Use of Tl-201 to detect untreated pediatric Hodgkin disease.
OBJECTIVE
To evaluate the usefulness of thallium-201 scintigrams in depiction of supradiaphragmatic lymphadenopathy associated with newly diagnosed Hodgkin disease in pediatric patients.


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.


CONCLUSIONS
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.
Fletcher
B D
BD
Department of Diagnostic Imaging, St Jude Children's Research Hospital, Memphis, TN 38101-0318, USA.
Kauffman
W M
WM
Kaste
S C
SC
Winer-Muram
H T
HT
Fang
L
L
Chen
G
G
Hudson
M
M
D000293:Adolescent; D000328:Adult; D001365:Axilla; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D002968:Clavicle; D005710:Gallium Radioisotopes; D006689:Hodgkin Disease / Q000000981:diagnostic imaging*; D006801:Humans; D007223:Infant; D008198:Lymph Nodes / Q000000981:diagnostic imaging; D008482:Mediastinum / Q000000981:diagnostic imaging; D009333:Neck; D015588:Observer Variation; D011446:Prospective Studies; D011877:Radionuclide Imaging; D012680:Sensitivity and Specificity; D016037:Single-Blind Method; D013794:Thallium Radioisotopes; D013950:Thymus Gland / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed
D005710:Gallium Radioisotopes; D013794:Thallium Radioisotopes