Sentinel lymph node detection in thyroid carcinoma using 68Ga-tilmanocept PET/CT: a proof-of-concept study protocol

Lisa H de Vries, Lutske Lodewijk, Bart de Keizer, Inne Hm Borel Rinkes, Menno R Vriens*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

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Abstract

Sentinel lymph node biopsy (SLNB) is a diagnostic staging procedure. The procedure aims to identify the first draining lymph node(s), which are most likely to contain metastases. SLNB is applied in various cancers, but not currently in thyroid carcinoma. However, treatment strategies are changing, making SLNB clinically relevant. SLNB may lead to more accurate staging, prevent unnecessary treatment and help achieve earlier curation. 68Ga-tilmanocept PET/computed tomography (CT) can better localize sentinel lymph nodes (SLNs) near the primary tumor than planar scintigraphy and single-photon emission computed tomography (SPECT)/CT. This paper describes the rationale and design of a study investigating SLNB using 68Ga-tilmanocept PET/CT and indocyanine-green- 99mTc-nanocolloid in ten differentiated and medullary thyroid carcinoma patients. Localization and number of SLNs, pathology result, optimal scan protocol, surgical time and surgeon's experience are examined. Clinical Trial Registration: 2021-002470-42 (EudraCT).

Original languageEnglish
Pages (from-to)3493-3499
Number of pages7
JournalFuture Oncology
Volume18
Issue number31
Early online date7 Sept 2022
DOIs
Publication statusPublished - 1 Oct 2022

Keywords

  • Ga-tilmanocept PET/CT
  • ICG- Tc-nanocolloid
  • sentinel lymph node
  • thyroid carcinoma

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