post hoc analysis was carried out for patients who underwent nuclear imaging (Gallium 68-DOTATOC [68Ga-DOTATOC] and/or 18F-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) before treatment. Briefly, 68Ga-DOTATOC and 18F-FDG PET/CT images from the vertex to the upper thigh were acquired approximately 60 min after intravenous administration of 68Ga-DOTATOC 148 MBq (4 mCi) and 18F-FDG 0.14 mCi/kg, respectively (GE Discovery PET/CT 690, 690 Elite, or 710; GE Medical Systems, Milwaukee, WI). Maximum standardized uptake values (SUVmax) of the parametric PET images generated by the imaging software, as well as Krenning scores,20 (link) were reviewed by a nuclear medicine physician (YK).
690 elite
The 690 Elite is a laboratory equipment product from GE Healthcare. It is designed to perform core functions for laboratory applications. Detailed product information is not available for this unbiased, factual description.
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Predicting GEP-NET Prognosis with Nuclear Imaging
post hoc analysis was carried out for patients who underwent nuclear imaging (Gallium 68-DOTATOC [68Ga-DOTATOC] and/or 18F-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) before treatment. Briefly, 68Ga-DOTATOC and 18F-FDG PET/CT images from the vertex to the upper thigh were acquired approximately 60 min after intravenous administration of 68Ga-DOTATOC 148 MBq (4 mCi) and 18F-FDG 0.14 mCi/kg, respectively (GE Discovery PET/CT 690, 690 Elite, or 710; GE Medical Systems, Milwaukee, WI). Maximum standardized uptake values (SUVmax) of the parametric PET images generated by the imaging software, as well as Krenning scores,20 (link) were reviewed by a nuclear medicine physician (YK).
Standardized PET/CT Imaging Protocol
PET/CT Imaging of [18F]FES and [18F]FDG
[18F]FDG PET/CT images were obtained from the skull base-to-upper thigh using one of several different PET/CT scanners (Biograph Sensation 16 or Biograph TruePoint 40, Siemens Healthineers; or Discovery PET/CT 690, 690 Elite, or 710, GE Healthcare), 50–70 min after intravenous injection of 5.2–7.4 MBq/kg (0.14–0.2 mCi/kg) of [18F]FDG as described in a previous report [34 (link)].
Protocol for [68Ga]Ga-DOTA-TOC PET/CT Imaging
Optimized 68Ga-PSMA PET/CT Imaging Protocol
PET/CT images were independently evaluated by two nuclear medicine physicians who were blinded to the pathology and other clinical findings. The negative lesions were defined as follows (a) no dominant intraprostatic activity; (b) diffuse transition zone activity or symmetrical central zone activity that does not extend to the prostate margin on CT. The positive lesions were defined as follows (a) focal transition zone activity visually twice above background; (b) focal peripheral zone activity (no minimum intensity); (c) intense uptake (visual very high intensity or maximal standardized uptake value [SUVmax] > 12) [19 (link)]. The SUVmax of all suspicious lesions and the prostate gland background for negative patients were measured. The dominant lesion SUVmax was recorded for further analysis.
Synthesis and Evaluation of 68Ga-DOTATOC PET/CT Imaging
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