11C-5-hydroxytryptophan positron emission tomography after radiofrequency ablation of neuroendocrine tumor liver metastases.

Abstract:

AIM:The aim was to assess the feasibility of (11)C-5-hydroxy-tryptophan positron emission tomography ((11)C-5-HTP-PET) in the follow-up after radiofrequency ablation (RFA) of liver metastases from neuroendocrine tumors (NETs). BACKGROUND:Contrast-enhanced computed tomography (CECT) and contrast-enhanced ultrasound (CEUS) are commonly used to evaluate the liver after RFA of NETs. In general, (11)C-5-HTP-PET is more sensitive in the visualization of NETs, but no studies have investigated its role after RFA. METHODS:Six consecutive patients with liver metastases from NETs were subjected to RFA treatment. All patients underwent baseline imaging before RFA and on two occasions (1-2 and 6-11 months) after RFA. The imaging consisted of (11)C-5-HTP-PET, CEUS and CECT on all three occasions. RESULTS:Thirty RFA areas were evaluated, and residual tumors (RTs) were depicted in eight areas (22%). (11)C-5-HTP-PET depicted RTs after RFA with maximum sensitivity (100%) and specificity (100%), using radiological follow-up as the gold standard. (11)C-5-HTP-PET detected five out of eight RTs earlier than CECT or CEUS. In general, the sensitivity of (11)C-5-HTP-PET exceeded that of CECT and CEUS for early visualization of NET liver metastases. CONCLUSION:(11)C-5-HTP-PET can be used in the follow-up after RFA for the purpose of detecting RT, and it provides additional information to CEUS and CECT by detecting new lesions.

journal_name

Nucl Med Biol

authors

Norlén O,Nilsson A,Krause J,Stålberg P,Hellman P,Sundin A

doi

10.1016/j.nucmedbio.2011.12.013

subject

Has Abstract

pub_date

2012-08-01 00:00:00

pages

883-90

issue

6

eissn

0969-8051

issn

1872-9614

pii

S0969-8051(12)00006-6

journal_volume

39

pub_type

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