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World J Radiol. May 28, 2026; 18(5): 120146
Published online May 28, 2026. doi: 10.4329/wjr.v18.i5.120146
Figure 2
Figure 2 Biology-guided imaging algorithm for positron emission tomography tracer selection in patients with biochemical recurrence of medullary thyroid carcinoma. The algorithm integrates calcitonin doubling time and clinical context to guide first-line tracer choice among 18F-fluorodihydroxyphenylalanine, 18F-fluorodeoxyglucose, and Gallium-68-labelled somatostatin receptor positron emission tomography/computed tomography. MTC: Medullary thyroid carcinoma; DT: Doubling time; Ctn: Calcitonin; CEA: Carcinoembryonic antigen; 18F-FDOPA: 18F-fluorodihydroxyphenylalanine; PET/CT: Positron emission tomography/computed tomography; 18F-FDG: 18F-fluorodeoxyglucose; 68Ga-SSTR: Gallium-68-labelled somatostatin receptor; FDOPA: Fluorodihydroxyphenylalanine; SSTR: Somatostatin receptor; PRRT: Peptide receptor radionuclide therapy; TKIs: Tyrosine kinase inhibitors.


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