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. 2020 May;61(5):643–645. doi: 10.2967/jnumed.120.245613

TABLE 1.

Proposed Clinical Algorithm for Nuclear Imaging Investigations in Cases of PPGL (10)

Condition First choice Second choice
Pheochromocytoma (apparently sporadic) 18F-FDOPA or 123I-MIBG 68Ga-SSA
Inherited pheochromocytoma (except SDHx): NF1/RET/VHL/MAX 18F-FDOPA 123I-MIBG or 68Ga-SSA
HNPGL 68Ga-SSA 18F-FDOPA
Extraadrenal sympathetic or multifocality or metastatic disease or SDHx mutation 68Ga-SSA 18F-FDG and 18F-FDOPA

MIBG = metaiodobenzylguanidine; SSA = somatostatin analog.