SNQ Quality Mark

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SNQ Quality Mark
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Target Population

  • Neuroblastoma patients aged 1.0–18 years

  • Newly diagnosed / relapsed / refractory cases


Description

Established in 2006, the NTUH Neuroblastoma Team integrates pediatric hematology-oncology, pediatric surgery, nuclear medicine, radiology, pathology, and laboratory medicine to provide individualized care for high-risk neuroblastoma through a model of “PET imaging + precision surgery + end-to-end case management.” NTUH is the only center in Taiwan routinely offering 18F-DOPA PET in combination with 18F-FDG PET, and has implemented a PET-guided, tumor-activity–oriented resection strategy to reduce major complications and improve preservation of vital organs. In parallel, the team links translational research and biobanking to accelerate new drug development and precision medicine, aiming to build a leading pediatric neuroblastoma center in Asia.


Key Highlights

  • Comprehensive case management throughout the entire treatment course

  • Taiwan’s only routine dual-tracer PET imaging (18F-DOPA / 18F-FDG) for neuroblastoma

  • PET-guided, tumor-activity–oriented precision surgery

Service Data

  • 149 patients treated (2014–2024), accounting for >50% of cases nationwide

  • Care for >60% of high-risk neuroblastoma cases in Taiwan

  • By 2024, a cumulative total of 1,219 18F-DOPA PET studies completed


Featured Outcomes

  • 100% of treated children are followed and managed by dedicated case managers

  • 18F-DOPA tumor detection rate: 97.6%, superior to mIBG reported in European literature

  • Stage 4 pediatric patients: 5-year overall survival 62%, outperforming other top international institutions


Safety Outcomes

  • After the integrated care team was established in 2007, survival improved significantly from 26.1% to 66.7%

  • 0% adverse events related to the 18F-DOPA radiopharmaceutical

  • In stage 4 patients with renal involvement: major surgical complication rate 7%; nephrectomy rate 0%


Satisfaction

  • 2025 parent satisfaction survey: 87.9% gave the neuroblastoma team a perfect score (10/10)

  • 2025 parent satisfaction survey: 71% gave the DOPA PET service a perfect score

  • A patient/family support group established in 2012 has served >260 families


International Achievements

  • Globally leading experience with 18F-DOPA PET in neuroblastoma; findings cited in international consensus guidelines

  • >61 neuroblastoma-related papers published in international journals

  • The team has received multiple national and international awards and has been repeatedly invited as speakers at international conferences


Benefits and Impacts

  • Innovative introduction of 18F-DOPA PET to enhance diagnostic accuracy and risk stratification

  • Improved survival while reducing complications and organ resection through integrated care

  • Promoted innovation in nuclear imaging, surgery, and translational new-drug research

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Specialized Medical Services

Precision Therapy for Pediatric Neuroblastoma

Innovative DOPA combine traditional FDG PET to guide a precision surgical strategy with case managers as a bridge, the survival rate of neuroblastoma children at NTUH has been effectively improved.
Organization
National Taiwan University Hospital
Specialties/Units
Neuroblastoma Team
Certification Year
2025
Precision Therapy for Pediatric Neuroblastoma
National Taiwan University Hospital

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The integrated drug managment system
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>82
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Assisted Reproduction for Infertility
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52.8
40.6
High-risk newborn care team
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>500
1
Excellent Wound Ostomy Care Team of NTUH
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Musculoskeletal Ultrasound Diagnosis & Intervention
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>4,500
Smart Management System for Infection Prevention and Control
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<0.38
>34.6
Post-Cardiac-Arrest Targeted Temperature Care
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>96
99.7
Transforming Medication Supply with ADC
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>90
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National Eye Bank Corneal Preservation
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>98
>99
Laboratory Care for Stem Cell Transplant
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300
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The integrated drug managment system
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>82
>20
Assisted Reproduction for Infertility
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52.8
40.6