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Research ArticleClinical Investigations

Prognostic Value of 68Ga-DOTANOC PET/CT SUVmax in Patients with Neuroendocrine Tumors of the Pancreas

Valentina Ambrosini, Davide Campana, Giulia Polverari, Chiara Peterle, Stefania Diodato, Claudio Ricci, Vincenzo Allegri, Riccardo Casadei, Paola Tomassetti and Stefano Fanti
Journal of Nuclear Medicine December 2015, 56 (12) 1843-1848; DOI: https://doi.org/10.2967/jnumed.115.162719
Valentina Ambrosini
1Nuclear Medicine, Department of Experimental Diagnostic and Specialized Medicine, University of Bologna and S. Orsola–Malpighi Hospital, Bologna, Italy; and
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Davide Campana
2Department of Medical and Surgical Sciences, S. Orsola–Malpighi University Hospital, Bologna, Italy
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Giulia Polverari
1Nuclear Medicine, Department of Experimental Diagnostic and Specialized Medicine, University of Bologna and S. Orsola–Malpighi Hospital, Bologna, Italy; and
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Chiara Peterle
1Nuclear Medicine, Department of Experimental Diagnostic and Specialized Medicine, University of Bologna and S. Orsola–Malpighi Hospital, Bologna, Italy; and
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Stefania Diodato
1Nuclear Medicine, Department of Experimental Diagnostic and Specialized Medicine, University of Bologna and S. Orsola–Malpighi Hospital, Bologna, Italy; and
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Claudio Ricci
2Department of Medical and Surgical Sciences, S. Orsola–Malpighi University Hospital, Bologna, Italy
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Vincenzo Allegri
1Nuclear Medicine, Department of Experimental Diagnostic and Specialized Medicine, University of Bologna and S. Orsola–Malpighi Hospital, Bologna, Italy; and
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Riccardo Casadei
2Department of Medical and Surgical Sciences, S. Orsola–Malpighi University Hospital, Bologna, Italy
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Paola Tomassetti
2Department of Medical and Surgical Sciences, S. Orsola–Malpighi University Hospital, Bologna, Italy
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Stefano Fanti
1Nuclear Medicine, Department of Experimental Diagnostic and Specialized Medicine, University of Bologna and S. Orsola–Malpighi Hospital, Bologna, Italy; and
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Article Figures & Data

Figures

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  • FIGURE 1.
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    FIGURE 1.

    68Ga-DOTANOC PET/CT maximum-intensity-projection (A) and transaxial images (B and C) of patient with G2 pNET (A and B) and liver metastasis (A and C). Measured SUVmax was 56. Patient had stable disease at follow-up.

  • FIGURE 2.
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    FIGURE 2.

    (A) 68Ga-DOTANOC PET/CT maximum-intensity-projection images of patient who previously underwent surgery for pNET and presented with liver metastasis having SUVmax of 6.7 (solid arrow). (B) Patient showed disease progression at follow-up. Dashed arrow indicates accessory spleen.

  • FIGURE 3.
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    FIGURE 3.

    PFS in 43 patients with well-differentiated pNET (G1 and G2) according to Ki-67 (A) (dashed line = Ki-67 > 5%; solid line = Ki-67 < 5%; P = 0.005), SUVmax (B) (dashed line = SUVmax < 37.8; solid line = SUVmax > 38; P = 0.002), and treatment (C) (dashed line = medical therapy; solid line = medical therapy plus PRRT; P = 0.014).

Tables

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    TABLE 1

    SUVmax Median and IQR (25th–75th Percentiles) Among Different Groups of Patients

    SUVmax
    Patient characteristicNo. of patientsMedianIQRP
    Sex
     Male2245.936.3–58.20.875
     Female2137.835.7–69.3
    Syndrome
     Yes833.919.8–95.61.000
     No3545.538.6–57.4
    Stage
     IIIB734.325.2–62.20.687
     IV3648.939.9–62.1
    2010 WHO classification
     NET G11457.742.4–79.30.092
     NET G22936.233.2–55.7
    Ki-67
     ≤5%2253.342.5–68.60.132
     >5%2136.029.1–58.5
    Follow-up at 24 mo
     Stable disease1849.844.9–78.80.022
     Progressive disease2033.426.1–52.4
    • View popup
    TABLE 2

    Risk Factors for Disease Progression During Follow-up at Univariate and Multivariate Analysis

    UnivariateMultivariate
    Patient characteristicHR95% confidence intervalPHR95% confidence intervalP
    Sex (male vs. female)*0.800.40–1.610.532———
    Syndrome (no vs. yes)*1.860.71–4.890.205———
    Stage IV vs. IIIB*1.870.71–4.940.2093.311.16–9.470.026
    NET G2 vs. NET G11.940.86–4.350.109
    Ki-67 (>5% vs. ≤5%)*2.891.31–6.340.0093.241.34–7.840.009
    Ki-67 (continuous)1.091.02–1.170.009
    SUVmax (≤37.8 vs. ≥38.0)*3.091.46–6.570.0032.371.03–5.470.043
    Therapy (medical vs. PRRT)*2.361.16–4.800.0182.701.21–6.030.015
    • ↵* Variables in multivariate analysis.

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Journal of Nuclear Medicine: 56 (12)
Journal of Nuclear Medicine
Vol. 56, Issue 12
December 1, 2015
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Prognostic Value of 68Ga-DOTANOC PET/CT SUVmax in Patients with Neuroendocrine Tumors of the Pancreas
Valentina Ambrosini, Davide Campana, Giulia Polverari, Chiara Peterle, Stefania Diodato, Claudio Ricci, Vincenzo Allegri, Riccardo Casadei, Paola Tomassetti, Stefano Fanti
Journal of Nuclear Medicine Dec 2015, 56 (12) 1843-1848; DOI: 10.2967/jnumed.115.162719

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Prognostic Value of 68Ga-DOTANOC PET/CT SUVmax in Patients with Neuroendocrine Tumors of the Pancreas
Valentina Ambrosini, Davide Campana, Giulia Polverari, Chiara Peterle, Stefania Diodato, Claudio Ricci, Vincenzo Allegri, Riccardo Casadei, Paola Tomassetti, Stefano Fanti
Journal of Nuclear Medicine Dec 2015, 56 (12) 1843-1848; DOI: 10.2967/jnumed.115.162719
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Keywords

  • 68Ga-DOTA-NOC
  • PET/CT
  • SUVmax
  • NET
  • pancreas
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