Definition
Scintigraphic procedure visualizing the activity or distribution of the norepinephrine transmitter. Iobenguane (MIBG) is an aralkylguanidine analogue.
Principle
Iodine-131 bound to MIBG is transported via the epinephrine transporter and then sored into the neurosecretory granule. It is therefore primarily used to visualize tumors of the sympathoadrenal system. Iodine-131, the radioactive isotope, decays by emitting high-energy gamma rays which are collimated to a specific geometry and then detected by a gamma camera. The imaging protocol usually consists of planar imaging and tomographic single photon emission tomography (SPECT) imaging.
Methodology
Scintigraphic planar and tomographic SPECT (single photon emission tomography) are usually acquired after 24 h and 48 h. Special caution has to be given to pregnancy, breast-feeding, and children. In these cases, non-radiant alternatives needs to be discussed....
References and Further Reading
Bombardieri, E., Giammarile, F., Aktolun, C., Baum, R. P., Bischof Delaloye, A., Maffioli, L., Moncayo, R., Mortelmans, L., Pepe, G., Reske, S. N., Castellani, M. R., & Chiti, A. (2010). 131I/123I-Metaiodobenzylguanidine (mIBG) scintigraphy: Procedure guidelines for tumour imaging. European Journal of Nuclear Medicine and Molecular Imaging, 37(12), 2436–2446.
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Schaefer, N. (2021). 131I-MIBG Scintigraphy. In: van Krieken, J. (eds) Encyclopedia of Pathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-28845-1_5267-1
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DOI: https://doi.org/10.1007/978-3-319-28845-1_5267-1
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