Table 2.
Summary of published studies examining the use of TOC for radioguided surgery
| Author | Ref | Number of cases | Tumour type | Tumour location | R’pharm | Peptide mass (ug) | Activity (MBq) |
Delay | Results | Comments |
|---|---|---|---|---|---|---|---|---|---|---|
| Maccauro et al | 22 | 3 | MGC | Midgut | TOC | N/S | 185 | 4 h |
All primaries identified and excised Nodes: TP 35, TN 72, FP 0, FN 0 |
Includes detection of an extra-regional node |
| 1 | Rectal | Rectal | ||||||||
| 1 | Gastric NEC | Stomach | ||||||||
| Hodolič et al | 23 | 5 | MGC | Midgut | TOC | 20* | 550–650 | 3–6 h | Identified 5/5 |
*Amount of peptide prepared 11/16 tumours located in pancreas on imaging |
| 4 | Insulinoma | Pancreas | Identified 2/4 | |||||||
| 3 | Gastrinoma | Pancreas | Identified 1/3 | |||||||
| 4 | NEC | Pancreas | Identified 3/4 | |||||||
| Hubalewska-Dydejczyk et al | 24 | 5 | Carcinoid | Not stated | TATE | 10 | 700 | 24 h | Not stated | |
| Hubalewska-Dydejczyk et al | 25 | 4 | Carcinoid | Midgut | TATE | 10 | 700 | 24 h | RGS: 3/3 tumours, 7/8 nodes, 1 FP SRS: 3/3 tumours, 3/8 nodes, 1FP | Peptide dose based on administration of half of 20 ug of peptide in kit |
| 5 | Pancreatic | Pancreas |
RGS: 5/5 tumours SRS: 5/5 tumours |
|||||||
| Fettich et al | 26 | 2 | Gastrinoma | Not Stated | TOC | 10 | 600 | 4 h | Identified all tumours with TBR of > 3 | |
| 1 | Insulinoma | Pancreas | ||||||||
| 1 | Carcinoid | Not stated |
MGC midgut carcinoma, NEC neuroendocrine carcinoma, TOC 99mTc.EDDA/HYNIC-TOC, TATE 99mTc.EDDA/HYNIC-octreotate, N/S not stated, RGS radioguided surgery, TP true positive, TN true negative, FP false positive, FN false negative