Exendin-4-based imaging in insulinoma localization: Systematic review and meta-analysis.
Ravikumar ShahRobin GargMonil MajmundarNilendu PurandareGaurav MalhotraVirendra PatilSwati S JadhavAnurag Ranjan LilaNalini ShahTushar R BandgarPublished in: Clinical endocrinology (2021)
For insulinoma localization, exendin-4 PET/CT should be preferred over exendin-4 SPECT/CT because of higher sensitivity and specificity. FP uptakes in Brunner's gland, normal pancreas, and other β-cell pathologies and FN results in tail lesions, and malignant insulinomas are limitations. Higher specificity for insulinoma localization is particularly useful in patients with MEN-1 syndrome.