TABLE 2

Currently Available Functional-Imaging Techniques for GEP NET Investigation

Characteristic111In-pentetreotide SPECT/CT123I-MIBG SPECT/CT68Ga-SSA PET/CT18F-FDOPA PET/CT18F-FDG PET/CT
UsePrimary staging; restaging; patient selection before PRRTPatient selection before 131I-MIBG radiometabolic treatmentPrimary staging; restaging; patient selection before PRRT; imaging when primary site is unknownPrimary staging; imaging when primary site is unknown (based on presumption of ileal origin); (restaging?)Prognostic stratification; imaging of high-grade G2/G3 NETs
Spatial resolutionLow (>10 mm)Low (>10 mm)High (5 mm)High (5 mm)High (5 mm)
Procedure length2 d2 d1 d1 d1 d
Radiation exposureModerateMildMildMildMild
OtherIs approved for NET imagingHas low sensitivity for GEP NETsWill soon replace conventional SSTR scintigraphyMay be less sensitive than 68Ga-SSA PET/CT for nonileal GEP NETsIs widely available