![]() Patients with NET’s are excited to have another weapon in their cancer-fighting arsenal that equates to precision and peace of mind.įor more information about NETSPOT, call 70.The results of the phase III NETTER-1 trial, recently published in The New England Journal of Medicine, 1 have been met with great interest by clinicians who treat neuroendocrine tumors. A new radioisotope therapy drug called lutetium Lu 177 dotatate, commercially knowns as LUTATHERA®, has just been approved by the FDA. There has never been a more accurate mode for pinpointing NETs until NETSPOT.Īt Comprehensive and throughout Nevada, the patient-base for neuroendocrine tumors is requesting NETSPOT more and more. With NETSPOT, the imaging has led to increased clarity in terms of the specific tumors being treated, resulting in a change of treatment in 35 to 71 percent of cases. The challenge has been improving the screening and imaging process, which pinpoints the presence of disease beyond the original tumor. Radiopharmaceuticals, such as NETSPOT, have shown impressive impact on survival in various studies. Studies have shown that the NETSPOT imaging ultimately resulted in refined and improved treatment regimens.Ĭurrently, treatment is used to slow the growth of NETs and decrease the secretory properties of such diseases. With the gallium 68 mimicking a low dosage of somatostatin, the risks are minimal to zero. There are no serious side effects related to NETSPOT because the body creates a certain level of somatostatin already. NETSPOT provides a much clearer image and, compared to octreotide scans, is cheaper for most patients. The only tool used for identifying such tumors prior to NETSPOT was an octreotide scan, which is similar but uses a gamma camera for imaging instead of a PET. This means that everyone involved –the pharmacy attaching the dotatate molecule, the PET department and the patient – must be incredibly efficient and implement the gallium 68 essentially within minutes of the ordered time. Once the generator produces the gallium 68, it has a 68-minute half-life. As the FDA approved NETSPOT, select sites throughout the country were approved to have germanium 68/gallium 68 generators on-site, including Cardinal Health Pharmacy in Las Vegas. Gallium 68 is produced by germanium 68 / gallium 68 generators, which are approximately about the size of a large trashcan. From there, the dotatate can tell us the number of tumors, the size and where they might have metastasized. When the gallium 68 dotatate is injected in the body, it mimics somatostatin and travels to the tumors which are covered in somatostatin receptors. NETs are covered with somatostatin receptors, overproducing them compared to the rest of the body. Somatostatin is a hormone used for regulating the endocrine system, produced in the pancreas and the brain, among other locales. The cells are most commonly found in the intestines, stomach, lungs and pancreas, though they may be found in other areas of the body. Tumors that are pinpointed may be cancerous and develop in the hormone-producing cells of the body’s neuroendocrine system. This happens via the positron emission of a gallium 68 dotatate injection, an active agent for positron emission tomography (PET) imaging. NETSPOT is a radioactive probe that helps track down and pinpoint NETs. The Food and Drug Administration approved NETSPOT in June 2016 and it was first utilized at Comprehensive Cancer Centers of Nevada in August 2017. ![]() Among the latest in imaging technology that is shaping the way cancer is treated is NETSPOT. Physicians and researchers are always looking for ways to identify harmful tumors early and new technology to treat them. This number is rising with the enhancement of screening and imaging technology. ![]() ![]() Nearly 22,000 Americans are diagnosed with neuroendocrine tumors each year. Patients with NET’s live for many years, but require numerous treatments that don’t always respond well to chemotherapy and radiation. NETs develop in the gastrointestinal tract and pancreas and are unique because of their slow growing nature. More than 180,000 patients live with advanced stage neuroendocrine tumors (NETs). Summerlin Medical Center I – Town Center.Shannon Southwick, MSN, APRN, FNP-BC, AOCNP.Yashmine Ballesteros, MSN, APRN, FNP-BC, AOCNP. ![]()
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