Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
7
pubmed:dateCreated
1998-10-29
pubmed:abstractText
Intracranial metaiodobenzylguanidine (MIBG) uptake is occasionally and only faintly visualized on diagnostic studies. Recently, intense normal cerebellar uptake was described on posttherapy MIBG images. Experience at the University of Michigan with posttherapy MIBG scintigraphy of pheochromocytoma was reviewed. The patterns and correlates of intracranial uptake after therapeutic 1-131 MIBG in 25 patients (61 patient treatment encounters) were evaluated by review of records and blinded consensus interpretation of diagnostic and posttherapeutic MIBG scans. Thirty-nine (64%) patient treatment encounters demonstrated at least faint (grade 1) MIBG uptake in one or more brain sites; the most common site was the cerebellum. There was a statistically significant relation between intracranial uptake and 1) size of therapeutic dose and 2) patient age, but no relation between intracranial uptake and gender, body mass index, plasma epinephrine level, plasma norepinephrine level, urine metanephrine level, or the therapy-to-imaging interval. Although the influence of age on the pattern and intensity of intracranial uptake is unexplained, the relation to therapy dose may be explained by the possible generation of MIBG metabolites that can cross the blood-brain barrier (high activity administered and the delay until imaging). Further studies are needed to define mechanisms of intracranial uptake and relation to responses and toxicity after MIBG therapy of neuroendocrine tumors.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
0363-9762
pubmed:author
pubmed:issnType
Print
pubmed:volume
23
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
441-5
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:9676949-3-Iodobenzylguanidine, pubmed-meshheading:9676949-Adolescent, pubmed-meshheading:9676949-Adrenal Gland Neoplasms, pubmed-meshheading:9676949-Adrenergic Agonists, pubmed-meshheading:9676949-Adrenergic alpha-Agonists, pubmed-meshheading:9676949-Adult, pubmed-meshheading:9676949-Age Factors, pubmed-meshheading:9676949-Aged, pubmed-meshheading:9676949-Blood-Brain Barrier, pubmed-meshheading:9676949-Body Mass Index, pubmed-meshheading:9676949-Brain, pubmed-meshheading:9676949-Cerebellum, pubmed-meshheading:9676949-Epinephrine, pubmed-meshheading:9676949-Evaluation Studies as Topic, pubmed-meshheading:9676949-Female, pubmed-meshheading:9676949-Humans, pubmed-meshheading:9676949-Male, pubmed-meshheading:9676949-Metanephrine, pubmed-meshheading:9676949-Middle Aged, pubmed-meshheading:9676949-Neuroendocrine Tumors, pubmed-meshheading:9676949-Norepinephrine, pubmed-meshheading:9676949-Pheochromocytoma, pubmed-meshheading:9676949-Radiopharmaceuticals, pubmed-meshheading:9676949-Radiotherapy Dosage, pubmed-meshheading:9676949-Retrospective Studies, pubmed-meshheading:9676949-Sex Factors, pubmed-meshheading:9676949-Single-Blind Method
pubmed:year
1998
pubmed:articleTitle
Brain uptake of iodine-131 metaiodobenzylguanidine following therapy of malignant pheochromocytoma.
pubmed:affiliation
Department of Internal Medicine, University of Michigan Medical Center, Ann Arbor 48109-0028, USA.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S.