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A prospective randomized, double-blind study to evaluate the diagnostic efficacy of 68Ga-NODAGA-LM3 and 68Ga-DOTA-LM3 in patients with well-differentiated neuroendocrine tumors: compared with 68Ga-DOTATATE
by
Xu, Jianming
, Yang, Qiao
, Zhu, Wenjia
, Huo, Li
, Jia, Ru
, Cheng, Yuejuan
, Yao, Shaobo
, Zhao, Hong
, Bai, Chunmei
in
Agonists
/ Antagonists
/ Cardiology
/ Computed tomography
/ Diagnostic systems
/ Double-blind studies
/ Endocrinology
/ Imaging
/ Lesions
/ Liver
/ Medical diagnosis
/ Medical imaging
/ Medicine
/ Medicine & Public Health
/ Neuroendocrine tumors
/ Nuclear Medicine
/ Oncology
/ Organs
/ Original Article
/ Orthopedics
/ Positron emission
/ Positron emission tomography
/ Radiology
/ Tomography
/ Tumors
2022
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A prospective randomized, double-blind study to evaluate the diagnostic efficacy of 68Ga-NODAGA-LM3 and 68Ga-DOTA-LM3 in patients with well-differentiated neuroendocrine tumors: compared with 68Ga-DOTATATE
by
Xu, Jianming
, Yang, Qiao
, Zhu, Wenjia
, Huo, Li
, Jia, Ru
, Cheng, Yuejuan
, Yao, Shaobo
, Zhao, Hong
, Bai, Chunmei
in
Agonists
/ Antagonists
/ Cardiology
/ Computed tomography
/ Diagnostic systems
/ Double-blind studies
/ Endocrinology
/ Imaging
/ Lesions
/ Liver
/ Medical diagnosis
/ Medical imaging
/ Medicine
/ Medicine & Public Health
/ Neuroendocrine tumors
/ Nuclear Medicine
/ Oncology
/ Organs
/ Original Article
/ Orthopedics
/ Positron emission
/ Positron emission tomography
/ Radiology
/ Tomography
/ Tumors
2022
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A prospective randomized, double-blind study to evaluate the diagnostic efficacy of 68Ga-NODAGA-LM3 and 68Ga-DOTA-LM3 in patients with well-differentiated neuroendocrine tumors: compared with 68Ga-DOTATATE
by
Xu, Jianming
, Yang, Qiao
, Zhu, Wenjia
, Huo, Li
, Jia, Ru
, Cheng, Yuejuan
, Yao, Shaobo
, Zhao, Hong
, Bai, Chunmei
in
Agonists
/ Antagonists
/ Cardiology
/ Computed tomography
/ Diagnostic systems
/ Double-blind studies
/ Endocrinology
/ Imaging
/ Lesions
/ Liver
/ Medical diagnosis
/ Medical imaging
/ Medicine
/ Medicine & Public Health
/ Neuroendocrine tumors
/ Nuclear Medicine
/ Oncology
/ Organs
/ Original Article
/ Orthopedics
/ Positron emission
/ Positron emission tomography
/ Radiology
/ Tomography
/ Tumors
2022
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A prospective randomized, double-blind study to evaluate the diagnostic efficacy of 68Ga-NODAGA-LM3 and 68Ga-DOTA-LM3 in patients with well-differentiated neuroendocrine tumors: compared with 68Ga-DOTATATE
Journal Article
A prospective randomized, double-blind study to evaluate the diagnostic efficacy of 68Ga-NODAGA-LM3 and 68Ga-DOTA-LM3 in patients with well-differentiated neuroendocrine tumors: compared with 68Ga-DOTATATE
2022
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Overview
Purpose
The purpose of this study is to evaluate the diagnostic efficacy of
68
Ga-NODAGA-LM3 and
68
Ga-DOTA-LM3 and compare them with
68
Ga-DOTATATE in patients with well-differentiated neuroendocrine tumors.
Methods
Patients were prospectively recruited and equally randomized into two arms: Arm A, patients would undergo a whole-body
68
Ga-NODAGA-LM3 PET/CT scan on the 1st day and
68
Ga-DOTATATE PET/CT scan on the 2nd day; Arm B, patients would undergo a whole-body
68
Ga-DOTA-LM3 PET/CT scan on the 1st day and
68
Ga-DOTATATE PET/CT scan on the 2nd day. Biodistribution in normal organs, lesion detection ability, and tumor uptake were compared between antagonist and agonist in each arm.
Results
A total of 40 patients with well-differentiated NETs, 20 in each arm, were recruited in the study.
68
Ga-NODAGA-LM3 showed a similar pattern as
68
Ga-DOTATATE, while
68
Ga-DOTA-LM3 demonstrated significantly lower uptake in almost all normal organs compared to
68
Ga-DOTATATE. Both
68
Ga-NODAGA-LM3 and
68
Ga-DOTA-LM3 showed superiority in lesion detection compared to
68
Ga-DOTATATE on lesion-based and patient-based comparison.
68
Ga-NODAGA-LM3 showed a significantly higher tumor uptake (median SUVmax 29.1 versus 21.6,
P
< 0.05) and tumor-to-background ratio (median tumor-to-liver ratio 5.0 versus 2.9,
P
< 0.05) compared to
68
Ga-DOTATATE.
68
Ga-DOTA-LM3 showed comparable uptake (median SUVmax 16.1 versus 17.8,
P
= 0.714) and higher tumor-to-background ratio (median tumor-to-liver ratio 5.2 versus 2.1,
P
< 0.05).
Conclusion
Both
68
Ga-NODAGA-LM3 and
68
Ga-DOTA-LM3 are promising SSTR2 antagonists for neuroendocrine tumors. They demonstrated superiority in diagnostic efficacy compared to agonist
68
Ga-DOTATATE.
Trial registration
ClinicalTrials.gov identifier: NCT04318561
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