose F18

Supplementary concepts

  • Thyroid cancer, medullary