Skip to main content
. 2021 Sep 10;25(12):3244–3257. doi: 10.1007/s11605-021-05115-w

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