Click on image to view larger version.

FIGURE 4. A 62-y-old male patient was investigated after resection of a small bowel carcinoid. 68Ga-DOTA-TOC PET displayed multiple small liver metastases (A). These liver lesions were negative with the other 2 modalities, CT and scintigraphy (B) including SPECT (C). Ultrasonography (D) and further follow-up controls confirmed these lesions. Diameters of metastases were in the range of 1 cm. Positive PET finding initiated treatment with [177Lu-DOTA0,Tyr3,Thr8]octreotide (177Lu-DOTA-TATE).