Bibliographic Details
Title: |
18F‐fludeoxyglucose positron emission computed tomography (18F‐FDG‐PET/CT) versus 68Ga‐DOTATATE‐PET/CT in patients with head and neck cancer: Comparisons and implications for treatment. |
Authors: |
Patel, Rusha, Marano, Gary, Joseph, Joe, Chung, Jeffson, Plata, Andrew, Vos, Jeffrey A. |
Source: |
Head & Neck; Feb2023, Vol. 45 Issue 2, p347-354, 8p |
Subject Terms: |
HEAD & neck cancer, POSITRON emission tomography, SOMATOSTATIN receptors, PAPILLOMAVIRUSES, OROPHARYNGEAL cancer |
Abstract: |
Background: Tumor‐specific molecular imaging in head and neck squamous cell carcinoma (HNSCC) is not well established. Somatostatin receptors (SSTRs) are found in solid tumors, including HNSCC. 68Ga‐DOTATATE, a commercially available radionuclide that binds SSTRs, may have utility in imaging HNSCC. Methods: Patients with HNSCC received pretreatment imaging with 18F‐FDG‐PET/CT and 68Ga‐DOTATATE. Imaging was compared for concordance. When available, surgical resection specimens were compared to pretreatment imaging findings. Historic HNSCC tumor specimens were assessed for both SSTR and p16/human papilloma virus (HPV) expression. Results: Twenty patients were imaged. Fifteen had oropharyngeal cancer. Primary tumor site was concordant between imaging modalities for all patients. One of 45 lymph nodes was discordant. Retrospective specimen review showed a significant correlation with SSTR expression and HPV/p16 expression. No adverse events occurred. Conclusions: 68Ga‐DOTATATE imaging is safe and effective in HNSCC. SSTR expression may be increased in HPV‐mediated tumors. Targeted therapies to SSTR should be explored. [ABSTRACT FROM AUTHOR] |
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Database: |
Complementary Index |