A study shows Gallium-68 DOTATATE PET has high specificity but low sensitivity in identifying lymph node metastases in pancreatic neuroendocrine tumors, affecting surgical decisions.

• Detected suspicious lymph nodes in 24% of cases; pathology confirmed involvement in 42%.
• Sensitivity was 46%, specificity 92%, with a positive predictive value of 81%.

Consider it for preoperative evaluations, especially for small tumors, keeping in mind its limitations.

• Higher Krenning scores and larger lymph nodes correlate with true-positive results.