Table 2.
Imaging method | Nonmetastatic primary PPGL |
Metastases |
Primary head and neck PGL |
|||
No. positive/No. of tumors | % (95% CI) | No. positive /No. of tumor regions | % (95% CI) | No. positive/No. of tumors | % (95% CI) | |
18F-FDG PET† | 53/69 | 76.8 (66.6 to 87.0) | 170/206 | 82.5 (77.3 to 87.8) | 18/26 | 69.2 (50.2 to 88.2) |
123I-MIBG SPECT‡ | 48/64 | 75.0 (64.1 to 85.9) | 86/172 | 50.0 (42.5 to 57.6) | 7/21 | 33.3 (11.4 to 55.3) |
CT/MRI | 66/69 | 95.7 (90.7 to 100.6) | 148/199 | 74.4 (68.3 to 80.5) | N/A | N/A |
Sensitivities are expressed as the number of positive body regions/the total number of tumor-positive regions, with percentages and 95% CIs. CI = confidence interval; CT/MRI = computed tomography with magnetic resonance imaging; 18F-FDG PET = [18F]-fluorodeoxyglucose positron emission fluorography; 123I-MIBG SPECT = [123I]-metaiodobenzylguanidine single photon emission computed tomography; N/A = not applicable; PPGL = pheochromocytoma and paraganglioma.
For nonmetastatic primary PPGL; 18F-FDG vs 123I-MIBG ns, FDG vs CT/MRI P < .001; within metastases; 18F-FDG vs 123I-MIBG P < .001, FDG vs CT/MRI P = .08; within primary head and neck PGL; 18F-FDG vs 123I-MIBG P = .031 (McNemar test, two-sided).
For nonmetastatic primary PPGL; 123I-MIBG vs CT/MRI P = .002; within metastases; 123I-MIBG vs CT/MRI P < .001 (McNemar test, two-sided).