By Stefano Fanti
The box of nuclear drugs has advanced speedily in recent times, and one extremely important point of this development has been the advent of hybrid imaging platforms. PET-CT has already received common popularity in lots of medical settings, in particular inside oncology, and now SPECT-CT gives you to emulate its luck. beneficial functions of this new technique were pointed out not just in oncology but in addition in endocrinology, cardiology, inner medication, and different specialties. This atlas, including thousands of high quality photos, is a common consultant to the optimum use and interpretation of SPECT-CT. the complete diversity of capability SPECT-CT functions in scientific regimen is taken into account and assessed by means of said specialists. The publication is designed to function a reference textual content for either nuclear physicians and radiologists; it's going to additionally offer basic help for radiographers, technologists, and nuclear medication and radiology citizens. Following the editors’ different atlases on PET-CT and non-FDG PET-CT, the Atlas of SPECT-CT completes a trilogy delivering up to date info and tips at the complete spectrum of hybrid imaging.
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Extra resources for Atlas of SPECT-CT
2009;45 Suppl 1:274–91. García Vicente A, García Del Castillo E, Soriano Castrejón A, Alonso Farto J. Olfactory esthesioneuroblastoma: scintigraphic expression of somatostatin receptors. Rev Esp Med Nucl. 1999;18:367–70. García Vicente A, Soriano Castrejón A, Alonso Farto J, Soler E, García del Castillo E. Merkel cell carcinoma. Utility of scintigraphy with 111In-DTPA-pentetreotide. Rev Esp Med Nucl. 1999;18:287–91. Moncayo R, Baldissera I, Decristoforo C, Kendler D, Donnemiller E. Evaluation of immunological mechanisms mediating thyroid-associated ophthalmopathy by radionuclide imaging using the somatostatin analog 11 1In-octreotide.
The images on page 29 were captured during lanreotide treatment. Case 12 Neuroendocrine Pancreatic Carcinoma with Liver Metastases: Treatment Response 3 ⊡⊡ 111 In octreotide findings Images in this page Total body planar images and abdominal SPECT-CT obtained 24 h after the intravenous administration of 222 MBq of 111In octreotide show the persistence of lesions with increased somatostatine receptors in the pancreatic area and liver that suggest a lack of treatment response. Teaching point In octreotide scintigraphy and especially SPECT-CT is useful to evaluate treatment response and for the follow-up of advanced disease.
3 Teaching point The total body scan performed with SRS allows the identification of unsuspected metastatic lesions, while SPECT-CT enables its precise anatomic localization. 33 3 Case 8 Neuroendocrine Pancreatic Tumor: Staging of Advanced Disease 34 A patient diagnosed with neuroendocrine pancreatic tumor with hepatic metastases (stage IV). The patient is undergoing palliative treatment with lanreotide. Case 8 Neuroendocrine Pancreatic Tumor: Staging of Advanced Disease ⊡⊡ 111 In octreotide findings Total body planar images obtained 4 and 24 h after the intravenous administration of 222 MBq of 111In octreotide and abdominal SPECT-CT performed 24 h after show pathological lesions with expression of somatostatine receptors in the liver (segments VI and VIII) and in a retropancreatic adenopathy.