Eight catecholamine metabolites have a diagnostic sensitivity of 95%; VMA and HVA have a diagnostic sensitivity of 84%. Normetanephrine is the most sensitive marker for neuroblastoma (NBL) diagnostics (89%). 3-methoxytyramine correlates the best with NBL high-risk features. Twenty-nine percent of the VMA and HVA non-excreting patients have a stage IV disease. Metaiodobenzylguanidine non-avid tumours excrete VMA and HVA in 33%, while other metabolites excrete in 89%.