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. 2015 Sep 29;2015(9):CD009263. doi: 10.1002/14651858.CD009263.pub2

Abrahamsen 1995.

Clinical features and settings Inclusion period: September 1984 to December 1993.
Patient population: 36 patients with suspected neuroblastoma and125 ¹²³I‐ and ¹³¹I‐MIBG scans
Consecutive series: yes.
Diagnostic work‐up: standard investigations like CT and US.
Time spans symptoms‐index test, symptoms‐reference standard and index test‐reference standard: n.r.
Treatment between index test‐reference standard: n.r.
Participants Included patients: 36 children with suspected neuroblastoma and a ¹²³I‐ or ¹³¹I‐MIBG scan at diagnosis; in 19 patients the diagnosis was confirmed by histopathology, in 17 patients it was not.
Median age at diagnosis: n.r.for patients with ¹²³I‐MIBG scans separate from those with ¹³¹I‐MIBG scans; for all 36 patients: 2 years and 10 months (range 1 month to 14 years and 10 months); for the 19 patients with confirmed neuroblastoma at first diagnosis: 2 years and 9 months (range 1 to 10 years and 10 months); for the 17 patients without neuroblastoma: 2 years and 10.5 months (range 9 months to 14 years and 10 months).
Sex distribution: 20 boys (56%), 16 girls (44%); for the 19 patients with confirmed neuroblastoma at first diagnosis: 9 boys (47%), 10 girls (53%); for the 17 patients without neuroblastoma: 11 boys (65%), 6 girls (35%).
INSS stage for the 19 patients with confirmed neuroblastoma: 1 patient stage 1, 7 patients stage 3, 8 patients stage 4 and 3 patients stage 4S.
Study design Retrospective cohort study.
Target condition and reference standard(s) Target condition: newly diagnosed neuroblastoma.
Reference standard: histopathology in 19 patients.
Index and comparator tests Index test: ¹²³I‐MIBG and ¹³¹I‐scintigraphy.
Radiofarmacon: ¹²³I‐ and ¹³¹I‐MIBG.
Dose: 74 MBq for children weighing less than 8 kg, 111 MBq for children weighing more than 20 kg and 185 MBq for children weighing more than 20 kg.
Collimator: n.r.
Matrix: 64 x 64.
Acquisition protocol: anterior and posterior images of the head and the whole truncus.
Acquisition time: 4, 24 and 48 hours after injection.
Acquisition duration: 300 seconds, 300,000 to 400,000 counts.
Interfering medication: n.r.
Thyroid prophylaxis: supersaturated potassium iodide twice daily starting one day before the examination and for three days.
Positive test result: the level of tumour uptake similar to or higher than that in the salivary glands, myocardium and liver.
Number of observers: ¹²³I‐MIBG scans were interpreted by one specialist, without knowledge of the diagnosis at the time of the first ¹²³I‐MIBG scan.
Expertise of observers: n.r.
Interobserver concordance: n.r.
Follow‐up n.r.
Notes Results not reported for ¹²³I‐MIBG scans separately from the ¹³¹I‐MIBG scans.
Contact information of the authors: not available.