Octreotide scintigraphy

Last revised by Yahya Baba on 1 Sep 2023

Octreotide scintigraphy uses 111In-labelled octreotide, which is a somatostatin analogue; it is also known as Octreoscan, a brand name for 111In-labelled pentetreotide. Pentetreotide is a DTPA-conjugated form of octreotide, originally manufactured by Mallinckrodt Nuclear Medicine LLC, which now forms part of Curium. 

The radiotracer is characterised by a high affinity of bond with the somatostatin receptor 2 (SST2). It penetrates inside the cell by endocytosis, first held by lysosomes and then transferred to the nucleus 4,5.

It is particularly useful for the assessment of neuroendocrine tumours, and the Krenning Score is used to grade these, most commonly for peptide receptor radionuclide therapy (PRRT) planning. 

Examples include:

Certain non-neuroendocrine tumours can also show uptake in an Octreoscan. Examples include:

Also, certain autoimmune or granulomatous diseases (for example sarcoidosis) may occasionally show octreotide uptake by overexpression of somatostatin receptors 6-8.

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