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Complement of 99mTc-octreotide scintimammography to mammography in evaluating breast cancers

RADIOCHEMISTRY, RADIOPHARMACEUTICALS AND NUCLEAR MEDICINE

Complement of 99mTc-octreotide scintimammography to mammography in evaluating breast cancers

SU Xinhui
HE Xiaojiang
WU Hua
PAN Weiming
HUANG Jingxiong
YU Hao
CHEN Guibing
WANG Wei
Nuclear Science and TechniquesVol.21, No.1pp.24-28Published in print 20 Feb 2010
33400

In this paper, the 99mTc-octreotide scintimammography as a useful complementary technique of mammography was evaluated in diagnosing breast cancers. The 45 breast lesions were consecutively detected by mammography, and 99mTc-octreotide scintimammography, and both combination technique on the basis of self-examination, physical examination. Clinical diagnosis was confirmed by histopathologic analysis. Radioactivity uptake ratios for tumor vs normal breast tissues (T/NT) were calculated using regions of interest. In the breast cancer groups and the benign lesion groups, the average uptake ratios of the 99mTc-octreotide were 1.63±0.19 and 1.09±0.13, respectively, and t was 9.638 (P<0.001). Based on sensitivity, specificity, accuracy, positive predicting value, and negative predicting value, 99mTc-octreotide scintimammography was 87%, 79%, 84%, 90%, and 73%, the mammography was 65%, 64%, 64%, 80%, and 45%, and both combination was 95%, 100%, 97%, 100% and 92%, respectively. This showed that the 99mTc-octreotide scintimammography was more useful than mammography in the evaluating suspected breast cancers, and the combination technique can accurately discriminate lesions.

Breast cancer diagnosis99mTc-octreotide scintimammograpyMammography
References
[1] Yang L, Li L D, Chen Y D, et al. Parkin. Chin J Oncol, 2006, 28(6): 438-440.
[2] Mulero F, Nicolás F, Castellón M I, et al. Rev Esp Med Nucl, 2000, 19(5): 344-349.
[3] Berg W A, Gutierrez L, NessAiver M S, et al. Radiology, 2004, 233 (3): 830-849.
[4] Prats E, Aisa F, Abós M D, et al. J Nucl Med, 1999, 40(2): 296-301.
[5] Brazeau P, Vale W, Burgus R, et al. Science, 1973, 179(68): 77-79.
[6] Epelbaum J. Prog Neurobiol, 1986, 27(1): 63-100.
[7] Arimura A, Fishback JB. Neuroendocrinol, 1981, 33(4): 246-256.
[8] Patel Y C, Reichlin S. Endocrinol,1978, 102(2): 523-530.
[9] Reichlin S J, Lab Clin Med, 1987, 109(3): 320-326.
[10] Khanna G, Bushnell D, O'Dorisio M S. Oncologist. 2008, 13(4): 382-389.
[11] Patel Y C. Front Neuroendocrinol, 1999, 20(3): 157-198.
[12] Reubi J C, Horisberger U, Kappeler A, et al. Blood, 1998, 92(1): 191-197.
[13] Reubi J C, Waser B, Schaer J C, et al. Eur J Nucl Med, 2001, 28(7): 836-846.
[14] Pinzani P, Orlando C, Raggi CC, et al. Regul Pept, 2001, 99(2-3): 79-86.
[15] Wang F, Wang Z, Wu J, et al. Nucl Med Biol, 2008, 35(6): 665-671.
[16] Schulz S, Helmholz T, Schmitt J, et al. Breast Cancer Res Treat, 2002, 72(3): 221-226.
[17] Schaer J C, Waser B, Mengod G, et al. Int J Cancer, 1997, 70: 530-537.
[18] Öhrvall U, Westlin J E, Nilsson S, et al. Cancer Res, 1995, 55(23): 5794-5800.
[19] Zhang X M, Feng J, Ma H L, et al. Chin J Imaging Technol, 2006, 22 (6): 945-948.
[20] Zhang J S, Deng N V, Li S, et al. Chin J Nucl Med, 2004, 24(1): 24-26.