Diagnostic imaging of dopamine receptors in pituitary adenomas

Eur J Endocrinol. 2007 Apr:156 Suppl 1:S53-S56. doi: 10.1530/eje.1.02349.

Abstract

Dopamine D2 receptor scintigraphy of pituitary adenomas is feasible by single-photon emission computed tomography using (123)I-S-(-)-N-[(1-ethyl-2-pyrrolidinyl)methyl]-2-hydroxy-3-iodo-6-methoxybenzamide ((123)I-IBZM) and (123)I-epidepride. (123)I-epidepride is generally superior to (123)I-IBZM for the visualization of D2 receptors on pituitary macroadenomas. However, (123)I-IBZM and (123)I-epidepride scintigraphy are generally not useful to predict the response to dopaminergic treatment in pituitary tumour patients. These techniques might allow discrimination of non-functioning pituitary macroadenomas from other non-tumour pathologies in the sellar region. Dopamine D2 receptors on pituitary tumours can also be studied using positron emission tomography with (11)C-N-raclopride and (11)C-N-methylspiperone.

Publication types

  • Review

MeSH terms

  • Adenoma / diagnostic imaging*
  • Benzamides
  • Dopamine Antagonists
  • Humans
  • Pituitary Neoplasms / diagnostic imaging*
  • Positron-Emission Tomography
  • Pyrrolidines
  • Receptors, Dopamine D2*
  • Tomography, Emission-Computed, Single-Photon

Substances

  • Benzamides
  • Dopamine Antagonists
  • Pyrrolidines
  • Receptors, Dopamine D2
  • epidepride
  • 3-iodo-2-hydroxy-6-methoxy-N-((1-ethyl-2-pyrrolidinyl)methyl)benzamide