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Research ArticleBrief Communication

68Ga-DOTATATE PET/CT for Neuroblastoma Staging: Utility for Clinical Use

Ata Ur Rehman Maaz, Jim O’Doherty and Mehdi Djekidel
Journal of Nuclear Medicine Technology September 2021, 49 (3) 265-268; DOI: https://doi.org/10.2967/jnmt.120.258939
Ata Ur Rehman Maaz
1Division of Hematology Oncology, Department of Pediatrics, Sidra Medicine, Doha, Qatar;
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Jim O’Doherty
2Siemens Healthineers, Charleston, South Carolina; and
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Mehdi Djekidel
3Division of Nuclear Medicine and Molecular Imaging, Department of Diagnostic Imaging, Sidra Medicine, Doha, Qatar
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  • FIGURE 1.
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    FIGURE 1.

    Increased uptake in left-sided paravertebral mass and invading the spinal canal and adjacent vertebral body of T3 (blue arrows).

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    FIGURE 2.

    Uptake in left suprarenal mass, with areas of necrosis (blue arrows) and evidence of skeletal metastasis (white arrows) and bone marrow infiltration.

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    FIGURE 3.

    Heterogeneous uptake in lobulated right suprarenal mass (blue arrows), with diffuse skeletal metastasis, including in skull and pelvis (white arrows), and diffuse bone marrow infiltration.

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    FIGURE 4.

    Summary of PET images for patients 1–3.

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    TABLE 1

    Patient Characteristics

    CharacteristicPatient 1Patient 2Patient 3
    Age23 mo6 y3.5 y
    SexMaleFemaleFemale
    Clinical presentationAtaxia, irritability, progressing to paraparesisLimp, discomfort on left side of abdomenBody pain, swelling of left eye, weight loss, cachexia
    HistopathologyPoorly differentiated neuroblastomaPoorly differentiated neuroblastomaNot done
    CytogeneticsNot done
     N-MycNot amplifiedNot amplified
     SCA (1p−, 11q+, any other, LOH)Not seen1q+, 11q−, 17q+, X−, no LOH
     AlkNo rearrangementNo rearrangement
     NCANot seenNot seen
    Bone marrowNo evidence of infiltrationInfiltrated by nonhematopoietic tumor, neuroblastomaInfiltrated by nonhematopoietic tumor, neuroblastoma
    Urinary catecholamines
     VMA/creatinine ratio14.1 (0–6.3)90.7 (0–4.7)209.8 (0–6.3)
     HVA/creatinine ratio9.9 (0–13.6)95.6 (0–9.4)191.0 (0–13.6)
    • SCA = segmental chromosomal abnormalities; LOH = loss of heterozygosity; NCA = numerical chromosomal abnormalities; 1p− = 1 p deletion; 11q− = 11q deletion; 17q+ = gain of 17q; X− = deletion of X-chromosome; N-Myc = N-Myc oncogene; Alk = anaplastic lymphoma kinase; VMA = vanillylmandelic acid; HVA = homovanillic acid.

    • Data in parentheses represent reference range.

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Journal of Nuclear Medicine Technology: 49 (3)
Journal of Nuclear Medicine Technology
Vol. 49, Issue 3
September 1, 2021
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68Ga-DOTATATE PET/CT for Neuroblastoma Staging: Utility for Clinical Use
Ata Ur Rehman Maaz, Jim O’Doherty, Mehdi Djekidel
Journal of Nuclear Medicine Technology Sep 2021, 49 (3) 265-268; DOI: 10.2967/jnmt.120.258939

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68Ga-DOTATATE PET/CT for Neuroblastoma Staging: Utility for Clinical Use
Ata Ur Rehman Maaz, Jim O’Doherty, Mehdi Djekidel
Journal of Nuclear Medicine Technology Sep 2021, 49 (3) 265-268; DOI: 10.2967/jnmt.120.258939
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Cited By...

  • 68Ga-DOTATATE PET in Restaging and Response to Therapy in Neuroblastoma: A Case Series and a Mini Review
  • 68Ga-DOTATATE PET in Restaging and Response to Therapy in Neuroblastoma: A Case Series and a Mini Review
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Keywords

  • neuroblastoma imaging
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