Application and Dosimetric Requirements for Gallium-68-labeled Somatostatin Analogues in Targeted Radionuclide Therapy for Gastroenteropancreatic Neuroendocrine Tumors

PET Clin. 2015 Oct;10(4):477-86. doi: 10.1016/j.cpet.2015.06.001. Epub 2015 Jul 8.

Abstract

Neuroendocrine tumors (NETs) are associated with variable prognosis, with grade 1 and 2 NETs having more favorable outcomes than grade 3. Patients with gastroenteropancreatic (GEP)-NET need individualized interdisciplinary evaluations and treatment. New treatment options have become available with significant improvements in progression-free survival. Peptide receptor radionuclide therapy (PRRT) using (90)Y or (177)Lu-labeled somatostatin analogues (SSTa) has also shown promise in the treatment of advanced progressive NETs. (68)Ga-1,4,7,10-tetraazacyclodecane-1,4,7,10-tetraacetic acid (DOTA)-SSTa can be used as companion imaging agents to assist in radionuclide therapy selection. (68)Ga-DOTA-SSTa PET/computed tomography might also provide information for prognosis, tumor response assessment to PRRT, and internal dosimetry.

Keywords: Gallium radioisotopes; Gastroenteropancreatic; Neuroendocrine; PET; Somatostatin.

Publication types

  • Review

MeSH terms

  • Biomarkers, Tumor / metabolism
  • Digestive System Neoplasms / diagnostic imaging*
  • Digestive System Neoplasms / metabolism
  • Digestive System Neoplasms / radiotherapy*
  • Gallium Radioisotopes / pharmacokinetics
  • Humans
  • Isotope Labeling
  • Multimodal Imaging / methods
  • Neuroendocrine Tumors / diagnostic imaging*
  • Neuroendocrine Tumors / metabolism
  • Neuroendocrine Tumors / radiotherapy*
  • Positron-Emission Tomography / methods
  • Prognosis
  • Radiometry / methods
  • Radiopharmaceuticals / therapeutic use
  • Radiotherapy, Image-Guided / methods
  • Receptors, Somatostatin / metabolism*
  • Somatostatin / analogs & derivatives*
  • Somatostatin / pharmacokinetics
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome

Substances

  • Biomarkers, Tumor
  • Gallium Radioisotopes
  • Radiopharmaceuticals
  • Receptors, Somatostatin
  • Somatostatin