Back to Search
Start Over
Nuclear cardiology practice and associated radiation doses in Europe: results of the IAEA Nuclear Cardiology Protocols Study (INCAPS) for the 27 European countries
- Source :
- European Journal of Nuclear Medicine and Molecular Imaging, European Journal of Nuclear Medicine and Molecular Imaging, Springer Verlag (Germany), 2016, 43 (4), pp.718-728. ⟨10.1007/s00259-015-3270-8⟩, Dipòsit Digital de Documents de la UAB, Universitat Autònoma de Barcelona, EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING, r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau, instname
- Publication Year :
- 2016
-
Abstract
- Purpose Nuclear cardiology is widely used to diagnose coronary artery disease and to guide patient management, but data on current practices, radiation dose-related best practices, and radiation doses are scarce. To address these issues, the IAEA conducted a worldwide study of nuclear cardiology practice. We present the European subanalysis. Methods In March 2013, the IAEA invited laboratories across the world to document all SPECT and PET studies performed in one week. The data included age, gender, weight, radiopharmaceuticals, injected activities, camera type, positioning, hardware and software. Radiation effective dose was calculated for each patient. A quality score was defined for each laboratory as the number followed of eight predefined best practices with a bearing on radiation exposure (range of quality score 0 - 8). The participating European countries were assigned to regions (North, East, South, and West). Comparisons were performed between the four European regions and between Europe and the rest-of-the-world (RoW). Results Data on 2,381 European patients undergoing nuclear cardiology procedures in 102 laboratories in 27 countries were collected. A cardiac SPECT study was performed in 97.9 % of the patients, and a PET study in 2.1 %. The average effective dose of SPECT was 8.0 +/- 3.4 mSv (RoW 11.4 +/- 4.3 mSv; P < 0.001) and of PET was 2.6 +/- 1.5 mSv (RoW 3.8 +/- 2.5 mSv; P < 0.001). The mean effective doses of SPECT and PET differed between European regions (P < 0.001 and P = 0.002, respectively). The mean quality score was 6.2 +/- 1.2, which was higher than the RoW score (5.0 +/- 1.1; P < 0.001). Adherence to best practices did not differ significantly among the European regions (range 6 to 6.4; P = 0.73). Of the best practices, stress-only imaging and weight-adjusted dosing were the least commonly used. Conclusion In Europe, the mean effective dose from nuclear cardiology is lower and the average quality score is higher than in the RoW. There is regional variation in effective dose in relation to the best practice quality score. A possible reason for the differences between Europe and the RoW could be the safety culture fostered by actions under the Euratom directives and the implementation of diagnostic reference levels. Stress-only imaging and weight-adjusted activity might be targets for optimization of European nuclear cardiology practice.
- Subjects :
- INCAPS Investigators Group
[SDV.IB.IMA]Life Sciences [q-bio]/Bioengineering/Imaging
Computed tomography
Best practice
030204 cardiovascular system & hematology
Myocardial perfusion scintigraphy
030218 nuclear medicine & medical imaging
0302 clinical medicine
Nuclear Medicine and Imaging
Medicine
media_common
medicine.diagnostic_test
Radiation dose
Scientific
General Medicine
3. Good health
Patient management
Europe
Nuclear Medicine & Medical Imaging
Radiology Nuclear Medicine and imaging
SPECT
Practice Guidelines as Topic
Cardiology
Original Article
Radiology
Societies, Scientific
medicine.medical_specialty
Best practices
0299 Other Physical Sciences
[SDV.IB.MN]Life Sciences [q-bio]/Bioengineering/Nuclear medicine
Radiation Dosage
NO
03 medical and health sciences
Internal medicine
media_common.cataloged_instance
Radiology, Nuclear Medicine and imaging
Medical physics
European Union
Quality of care
European union
Cardiac Imaging Technique
business.industry
Nuclear cardiology
PET
Cardiac Imaging Techniques
Nuclear Medicine
Positron-Emission Tomography
Radiology, Nuclear Medicine and Imaging
1103 Clinical Sciences
business
Societies
Medical therapy
[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology
Subjects
Details
- Language :
- English
- ISSN :
- 16197070 and 16197089
- Database :
- OpenAIRE
- Journal :
- European Journal of Nuclear Medicine and Molecular Imaging, European Journal of Nuclear Medicine and Molecular Imaging, Springer Verlag (Germany), 2016, 43 (4), pp.718-728. ⟨10.1007/s00259-015-3270-8⟩, Dipòsit Digital de Documents de la UAB, Universitat Autònoma de Barcelona, EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING, r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau, instname
- Accession number :
- edsair.doi.dedup.....d4391f345a8f33238f30462bf979fd19
- Full Text :
- https://doi.org/10.1007/s00259-015-3270-8⟩