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Measurement of 68Ga-DOTATOC Uptake in the Thoracic Aorta and Its Correlation with Cardiovascular Risk.


ABSTRACT:

Purpose

68Ga-labeled 1,4,7,10-tetraazacyclododecane-N,N',N?,N?-tetraacetic acid-d-Phe1-Tyr3-octreotide (68Ga-DOTATOC) is taken up by activated macrophages, which accumulate in active inflammatory lesions. The purpose of this study was to investigate the feasibility of 68Ga-DOTATOC PET/CT for assessment of vulnerable plaque, by evaluating correlation between aortic uptake of 68Ga-DOTATOC and cardiovascular risk factors.

Methods

Fifty patients with neuroendocrine tumors who underwent 68Ga-DOTATOC PET/CT were retrospectively enrolled. The uptakes in the thoracic aorta were measured by two methods: multi-sample region-of-interest (ROI) method and single volume-of-interest (VOI) method. TBRmax-avg, TBRmean-avg, TBRmax-VOI, and TBRmean-VOI were defined by maximum and mean target-to-background ratio (TBR) from the multi-sample ROI method and the single VOI method, respectively.

Results

Framingham risk score (FRS) exhibited significant correlations with TBRmax-avg and TBRmean-avg, as well as TBRmax-VOI (r?=?0.3389-0.4593, P?max-avg and TBRmax-VOI were significantly higher in high FRS group than in low FRS group (1.48?±?0.21 vs. 1.70?±?0.17, P?max-avg and 1.90?±?0.33 vs. 2.25?±?0.36, P?=?0.002 for TBRmax-VOI). TBR exhibited high correlations between the two measuring methods (r?=?0.9684, P?mean-avg and TBRmean-VOI and r?=?0.8681, P?max-avg and TBRmax-VOI).

Conclusions

68Ga-DOTATOC uptake in the thoracic aorta exhibited a significant correlation with cardiovascular risk factors, which suggests the feasibility of 68Ga-DOTATOC PET for vulnerable plaque imaging, with a simple measurement of the single VOI method that is comparable to the multi-sample ROI-based approach.

SUBMITTER: Lee R 

PROVIDER: S-EPMC6066488 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature

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Measurement of <sup>68</sup>Ga-DOTATOC Uptake in the Thoracic Aorta and Its Correlation with Cardiovascular Risk.

Lee Reeree R   Kim Jihyun J   Paeng Jin Chul JC   Byun Jung Woo JW   Cheon Gi Jeong GJ   Lee Dong Soo DS   Chung June-Key JK   Kang Keon Wook KW  

Nuclear medicine and molecular imaging 20180522 4


<h4>Purpose</h4><sup>68</sup>Ga-labeled 1,4,7,10-tetraazacyclododecane-<i>N</i>,<i>N</i>',<i>N</i>″,<i>N</i>‴-tetraacetic acid-d-Phe<sup>1</sup>-Tyr<sup>3</sup>-octreotide (<sup>68</sup>Ga-DOTATOC) is taken up by activated macrophages, which accumulate in active inflammatory lesions. The purpose of this study was to investigate the feasibility of <sup>68</sup>Ga-DOTATOC PET/CT for assessment of vulnerable plaque, by evaluating correlation between aortic uptake of <sup>68</sup>Ga-DOTATOC and card  ...[more]

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