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SPECT/CT in Pediatric Oncology

  • Helen Nadel
  • Lorenzo BiassoniEmail author
Chapter
Part of the Pediatric Oncology book series (PEDIATRICO)

Abstract

SPECT/CT hybrid technology is an important addition to the management of children with a diagnosis of cancer. This technique can reduce the number of equivocal studies, the need for further diagnostic tests, and the number of hospital visits. The study requires a tailored approach to determine the correct indication at time of study request and then optimize the protocol and study performance at the time of the scan acquisition for both the SPECT and CT portions of the study. Both of these hybrid techniques should be tailored to the specific clinical question at hand. This may include multiple SPECT acquisitions, optimized CT with dose modulation and appropriate kVp selection, as well as determining the necessity of intravenous contrast enhancement.

In pediatric oncology, one of the main uses of SPECT/CT is for 123I-mIBG scintigraphy in patients with neuroblastoma and for imaging of children with thyroid cancer. The added value of the co-registered optimized SPECT/CT can provide increased sensitivity for lesion detection and improved localization of lesions and help to identify benign physiologic activity and detect incidental potentially significant findings.

Continued advancements in detector technology and computer software display programs are likely to further enhance the utility of this technique.

Keywords

Radionuclide imaging SPECT/CT Neuroblastoma Thyroid cancer Pediatric oncology Meta-iodobenzylguanidine 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Radiology, Lucile Packard Children’s Hospital at StanfordStanford University School of MedicineStanfordUSA
  2. 2.Department of RadiologyGreat Ormond Street Hospital NHS Foundation TrustLondonUK

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