Ioflupane I 123

(DaTscan®)

Ioflupane I 123

Drug updated on 11/1/2024

Dosage FormInjection (intravenous; 74 MBq/mL [2 mCi/mL])
Drug ClassRadioactive diagnostic agents
Ongoing and
Completed Studies
ClinicalTrials.gov

Indication

  • Indicated as an adjunct to other diagnostic evaluations for striatal dopamine transporter visualization using single photon emission computed tomography (SPECT) brain imaging in adult patients with suspected Parkinsonian syndromes (PS)
  • Indicated as an adjunct to other diagnostic evaluations for striatal dopamine transporter visualization using single photon emission computed tomography (SPECT) brain imaging in adult patients with suspected dementia with Lewy bodies (DLB)

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Summary
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  • This summary is based on the review of three systematic review(s)/meta-analysis(es). [1-3]
  • DaTscan imaging resulted in a diagnostic change in 31% (95% CI (confidence interval): 22-42%) of patients with suspected Parkinsonian Syndrome (PS) and contributed to the differential diagnosis between neurodegenerative Parkinsonian Syndrome and non-dopamine deficiency causes of parkinsonism.
  • DaTscan imaging influenced management decisions in 54% (95% CI: 47-61%) of patients with suspected PS, highlighting its clinical utility in modifying treatment plans based on diagnostic outcomes.
  • No significant differences in effectiveness were identified across various population types or subgroups.
  • Certain medications and drugs of abuse, including tobacco and alcohol, may affect striatal [(123)I]I-FP-CIT binding and impact the visual read of an [(123)I]I-FP-CIT SPECT scan, with a recommended but specialist-managed withdrawal prior to DaTscan imaging to reduce false-positive reporting.
  • The reviewed studies do not specify any significant safety concerns or adverse effects associated with DaTscan use across different population types and subgroups.

Product Monograph / Prescribing Information

Document TitleYearSource
DaTscan (ioflupane I 123) Prescribing Information.2022GE Healthcare, Arlington Heights, IL

Systematic Reviews / Meta-Analyses

Clinical Practice Guidelines

Document TitleYearSource
CANM guidelines for imaging of the dopamine transport system in evaluation of movement disorders.2020The Canadian Journal of Nuclear Medicine
EANM practice guideline/SNMMI procedure standard for dopaminergic imaging in Parkinsonian syndromes 1.0.2020European Journal of Nuclear Medicine and Molecular Imaging
Canadian guideline for Parkinson disease.2019Canadian Medical Association Journal