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Research ArticleIssues and Controversies in Nuclear Medicine

Radiopeptide Imaging and Therapy in Europe

Valentina Ambrosini, Melpomeni Fani, Stefano Fanti, Flavio Forrer and Helmut R. Maecke
Journal of Nuclear Medicine December 2011, 52 (Supplement 2) 42S-55S; DOI: https://doi.org/10.2967/jnumed.110.085753
Valentina Ambrosini
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Melpomeni Fani
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Stefano Fanti
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Flavio Forrer
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Helmut R. Maecke
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  • FIGURE 1.
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    FIGURE 1.

    Octapeptides, chelators, and radiometals for imaging and targeted radionuclide therapy of neuroendocrine tumors in patients.

  • FIGURE 2.
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    FIGURE 2.

    Comparative study (4 h after injection) of 99mTc-HYNIC-TOC vs. 99mTc-HYNIC-TATE in same patient showing high image quality of both tracers and lower liver but higher kidney uptake of 99mTc-HYNIC-TATE. (Courtesy of Alicja Hubalewska-Dydejczyk, Krakow University Hospital.)

  • FIGURE 3.
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    FIGURE 3.

    In patient with metastasized NET, planar scintigraphy image 4 h after injection of 111In-DTPA-octreotide (A) and PET image 1 h after injection of 68Ga-DOTATATE (B). Images were obtained 3 wk apart. (Courtesy of Damian Wild, University Hospital Freiburg.)

  • FIGURE 4.
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    FIGURE 4.

    68Ga-DOTANOC PET/CT images of patient with multiple secondary NET liver lesions (maximum standardized uptake value, 36) and focal uptake in mesenteric area near duodenum (maximum standardized uptake value, 17). All shown lesions express somatostatin receptor.

  • FIGURE 5.
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    FIGURE 5.

    68Ga-DOTANOC PET/CT images (left) and 18F-FDG PET/CT images (right) of patient with pancreatic NET. 68Ga-DOTANOC PET/CT shows increased pancreatic uptake at body and tail level (maximum standardized uptake value, 48), consistent with focal area overexpressing somatostatin receptor. 18F-FDG PET/CT images, in contrast, are negative for uptake.

Tables

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    TABLE 1

    Peptide Receptors, Disease Indications, and Radiopeptide Probes in Clinical Trials in Europe

    PeptideReceptorDisease indicationRadiopeptide probe
    Somatostatinsst2NETs; gastroenteropancreatic NETs111In-DTPA-octreotide*
    111In-DOTA-landeotide
    111In-/90Y-/177Lu-/68Ga-DOTATOC
    177Lu-/68Ga-DOTATATE
    111In-DOTA-BASS†
    99mTc-HYNIC-TOC/-TATE
    99mTc-N4-TATE
    99mTc-depreotide
    18F-deoxyfructosyl-TATE
    sst2/sst3/sst568Ga-DOTANOC
    BombesinGRP receptorProstate cancer, breast cancer99mTc-RP527
    Gastrointestinal stromal tumor68Ga-BZH3
    64Cu-CBC-AR06
    68Ga-/177Lu-AMBA
    Cholecystokinin/gastrinCholecystokinin 2Medullary thyroid cancer111In-DTPA-d-Glu-minigastrin
    99mTc-demogastrin 2
    RGD peptidesαvβ3 integrinVarious18F-galacto-RGD
    18F-RGD-K5
    18F-AH111585
    Substance PNeurokinin 1Glioblastoma213Bi-DOTA-substance P
    111In-/90Y-DOTAGA-substance P
    GLP-1/exendinGLP-1 receptorInsulinomas111In-[Lys40(Ahx-DTPA)NH2]-exendin-4
    111In-[Lys40(Ahx-DOTA)NH2]-exendin-4
    • ↵* Approved.

    • ↵† First radiolabeled somatostatin-based antagonist in clinic.

    • BASS = pNO2-Phe-c(dCys-Tyr-dTrp-Lys-Thr-Cys)dTyrNH2; CBC = cross-bridged cyclam (4,11-bis(carboxymethyl)-1,4,8,11-tetraazabicyclo[6.6.2]hexadecane); AMBA = DO3A-CH2CO-Gly-(4-aminobenzoyl)-Gln-Trp-Ala-Val-Gly-His-Leu-Met-NH2.

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Journal of Nuclear Medicine: 52 (Supplement 2)
Journal of Nuclear Medicine
Vol. 52, Issue Supplement 2
December 1, 2011
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Radiopeptide Imaging and Therapy in Europe
Valentina Ambrosini, Melpomeni Fani, Stefano Fanti, Flavio Forrer, Helmut R. Maecke
Journal of Nuclear Medicine Dec 2011, 52 (Supplement 2) 42S-55S; DOI: 10.2967/jnumed.110.085753

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Radiopeptide Imaging and Therapy in Europe
Valentina Ambrosini, Melpomeni Fani, Stefano Fanti, Flavio Forrer, Helmut R. Maecke
Journal of Nuclear Medicine Dec 2011, 52 (Supplement 2) 42S-55S; DOI: 10.2967/jnumed.110.085753
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  • Article
    • Abstract
    • RADIOLABELED SOMATOSTATIN ANALOGS
    • RADIOLABELED GLUCAGON-LIKE PEPTIDE-1 ANALOGS
    • RADIOLABELED BOMBESIN/GASTRIN-RELEASING PEPTIDE (GRP) ANALOGS
    • RADIOLABELED GASTRIN/CHOLECYSTOKININ 2 ANALOGS
    • RADIOLABELED RGD PEPTIDES
    • RADIOLABELED SUBSTANCE P AND CHLORATOXIN
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