TABLE 1.

Overview of Imaging Results in Participants Who Underwent Surgery with Conclusive Histopathologic Insulinoma Diagnosis

ParameterExendin PET/CTDOTA-SSA PET/CTCE-DWI-MRICECTCECT/CE-DWI-MRIEUS18F-DOPA PET/CT
Insulinomas detected (clinical reading)50/53 (94%)35/53 (66%)26/36 (72%)30/40 (75%)43/53 (81%)24/28 (86%)3/8 (38%)
Accuracy
 Based on clinical reading94.4% (84.6%–98.8%)64.8% (50.6%–77.3%)73.0% (55.9%–86.2%)83.3% (70.7%–92.1%)82.8% (64.2%–94.1%)
 Based on study reading (blinded)94.4% (84.4%–98.8%)75.9% (62.4%–86.5%)75.7% (58.8%–88.2%)85.2% (72.9%–93.4%)
Sensitivity
 Based on clinical reading94.3% (84.3%–98.8%)64.2% (49.8%–76.9%)72.2% (54.8%–85.8%)73.2% (57.1%–85.8%)83.0% (70.2%–91.9%)82.1% (63.1%–93.9%)33% (7.5%–70.1%)
 Based on study reading (blinded)94.3% (84.3%–98.8%)75.5% (61.7%–86.2%)75.0% (57.8%–87.9%)73.2% (57.1%–85.8%)83.0% (70.2%–92.0%)
Insulinoma-to-background ratio15.3 ± 6.75.3 ± 3.0
Contrast-to noise ratio22.6 ± 11.15.1 ± 3.7
  • Accuracy and sensitivity are given in percentages, and 95% CIs are in parentheses. Insulinoma-to-background ratios and contrast-to-noise ratios of tracer uptake are given as mean ± SD.