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111In OctreoScan SPECT-MRI Fusion for the Detection of a Pancreatic Insulinoma.
MedLine Citation:
PMID:  22310271     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A 72-year-old woman with a history of diabetes mellitus presented with severe episodes of hypoglycemia, associated with diaphoresis and somnolence, for 1 year. Workup revealed high insulin and c-peptide. Given the clinical suspicion of an insulinoma, an MRI was performed, which demonstrated abnormal enhancement in the pancreatic head. An octreotide scan with combined single-photon emission computed tomography-computed tomography was performed and fused to the MR, which identified radiotracer uptake at the site of the MR enhancement, enabling precise localization of a pancreatic somatostatin receptor-avid tumor. The patient underwent tumor enucleation with pancreatojejunostomy, and pathologic tests confirmed an insulinoma.
Authors:
Valeria M Moncayo; Diego R Martin; Juan M Sarmiento; Blazej Zbytek; Tim Fox; David M Schuster
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical nuclear medicine     Volume:  37     ISSN:  1536-0229     ISO Abbreviation:  Clin Nucl Med     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-02-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7611109     Medline TA:  Clin Nucl Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e53-6     Citation Subset:  IM    
Affiliation:
From the *Department of Radiology and Imaging Sciences, †Division of Nuclear Medicine, and Departments of ‡Surgery, §Pathology and Laboratory Medicine, and Radiation Oncology, Emory University School of Medicine, Atlanta, GA.
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