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4. Guiding principles on the education and practice of theranostics

Author

Pascual, Thomas N. B., Paez, Diana, Iagaru, Andrei, Gnanasegaran, Gopi, Lee, Sze Ting, Sathekge, Mike, Buatti, John M., Giammarile, Francesco, Al-Ibraheem, Akram, Pardo, Manuela Arevalo, Baum, Richard P., De Bari, Berardino, Ben-Haim, Simona, Blay, Jean-Yves, Brink, Anita, Estrada-Lobato, Enrique, Fanti, Stefano, Golubic, Anja Tea, Hatazawa, Jun, Israel, Ora, Kiess, Ana, Knoll, Peter, Louw, Lizette, Mariani, Giuliano, Mirzaei, Siroos, Orellana, Pilar, Prior, John O., Urbain, Jean-Luc, Vichare, Shrikant, Vinjamuri, Sobhan, Virgolini, Irene, and Scott, Andrew M.

Published
2024
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5. Radiotherapy and theranostics: a Lancet Oncology Commission

Author

Abdel-Wahab, May, Giammarile, Francesco, Carrara, Mauro, Paez, Diana, Hricak, Hedvig, Ayati, Nayyereh, Li, Jing Jing, Mueller, Malina, Aggarwal, Ajay, Al-Ibraheem, Akram, Alkhatib, Sondos, Atun, Rifat, Bello, Abubakar, Berger, Daniel, Delgado Bolton, Roberto C, Buatti, John M, Burt, Graeme, Bjelac, Olivera Ciraj, Cordero-Mendez, Lisbeth, Dosanjh, Manjit, Eichler, Thomas, Fidarova, Elena, Gondhowiardjo, Soehartati, Gospodarowicz, Mary, Grover, Surbhi, Hande, Varsha, Harsdorf-Enderndorf, Ekaterina, Herrmann, Ken, Hofman, Michael S, Holmberg, Ola, Jaffray, David, Knoll, Peter, Kunikowska, Jolanta, Lewis, Jason S, Lievens, Yolande, Mikhail-Lette, Miriam, Ostwald, Dennis, Palta, Jatinder R, Peristeris, Platon, Rosa, Arthur A, Salem, Soha Ahmed, dos Santos, Marcos A, Sathekge, Mike M, Shrivastava, Shyam Kishore, Titovich, Egor, Urbain, Jean-Luc, Vanderpuye, Verna, Wahl, Richard L, Yu, Jennifer S, Zaghloul, Mohamed Saad, Zhu, Hongcheng, and Scott, Andrew M

Published
2024
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8. Production and regulatory issues for theranostics

Author

Giammarile, Francesco, Paez, Diana, Zimmermann, Richard, Cutler, Cathy S, Jalilian, Amirreza, Korde, Aruna, Knoll, Peter, Ayati, Nayyereh, Lewis, Jason S, Lapi, Suzanne E, Delgado Bolton, Roberto C, Kunikowska, Jolanta, Estrada Lobato, Enrique, Urbain, Jean-Luc, Holmberg, Ola, Abdel-Wahab, May, and Scott, Andrew M

Published
2024
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9. Addressing challenges in low-income and middle-income countries through novel radiotherapy research opportunities

Author

Abdel-Wahab, May, Coleman, C Norman, Eriksen, Jesper Grau, Lee, Peter, Kraus, Ryan, Harsdorf, Ekaterina, Lee, Becky, Dicker, Adam, Hahn, Ezra, Agarwal, Jai Prakash, Prasanna, Pataje G S, MacManus, Michael, Keall, Paul, Mayr, Nina A, Jereczek-Fossa, Barbara Alicja, Giammarile, Francesco, Kim, In Ah, Aggarwal, Ajay, Lewison, Grant, Lu, Jiade J, Guedes de Castro, Douglas, Kong, Feng-Ming (Spring), Afifi, Haidy, Sharp, Hamish, Vanderpuye, Verna, Olasinde, Tajudeen, Atrash, Fadi, Goethals, Luc, and Corn, Benjamin W

Published
2024
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10. Trends in nuclear medicine and the radiopharmaceutical sciences in oncology: workforce challenges and training in the age of theranostics

Author

Scott, Andrew M, Zeglis, Brian M, Lapi, Suzanne E, Scott, Peter J H, Windhorst, Albert D, Abdel-Wahab, May, Giammarile, Francesco, Paez, Diana, Jalilian, Amirreza, Knoll, Peter, Korde, Aruna, Vichare, Shrikant, Ayati, Nayyereh, Lee, Sze Ting, Lyashchenko, Serge K, Zhang, Jingjing, Urbain, Jean Luc, and Lewis, Jason S

Published
2024
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12. Six country vignettes: Strengthening radiotherapy and theranostics

Author

Mikhail-Lette, Miriam, Cordero, Lisbeth, Lievens, Yolande, Al-Ibraheem, Akram, Urbain, Jean-Luc, Chera, Bhishamjit, Muylle, Kristoff, Vaandering, Aude, Rosa, Arthur Accioly, Cerci, Juliano Julio, Sathekge, Mike, Minjgee, Minjmaa, Nansalmaa, Erdenekhuu, Erdenechimeg, Sereegotov, Ruiz, Rolando Loría, Scott, Andrew, Paez, Diana, Giammarile, Francesco, Veduta, Anna, Minoshima, Erika, Vichare, Shrikant, and Abdel-Wahab, May

Published
2024
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18. Sentinel Lymph Node Methods in Breast Cancer

Author

Giammarile, Francesco, Vidal-Sicart, Sergi, Paez, Diana, Pellet, Olivier, Enrique, Estrada-Lobato, Mikhail-Lette, Miriam, Morozova, Olga, Maria Camila, Navarro Marulanda, Diana Ivonne, Rodríguez Sanchez, Delgado Bolton, Roberto C., Valdés Olmos, Renato A., and Mariani, Giuliano

Published
2022
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21. Nuclear Medicine Departments in the Era of COVID-19

Author

Paez, Diana, Mikhail-Lette, Miriam, Gnanasegaran, Gopinath, Dondi, Maurizio, Estrada-Lobato, Enrique, Bomanji, Jamshed, Vinjamuri, Sobhan, El-Haj, Noura, Morozova, Olga, Alonso, Omar, Pellet, Olivier, Orellana, Pilar, Navarro, Maria C., Delgado Bolton, Roberto C., and Giammarile, Francesco

Published
2022
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26. Cost-Utility Analysis of Transarterial Radioembolization With Yttrium-90 Resin Microspheres Compared With Sorafenib in Locally Advanced and Inoperable Hepatocellular Carcinoma

Author

Assenat, Eric, Delhom-Christol, Elisabeth, Guiu, Boris, Ilonca, Alina D., Lonjon, Julie, Pageaux, Georges-Philippe, Abdel-Rehim, Mohamed, Al-laham, Wassim, Bouattour, Mohamed, Castera, Laurent, Dieudonné, Arnaud, Lebtahi, Rachida, Ronot, Maxime, Sibert, Annie, Vilgrain, Valérie, Barraud, Hélène, Bazin, Christophe, Bronowicki, Jean-Pierre, Laurent, Valérie, Mathias, Elodie, Chagneau-Derrode, Carine, Perdrisot, Rémy, Silvain, Christine, Tasu, Jean-Pierre, RenéGerolami, Patrick Borentain, Mundler, Olivier, Seitz, Jean-Francois, Vidal, Vincent, Aubé, Christophe, Bouvier, Antoine, Couturier, Olivier, Oberti, Frédéric, Vervueren, Laurent, Brenot-Rossi, Isabelle, Raoul, Jean-Luc, Sar-ran, Anthony, Chalaye, Julia, Costentin, Charlotte, Itti, Emmanuel, Kobeiter, Hicham, Luciani, Alain, Adam, René, Lewin, Maïté, Samuel, Didier, Edeline, Julien, Garin, Etienne, Rolland, Yan, Archambeaud, Isabelle, Eugene, Thomas, Frampas, Eric, Cassinotto, Christophe, Guyot, Martine, Hiriart, Jean-Baptiste, Lapuyade, Bruno, Vergniol, Julien, Bachellier, Philippe, Detour, Julien, Duclos, Bernard, Greget, Michel, Habersetzer, Francois, Imperiale, Alessio, Merle, Philippe, Rode, Agnès, Morvan, Julie, Nguyen-Khac, Eric, Yzet, Thierry, Baudin, Guillaume, Chevallier, Patrick, Mahamat, Abakar, Piche, Thierry, Razzouk, Micheline, Hillon, Patrick, Loffroy, Romaric, Toubeau, Michel, Vincent, Julie, Barabino, Gabriele, Bouarioua, Nadia, Cuilleron, Muriel, Ecochard, Marie, Prevot-Bitot, Nathalie, Leroy, Vincent, Roux, Julie, Sengel, Christian, Bourcier, Valérie, Carrie, Nathalie Ganne, Seror, Olivier, Costo, Sylvie, Dao, Thông, Pelage, Jean-Pierre, Dumortier, Jérôme, Giammarile, Francesco, Valette, Pierre-Jean, Ghazzar, Nadia, Pellerin, Olivier, Taieb, Julien, Weinmann, Pierre, Berlot, Alexandra Heurgue, Marcus, Claude, Sommacale, Daniele, Castilla-Lièvre, Maria-Angéla, Maitre, Sophie, Marthey, Lysiane, Zarca, Kevin, Mimouni, Maroua, Pereira, Helena, Chatellier, Gilles, and Durand-Zaleski, Isabelle

Published
2021
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27. EANM guideline on the role of 2-[18F]FDG PET/CT in diagnosis, staging, prognostic value, therapy assessment and restaging of ovarian cancer, endorsed by the American College of Nuclear Medicine (ACNM), the Society of Nuclear Medicine and Molecular Imaging (SNMMI) and the International Atomic Energy Agency (IAEA)

Author

Delgado Bolton, Roberto C., Aide, Nicolas, Colletti, Patrick M., Ferrero, Annamaria, Paez, Diana, Skanjeti, Andrea, and Giammarile, Francesco

Published
2021
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30. Setting-up a training programme for intraoperative molecular imaging and sentinel node mapping: how to teach? How to learn?

Author

Valdés Olmos, Renato A., Collarino, Angela, Rietbergen, Daphne D. D., Pereira Arias-Bouda, Lenka, Giammarile, Francesco, and Vidal-Sicart, Sergi

Subjects
SENTINEL lymph nodes, COMPUTER-assisted surgery, COMPUTER software developers, MULTIDISCIPLINARY practices, CLINICAL medicine
Abstract

Background: The current expansion of image-guided surgery is closely related to the role played by radio-guided surgery in supporting the sentinel node (SN) procedure during more than three decades. The so-called triple approach (lymphoscintigraphy, gamma probe detection and blue dye) was not only essential in the seminal validation of the SN procedure but also a first collective learning effort based on skill transfer and outcome-related evaluation which laid the fundaments to delineate the field of intraoperative molecular imaging (IMI) based on a similar multimodality approach and multidisciplinary practice. Methods: These elements are also becoming valid in the current incorporation of SPECT/CT and PET/CT to existing and new protocols of IMI procedures and SN mapping concerning other clinical applications. On the other hand, there is a growing tendency to combine novel modern technologies in an allied role with gamma guidance in the operating room following the development of hybrid tracers and multimodal detection approaches. Against this background, learning initiatives are required for professionals working in this area. Results: This objective has led to a group of European practitioners with large experience in SN mapping and IMI applications to give shape to a programme made up out of specific learning modules aimed to be used as a conductive thread in peripherical or centralised training instances concerning the topic. Conclusion: The presented work, written as a tutorial review, is placed in an available prior-art context and is primarily aimed at medical and paramedical practitioners as well as at hardware and software developers. [ABSTRACT FROM AUTHOR]

Published
2024
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31. Molecular image–guided surgery in gynaecological cancer: where do we stand?

Author

Pisano, Giusi, Wendler, Thomas, Valdés Olmos, Renato A., Garganese, Giorgia, Rietbergen, Daphne D. D., Giammarile, Francesco, Vidal-Sicart, Sergi, Oonk, Maaike H. M., Frumovitz, Michael, Abu-Rustum, Nadeem R., Scambia, Giovanni, Rufini, Vittoria, and Collarino, Angela

Subjects
TECHNOLOGICAL innovations, COMPUTER-assisted surgery, SENTINEL lymph nodes, CLINICAL medicine, THREE-dimensional imaging, SURGICAL robots
Abstract

Purpose: The aim of this review is to give an overview of the current status of molecular image–guided surgery in gynaecological malignancies, from both clinical and technological points of view. Methods: A narrative approach was taken to describe the relevant literature, focusing on clinical applications of molecular image–guided surgery in gynaecology, preoperative imaging as surgical roadmap, and intraoperative devices. Results: The most common clinical application in gynaecology is sentinel node biopsy (SNB). Other promising approaches are receptor-target modalities and occult lesion localisation. Preoperative SPECT/CT and PET/CT permit a roadmap for adequate surgical planning. Intraoperative detection modalities span from 1D probes to 2D portable cameras and 3D freehand imaging. Conclusion: After successful application of radio-guided SNB and SPECT, innovation is leaning towards hybrid modalities, such as hybrid tracer and fusion of imaging approaches including SPECT/CT and PET/CT. Robotic surgery, as well as augmented reality and virtual reality techniques, is leading to application of these innovative technologies to the clinical setting, guiding surgeons towards a precise, personalised, and minimally invasive approach. [ABSTRACT FROM AUTHOR]

Published
2024
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38. Guardians of precision: advancing radiation protection, safety, and quality systems in nuclear medicine.

Author

Giammarile, Francesco, Knoll, Peter, Kunikowska, Jolanta, Paez, Diana, Estrada Lobato, Enrique, Mikhail-Lette, Miriam, Wahl, Richard, Holmberg, Ola, Abdel-Wahab, May, Scott, Andrew M., and Delgado Bolton, Roberto C.

Subjects
*NUCLEAR medicine, *TECHNOLOGICAL innovations, *COMMUNITIES of practice, *RADIATION protection, *GOVERNMENT agencies, *PROFESSIONAL associations, *KNOWLEDGE acquisition (Expert systems)
Abstract

Background: In the rapidly evolving field of nuclear medicine, the paramount importance of radiation protection, safety, and quality systems cannot be overstated. This document provides a comprehensive analysis of the intricate regulatory frameworks and guidelines, meticulously crafted and updated by national and international regulatory bodies to ensure the utmost safety and efficiency in the practice of nuclear medicine. Methods: We explore the dynamic nature of these regulations, emphasizing their adaptability in accommodating technological advancements and the integration of nuclear medicine with other medical and scientific disciplines. Results: Audits, both internal and external, are spotlighted for their pivotal role in assessing and ensuring compliance with established standards, promoting a culture of continuous improvement and excellence. We delve into the significant contributions of entities like the International Atomic Energy Agency (IAEA) and relevant professional societies in offering universally applicable guidelines that amalgamate the latest in scientific research, ethical considerations, and practical applicability. Conclusions: The document underscores the essence of international collaborations in pooling expertise, resources, and insights, fostering a global community of practice where knowledge and innovations are shared. Readers will gain an in-depth understanding of the practical applications, challenges, and opportunities presented by these regulatory frameworks and audit processes. The ultimate goal is to inspire and inform ongoing efforts to enhance safety, quality, and effectiveness in nuclear medicine globally. [ABSTRACT FROM AUTHOR]

Published
2024
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43. A Practical Guide for Pediatric Nuclear Medicine

Author

Bar-Sever, Zvi, Giammarile, Francesco, Israel, Ora, and Nadel, Helen

Subjects
Hybrid imaging, Theranostics, Management of childhood diseases, SPECT/CT, PET/CT, bic Book Industry Communication::M Medicine::MM Other branches of medicine::MMN Nuclear medicine, bic Book Industry Communication::M Medicine::MJ Clinical & internal medicine::MJW Paediatric medicine, bic Book Industry Communication::M Medicine::MM Other branches of medicine::MMP Medical imaging::MMPH Radiology, bic Book Industry Communication::M Medicine::MJ Clinical & internal medicine::MJC Diseases & disorders::MJCL Oncology, bic Book Industry Communication::M Medicine::MN Surgery::MNS Orthopaedics & fractures
Abstract

This open access book will provide a foundation for the understanding of, and knowledge for a successful routine use of diagnostic Nuclear Medicine procedures in children through expertise and cases provided by representative busy pediatric nuclear medicine facilities. The book highlights important aspects of nuclear medicine in children and the differences between adult and pediatric practice where relevant. An introductory chapter provides general information detailing the advantages and limitations for performing nuclear medicine tests in children, as well as suggestions on how to approach and provide relevant data to the patients, their parents or next of kin. In the remaining 11 chapters, containing over 115 cases of children evaluated for various clinical indications, procedures are presented and subsequently detailed according to their clinical significance or prevalence based on the clinical experience of the contributors. The book is organized by organ systems, and also includes chapter on oncology and infection/ inflammation. Chapters are formatted to provide information regarding clinical indications, preparation including radiopharmaceutical doses and additional medications, study protocol, study interpretation, correlative imaging. Each chapter will include red flags warning and take home messages sections to emphasize important points. The case format is presented with patient history and then study report and impression. Based on practices explored by experts at the forefront of this field, the publication is directed at Nuclear Medicine physicians, radiologists, oncologists and clinicians in various pediatric specialties, medical physicists, medical technologists, radiopharmacists, laboratory medicine scientists and researchers.

Published
2023
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44. Guidelines on nuclear medicine imaging in neuroblastoma

Author

Bar-Sever, Zvi, Biassoni, Lorenzo, Shulkin, Barry, Kong, Grace, Hofman, Michael S., Lopci, Egesta, Manea, Irina, Koziorowski, Jacek, Castellani, Rita, Boubaker, Ariane, Lambert, Bieke, Pfluger, Thomas, Nadel, Helen, Sharp, Susan, and Giammarile, Francesco

Published
2018
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49. The OCDA-Net: a 3D convolutional neural network-based system for classification and staging of ovarian cancer patients using [18F]FDG PET/CT examinations.

Author

Sadeghi, Mohammad Hossein, Sina, Sedigheh, Alavi, Mehrosadat, and Giammarile, Francesco

Abstract

Objective: To create the 3D convolutional neural network (CNN)-based system that can use whole-body [18F]FDG PET for recurrence/post-therapy surveillance in ovarian cancer (OC). Methods: In this study, 1224 image sets from OC patients who underwent whole-body [18F]FDG PET/CT at Kowsar Hospital between April 2019 and May 2022 were investigated. For recurrence/post-therapy surveillance, diagnostic classification as cancerous, and non-cancerous and staging as stage III, and stage IV were determined by pathological diagnosis and specialists' interpretation. New deep neural network algorithms, the OCDAc-Net, and the OCDAs-Net were developed for diagnostic classification and staging of OC patients using [18F]FDG PET/CT images. Examinations were divided into independent training (75%), validation (10%), and testing (15%) subsets. Results: This study included 37 women (mean age 56.3 years; age range 36–83 years). Data augmentation techniques were applied to the images in two phases. There were 1224 image sets for diagnostic classification and staging. For the test set, 170 image sets were considered for diagnostic classification and staging. The OCDAc-Net areas under the receiver operating characteristic curve (AUCs) and overall accuracy for diagnostic classification were 0.990 and 0.92, respectively. The OCDAs-Net achieved areas under the receiver operating characteristic curve (AUCs) of 0.995 and overall accuracy of 0.94 for staging. Conclusions: The proposed 3D CNN-based models provide potential tools for recurrence/post-therapy surveillance in OC. The OCDAc-Net and the OCDAs-Net model provide a new prognostic analysis method that can utilize PET images without pathological findings for diagnostic classification and staging. [ABSTRACT FROM AUTHOR]

Published
2023
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50. Strategy planning for turbulent times in nuclear medicine: Time to begin at the beginning?

Author

Allie, Rayjanah, Kayani, Irfan, Gnanasegaran, Gopinath, Vinjamuri, Sobhan, Chiti, Arturo, Paez, Diana, Giammarile, Francesco, Herrmann, Ken, and Bomanji, Jamshed

Subjects
NUCLEAR medicine, SCHEDULING, RECESSIONS, CONTINUOUS processing, STRATEGIC planning
Abstract

This article explores the challenges faced by nuclear medicine departments in strategic planning for the future of imaging. It emphasizes the importance of identifying potential risks and uncertainties, such as economic downturns and technological changes, and proposes a different approach to decision-making. The article suggests using tools like risk assessment and scenario planning, as well as maintaining flexibility, adaptability, clear vision, effective communication, and ongoing monitoring and evaluation. It also discusses the significance of continuous process, defining extreme but plausible scenarios, and identifying strategic options and hedges. The article provides a practical model for strategy development and performance monitoring. [Extracted from the article]

Published
2023
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