Clinical Application Study of [123I]Metaiodobenzylguanidine and Somatostatin Receptor-Targeted Imaging in the Diagnosis and Staging of Neuroblastoma
NCT07064746 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 150
Last updated 2025-07-21
Summary
The goal of this prospective observational study is to evaluate the diagnostic performance of ¹²³I-MIBG SPECT/CT and SSTR PET in Chinese children with suspected or confirmed neuroblastoma (NB). The main questions it aims to answer are:
* What are the sensitivity and specificity of each modality-alone and combined-for initial staging and for detecting relapse or metastasis?
* Can SSTR-targeted PET reliably identify MIBG-negative NB lesions and help select candidates for peptide-receptor radionuclide therapy (PRRT)?
Pediatric patients (≤18 years) undergoing routine evaluation for NB will receive both imaging studies; results will be correlated with histopathology, clinical course, and 24-month follow-up.
Conditions
- Neuroblastoma (NB)
Interventions
- DIAGNOSTIC_TEST
-
¹²³I-MIBG SPECT/CT
Patients take Lugol's iodine 2 days and on the day of injection for thyroid blockade. ¹²³I-MIBG (3-5 MBq/kg; max 370 MBq) is given IV. Whole-body planar imaging is performed 24 h post-injection, then focused SPECT/CT of any suspicious areas with low-dose CT; children are sedated only if motion control is required.
- DIAGNOSTIC_TEST
-
SSTR PET
Patients receive an intravenous bolus of 68Ga-DOTA-TATE (1.8-2.2 MBq/kg, max 200 MBq). After a 45-60 min uptake phase, a low-dose whole-body PET/CT or PET/MRI (skull base-mid-thigh) is acquired for \~20 min; MRI or CT provides attenuation correction. Sedation used when required.
Sponsors & Collaborators
-
Jiangsu Province Hospital of Traditional Chinese Medicine
collaborator OTHER -
Nanjing First Hospital, Nanjing Medical University
lead OTHER
Principal Investigators
-
Guoqiang Shao, Dr · Nanjing First Hospital, Nanjing Medical University
Eligibility
- Max Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-07-10
- Primary Completion
- 2027-07-10
- Completion
- 2027-07-10
Countries
- China
Study Locations
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