Insulinoma other imaging findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Amandeep Singh M.D.[2]

Overview

The other imaging studies include positron emission tomography (PET) and somatostatin receptor Scintigraphy (SRS) which are nuclear studies used for detecting somatostatin receptor especially subtype 2 using radioisotopes of Gallium. The increased uptake of radioligands is suggestive of insulinoma. The metastasis also shows the increased uptake. The sensitivity of PET is increased by doing a CT scan coupled with PET scan. The sensitivity of SRS is 50 to 60% as insulinomas have less somatostatin subtype 2 receptor which is detected by the test.

Other Imaging Findings

Positron emission tomography|Positron Emission Tomography

Insulinoma-PET Scan.;Case courtesy of Radswiki, Radiopaedia.org, rID: 11670

Somatostatin receptor scintigraphy

Insulinoma-Octreoscan;Case courtesy of Radswiki, Radiopaedia.org, rID: 11670

Findings on an SRS suggestive of insulinoma include:

References

  1. Sadowski SM, Neychev V, Cottle-Delisle C, Merkel R, Yang LA, Quezado MM, Chang R, Kebebew E (2014). "Detection of insulinoma using (68)Gallium-DOTATATE PET/CT: a case report". Gland Surg. 3 (4): E1–5. doi:10.3978/j.issn.2227-684X.2014.10.02. PMC 4244512. PMID 25493261.
  2. Gabriel M, Decristoforo C, Kendler D, Dobrozemsky G, Heute D, Uprimny C, Kovacs P, Von Guggenberg E, Bale R, Virgolini IJ (2007). "68Ga-DOTA-Tyr3-octreotide PET in neuroendocrine tumors: comparison with somatostatin receptor scintigraphy and CT". J. Nucl. Med. 48 (4): 508–18. PMID 17401086.
  3. Haug AR, Cindea-Drimus R, Auernhammer CJ, Reincke M, Wängler B, Uebleis C, Schmidt GP, Göke B, Bartenstein P, Hacker M (2012). "The role of 68Ga-DOTATATE PET/CT in suspected neuroendocrine tumors". J. Nucl. Med. 53 (11): 1686–92. doi:10.2967/jnumed.111.101675. PMID 22984220.
  4. Zimmer T, Stölzel U, Bäder M, Koppenhagen K, Hamm B, Buhr H; et al. (1996). "Endoscopic ultrasonography and somatostatin receptor scintigraphy in the preoperative localisation of insulinomas and gastrinomas". Gut. 39 (4): 562–8. PMC 1383270. PMID 8944566.
  5. Proye C, Malvaux P, Pattou F, Filoche B, Godchaux JM, Maunoury V; et al. (1998). "Noninvasive imaging of insulinomas and gastrinomas with endoscopic ultrasonography and somatostatin receptor scintigraphy". Surgery. 124 (6): 1134–43, discussion 1143-4. PMID 9854595.
  6. McAuley, G.; Delaney, H.; Colville, J.; Lyburn, I.; Worsley, D.; Govender, P.; Torreggiani, W.C. (2005). "Multimodality preoperative imaging of pancreatic insulinomas". Clinical Radiology. 60 (10): 1039–1050. doi:10.1016/j.crad.2005.06.005. ISSN 0009-9260.
  7. Behr T, Becker W, Koch W, Grebmeier J, Wolf F (1994). "[Somatostatin receptor scintigraphy in neuroendocrine tumors exemplified by a patient with hepatic metastases of gastrinoma]". Z Gastroenterol. 32 (2): 100–4. PMID 7513113.
  8. Jensen RT, Gibril F, Termanini B (1997). "Definition of the role of somatostatin receptor scintigraphy in gastrointestinal neuroendocrine tumor localization". Yale J Biol Med. 70 (5–6): 481–500. PMC 2589266. PMID 9825476.

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