Carcinoid Tumor Ga-68 Dotatate PET-CT

F, 54 y/o with carcinoid metastatic tumor, diarrhea, flushings and right ventricular involvement, Primary was in the small bowel  found on surgical procedure,  13 years ago. Patient underwent therapy with Y-90 Dotatoc and Lu-177 Dotatate, Sandostatine after radionuclide treatment. Shown are transaxial slices in abdomen and pelvis (PET, CT and fusion). Note multiple liver metastasis some exhibiting necrotic center after therapy in the upper 2 rows. Likewise pelvic lesions in the lower 2 rows.
Likewise, some bronchial carcinoid seen in adolescents can be detected with this procedure.
 

References:
Gabriel Michael et al. 68Ga-DOTA-Tyr3-Octreotide PET in Neuroendocrine Tumors: Comparison with Somatostatin Receptor Scintigraphy and CT. J Nucl Med 2007; 48:508–51.
 

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