Abstract:
OBJECTIVES:Opsoclonus myoclonus ataxia (OMA) syndrome, also known as "Kinsbourne syndrome" or "dancing eye syndrome," is a rare, paraneoplastic entity which may be associated with pediatric neuroblastic tumors and carry a grave prognosis. We aimed to evaluate the role of 68Ga DOTANOC PET/CT for detecting neuroblastic tumors in patients with OMA syndrome. METHODS:We retrospectively evaluated the 68Ga-DOTANOC PET/CT data of pediatric patients presenting with OMA syndrome from March 2012 to November 2018. A somatostatin receptor (SSTR)-expressing lesion with corresponding morphological change on CT image was considered PET-positive, while no abnormal SSTR expression or lesion was noticed in PET-negative patients. Histopathology and/or clinical/imaging follow-up (minimum one year) was considered a reference standard for comparing the PET/CT findings. The results of 68Ga-DOTANOC PET/CT were also compared with 131I MIBG whole-body scintigraphy, which was available in five patients. RESULTS:Of 38 patients (13 males, 25 females, aged 3-96 months), 18 (47.3%) had SSTR-expressing lesions (PET-positive), and histopathology revealed neuroblastic tumors in 17/18 lesions (neuroblastoma 14, ganglioneuroblastoma 2, and ganglioneuroma 1) and reactive hyperplasia in 1/18. The remaining 20/38 (52.6%) patients did not demonstrate SSTR-expressing lesions (PET-negative) and had an uneventful follow-up. The average SUVmax of the PET-positive lesions was 10.3 (range 2.8-34.5). The PET/CT results revealed 17 true-positive, one false-positive, 20 true-negative, and zero false-negative. The sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were 100%, 95.2%, 94.4%, 100%, and 97.3% respectively. CONCLUSIONS:68Ga-DOTANOC PET/CT identified neuroblastic tumors with a high diagnostic accuracy in our cohort compared to histology and follow-up. KEY POINTS:• Opsoclonus myoclonus ataxia (OMA) syndrome or "dancing eye syndrome" is a rare paraneoplastic entity which may be associated with pediatric neuroblastic tumors with a grave prognosis. • 123I/131I MIBG imaging has a proven role for functional imaging in neuroblastoma or patients with OMA, but the role of 68Ga-DOTANOC PET/CT is not yet studied. • 68Ga-labelled DOTANOC PET/CT (SSTR) imaging, in our cohort, was able to positively identify neuroblastic tumors with high diagnostic accuracy when compared with histology.
journal_name
Eur Radioljournal_title
European radiologyauthors
Kumar R,Vankadari K,Mittal BR,Bansal D,Trehan A,Sahu JK,Sankhyan Ndoi
10.1007/s00330-020-07587-xsubject
Has Abstractpub_date
2021-01-06 00:00:00eissn
0938-7994issn
1432-1084pii
10.1007/s00330-020-07587-xpub_type
杂志文章abstract:OBJECTIVES:To investigate pulmonary vasculature opacification during CTPA using an optimised patient-specific protocol for administering contrast agent. METHODS:CTPA was performed on 200 patients with suspected PE. Patients were assigned to two protocol groups: protocol A, fixed 80 ml contrast agent; protocol B used a...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-013-2919-6
更新日期:2013-11-01 00:00:00
abstract::Renal cell carcinoma in a horseshoe kidney is an unusual entity. To our knowledge, only 123 cases have been published to date. We report the first bilateral case of two clear-cell carcinomas in an asymmetrically fused kidney. Optimum preservation of renal function after radical tumor removal requires accurate preopera...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300050615
更新日期:1998-01-01 00:00:00
abstract:OBJECTIVES:To assess the interchangeability of zone-specific (peripheral-zone (PZ) and transition-zone (TZ)) multiparametric-MRI (mp-MRI) logistic-regression (LR) models for classification of prostate cancer. METHODS:Two hundred and thirty-one patients (70 TZ training-cohort; 76 PZ training-cohort; 85 TZ temporal vali...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-015-3636-0
更新日期:2015-09-01 00:00:00
abstract::The CT and MR appearance of giant cavernous hemangiomas can be confusing, and some atypical radiographic findings have been described. We report the CT and MR features of a giant cavernous hemangioma of the liver with atypical presentation. CT showed a large hypodense geographical lesion involving the majority of the ...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/BF00182465
更新日期:1996-01-01 00:00:00
abstract::There is little published long-term survival data for patients with colorectal liver metastases treated with radiofrequency ablation (RFA). We present a multivariate analysis of 5-year survival in 309 patients (198 male, aged 64 (24-92)) treated at 617 sessions. Our standard protocol used internally cooled electrodes ...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-008-1258-5
更新日期:2009-05-01 00:00:00
abstract:OBJECTIVE:To assess the radiation dose received by the radiologist when performing wire localisation for axillary radio-isotope sentinel node imaging-guided biopsy in patients with impalpable breast cancers treated with breast-preserving excision. When wire placement follows radio-isotope sentinel node imaging (RSNI) t...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-009-1594-0
更新日期:2010-03-01 00:00:00
abstract:OBJECTIVES:Modern endovascular treatment of unruptured intracranial aneurysms (UIAs) demands for observance of diagnostic reference levels (DRLs). The national DRL (250 Gy cm2) is only defined for coiling. We provide dosimetric data for the following procedures: coiling, flow diverter (FD), Woven EndoBridge (WEB), comb...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-020-06777-x
更新日期:2020-08-01 00:00:00
abstract:OBJECTIVES:Radio frequency (RF) pulses in magnetic resonance imaging (MRI) can interact with implanted devices and cause tissue damage. However, there are new devices that can safely perform measurements with liberal MRI conditions such as an RF transmission field B1+rms ≤ 2.0 μT. We investigated whether MRI in this ca...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-019-06599-6
更新日期:2020-05-01 00:00:00
abstract:OBJECTIVES:To compare 0.15 mmol/kg gadobutrol for late gadolinium enhancement (LGE) imaging of chronic myocardial infarction with a relaxivity-adjusted dose of gadoterate meglumine (Gd-DOTA). METHODS:Seventeen patients with suspected chronic myocardial infarction underwent LGE imaging at 1.5 T, acquiring an inversion-...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-012-2563-6
更新日期:2013-01-01 00:00:00
abstract::Here we report our experience of a neuroprotective adaptation of the technique of CT-guided radiofrequency (RF) ablation of spinal osteoid osteomas. Over 9 years seven patients underwent eight CT-guided RF treatments for osteoid osteoma. CT-guided RF ablation was performed with general anaesthesia. The lesion was heat...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-009-1404-8
更新日期:2009-09-01 00:00:00
abstract:OBJECTIVES:To evaluate the quantitative parameters obtained from dynamic MR T2*-weighted images as predictors of survival taking into consideration the biasing effects of other survival-related covariates. METHODS:Thirty-nine patients (60 ± 14 years; survival 267 ± 191 days) with high-grade gliomas (8 grade III, 31 gr...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-013-2967-y
更新日期:2013-12-01 00:00:00
abstract::Intra-articular ganglion cysts of the cruciate ligaments are associated with non-specific clinical signs and symptoms. Familiarity with the MR appearances in particular is important to make an accurate diagnosis, exclude associated abnormalities, and avoid misdiagnosis. ...
journal_title:European radiology
pub_type: 杂志文章,评审
doi:10.1007/s003309900290
更新日期:2000-01-01 00:00:00
abstract:OBJECTIVES:To examine the added value of considering smooth hypointense rim in the hepatobiliary phase (HBP) of gadoxetic acid-enhanced MRI as capsule appearance for diagnosing tumour capsules and hepatocellular carcinoma (HCC). METHODS:A total of 377 hepatic lesions (330 HCCs, 35 non-HCC malignancies and 12 benign) w...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-016-4634-6
更新日期:2017-06-01 00:00:00
abstract::Because of its fast scan speed, multi-detector row CT (MDCT) imposes a challenge to optimization of contrast enhancement and scan timing. However, when this challenge is overcome with the use of precisely designed protocols, MDCT provides us with an opportunity to use contrast medium more efficiently and flexibly than...
journal_title:European radiology
pub_type: 杂志文章,评审
doi:10.1007/s10406-005-0165-y
更新日期:2005-12-01 00:00:00
abstract:OBJECTIVE:To determine the diagnostic performance of a deep learning (DL) model in evaluating myometrial invasion (MI) depth on T2-weighted imaging (T2WI)-based endometrial cancer (EC) MR imaging (ECM). METHODS:We retrospectively enrolled 530 patients with pathologically proven EC at our institution between January 1,...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-020-06870-1
更新日期:2020-09-01 00:00:00
abstract::Laparoscopic techniques are evolving for a wide range of surgical procedures although they were initially confined to cholecystectomy and exploratory laparoscopy. Recently, surgical procedures performed with a laparoscope include splenectomy, adrenalectomy, gastrectomy, and myomectomy. In this article, we review the s...
journal_title:European radiology
pub_type: 杂志文章,评审
doi:10.1007/s00330-005-0135-8
更新日期:2006-09-01 00:00:00
abstract:OBJECTIVE:To assess the accuracy of a scout dose of holmium-166 poly(L-lactic acid) microspheres ((166)Ho-PLLA-MS) in predicting the distribution of a treatment dose of (166)Ho-PLLA-MS, using single photon emission tomography (SPECT). METHODS:A scout dose (60 mg) was injected into the hepatic artery of five pigs and S...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-009-1613-1
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVES:To compare the conspicuity of different histopathological types of breast cancer according to breast density and mammographic imaging in patients with screen-detected breast cancers undergoing both full-field digital mammography (FFDM) and screen-film mammography (SFM) in the United Kingdom National Health S...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-010-1906-4
更新日期:2011-01-01 00:00:00
abstract::The aim of this study was to determine whether the intrarenal resistive index (RI) can be used for the diagnosis of acute obstruction in patients with renal colic and to determine whether the index is time-related. Seventy patients referred to the Emergency Department with acute renal colic and without known associate...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300050568
更新日期:1998-01-01 00:00:00
abstract::To evaluate long-term effects of arterial embolization (AE) for postpartum hemorrhage (PPH) on menses recovery and subsequent pregnancies. One hundred thirteen consecutive patients, recruited from 1999 to 2006, who had undergone AE for severe PPH were evaluated in a retrospective monocentric study. As embolization age...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-008-1140-5
更新日期:2009-02-01 00:00:00
abstract::The influence of the frequency of computed tomography (CT) image acquisition on the diagnostic quality of dynamic perfusion CT (PCT) studies of the brain was investigated. Eight patients with clinically suspected acute ischemia of one hemisphere underwent PCT, performed on average 3.4 h after the onset of symptoms. Si...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-008-1083-x
更新日期:2008-12-01 00:00:00
abstract::In western European countries most blunt chest traumas are associated with motor vehicle and sport-related accidents. In Switzerland, 39 of 10,000 inhabitants were involved and severely injured in road accidents in 1998. Fifty two percent of them suffered from blunt chest trauma. According to the Swiss Federal Office ...
journal_title:European radiology
pub_type: 杂志文章,评审
doi:10.1007/s003300000435
更新日期:2000-01-01 00:00:00
abstract::Noonan's syndrome is a rare congenital disorder that may be associated with abnormalities in the lymphatic drainage. In this case of a 21-year-old man CT after bipedal lymphangiography confirmed the diagnosis of intestinal lymphangiectasy causing protein-losing enteropathy in Noonan's syndrome by showing contrast-enha...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300000384
更新日期:2000-01-01 00:00:00
abstract::The aim of this study was to develop an endorectal MRI strategy for prostatic cancer. We evaluated the MR images from 44 consecutive prostatic cancer patients treated by radical prostatectomy. Each sequence from every examination was assessed separately with a specific tumor map drawn. Tumor localization, capsular pen...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300000598
更新日期:2001-01-01 00:00:00
abstract::The aim of this study was to compare the performance of CT and MRI in the diagnosis of longitudinal stress fracture of the tibia (LSFT). A retrospective study of imaging findings was performed in 15 patients with LSFT. The CT and MR images were compared for detection of fracture line, callus, bone marrow edema, and so...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300050442
更新日期:1998-01-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to investigate the association of relaxation-compensated chemical exchange saturation transfer (CEST) MRI with overall survival (OS) and progression-free survival (PFS) in newly diagnosed high-grade glioma (HGG) patients. METHODS:Twenty-six patients with newly diagnosed high-gr...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-019-06066-2
更新日期:2019-09-01 00:00:00
abstract::To prove the usefulness of a simple laser marker system (LMS) in target definition as well as examination procedure for CT-guided interventions, 130 cases of diagnostic biopsies and lumbal sympathectomies were compared. In 75 cases LMS and in 55 cases a simple crossgrid was used. Taking advantage of the LMS, the param...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300051054
更新日期:2000-01-01 00:00:00
abstract:OBJECTIVES:The halo sign refers to a zone of ground-glass attenuation surrounding a pulmonary nodule. Pulmonary metastatic nodules exhibiting a halo sign are seen mainly in hypervascular tumours. We describe the appearance of a halo sign following treatment of adoptive transfer of autologous tumour-infiltrating lymphoc...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-014-3129-6
更新日期:2014-06-01 00:00:00
abstract::The use of the posteroanterior (PA) technique as a means of dose reduction has been used effectively in radiology departments for chest and abdominal examinations. The aim of this investigation was to establish if the PA lumbar spine projection offers any advantages over the traditional anteroposterior (AP) view in te...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003309900272
更新日期:2000-01-01 00:00:00
abstract::The diagnostic relevance of the relative T1-weighted (T1W) and T2-weighted (T2W)/short tau inversion recovery (STIR) MRI signal intensity characteristics of the superior to inferior fluid layers within fluid-fluid levels (FFLs) found in bone tumours was investigated. A retrospective analysis was performed of MRI studi...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-008-1060-4
更新日期:2008-11-01 00:00:00