RT Journal Article SR Electronic T1 Nuclear Imaging in Metastatic Paraganglioma JF Journal of Nuclear Medicine Technology JO J. Nucl. Med. Technol. FD Society of Nuclear Medicine SP 251 OP 252 DO 10.2967/jnmt.116.180067 VO 44 IS 4 A1 Rohit Kedia A1 Neil Hansen A1 Whitney Goldner YR 2016 UL http://tech.snmjournals.org/content/44/4/251.abstract AB Paragangliomas associated with mutations of the SDHD gene can occasionally result in distant metastasis. Diagnosis can be difficult, and nuclear imaging is used to evaluate the case further. Not all tumors are alike; nuclear avidity may differ. We present a case in which metastatic paraganglioma caused by mutations of the SDHD gene was negative on 123I-metaiodobenzylguanidine scintigraphy and positive on 111In-labeled octreotide scintigraphy. This situation presents an opportunity for a novel therapeutic approach toward metastatic paraganglioma using targeted peptide receptor radionuclide therapy.