Vol 15, No 1 (2012)
Review paper
Submitted: 2012-04-26
Accepted: 2012-04-26
Published online: 2012-04-24
Metaiodobenzylguanidine scintigraphy of cardiac sympathetic innervation
Anna Teresińska
Nucl. Med. Rev 2012;15(1):61-70.
Vol 15, No 1 (2012)
Reviews
Submitted: 2012-04-26
Accepted: 2012-04-26
Published online: 2012-04-24
Abstract
Metaiodobenzylguanidine (MIBG), a noradrenaline analogue,labelled with radioactive iodine I-123 is used for assessingpre-synaptic activity of the myocardial adrenergic system. Thepaper describes the mechanism of myocardial I-123-MIBG uptakeand the relevant examination methods. It also refers to thenecessity of standardising acquisition methods and assessmentcriteria in order to improve comparability of results, especiallynumerical results, originating from various countries and centres.Although first introduced as a cardiological diagnostic procedure30 years ago, I-123-MIBG myocardial scintigraphy continues tobe mostly applied as a research method, even though its diagnosticand/or prognostic importance, especially in the case ofheart failure, has been widely reported. The recently publishedresults of two extensive retrospective works and a major prospective,multi-centre international ADMIRE-HF study confirmedthat I-123-MIBG scintigraphy has a high independent prognosticvalue in evaluating patients with heart failure. Abnormalmyocardial I-123-MIBG uptake can also be indicative of higherrisk of ventricular arrhythmias and sudden cardiac death inpatients with heart failure. I-123-MIBG myocardial scintigraphyalso seems to have considerable potential for the detection anddifferentiation of neurodegenerative diseases.
Abstract
Metaiodobenzylguanidine (MIBG), a noradrenaline analogue,labelled with radioactive iodine I-123 is used for assessingpre-synaptic activity of the myocardial adrenergic system. Thepaper describes the mechanism of myocardial I-123-MIBG uptakeand the relevant examination methods. It also refers to thenecessity of standardising acquisition methods and assessmentcriteria in order to improve comparability of results, especiallynumerical results, originating from various countries and centres.Although first introduced as a cardiological diagnostic procedure30 years ago, I-123-MIBG myocardial scintigraphy continues tobe mostly applied as a research method, even though its diagnosticand/or prognostic importance, especially in the case ofheart failure, has been widely reported. The recently publishedresults of two extensive retrospective works and a major prospective,multi-centre international ADMIRE-HF study confirmedthat I-123-MIBG scintigraphy has a high independent prognosticvalue in evaluating patients with heart failure. Abnormalmyocardial I-123-MIBG uptake can also be indicative of higherrisk of ventricular arrhythmias and sudden cardiac death inpatients with heart failure. I-123-MIBG myocardial scintigraphyalso seems to have considerable potential for the detection anddifferentiation of neurodegenerative diseases.
Keywords
cardiac sympathetic innervation, scintigraphy, iodine-123 metaiodobenzylguanidine, MIBG
Title
Metaiodobenzylguanidine scintigraphy of cardiac sympathetic innervation
Journal
Nuclear Medicine Review
Issue
Vol 15, No 1 (2012)
Article type
Review paper
Pages
61-70
Published online
2012-04-24
Page views
1563
Article views/downloads
3233
Bibliographic record
Nucl. Med. Rev 2012;15(1):61-70.
Keywords
cardiac sympathetic innervation
scintigraphy
iodine-123 metaiodobenzylguanidine
MIBG
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