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Thallium-201 scintigraphy of neuroblastoma: Different results for primary tumors and skeletal lesions

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Abstract

Thallium-201 scintigraphy was performed in 8 children with neuroblastoma, and uptake by the tumors was evaluated in comparison with the results of123I-MIBG scintigraphy. No primary tumors or metastatic lymph nodes showed201Tl accumulation, but in 4 cases of bone marrow metastases accompanied by focal cortical invasion, the metastatic lesion was demonstrated more clearly on the early image than on the delayed image. In another case of bone metastases infiltrating cortical bone revealed by123I-MIBG scintigraphy and biopsy before treatment,201Tl scintigraphy performed after chemotherapy showed abnormal accumulation in the tibia, but the second123I-MIBG scintigraphy performed 1 week after the201Tl scintigraphy showed no abnormal uptake.201Tl does not appear to have good affinity for neuroblastoma, but it accumulates in metastatic skeletal lesions. A reactive hypermetabolic bone marrow, and/or inflammatory process and periosteal reaction due to the presence of metastatic foci may have induced the201Tl accumulation. It seems that201Tl is not useful for the diagnosis. Nevertheless, the discordance between201Tl uptake in primary tumors and skeletal lesions allows speculation on the mechanism of201Tl accumulation in skeletons.

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Authors and Affiliations

  1. Department of Radiology, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, 602-8566, Kyoto, Japan

    Chio Okuyama, Yo Ushuima, Tomoki Nakamura, Masayuki Kikkawa & Tsunchiko Nishimura

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  1. Chio Okuyama
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  2. Yo Ushuima
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  3. Tomoki Nakamura
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  4. Masayuki Kikkawa
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  5. Tsunchiko Nishimura
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Correspondence to Chio Okuyama.

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Okuyama, C., Ushuima, Y., Nakamura, T. et al. Thallium-201 scintigraphy of neuroblastoma: Different results for primary tumors and skeletal lesions. Ann Nucl Med 15, 171–177 (2001). https://doi.org/10.1007/BF02988612

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  • DOI: https://doi.org/10.1007/BF02988612

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