Comparison Between Diffusion‐Weighted MRI and <sup>123</sup>I‐mIBG Uptake in Primary High‐Risk Neuroblastoma
Bibliographic record
Abstract
Background High‐risk neuroblastoma (HR‐NB) has a variable response to preoperative chemotherapy. It is not possible to differentiate viable vs. nonviable residual tumor before surgery. Purpose To explore the association between apparent diffusion coefficient (ADC) values from diffusion‐weighted magnetic resonance imaging (DW‐MRI), 123 I‐meta‐iodobenzyl‐guanidine ( 123 I‐mIBG) uptake, and histology before and after chemotherapy. Study Type Retrospective. Subjects Forty patients with HR‐NB. Field Strength/Sequence 1.5T axial DW‐MRI (b = 0,1000 s/mm 2 ) and T 2 ‐weighted sequences. 123 I‐mIBG scintigraphy planar imaging (all patients), with additional 123 I‐mIBG single‐photon emission computed tomography / computerized tomography (SPECT/CT) imaging (15 patients). Assessment ADC maps and 123 I‐mIBG SPECT/CT images were coregistered to the T 2 ‐weighted images. 123 I‐mIBG uptake was normalized with a tumor‐to‐liver count ratio (TLCR). Regions of interest (ROIs) for primary tumor volume and different intratumor subregions were drawn. The lower quartile ADC value (ADC 25prc ) was used over the entire tumor volume and the overall level of 123 I‐mIBG uptake was graded into avidity groups. Statistical Tests Analysis of variance (ANOVA) and linear regression were used to compare ADC and MIBG values before and after treatment. Threshold values to classify tumors as viable/necrotic were obtained using ROC analysis of ADC and TLCR values. Results No significant difference in whole‐tumor ADC 25prc values were found between different 123 I‐mIBG avidity groups pre‐ ( P = 0.31) or postchemotherapy ( P = 0.35). In the “intratumor” analysis, 5/15 patients (prechemotherapy) and 0/14 patients (postchemotherapy) showed a significant correlation between ADC and TLCR values ( P < 0.05). Increased tumor shrinkage was associated with lower pretreatment tumor ADC 25prc values ( P < 0.001); no association was found with pretreatment 123 I‐mIBG avidity ( P = 0.17). Completely nonviable tumors had significantly lower postchemotherapy ADC 25prc values than tumors with >10% viable tumor ( P < 0.05). Both pre‐ and posttreatment TLCR values were significantly higher in patients with >50% viable tumor than those with 10–50% viable tumor ( P < 0.05). Data Conclusion 123 I‐mIBG avidity and ADC values are complementary noninvasive biomarkers of therapeutic response in HR‐NB. Level of Evidence 4. Technical Efficacy Stage 3.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".