Italian Association of Nuclear Medicine, Molecular Imaging and Therapy (AIMN) practical guide for peptide receptor radionuclide therapy (PRRT) with [177Lu]Lu-Oxodotreotide in gastroenteropancreatic neuroendocrine tumors (GEP-NET)

被引:0
|
作者
Laudicella, Riccardo [1 ]
Albano, Domenico [2 ,3 ]
Bauckneht, Matteo [4 ,5 ]
Urso, Luca [6 ,7 ]
Bodei, Lisa [8 ]
De Rimini, Maria Luisa [9 ]
Grana, Chiara Maria [10 ]
Baldari, Sergio [1 ]
Versari, Annibale [11 ]
Filice, Angelina [11 ]
Bartolomei, Mirco [7 ]
Maccauro, Marco [12 ]
机构
[1] Univ Messina, Dept Biomed & Dent Sci & Morpho Funct Imaging, Nucl Med, Messina, Italy
[2] ASST Spedali Civili Brescia, Nucl Med, Brescia, Italy
[3] Univ Brescia, Radiol Sci & Publ Hlth Dept, Brescia, Italy
[4] IRCCS Osped Policlin San Martino, Genoa, Italy
[5] Univ Genoa, Dept Hlth Sci DISSAL, Nucl Med, Genoa, Italy
[6] Univ Ferrara, Dept Translat Med, Ferrara, Italy
[7] Univ Hosp Ferrara, Oncohematol Dept, Nucl Med Unit, Ferrara, Italy
[8] Mem Sloan Kettering Canc Ctr, New York, NY USA
[9] AORN Osped Colli, Nucl Med Unit, Naples, Italy
[10] IRCCS, IEO European Inst Oncol, Milan, Italy
[11] Azienda USL IRCCS Reggio Emilia, Nucler Med Unit, Reggio Emilia, Italy
[12] Fdn IRCCS Ist Nazl Tumori, ENETS Ctr Excellence, Dept Nucl Med, Milan, Italy
关键词
DOTA-peptide; Gastroenteropancreatic neuroendocrine tumor; Lutathera; Lutetium; Peptide receptor radionuclide therapy; RPT; ENETS CONSENSUS GUIDELINES; TYR(3) OCTREOTATE; FOLLOW-UP; LU-177-DOTATATE; STANDARDS; CARE; Y-90-DOTATOC; TOXICITY; EFFICACY;
D O I
10.1007/s40336-025-00679-y
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Somatostatin receptors (SSTR) are overexpressed by most neuroendocrine tumors (NETs), and patients with SSTR-positive disease can be identified by DOTA-peptide PET. Phase II and III studies proved SSTR-targeted radiopharmaceutical therapy safe and effective in metastatic gastroenteropancreatic (GEP) NETs progressed after SST analogues. Additional data indicate that [177Lu]Lu-oxodotreotide peptide receptor radionuclide therapy (PRRT) also has high potential in earlier clinical situations. The purpose of this Italian procedural guideline is to assist the nuclear medicine personnel in the delivery of [177Lu]Lu-DOTA-peptide therapy, from patient selection to end-of-therapy follow-up, and to facilitate the management of possible side effects and their clinical management. The current document is based upon the current best practice and knowledge of experienced Centers and Nuclear Medicine Physicians in Italy.
引用
收藏
页码:105 / 120
页数:16
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