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| Name | Class |
|---|---|
| Tan Tock Seng Hospital | OTHER |
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Imaging using 68Ga-DOTANOC PET (positron emission tomography) has the potential to detect granulomas in pulmonary tuberculosis, leading to previously unexplored indications for this PET tracer, including identification of subclinical disease in latently infected individuals. This study aims to assess the ability of 68Ga-DOTANOC PET/MRI to detect pulmonary lesions in individuals with active pulmonary tuberculosis.
Granulomas, the hallmark of tuberculosis (TB) infection, have an increased density of somatostatin receptors. Somatostatin analog PET tracers, such as 68Ga-DOTANOC, may be able to identify these pulmonary granulomas. Although currently used for other medical indications, 68Ga-DOTANOC PET scanning has not previously been used to detect TB lesions.
This is a pilot study which aims to assess the ability of 68Ga-DOTANOC PET/MRI to detect pulmonary lesions in individuals with active pulmonary tuberculosis. The 68Ga-DOTANOC PET scan and 'standard' 18F-fludeoxyglucose (FDG) PET scan will be compared to enable analysis of differences in uptake between these tracers in terms of number, size and distribution of lesions.
Demonstrating the clinical utility of 68Ga-DOTANOC in active pulmonary TB is necessary prior to using this PET tracer to further explore other potential uses in TB such as identifying individuals with latent TB who are at risk of progressing to active TB, measuring therapeutic response to TB treatment and identifying extrapulmonary lesions.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 68Ga-DOTANOC PET/MRI | Experimental | Comparison between 68Ga-DOTANOC PET/MRI and 18F-FDG PET/MRI scans |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 68Ga-DOTANOC PET/MRI | Other |
| ||
| 18F-FDG PET/MRI |
| Measure | Description | Time Frame |
|---|---|---|
| Standard uptake value (SUV) of 68Ga-DOTANOC in pulmonary TB lesions using PET/MRI | Within 28 days of commencing TB treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Comparison of uptake of 68Ga-DOTANOC with that of 18F-FDG in pulmonary TB. | Different uptake values between and within the pulmonary lesions will be measured and compared between the 2 tracers. | Within 28 days of commencing TB treatment |
| Establishment of optimal timing for a 68Ga-DOTANOC PET scan to evaluate TB lung pathology |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Claire Naftalin | Contact | (65) 6601 5373 | claire_naftalin@nuhs.edu.sg |
| Name | Affiliation | Role |
|---|---|---|
| Nicholas Paton | National University Hospital, Singapore | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National University Hospital | Recruiting | Singapore | Singapore |
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| ID | Term |
|---|---|
| D014376 | Tuberculosis |
| ID | Term |
|---|---|
| D009164 | Mycobacterium Infections |
| D000193 | Actinomycetales Infections |
| D016908 | Gram-Positive Bacterial Infections |
| D001424 | Bacterial Infections |
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The net tracer uptake rate for 68Ga-DOTANOC (Ki) will be derived from kinetic analysis in combination with dynamic imaging and the relationship between SUV and Ki. |
| Over 90 minutes from injection of tracer |
| Tan Tock Seng Hospital | Recruiting | Singapore | Singapore |
|
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |