Diagnostic imaging in abdominal neuroblastoma: is there a complementary role of MIBGscintigraphy and ultrasonography ? Petjak, M.; Tiel-van Buul, M.M.C.; Staalman, C.R.; Greve, J.C.; de Kraker, J.; van Royen, E.A.
Published in: European Journal of Pediatrics Link to publicationCitation for published version (APA): Petjak, M., Tiel-van Buul, M. M. C., Staalman, C. R., Greve, J. C., de Kraker, J., & van Royen, E. A. (1997). Diagnostic imaging in abdominal neuroblastoma: is there a complementary role of MIBG-scintigraphy and ultrasonography ? European Journal of Pediatrics, 156, 610-615.
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Disclaimer/Complaints regulationsIf you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Please Ask the Library: http://uba.uva.nl/en/contact, or a letter to: Library of the University of Amsterdam, Secretariat, Singel 425, 1012 WP Amsterdam, The Netherlands. You will be contacted as soon as possible. Abstract In a retrospective study we evaluated the agreement between the results of meta-iodo benzylguanidine (MIBG) scintigraphy and abdominal ultrasonography (US) in the diagnosis and follow up of neuroblastoma (NBL) with respect to the abdominal region. Data of 28 consecutive paediatric patients with NBL or suspected NBL were included (16 M/12 F, mean age 2.9 years, range 3 weeks ± 13.4 years). The results (as judged by the nuclear physician or radiologist, respectively) of 60 MIBG examinations ( 123 I and 131 I, including 26 single photon emission computed tomography (SPECT)) and US, respectively, performed within a period of 14 days, could be evaluated. Full agreement was reached in 37 comparisons (62%), while partial and no agreement was found in 17 (28%), and 6 (10%) comparisons, respectively. In 8 out of 37 comparisons with full agreement, 12 diagnosed lesions were histopathologically proven, while 11 comparisons with negative ®ndings were also negative in other clinical modalities. US diagnosed correctly in 68% of the histopathological proven lesions, while this was 54% for MIBG scintigraphy. In approximately 50% of the MIBG scans in which SPECT was available, SPECT provided signi®cant additional information.Conclusion Congruent results of MIBG scintigraphy and ultrasonography in the detection of abdominal lesions in patients with suspected neuroblastoma indicate a high reliability in the diagnosis and localisation. Due to the favourable results of additional SPECT, it is advisable to perform SPECT routinely in this diagnosis.Abbreviations NBL neuroblastoma á MIBG metaiodobenzylguanidine á SPECT single photon emission computed...