Imaging and liquid biopsy in the prediction and evaluation of response to PRRT in neuroendocrine tumors: implications for patient management.


Journal

European journal of nuclear medicine and molecular imaging
ISSN: 1619-7089
Titre abrégé: Eur J Nucl Med Mol Imaging
Pays: Germany
ID NLM: 101140988

Informations de publication

Date de publication:
11 2021
Historique:
received: 06 01 2021
accepted: 05 04 2021
pubmed: 28 4 2021
medline: 21 10 2021
entrez: 27 4 2021
Statut: ppublish

Résumé

The aim of this narrative review is to give an overview on current and emerging imaging methods and liquid biopsy for prediction and evaluation of response to PRRT. Current limitations and new perspectives, including artificial intelligence, are discussed. A literature review of PubMed/Medline was performed with representative keywords. The search included articles published online through August 31, 2020. All searches were restricted to English language manuscripts. Peptide radio receptor therapy (PRRT) is a prospectively evaluated and approved therapy option in neuroendocrine tumors (NETs). Different ligands targeting the somatostatin receptor (SSTR) are used as theranostic pairs for imaging NET and for PRRT. Response assessment in prospective trials often relies on the morphological RECIST 1.1 criteria, based on lesion size in CT or MRI. The role of SSTR-PET and quantitative uptake parameters and volumetric data is still not defined. Monoanalyte tumor marker chromogranin A has a limited value for response assessment after PRRT. New emerging liquid biopsy techniques are offering prediction of response to PRRT and prognostic value. New response criteria for NET patients undergoing PRRT will comprise multiparametric hybrid imaging and blood-based multianalyte markers. This represents tumor biology and heterogeneity.

Identifiants

pubmed: 33903926
doi: 10.1007/s00259-021-05359-3
pii: 10.1007/s00259-021-05359-3
pmc: PMC8484222
doi:

Substances chimiques

Receptors, Somatostatin 0
Octreotide RWM8CCW8GP

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

4016-4027

Subventions

Organisme : NCI NIH HHS
ID : P30 CA008748
Pays : United States

Informations de copyright

© 2021. The Author(s).

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Auteurs

Wolfgang Roll (W)

Department of Nuclear Medicine, University Hospital Muenster, Albert-Schweitzer-Campus 1, 48149, Münster, Germany.
West German Cancer Center, Muenster and Essen, Essen, Germany.

Matthias Weckesser (M)

Department of Nuclear Medicine, University Hospital Muenster, Albert-Schweitzer-Campus 1, 48149, Münster, Germany.
West German Cancer Center, Muenster and Essen, Essen, Germany.

Robert Seifert (R)

Department of Nuclear Medicine, University Hospital Muenster, Albert-Schweitzer-Campus 1, 48149, Münster, Germany.
West German Cancer Center, Muenster and Essen, Essen, Germany.
Department of Nuclear Medicine, University Hospital Essen, Essen, Germany.

Lisa Bodei (L)

Department of Nuclear Medicine, Radiology, Memorial Sloan Kettering Cancer Center, New York, USA.

Kambiz Rahbar (K)

Department of Nuclear Medicine, University Hospital Muenster, Albert-Schweitzer-Campus 1, 48149, Münster, Germany. rahbar@uni-muenster.de.
West German Cancer Center, Muenster and Essen, Essen, Germany. rahbar@uni-muenster.de.

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