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IMAGE INTERPRETATION · PET AND ONCOLOGY

OctreoScan Liver Uptake: Somatostatin Receptors

In-111 pentetreotide (Octreoscan): 4-hour and 24-hour whole-body anterior and posterior images
In-111 pentetreotide (Octreoscan): 4-hour and 24-hour whole-body anterior and posterior images

Provided clinical image

Question

On this Octreoscan, focal uptake is seen in the liver at both 4 and 24 hours. What receptor does In-111 pentetreotide bind to, allowing it to accumulate in these lesions?

  1. ASomatostatin receptors, which are overexpressed on the surface of most neuroendocrine tumors such as carcinoid and islet cell tumors
  2. BDopamine D2 receptors, which are expressed at high levels in neuroendocrine tumors due to their shared neural crest cell origin
  3. CEpidermal growth factor receptors, which are upregulated in rapidly dividing neuroendocrine tumor cells throughout the liver and abdomen
  4. DAdrenergic receptors, similar to the mechanism used by MIBG, since both agents target tumors derived from the autonomic nervous system
Show the answer and explanation

A. Somatostatin receptors, which are overexpressed on the surface of most neuroendocrine tumors such as carcinoid and islet cell tumors

In-111 pentetreotide (Octreoscan) is a radiolabeled somatostatin analogue that binds to somatostatin receptors (particularly subtypes 2 and 5), which are overexpressed on the surface of most neuroendocrine tumors. This receptor-targeting mechanism makes the Octreoscan highly sensitive for detecting carcinoid tumors, gastrinomas, VIPomas, and other NETs.

More pet and oncology images

FDG (18F-fluorodeoxyglucose) PET scan — whole bodyNormal FDG PET Biodistribution In-111 octreotide (OctreoScan) — whole body planar imagesOctreoScan (In-111 Octreotide): How It Localizes I-123 MIBG (metaiodobenzylguanidine) scan — whole body imagesI-123 MIBG Uptake Mechanism in Pheochromocytoma Ga-68 PSMA-11 PET/CT — whole body maximum intensity projectionGa-68 PSMA PET/CT in Prostate Cancer In-111 octreotide (OctreoScan) whole body images — abnormal uptakeGa-68 DOTATATE PET vs OctreoScan for Neuroendocrine Tumors F-18 FDG PET scan — whole bodyDeauville Score 1–2: Complete Metabolic Response
← OctreoScan: Why Delayed 24-Hour ImagesNormal FDG PET Biodistribution →

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