[(18)F]mFBG PET-CT for detection and localisation of neuroblastoma: a prospective pilot study.
[(18)F]mFBG PET-CT for detection and localisation of neuroblastoma: a prospective pilot study.
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DOI:
10.1007/s00259-022-06063-6
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发表时间:
2023-03
影响因子:
9.1
通讯作者:
de Keizer, Bart
中科院分区:
文献类型:
--
作者:
Samim, Atia;Blom, Thomas;Poot, Alex J. J.;Windhorst, Albert D. D.;Fiocco, Marta;Tolboom, Nelleke;Braat, Arthur J. A. T.;Viol, Sebastiaan L. Meyer;van Rooij, Rob;van Noesel, Max M. M.;Lam, Marnix G. E. H.;Tytgat, Godelieve A. M.;de Keizer, Bart
Meta-[18F]fluorobenzylguanidine ([18F]mFBG) is a positron emission tomography (PET) radiotracer that allows for fast and high-resolution imaging of tumours expressing the norepinephrine transporter. This pilot study investigates the feasibility of [18F]mFBG PET-CT for imaging in neuroblastoma. In a prospective, single-centre study, we recruited children with neuroblastoma, referred for meta-[123I]iodobenzylguanidine ([123I]mIBG) scanning, consisting of total body planar scintigraphy in combination with single-photon emission computed tomography-CT (SPECT-CT). Within two weeks of [123I]mIBG scanning, total body PET-CTs were performed at 1 h and 2 h after injection of [18F]mFBG (2 MBq/kg). Detected tumour localisations on scan pairs were compared. Soft tissue disease was quantified by number of lesions and skeletal disease by SIOPEN score. Twenty paired [123I]mIBG and [18F]mFBG scans were performed in 14 patients (median age 4.9 years, n = 13 stage 4 disease and n = 1 stage 4S). [18F]mFBG injection was well tolerated and no related adverse events occurred in any of the patients. Mean scan time for [18F]mFBG PET-CT (9.0 min, SD 1.9) was significantly shorter than for [123I]mIBG scanning (84.5 min, SD 10.5), p < 0.01. Most tumour localisations were detected on the 1 h versus 2 h post-injection [18F]mFBG PET-CT. Compared to [123I]mIBG scanning, [18F]mFBG PET-CT detected a higher, equal, and lower number of soft tissue lesions in 40%, 55%, and 5% of scan pairs, respectively, and a higher, equal, and lower SIOPEN score in 55%, 30%, and 15% of scan pairs, respectively. On average, two more soft tissue lesions and a 6-point higher SIOPEN score were detected per patient on [18F]mFBG PET-CT compared to [123I]mIBG scanning. Results of this study demonstrate feasibility of [18F]mFBG PET-CT for neuroblastoma imaging. More neuroblastoma localisations were detected on [18F]mFBG PET-CT compared to [123I]mIBG scanning. [18F]mFBG PET-CT shows promise for future staging and response assessment in neuroblastoma. Dutch Trial Register NL8152. The online version contains supplementary material available at 10.1007/s00259-022-06063-6.
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影响因子:
8.4
作者:
Rotstein BH;Wang L;Liu RY;Patteson J;Kwan EE;Vasdev N;Liang SH
通讯作者:
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VOUTE, PA
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