PMID- 34940846 OWN - NLM STAT- MEDLINE DCOM- 20220420 LR - 20220606 IS - 1945-7197 (Electronic) IS - 0021-972X (Linking) VI - 107 IP - 5 DP - 2022 Apr 19 TI - Value of Somatostatin Receptor PET/CT in Patients With MEN1 at Various Stages of Their Disease. PG - e2056-e2064 LID - 10.1210/clinem/dgab891 [doi] AB - CONTEXT: Despite the growing evidence of the clinical value of somatostatin receptor (SSTR) positron emission tomography (PET) in the evaluation of neuroendocrine tumors (NETs), its role remains to be clarified at different time points in the journey of patients with multiple endocrine neoplasia type 1 (MEN1). The rarity of the disease is however a significant impediment to prospective clinical trials. OBJECTIVE: The goals of the study were to assess the indications and value of SSTR PET/computed tomography (CT) in patients with MEN1. METHODS: We retrospectively included patients from 7 French expert centers for whom data on SSTR PET/CT and morphological imaging performed at the same period were available. Detection rates of PET study were analyzed. RESULTS: One hundred and 8 patients were included. SSTR PET/CT was performed at screening (n = 33), staging (n = 34), restaging (n = 37), and for peptide receptor targeted radiotherapy selection (n = 4). PET detected positive pancreatic lesions in 91% of cases at screening, with results comparable with magnetic resonance imaging but superior to CT (P = .049). Metastases (mostly lymph node [LN]) were present at the screening phase in 28% of cases, possibly due to the suboptimal value of screening morphological imaging in the assessment of nodal metastases and/or a long delay between imaging studies. SSTR PET/CT was considered superior or complementary to the reference standard in the assessment of LN or distant metastases in the vast majority of cases and regardless of the clinical scenario. CONCLUSION: This study shows the potential added value of SSTR PET in the assessment of MEN1-associated NETs and provides great impetus toward its implementation in the evaluation of patients with MEN1. CI - (c) The Author(s) 2021. Published by Oxford University Press on behalf of the Endocrine Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Mennetrey, Clement AU - Mennetrey C AD - Department of Nuclear Medicine, La Timone University Hospital, CERIMED, Aix-Marseille University, France. FAU - Le Bras, Maelle AU - Le Bras M AD - Department of Endocrinology, Diabetology and Nutrition, l'institut du thorax, CHU Nantes, Nantes, France. FAU - Bando-Delaunay, Aurelie AU - Bando-Delaunay A AD - Universite de Paris, Department of Nuclear Medicine, Beaujon University Hospital (APHP.Nord), Clichy, France. FAU - Al-Mansour, Laure AU - Al-Mansour L AD - Department of Oncology, Hospices Civils of Lyon, France. FAU - Haissaguerre, Magalie AU - Haissaguerre M AD - Department of Endocrinology, Haut Leveque University Hospital, Bordeaux, France. FAU - Batisse-Lignier, Marie AU - Batisse-Lignier M AD - Department of Nuclear Medicine, Centre Jean Perrin, Clermont-Ferrand, France. FAU - Ouvrard, Eric AU - Ouvrard E AD - Department of Nuclear Medicine and Molecular Imaging - Institut de Cancerologie de Strasbourg Europe (ICANS), IPHC, UMR 7178, CNRS/University of Strasbourg, France. FAU - Ansquer, Catherine AU - Ansquer C AD - Nuclear Medicine Department, CHU de Nantes, Hotel-Dieu, Nantes, France. FAU - Walter, Thomas AU - Walter T AD - Department of Oncology, Hospices Civils of Lyon, France. FAU - de Mestier, Louis AU - de Mestier L AD - Universite de Paris, Department of Gastroenterology-Pancreatology, Beaujon University Hospital (APHP. Nord), Clichy, France. FAU - Kelly, Antony AU - Kelly A AD - Department of Nuclear Medicine, Centre Jean Perrin, Clermont-Ferrand, France. FAU - Tlili, Ghoufrane AU - Tlili G AD - Department of Nuclear Medicine, Haut Leveque University Hospital, Bordeaux, France. FAU - Giraud, Sophie AU - Giraud S AD - Genetics Department, Hospices Civils de LYON (HCL), University Hospital, East Pathology Center, LYON. FAU - North, Marie-Odile AU - North MO AD - Department of Genetic & Molecular Biology, Hopital Cochin, Assistance Publique-Hopitaux de Paris, Paris, France. FAU - Odou, Marie-Francoise AU - Odou MF AD - Laboratory of biochemistry and molecular biology, Lille university hospital, Inserm U1286, France. FAU - Goichot, Bernard AU - Goichot B AD - Department of Internal Medicine, University hospitals of Strasbourg, France. FAU - Cuny, Thomas AU - Cuny T AD - Department of Endocrinology, Conception Hospital, Aix-Marseille University, France. FAU - Loundou, Anderson AU - Loundou A AUID- ORCID: 0000-0003-4301-9476 AD - Department of Public health, Aix-Marseille University, Marseille, France. FAU - Romanet, Pauline AU - Romanet P AD - Aix Marseille Univ, APHM, INSERM, MMG, Laboratory of Molecular Biology Hospital La Conception, Marseille, France. FAU - Imperiale, Alessio AU - Imperiale A AD - Department of Nuclear Medicine and Molecular Imaging - Institut de Cancerologie de Strasbourg Europe (ICANS), IPHC, UMR 7178, CNRS/University of Strasbourg, France. FAU - Taieb, David AU - Taieb D AUID- ORCID: 0000-0002-0400-7600 AD - Department of Nuclear Medicine, La Timone University Hospital, CERIMED, Aix-Marseille University, France. LA - eng PT - Journal Article PL - United States TA - J Clin Endocrinol Metab JT - The Journal of clinical endocrinology and metabolism JID - 0375362 RN - 0 (Receptors, Somatostatin) SB - IM MH - Humans MH - *Multiple Endocrine Neoplasia Type 1/diagnostic imaging MH - *Neuroendocrine Tumors/diagnostic imaging MH - Positron Emission Tomography Computed Tomography/methods MH - Positron-Emission Tomography/methods MH - Prospective Studies MH - Receptors, Somatostatin MH - Retrospective Studies OTO - NOTNLM OT - MEN1 OT - gallium 68-labeled somatostatin analogs OT - genetics OT - neuroendocrine tumors OT - positron emission tomography OT - somatostatin receptors EDAT- 2021/12/24 06:00 MHDA- 2022/04/21 06:00 CRDT- 2021/12/23 12:49 PHST- 2021/09/20 00:00 [received] PHST- 2021/12/24 06:00 [pubmed] PHST- 2022/04/21 06:00 [medline] PHST- 2021/12/23 12:49 [entrez] AID - 6481711 [pii] AID - 10.1210/clinem/dgab891 [doi] PST - ppublish SO - J Clin Endocrinol Metab. 2022 Apr 19;107(5):e2056-e2064. doi: 10.1210/clinem/dgab891.