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111In-Octreotide Infusions for the Treatment of Colorectal Carcinoma

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Liver Intra-arterial PRRT with 111In-Octreotide

Abstract

In the last years, new systemic and locoregional therapeutic schemes have been developed for the management of liver secondaries due to neuroendocrine character tumors. Among the novel therapeutic procedures, intra-arterial infusions of high doses of 111In-Octreotide were leading to encouraging results covering the whole spectrum of liver metastases both in early and in advanced cases. The transhepatic radiopeptide infusions to confront liver metastases could be in fact an increasingly used form of “brachytherapy” which consists of the intra-arterially injection of octreotide tagged with 111In, a gamma, Auger, and internal conversion electron emitter with a 2.8-day half-life and an average 0.02–550μm tissue penetration, acting as a source of endovascular radiation purposes.

In this chapter, it is aimed to evaluate the efficiency of the outcome and toxicity of peptide-receptor-radionuclide therapy (PRRT) in patients with liver-metastasized neuroendocrine tumor positive for somatostatin receptors due to surgically excised colorectal carcinoma, using 111In-Octreotide, in high doses, discussing and analyzing the recent ergography developments on the field.

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Correspondence to Georgios S. Limouris .

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Limouris, G.S., Zafeirakis, A.G. (2021). 111In-Octreotide Infusions for the Treatment of Colorectal Carcinoma. In: Limouris, G.S. (eds) Liver Intra-arterial PRRT with 111In-Octreotide. Springer, Cham. https://doi.org/10.1007/978-3-030-70773-6_15

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  • DOI: https://doi.org/10.1007/978-3-030-70773-6_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-70772-9

  • Online ISBN: 978-3-030-70773-6

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