Tumor burden at 18 F-DOPA PET/CT and ctDNA in medullary thyroid cancer (EANM 2026) - Sep 29, 2026 - Abstract #OP-829; Pres time: Oct 21, 2026; 08:00 AM - 09:30 AM; Location: Hall F2; "Fourteen (70%) received first-line TKI (vandetanib n=9, selpercatinib n=3, pralsetinib n=2). These preliminary data suggest that ctDNA TF reflects the volumetric tumour burden assessed by 18F-DOPA PET/CT in MTC, with the strongest association for MTV and TLA, consistent with ctDNA shedding driven by tumour bulk rather than intensity. All High ctDNA-TF patients showed PET-positive disease, while PETnegativity or only lymph node disease was seen in the Low ctDNA-TF group, supporting a complementary role of LB and functional imaging in MTC assessment." Circulating tumor DNA • Tumor mutational burden • Neuroendocrine Tumor • Oncology • Solid Tumor • Thyroid Gland Carcinoma • Thyroid Gland Medullary Carcinoma • TMB
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C. Nappi 1, 2; M. Borsali 1; H. Noamen 1; M. Longo 1; S. Moog 1; I. Pinigina 1; Y. Menu 1; A. Italiano 1; B. Bonnet 1; E. Baduin 1; D. Hartl 1; I. Breuskin 1; L. Lamartina 1; J. Hadoux 1; D. Deandreis 1
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