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October 5, 2007European Journal of Nuclear Medicine and Molecular ImagingOpen Access

Variations in 123I-metaiodobenzylguanidine (MIBG) late heart mediastinal ratios in chronic heart failure: a need for standardisation and validation

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Key result

Acquisition parameters, including collimator type and acquisition duration, along with patient characteristics, independently explained 31% of the variation in late 123I-MIBG heart-to-mediastinum ratios (p<0.001).

Why the study?

Do acquisition parameters and patient characteristics independently predict the variation in late heart-to-mediastinum ratio in 123I-MIBG imaging in patients with chronic heart failure?

Population

290 chronic heart failure patients, 82% male, 58% dilated cardiomyopathy, from six sites in five European…

Design

Cohort

Authors

HVHein J. VerberneCardiac ImagingJHJan B. A. HabrakenSt. Antonius ZiekenhuisBEBerthe L.F. van Eck‐SmitAmsterdam University Medical Centers

Discussion

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Overview

May warrant caution interpreting 123I-MIBG H/M ratios across sites; leaves open whether standardization improves HF risk stratification.

Study Design

Type

Observational (n=290)

Multicenter

Yes

Structured PICO

Do acquisition parameters and patient characteristics independently predict the variation in late heart-to-mediastinum ratio in 123I-MIBG imaging in patients with chronic heart failure?

P
Population
290 adult patients with chronic heart failure (NYHA classes II-IV) who underwent 123I-MIBG imaging across six European sites.
E
Exposure
123I-metaiodobenzylguanidine (MIBG) planar scintigraphy (reanalysis of acquisition parameters)
O
Outcome
Variation in late heart-to-mediastinum (H/M) ratio explained by patient-related variables and acquisition parameterssurrogate

Main Result

Effect estimate: Adjusted R2 0.312

p-value: p=<0.001

Acquisition parameters such as collimator type and acquisition duration independently contribute to the variation in semi-quantitative measurements of cardiac 123I-MIBG uptake, highlighting the need for standardization.

Limitations

  • Retrospective nature of the multi-centre study prevented controlling for all variables that might impact late H/M.
  • The largest influence on the H/M ratio is cardiac disease status rather than image acquisition parameters.
  • Individual contributions of collimation and acquisition duration to measurement variance were small (<10% each).
  • Retrospective nature of the multi-centre study
  • Unable to control for effects of numerous variables that might have had undetected impact on late H/M
  • Largest influence on H/M is cardiac disease status rather than image acquisition parameters
  • Individual contributions of collimation and acquisition duration to measurement variance were <10% each

Cite This Study

Verberne et al. (2007) conducted an observational in Chronic heart failure (n=290). 123I-MIBG imaging acquisition parameters was evaluated on Variation in late heart-to-mediastinum (H/M) ratio (Adjusted R2 0.312, p=<0.001). Acquisition parameters, including collimator type and acquisition duration, along with patient characteristics, independently explained 31% of the variation in late 123I-MIBG heart-to-mediastinum ratios (p<0.001).

synapsesocial.com/papers/6a79e5734c448619ca0deda2https://doi.org/10.1007/s00259-007-0611-2

Topics

Heart failureHFrEF treatmentCoronary artery disease
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