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[18F]mFBG PET-CT for detection and localisation of neuroblastoma: a prospective pilot study.


ABSTRACT:

Purpose

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.

Methods

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.

Results

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.

Conclusion

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.

Trial registration

Dutch Trial Register NL8152.

SUBMITTER: Samim A 

PROVIDER: S-EPMC9931849 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature

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Publications

[<sup>18</sup>F]mFBG PET-CT for detection and localisation of neuroblastoma: a prospective pilot study.

Samim Atia A   Blom Thomas T   Poot Alex J AJ   Windhorst Albert D AD   Fiocco Marta M   Tolboom Nelleke N   Braat Arthur J A T AJAT   Viol Sebastiaan L Meyer SLM   van Rooij Rob R   van Noesel Max M MM   Lam Marnix G E H MGEH   Tytgat Godelieve A M GAM   de Keizer Bart B  

European journal of nuclear medicine and molecular imaging 20221212 4


<h4>Purpose</h4>Meta-[<sup>18</sup>F]fluorobenzylguanidine ([<sup>18</sup>F]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 [<sup>18</sup>F]mFBG PET-CT for imaging in neuroblastoma.<h4>Methods</h4>In a prospective, single-centre study, we recruited children with neuroblastoma, referred for meta-[<sup>123</sup>I]iodobenzylguanidine ([<su  ...[more]

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