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Radiology, Vol 196, 851-855, Copyright © 1995 by Radiological Society of North America


ARTICLES

Use of Tl-201 to detect untreated pediatric Hodgkin disease

BD Fletcher, WM Kauffman, SC Kaste, HT Winer-Muram, L Fang, G Chen and M Hudson
Department of Diagnostic Imaging, St Jude Children's Research Hospital, Memphis, TN 38101-0318, USA.

PURPOSE: To evaluate the usefulness of thallium-201 scintigrams in depiction of supradiaphragmatic lymphadenopathy associated with newly diagnosed Hodgkin disease in pediatric patients. MATERIALS AND METHODS: Thallium-201 and gallium-67 scans of the chest and neck were obtained in 33 consecutive patients. Mediastinal, cervical, supraclavicular, and axillary lymph node activity was evaluated by independent raters, and results were compared in a blinded fashion with those on chest computed tomographic (CT) scans. RESULTS: Gallium and thallium scans demonstrated similar accuracy in depiction of CT-defined mediastinal masses. The kappa statistic indicated moderate to strong agreement with CT results. Similarly, there was no statistically significant difference between the accuracy of thallium and gallium scans in depiction of extramediastinal lymphadenopathy. CONCLUSION: Thallium scintigraphy is effective for depiction of lymphadenopathy in pediatric patients with untreated Hodgkin disease. Serial thallium studies may provide an alternative to gallium scans in monitoring response to treatment.


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B. D. Fletcher, A. S. Glicksman, and P. Gieser
Interobserver Variability in the Detection of Cervical-Thoracic Hodgkin's Disease by Computed Tomography
J. Clin. Oncol., July 1, 1999; 17(7): 2153 - 2153.
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