Abstract
The results of MRI and MIBG scintigraphy performed on the spine of 14 children with neuroblastoma are reported. In 6 cases of diffuse spinal bone marrow tumor infiltration, diagnosis is easier with MIBG scintigraphy than with MRI. In 5 cases, MRI detected hyposignal of the vertebral body without any spinal abnormality on MIBG scintigraphy. A discussion of the reasons for negative MIBG scintigraphy is presented and in these 5 cases, it is suggested that a lateral view of MIBG scintigraphy and HMDP-Tc99m scintigraphy may be performed, even vertebral body biopsy in order to assess bone marrow tumoral infiltration.
Similar content being viewed by others
References
Stark DD, Moss, AA, Brasch RC, de Lorimier AA, Albin AR, London DA, Gooding CA (1983) Neuroblastoma: diagnostic imaging and staging. Radiology 148:101–105
Sadawa T, Kidowaki T, Sakamoto, I, Hashida T, Matsmura T, Nakagawa M, Kusunoki T (1984) Neuroblastoma mass screening for early detection and its prognosis. Cancer 53:2731–2735
Treuner J, Feine U, Niethammer D, Müller-Schaumberg W, Meinke J, Eibach E, Dopfer E, Klingebiel Th, Grumbach St (1984) Scintigraphic imaging of neuroblastoma with 131-iodobenzylguanidine. Lancet 11:334
Kimming B, Brandeis WE, Eisenhut M, Bubeck B, Hermann HJ, zum Winkel K (1984) Scintigraphy of a neuroblastoma with I-131 meta-iodobenzylguanidine. J Nucl Med 25:773–775
Chatal JF, Coornaert S, Rialland X, Chetaneau A, Peltier P, Charbonnel B (1984) Diagnostic scintigraphique des neuroblastomes par la 123-I-meta-iodobenzylguanidine. J Biophys Med Nucl 8:156–157
Couanet D, Geoffray A, Hartmann O, Leclere JG, Lumbroso JD (1988) Bone marrow metastases in children's neuroblastoma studied by magnetic resonance imaging. Advances in neuroblastoma research 2, Liss, New York, pp 547–555
Sisson JC, Frager MS, Valk TW, Gross MD, Swanson DP, Wieland DM, Tobes MC, Beierwaltes WH, Thompson NW (1981) Scintigraphic localisation of pheochromocytoma. N Engl J Med 305:12–17
Jaques S, Tobes MC, Sisson JC, Baker JA (1983) Mechanisms of uptake and retention of meta-iodobenzyl-guanidine (MIBG) in the adrenal medula. J Nucl Med 24:117
Lumbroso JD, Guermazi F, Hartmann O, Coornaert S, Rabison Y, Leclere JG, Couanet D, Bayle C, Caillaud JM, Lemerle J, Parmentier C (1988) Meta-iodobenzylguanidine (MIBG) scans in neuroblastoma: sensitivity and specificity, a review of 115 scans. Advances in neuroblastoma research 2. Liss, New York, pp 689–705
Khafagi FA, Shapiro B, Fig LM, Mallette S, Sisson JC (1989) Labetalol reduce iodine-131 MIBG uptake by pheochromocytoma and normal tissues. J Nucl Med 30:481–489
Bruchelt G, Buck J, Treuner J, Niethammer D (1984) Uptake, storage and toxic effects of labelled mJ-125 benzylguanidine (MIBG) and mJ-131 benzylguanidine, SIOP XVI Annual Congress, Barcelona, 6
Moore SG, Sebag GH (1990) Primary disorders of bone marrow. In: Cohen MD, Edwards MK (eds) Magnetic resonance imaging of children. Decker, Philadelphia, pp 765–824
Cohen MD, Klatte EC, Baehner R, Smith JA, Martin-Simmerman P, Carr BE, Provisor AJ, Weetman RM, Coates T, Siddiqui A, Weisman SJ, Berkow R, McKenna S, McGuire WA (1984) Magnetic resonance imaging of bone marrow disease in children. Radiology 151:715–718
Ricci C, Cova M, Kang YS, Yang A, Rahmouni A, Scott WW, Zerhouni EA (1990) Normal age-related patterns of cellular and fatty bone marrow distribution in the axial skeleton: MR imaging study. Radiology 177:83–88
Sebag G, Tabet M, Dubois J, Brunelle F, Lallemand D (1991) Spinal bone marrow in children: assessement of normal age-related changes in MR appearance. International Pediatric Radiology, Stockholm, May 27–31
Smith SR, Williams CE, Davies JM, Edwards RH (1989) Bone marrow disorders: characterization with quantitative MR imaging. Radiology 172:805–810
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Najean, B.B., Siles, S., Panuel, M. et al. Value of MRI and MIBG-I123 scintigraphy in the diagnosis of spinal bone marrow involvement in, neuroblastoma in children. Pediatr Radiol 22, 443–446 (1992). https://doi.org/10.1007/BF02013507
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02013507