PMID- 29181270 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2160-8407 (Print) IS - 2160-8407 (Electronic) VI - 7 IP - 5 DP - 2017 TI - Safety and accuracy of (68)Ga-DOTATOC PET/CT in children and young adults with solid tumors. PG - 228-235 AB - (68)Ga-DOTA-tyr3-Octreotide ((68)Ga-DOTATOC) PET/CT has been shown to have high accuracy in adults with neuroendocrine tumors, however has not been studied in pediatric patients. This study evaluated the safety and accuracy of (68)Ga-DOTATOC PET/CT in children and young adults with solid tumors that express somatostatin receptor type 2. A series of three prospective, IRB approved, clinical trials evaluating safety and efficacy of (68)Ga-DOTATOC PET/CT were conducted for subjects aged 6 months to 90 years. This study reports the results for the 26 children and young adults, aged 16 months to 29 years who participated in these trials. The administered activity of (68)Ga-DOTATOC was 1.59 MBq/kg with an upper limit of 111 MBq for subjects < 18 years and 148 MBq for young adults. Safety was assessed with laboratory studies and patient/parent report of symptoms before and after the scan. Scans were interpreted in consensus by two board-certified nuclear medicine physicians. Each scan was categorized on a patient basis as true positive, true negative, false negative or false positive against a reference standard that included a combination of histopathology, other imaging modalities and clinical follow-up. Nine Grade I adverse events (AEs) occurred among 26 subjects, none of which were attributable to (68)Ga-DOTATOC. Sensitivity of (68)Ga-DOTATOC PET/CT was 88% (14 true positive, 2 false negative) and specificity was 100% (10 true negative, 0 false positive). (68)Ga-DOTATOC PET/CT is safe and accurate in children and young adults with solid tumors expressing somatostatin receptor type 2. FAU - Abongwa, Chenue AU - Abongwa C AD - Department of Pediatrics, Roy J. and Lucille A. Carver College of Medicine, University of IowaIowa City, Iowa 52242, USA. FAU - Mott, Sarah AU - Mott S AD - Holden Comprehensive Cancer Center, Roy J. and Lucille A. Carver College of Medicine, University of IowaIowa City, Iowa 52242, USA. FAU - Schafer, Blanca AU - Schafer B AD - Department of Pediatrics, Roy J. and Lucille A. Carver College of Medicine, University of IowaIowa City, Iowa 52242, USA. FAU - McNeely, Parren AU - McNeely P AD - Department of Radiology, Roy J. and Lucille A. Carver College of Medicine, University of IowaIowa City, Iowa 52242, USA. FAU - Abusin, Ghada AU - Abusin G AD - Department of Pediatrics, Roy J. and Lucille A. Carver College of Medicine, University of IowaIowa City, Iowa 52242, USA. FAU - O'Dorisio, Thomas AU - O'Dorisio T AD - Department of Internal Medicine, Roy J. and Lucille A. Carver College of Medicine, University of IowaIowa City, Iowa 52242, USA. FAU - Zamba, Gideon AU - Zamba G AD - Department of Biostatistics, College of Public Health, University of IowaIowa City, Iowa 52242, USA. FAU - O'Dorisio, M Sue AU - O'Dorisio MS AD - Department of Pediatrics, Roy J. and Lucille A. Carver College of Medicine, University of IowaIowa City, Iowa 52242, USA. FAU - Menda, Yusuf AU - Menda Y AD - Department of Radiology, Roy J. and Lucille A. Carver College of Medicine, University of IowaIowa City, Iowa 52242, USA. LA - eng GR - P30 CA086862/CA/NCI NIH HHS/United States GR - P50 CA174521/CA/NCI NIH HHS/United States GR - R01 CA167632/CA/NCI NIH HHS/United States PT - Journal Article DEP - 20171101 PL - United States TA - Am J Nucl Med Mol Imaging JT - American journal of nuclear medicine and molecular imaging JID - 101564121 PMC - PMC5698616 OTO - NOTNLM OT - 68Ga-DOTATOC OT - children OT - solid tumor OT - somatostatin EDAT- 2017/11/29 06:00 MHDA- 2017/11/29 06:01 PMCR- 2017/11/01 CRDT- 2017/11/29 06:00 PHST- 2017/08/02 00:00 [received] PHST- 2017/10/16 00:00 [accepted] PHST- 2017/11/29 06:00 [entrez] PHST- 2017/11/29 06:00 [pubmed] PHST- 2017/11/29 06:01 [medline] PHST- 2017/11/01 00:00 [pmc-release] PST - epublish SO - Am J Nucl Med Mol Imaging. 2017 Nov 1;7(5):228-235. eCollection 2017.