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Comparison of the detecting capability between 123I-mIBG and post-therapeutic 131I-mIBG scintigraphy for curie scoring in patients with neuroblastoma after chemotherapy

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Abstract

Objective

To evaluate the detecting capability between planar imaging (PI) and PI combined with single-photon emission computed tomography/computed tomography (PICWS), including 123I- and 131I-labeled metaiodobenzylguanidine (mIBG) and to compare the detecting capability between 123I-mIBG and post-therapeutic 131I-mIBG scintigraphy including PI and PICWS for Curie scoring in patients with neuroblastoma.

Methods

Sixty-two patients with 66 pairs of complete images with neuroblastoma were enrolled in this retrospective study.

Results

Comparing the Curie scoring between 123I-mIBG PI and PICWS and between post-therapeutic 131I-mIBG PI and PICWS, findings were concordantly negative in 28.79% and 18.18% of studies, concordantly positive in 66.67% and 74.24% of studies, and discordant in 4.54% and 7.58% of studies, respectively. PICWS was superior to PI including 123I- and 131I-mIBG in the evaluation of Curie scoring for neuroblastoma patients (both P < 0.001). Comparing the Curie scores between 123I- and post-therapeutic 131I-mIBG PI and between 123I- and post-therapeutic 131I-mIBG PICWS, concordantly negative imaging was visualized in 22.73% and 19.70% of studies, concordantly positive imaging in 66.67% and 69.70% of studies, and discordant imaging in 10.60% and 10.60% of studies, respectively. Post-therapeutic 131I-mIBG was significantly better than that of 123I-mIBG scintigraphy including PI and PICWS in detecting the Curie scoring for neuroblastoma patients (both P < 0.001).

Conclusion

The present study demonstrates that 131I- or 123I-mIBG PICWS are more helpful in the evaluation of Curie scores than that of conventional PI and that post-therapeutic 131I-mIBG is superior to 123I-mIBG scintigraphy for the detecting capability of Curie scoring in patients with neuroblastoma.

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Authors and Affiliations

Authors

Contributions

DK and SK designed the present study. ZLQ and SS conducted the statistical analysis. ZLQ and SS collected the clinical data. ZLQ wrote the whole paper. ZLQ, DK, and HW supervised and edited the paper. All authors read and approved the final paper.

Corresponding author

Correspondence to Daiki Kayano.

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The authors declare that they have no conflict of interest.

Ethical approval

The study protocol was approved by the Ethics Committee of the Kanazawa University Hospital.

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Qiu, ZL., Saito, S., Kayano, D. et al. Comparison of the detecting capability between 123I-mIBG and post-therapeutic 131I-mIBG scintigraphy for curie scoring in patients with neuroblastoma after chemotherapy. Ann Nucl Med 35, 649–661 (2021). https://doi.org/10.1007/s12149-020-01569-1

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  • DOI: https://doi.org/10.1007/s12149-020-01569-1

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