Total-body scintigraphy with 131I-meta-iodobenzylguanidine for detection of neuroblastoma.

C A Hoefnagel, P A Voûte, J de Kraker, H R Marcuse
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Abstract

Total-body scintigraphy with 131I-meta-iodobenzylguanidine (131I-MIBG) was performed in 20 patients with neuroblastoma. In patients who were in complete remission no pathological concentration of 131I-MIBG was found. In 16 patients with residual, recurrent or metastatic neuroblastoma the tumor localizations were correctly identified by 131I-MIBG-scintigraphy In 5 patients additional tumor sites were found. In most patients an inverse relationship between myocardial and tumoral concentration of 131I-MIBG was noted. Dosimetric assessment of 131I-MIBG uptake in patients with metastatic disease revealed cases with considerable tracer concentration and long effective half lives in tumor localizations. It is concluded that 131I-MIBG total-body scintigraphy is useful in the diagnosis and follow-up of neuroblastoma and that therapeutic use of this agent is feasible, if patients are selected upon the merits of dosimetry.

131i -间碘苄基胍全身显像检测神经母细胞瘤。
对20例神经母细胞瘤患者行131i -间碘苄基胍(131I-MIBG)全身显像。在完全缓解的患者中未发现131I-MIBG的病理浓度。在16例残余、复发或转移性神经母细胞瘤患者中,131i - mibg -闪烁显像正确识别肿瘤定位,5例患者发现其他肿瘤部位。在大多数患者中,心肌与肿瘤浓度呈负相关。转移性疾病患者131I-MIBG摄取的剂量学评估显示,在肿瘤定位中,示踪剂浓度相当高,有效半衰期较长。综上所述,131I-MIBG全身显像在神经母细胞瘤的诊断和随访中是有用的,如果根据剂量学的优点选择患者,该药物的治疗使用是可行的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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