ArticleJapanese journal of radiology2026
Quantitative indices from post-PRRT SPECT/CT: an exploratory approach to early imaging biomarkers in neuroendocrine tumors.
Article in Japanese journal of radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeTo assess therapeutic response in patients with neuroendocrine tumors (NETs) using quantitative post-therapy MATERIALS AND
methodsIn this retrospective study, we analyzed 31 lesions in 7 patients with NETs treated with four cycles of peptide receptor radionuclide therapy (PRRT) with
resultsSUVmax and SUVpeak correlated strongly with K-S and were consistent across thresholding methods. MTV and TLuU varied by VOI definition, but the cutoff method produced more stable longitudinal assessments. Lesions with early SUV-based RR reductions at the second PRRT cycle showed continued decline across treatment. Patients were categorized as "Good Responder," "Responder," or "Non-responder" based on quantitative trends, which aligned with visual assessments and CT findings.
conclusionQuantitative post-PRRT SPECT/CT provides objective, reproducible metrics for assessing NET therapy response. A fixed SUV cutoff allows standardized volumetric assessment. Early SUV-based index declines may act as predictive biomarkers of treatment efficacy, supporting personalized theranostic strategies.
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