Article
Cardiac & Cardiovascular Systems
Masahiro Seo, Takahisa Yamada, Shunsuke Tamaki, Tetsuya Watanabe, Takashi Morita, Yoshio Furukawa, Masato Kawasaki, Atsushi Kikuchi, Tsutomu Kawai, Makoto Abe, Jun Nakamura, Kyoko Yamamoto, Kiyomi Kayama, Masatsugu Kawahira, Kazuya Tanabe, Takanari Kimura, Kunpei Ueda, Daisuke Sakamoto, Yasushi Sakata, Masatake Fukunami
Summary: This study found that cardiac sympathetic nerve dysfunction was associated with poor outcomes in patients admitted for acute decompensated heart failure, regardless of reduced ejection fraction (HFrEF), mid-range ejection fraction (HFmrEF), or preserved ejection fraction (HFpEF) status.
EUROPEAN HEART JOURNAL-CARDIOVASCULAR IMAGING
(2021)
Article
Cardiac & Cardiovascular Systems
Masahiro Seo, Takahisa Yamada, Shunsuke Tamaki, Tetsuya Watanabe, Takashi Morita, Yoshio Furukawa, Masato Kawasaki, Atsushi Kikuchi, Tsutomu Kawai, Jun Nakamura, Kiyomi Kayama, Masatsugu Kawahira, Takanari Kimura, Kunpei Ueda, Daisuke Sakamoto, Yasushi Sakata, Masatake Fukunami
Summary: This study aimed to investigate the prognostic value of cardiac sympathetic nerve dysfunction assessed by I-123-MIBG SPECT imaging in patients with HFpEF. The study found that cardiac I-123-MIBG SPECT imaging provided useful prognostic information in nonischemic ADHF patients, and there was a significant association between TDS and cardiac events.
JACC-CARDIOVASCULAR IMAGING
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Anna Teresinska, Olgierd Wozniak, Aleksander Maciag, Jacek Wnuk, Jaroslaw Jezierski, Aneta Fronczak, Elzbieta Katarzyna Biernacka
Summary: Impaired cardiac adrenergic activity has been demonstrated in patients with heart failure (HF) and diabetes mellitus (DM). However, the utility of MIBG SPECT imaging in assessing cardiac innervation in postinfarction HF patients without DM is limited, with approximately half of patients having unacceptable or low quality SPECT images. This limitation is mainly due to low MIBG cardiac uptake and interfering MIBG uptake in neighboring structures such as the lungs.
ANNALS OF NUCLEAR MEDICINE
(2021)
Article
Cardiac & Cardiovascular Systems
Koichi Okuda, Kenichi Nakajima, Chiemi Kitamura, Michael Ljungberg, Tetsuo Hosoya, Yumiko Kirihara, Mitsumasa Hashimoto
Summary: A method of standardizing the heart-to-mediastinal ratio in I-123-MIBG images using a conversion coefficient derived from a phantom was developed. A machine-learning (ML) model was created to estimate conversion coefficients without the need for a phantom.
JOURNAL OF NUCLEAR CARDIOLOGY
(2023)
Article
Engineering, Biomedical
Miriam Conte, Maria Silvia De Feo, Viviana Frantellizzi, Arianna Di Rocco, Alessio Farcomeni, Flaminia De Cristofaro, Ricci Maria, Antonio Rosario Pisani, Giuseppe Rubini, Giuseppe De Vincentis
Summary: This retrospective study evaluated the differences between men and women with heart failure in predicting cardiac arrhythmic events. It found that (123)I-mIBG is a more effective tool for predicting cardiac arrhythmic events in male patients compared to female patients.
EXPERT REVIEW OF MEDICAL DEVICES
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Fernando de A. Fernandes, Kristoffer Larsen, Zhuo He, Erivelton Nascimento, Amalia Peix, Qiuying Sha, Diana Paez, Ernest V. Garcia, Weihua Zhou, Claudio T. Mesquita
Summary: This study developed and validated machine learning models that integrate ECG, gated SPECT MPI, and clinical variables to predict patients' response to cardiac resynchronization therapy (CRT). Compared to guideline variables, the ML methods showed potential improved prediction of CRT response. Further studies are needed to validate the models.
EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING
(2023)
Editorial Material
Radiology, Nuclear Medicine & Medical Imaging
Kun Zheng, Hongli Jing, Yimin Liu, Fang Li
Summary: MIBG scintigraphy is the preferred imaging method for evaluating pheochromocytoma and neuroblastoma, but its application in gastrointestinal stromal tumors is rare. This report describes a case in which increased I-131-MIBG activity was observed in an endoluminal gastric gastrointestinal stromal tumor.
CLINICAL NUCLEAR MEDICINE
(2022)
Review
Cardiac & Cardiovascular Systems
Mariano Pontico, Gabriele Brunotti, Miriam Conte, Ferdinando Corica, Laura Cosma, Cristina De Angelis, Maria Silvia De Feo, Julia Lazri, Antonio Matto, Melissa Montebello, Arianna Di Rocco, Viviana Frantellizzi, Alessio Farcomeni, Giuseppe De Vincentis
Summary: This systematic review evaluates the prognostic value of I-123-mIBG SPECT myocardial imaging in heart failure patients, highlighting its importance in accurate risk stratification for arrhythmic events and sudden cardiac death.
JOURNAL OF NUCLEAR CARDIOLOGY
(2022)
Review
Chemistry, Medicinal
Derk O. Verschure, Kenichi Nakajima, Hein J. Verberne
Summary: Cardiac sympathetic upregulation plays an important role in chronic heart failure. Cardiac I-123-mIBG scintigraphy is a feasible technique for evaluating cardiac sympathetic innervation and has been extensively studied in ischemic and non-ischemic CHF. It has the potential to evaluate prognosis and optimize patient selection for implantable devices such as ICD and CRT.
Article
Medicine, General & Internal
Leonardo Bencivenga, Klara Komici, Grazia Daniela Femminella, Stefania Paolillo, Paola Gargiulo, Roberto Formisano, Roberta Assante, Carmela Nappi, Brunella Puzone, Immacolata Sepe, Antonio Cittadini, Dino Franco Vitale, Nicola Ferrara, Alberto Cuocolo, Pasquale Perrone Filardi, Giuseppe Rengo
Summary: In this study, the impact of the number of comorbidities on cardiac adrenergic innervation in patients with systolic heart failure was evaluated. It was found that highly comorbid patients had reduced late heart to mediastinum ratio. However, multiple regression analysis showed that the number of comorbidities was not associated with mIBG parameters of cardiac denervation, which were correlated with age, body mass index and left ventricular ejection fraction.
EUROPEAN JOURNAL OF INTERNAL MEDICINE
(2021)
Editorial Material
Radiology, Nuclear Medicine & Medical Imaging
Camilo Jimenez, Yang Lu
Summary: An 84-year-old male with a history of metastatic pheochromocytoma/paraganglioma (mPPGL) underwent surgery 13 years ago and recently had biopsy-proven mPPGL in the T11. I-123-MIBG scan showed MIBG-avid liver and osseous metastases. Due to his medical condition and small body size (weighing 45 kg, height 140 cm), the patient was treated with high-specific-activity I-131-MIBG (Azedra) 300 mCi x2. The patient tolerated the treatment well and remained asymptomatic. Serial I-123-MIBG scans showed good responses up to 22 months after the initial treatment during the last follow-up visit. This case represents possibly the oldest and smallest adult mPPGL patient treated with Azedra, with a prolonged good response.
CLINICAL NUCLEAR MEDICINE
(2023)
Editorial Material
Radiology, Nuclear Medicine & Medical Imaging
Hui Wang, Junjun Cheng, Xiaohong Ou
Summary: Metastasis of pheochromocytoma commonly occurs in the lymph nodes, bones, lungs, and liver, but peritoneal metastasis is rare. A case of recurrent malignant pheochromocytoma with multiple peritoneal carcinomatosis was reported after laparoscopic adrenalectomy.
CLINICAL NUCLEAR MEDICINE
(2021)
Article
Cardiac & Cardiovascular Systems
Gemma Roberts, Jim J. Lloyd, Elizabeth Jefferson, Joseph P. M. Kane, Rory Durcan, Sarah Lawley, George S. Petrides, Kim Howe, Iftikhar Haq, John T. O'Brien, Alan J. Thomas
Summary: Variability in regional cardiac(123)I-MIBG uptake is common in cases with normal planar cardiac uptake. Heterogeneity of regional uptake seems non-specific and unlikely to aid in the diagnosis of Lewy body disease.
JOURNAL OF NUCLEAR CARDIOLOGY
(2021)
Article
Cardiac & Cardiovascular Systems
Tomohiro Tada, Koichi Osuda, Tomoaki Nakata, Ippei Muranaka, Masafumi Himeno, Shingo Muratsubaki, Hiromichi Murase, Kenji Sato, Masanori Hirose, Takayuki Fukuma
Summary: The study developed a novel approach for optimizing CRT by simultaneously evaluating myocardial viability and coronary venous anatomy using fusion technique with CT coronary venography and myocardial perfusion imaging, leading to effective CRT outcomes in patients with advanced HF.
JOURNAL OF NUCLEAR CARDIOLOGY
(2021)
Article
Pharmacology & Pharmacy
Masato Kobayashi, Asuka Mizutani, Yuka Muranaka, Kodai Nishi, Hisakazu Komori, Ryuichi Nishii, Naoto Shikano, Takeo Nakanishi, Ikumi Tamai, Keiichi Kawai
Summary: This study used whole-body imaging with [I-123]MIBG to investigate the absorption of cationic anticancer drugs and medicines in the gastrointestinal tract. The results showed different uptake mechanisms mediated by OCTN and OCT, which were affected by inhibitors L-carnitine and cimetidine. Furthermore, the accumulation of [I-123]MIBG was significantly altered in DSS-induced experimental colitis mice and mice with cimetidine loading. Therefore, [I-123]MIBG imaging can be used to estimate gastrointestinal absorption via OCTN and/or OCT in the small intestine.