1
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Thompson RC. A letter to fellows-in-training around the world. J Nucl Cardiol 2021; 28:1197-1198. [PMID: 33939161 DOI: 10.1007/s12350-021-02635-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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2
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Scrima G, D'Amico M, Bertuccio G, Canavese G, De Sanctis P. Safety measures and clinical outcome of Nuclear Cardiology Department during Covid-19 lockdown pandemic: Northern Italy experience. J Nucl Cardiol 2021; 28:331-335. [PMID: 32737838 PMCID: PMC7394269 DOI: 10.1007/s12350-020-02286-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2020] [Accepted: 07/09/2020] [Indexed: 02/07/2023]
Abstract
BACKGROUND The Covid-19 pandemic led to a complete renewal of clinical activities of Italian hospitals. During the lockdown, all hospitals in Italy had to suspend non-urgent clinical activities. The prolonged suspension of elective activities could have caused a series of problems. METHODS A new ad hoc protocol was designed. Single-day fast-imaging protocol with regadenoson-stress 99mTc-tetrofosmin imaging was preferred. Patients were contacted by phone 4 days before the test and answered to a questionnaire which will be repeated on the day of the exam. Body temperature <37.5 degrees C and no Covid-19 symptoms were necessary to enter the unit. Patients wore surgical mask and gloves. Social distancing was maintained throughout the examination. Healthcare professionals wore a personal protective equipment. RESULTS A total of 46 patients were studied from April 7 to May 15, 2020, before the publication of the recommendations from ASNC and SNMMI. None of the patients experienced complications. Follow-up of patients discharged was carried by phone. No Covid-19 infection symptoms were reported. On May 18, 2020 all the healthcare providers of nuclear cardiology department underwent serological testing IgG and IgM and none were positive. CONCLUSION Strict ad hoc hygiene protocol for Covid-19 pandemic avoids diagnostic-therapeutic delay and lengthening of waiting lists. Our experience confirms that pursuing WHO recommendations and recent indication of ASNC and SNMMI is safe for both health providers and patients. Moreover, the incidence of significant inducible ischemia rises when correct stratification of patients is performed.
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Affiliation(s)
- Giovanni Scrima
- Department of Cardiology, Santa Croce Hospital, Piazza Amedeo Ferdinando 3, 10024, Moncalieri, TO, Italy.
| | - Maurizio D'Amico
- Department of Cardiology, Santa Croce Hospital, Piazza Amedeo Ferdinando 3, 10024, Moncalieri, TO, Italy
| | - Giovanni Bertuccio
- Department of Nuclear Medicine, Santa Croce Hospital, Moncalieri, TO, Italy
| | - Giacomo Canavese
- Department of Nuclear Medicine, Santa Croce Hospital, Moncalieri, TO, Italy
| | - Paolo De Sanctis
- Humanitas University and Humanitas Research Hospital, Milan, MI, Italy
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3
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Ngam PI, Goh CX, Ng DC, Tan CJ, Osmany S, Tan AE, Kannivelu A, Cheng LT, Khor LK, Tong AK, Loke KS, Wong WY. COVID-19: Preparedness in Nuclear Medicine Departments in Singapore and Response to The Global Pandemic. Ann Acad Med Singap 2020; 49:496-500. [PMID: 33000113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Affiliation(s)
- Pei Ing Ngam
- Department of Nuclear Medicine and Molecular Imaging, Singapore General Hospital, Singapore
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Alexanderson-Rosas E, Flores-García A. Can regional training courses reduce interobserver variability? J Nucl Cardiol 2020; 27:479-480. [PMID: 30298368 DOI: 10.1007/s12350-018-1453-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2018] [Accepted: 09/17/2018] [Indexed: 11/26/2022]
Abstract
Cardiovascular disease (CVD) is the principal cause of death worldwide. Noninvasive studies have been used for the evaluation of CVD. Ensuring an accurate diagnosis of CVD requires well-trained and qualified professionals. IAEA has implemented regional training courses which are mainly aimed at professionals from countries with less economic development in order to raise their professional level so that it is in accordance with international standards and thus be able to homogenize the practice of nuclear cardiology globally.
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Affiliation(s)
- Erick Alexanderson-Rosas
- Nuclear Cardiology Department, Instituto Nacional de Cardiologia "Ignacio Chavez", Mexico City, Mexico.
- Departamento de Fisiologia, Facultad de Medicina, Universidad Nacional Autonoma de Mexico, Mexico City, Mexico.
| | - Alondra Flores-García
- Nuclear Cardiology Department, Instituto Nacional de Cardiologia "Ignacio Chavez", Mexico City, Mexico
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[Joint Program Abstracts]. Kaku Igaku 2020; 57:S9-S29. [PMID: 33132294 DOI: 10.18893/kakuigaku.57.S9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
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[Special Program]. Kaku Igaku 2020; 57:S31-60. [PMID: 33132292 DOI: 10.18893/kakuigaku.57.S31] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
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8
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[Special Program Abstracts]. Kaku Igaku 2020; 57:S61-S174. [PMID: 33132293 DOI: 10.18893/kakuigaku.57.S61] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
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9
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[Joint Program]. Kaku Igaku 2020; 57:S1-8. [PMID: 33132291 DOI: 10.18893/kakuigaku.57.S1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
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10
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Gutierrez-Villamil C, Peix A, Orellana P, Berrocal I, Ramirez R, Estrada-Lobato E, Paez D. Impact of International Atomic Energy Agency support to the development of nuclear cardiology in low-and-middle-income countries: Case of Latin America and the Caribbean. J Nucl Cardiol 2019; 26:2048-2054. [PMID: 31286416 PMCID: PMC6908563 DOI: 10.1007/s12350-019-01805-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2019] [Accepted: 06/17/2019] [Indexed: 11/26/2022]
Abstract
Cardiovascular diseases (CVDs) are the leading cause of death in Latin America and the Caribbean (LAC) region as well as worldwide. Lifestyle, nutritional habits and the upsurge of obesity have contributed to the increase in the prevalence of CVDs in the region. The role of nuclear cardiology in the management of patients with CVDs is well established. Particularly, myocardial perfusion imaging is widely used in LAC countries and has been increasingly integrated into the healthcare systems in the region for the diagnosis of coronary artery disease, risk stratification and to guide patient management. In its role to support countries around the world to address their health needs through the peaceful applications of nuclear techniques, the International Atomic Energy Agency (IAEA) has provided assistance to the LAC region for the establishment and strengthening of the nuclear cardiology practice. To that extent, the IAEA provides support in building capacities of multidisciplinary teams of professionals, the provision of medical equipment and the promotion of communication and exchange of knowledge among the different stakeholders. In addition, the IAEA encourages the participation of nuclear medicine centers in international multi-center research studies. In this paper, we present some of the projects through which the IAEA has supported the LAC region, including regional technical cooperation projects and coordinated research projects related to cardiology within the current multimodality approach to cardiac imaging.
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Affiliation(s)
- C Gutierrez-Villamil
- Servicio de Medicina Nuclear, Fundación Cardioinfantil - Instituto de Cardiología, Bogotá, Colombia
- Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogotá, Colombia
| | - A Peix
- Nuclear Medicine Department, Institute of Cardiology, 17 No. 702, Vedado, CP 10 400, Havana, Cuba.
| | - P Orellana
- Nuclear Medicine Unit, Radiology Department, Pontificia Universidad Catolica de Chile, Santiago, Chile
| | - I Berrocal
- Hospital San Juan de Dios, San Jose, Costa Rica
| | - R Ramirez
- Technical Cooperation Section for Latin America and the Caribbean, International Atomic Energy Agency, Vienna, Austria
| | - E Estrada-Lobato
- Nuclear Medicine and Diagnostic Imaging Section, International Atomic Energy Agency, Vienna, Austria
| | - D Paez
- Nuclear Medicine and Diagnostic Imaging Section, International Atomic Energy Agency, Vienna, Austria
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11
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Jimenez-Heffernan A, Aguadé-Bruix S, Casans-Tormo I. Reply to responsible growth of nuclear cardiology in Spain. J Nucl Cardiol 2019; 26:2124. [PMID: 29181784 DOI: 10.1007/s12350-017-1133-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2017] [Accepted: 11/14/2017] [Indexed: 10/18/2022]
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12
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Affiliation(s)
- Rami Doukky
- Division of Cardiology, Cook County Health, 1901 W. Harrison St., Chicago, IL, 60612, USA.
- Division of Cardiology, Rush University Medical Center, Chicago, IL, USA.
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Ribeiro AS, Lee M, Oyen WJG. EANM commitment towards involvement and engagement of patients and the public: learning from the UK experience. Eur J Nucl Med Mol Imaging 2019; 46:2218-2219. [PMID: 31375856 DOI: 10.1007/s00259-019-04457-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2019] [Accepted: 07/22/2019] [Indexed: 11/26/2022]
Affiliation(s)
| | - Martin Lee
- The European Association of Nuclear Medicine, Vienna, Austria
| | - Wim J G Oyen
- The European Association of Nuclear Medicine, Vienna, Austria.
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14
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Winchester DE, Wolinsky D. Refer Wisely™: Leveraging social media to promote interdisciplinary collaboration on the use of cardiac testing. J Nucl Cardiol 2019; 26:1225-1227. [PMID: 30825112 DOI: 10.1007/s12350-019-01673-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2019] [Accepted: 02/20/2019] [Indexed: 10/27/2022]
Affiliation(s)
- David E Winchester
- Malcom Randall VAMC, 1601 SW Archer Rd Box, Mail Stop 111-D, Gainesville, FL, 32608, USA.
- University of Florida College of Medicine, Gainesville, FL, USA.
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15
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Affiliation(s)
- Barry L Zaret
- Division of Cardiovascular Medicine, Department of Internal Medicine, Section of Cardiovascular Medicine, Yale University School of Medicine, PO Box 208017, New Haven, CT, 06520-8017, USA.
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Affiliation(s)
- Rob S B Beanlands
- Division of Cardiology, University of Ottawa Heart Institute, 40 Ruskin Street, Ottawa, ON, K1Y 4W7, Canada.
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17
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Murphy DJ, Din M, Hage FG, Reyes E. Guidelines in review: Comparison of ESC and AHA guidance for the diagnosis and management of infective endocarditis in adults. J Nucl Cardiol 2019; 26:303-308. [PMID: 29923105 PMCID: PMC6394609 DOI: 10.1007/s12350-018-1333-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2018] [Accepted: 05/24/2018] [Indexed: 01/09/2023]
Abstract
Over recent years, new evidence has led a rethinking of the available guidance on the diagnosis and management of infective endocarditis (IE). This review compares the most recently available guidance provided by the American Heart Association (AHA) IE Writing Committee, and the Task Force for the management of IE of the European Society of Cardiology (ESC). This represents the sixth of a new series of comparative guidelines review published in the Journal.
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Affiliation(s)
- David J Murphy
- King's College London and Guy's and St Thomas' NHS Foundation Trust PET Centre, London, UK
| | - Munaib Din
- King's College London and Guy's and St Thomas' NHS Foundation Trust PET Centre, London, UK
| | - Fadi G Hage
- Division of Cardiovascular Disease, Department of Medicine, The University of Alabama at Birmingham, Birmingham, AL, USA
- Section of Cardiology, Birmingham Veteran Affairs Medical Center, Birmingham, AL, USA
| | - Eliana Reyes
- King's College London and Guy's and St Thomas' NHS Foundation Trust PET Centre, London, UK.
- Nuclear Medicine Department, Royal Brompton and Harefield NHS Foundation Trust, Sydney Street, London, SW3 6NP, UK.
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18
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Iskandrian AE. Happy 25th Anniversary - ASNC. J Nucl Cardiol 2019; 26:16-19. [PMID: 30565063 DOI: 10.1007/s12350-018-01571-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2018] [Accepted: 12/06/2018] [Indexed: 10/27/2022]
Affiliation(s)
- Ami E Iskandrian
- Division of CV Diseases/Department of Medicine, University of Alabama at Birmingham, 316 LHRB/1900 UNIV BLVD, Birmingham, AL, 35294, USA.
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19
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Tilkemeier PL, Doukky R, Kirkpatrick JN, Desai MY, Nagueh SF. Coming-of-age: The ImageGuide™ Registry at three. J Nucl Cardiol 2019; 26:72-75. [PMID: 30218217 DOI: 10.1007/s12350-018-1442-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2018] [Accepted: 09/04/2018] [Indexed: 11/28/2022]
Affiliation(s)
| | - Rami Doukky
- Division of Cardiology, Cook County Health and Hospitals System, 1901 W. Harrison St., Chicago, IL, 60612, USA.
- Division of Cardiology, Rush University Medical Center, Chicago, IL, USA.
| | - James N Kirkpatrick
- Division of Cardiology, University of Washington Medical Center, Seattle, WA, USA
| | - Milind Y Desai
- Department of Cardiovascular Medicine, Cleveland Clinic, Cardiovascular Medicine-Heart and Vascular Institute, Cleveland, OH, USA
| | - Sherif F Nagueh
- Methodist DeBakey Heart and Vascular Center, Houston, TX, USA
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20
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Leppo JA. ASNC at 25. J Nucl Cardiol 2019; 26:36-38. [PMID: 30414059 DOI: 10.1007/s12350-018-01511-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2018] [Accepted: 10/09/2018] [Indexed: 10/27/2022]
Affiliation(s)
- Jeffrey A Leppo
- BMC Cardiology Professional Services, Berkshire Medical Center, 777 North Street, Pittsfield, MA, 01201, USA.
- University of Massachusetts Medical School, Worcester, MA, USA.
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21
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Botvinick EH. The beginnings of ASNC. J Nucl Cardiol 2019; 26:39-41. [PMID: 30478663 DOI: 10.1007/s12350-018-01536-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2018] [Accepted: 11/02/2018] [Indexed: 11/24/2022]
Affiliation(s)
- Elias H Botvinick
- Cardiovascular Division, Nuclear Medicine Section, University of California San Francisco, 505 Parnassus Avenue, L-523, San Francisco, CA, 94143, USA.
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22
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Cerqueira MD. Contemporary nuclear cardiology practice: The Cleveland Clinic approach. J Nucl Cardiol 2018; 25:1491-1497. [PMID: 30151795 DOI: 10.1007/s12350-018-1423-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2018] [Accepted: 08/20/2018] [Indexed: 10/28/2022]
Affiliation(s)
- Manuel D Cerqueira
- Department of Nuclear Medicine and Staff Cardiologist, Cleveland Clinic Foundation, Cleveland, USA.
- Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, USA.
- Cleveland Clinic (Jb3), 9500 Euclid Ave, Cleveland, OH, 4419, USA.
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23
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Pacini F, Basolo F, Bellantone R, Boni G, Cannizzaro MA, De Palma M, Durante C, Elisei R, Fadda G, Frasoldati A, Fugazzola L, Guglielmi R, Lombardi CP, Miccoli P, Papini E, Pellegriti G, Pezzullo L, Pontecorvi A, Salvatori M, Seregni E, Vitti P. Italian consensus on diagnosis and treatment of differentiated thyroid cancer: joint statements of six Italian societies. J Endocrinol Invest 2018; 41:849-876. [PMID: 29729004 DOI: 10.1007/s40618-018-0884-2] [Citation(s) in RCA: 131] [Impact Index Per Article: 21.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/27/2018] [Accepted: 03/31/2018] [Indexed: 02/08/2023]
Abstract
BACKGROUND Thyroid nodules are a common clinical problem, and differentiated thyroid cancer is becoming increasingly prevalent. METHODS Six scientific Italian societies entitled to cure thyroid cancer patients (the Italian Thyroid Association, the Medical Endocrinology Association, the Italian Society of Endocrinology, the Italian Association of Nuclear Medicine and Molecular Imaging, the Italian Society of Unified Endocrine Surgery and the Italian Society of Anatomic Pathology and Diagnostic Cytology) felt the need to develop a consensus report based on significant scientific advances occurred in the field. OBJECTIVE The document includes recommendations regarding initial evaluation of thyroid nodules, clinical and ultrasound criteria for fine-needle aspiration biopsy, initial management of thyroid cancer including staging and risk assessment, surgical management, radioiodine remnant ablation, and levothyroxine therapy, short-term and long-term follow-up strategies, and management of recurrent and metastatic disease. The objective of this consensus is to inform clinicians, patients, researchers, and health policy makers about the best strategies (and their limitations) relating to the diagnosis and treatment of differentiated thyroid cancer.
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Affiliation(s)
- F Pacini
- Department of Medical, Surgical and Neurological Sciences, University of Siena, 53100, Siena, Italy.
| | - F Basolo
- Department of Surgical, Medical, Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy
| | - R Bellantone
- U.O.C. Chirurgia Endocrina e Metabolica, Fondazione Policlinico Universitario A. Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy
| | - G Boni
- Regional Center of Nuclear Medicine, University of Pisa, Pisa, Italy
| | - M A Cannizzaro
- Department of Medical and Surgical Sciences, Advanced Technologies "G.F.Ingrassia", University of Catania, Catania, Italy
| | - M De Palma
- Dipartimento Chirurgico Generale e Polispecialistico Chirurgia 2, AORN Cardarelli, Naples, Italy
| | - C Durante
- Department of Internal Medicine and Medical Specialties, University of Rome Sapienza, Rome, Italy
| | - R Elisei
- Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy
| | - G Fadda
- Institute of Pathology, Catholic University of the Sacred Heart, Rome, Italy
| | - A Frasoldati
- Endocrinology Unit, Arcispedale S. Maria Nuova-IRCCS, Reggio Emilia, Italy
| | - L Fugazzola
- Division of Endocrine and Metabolic Diseases, Istituto Auxologico Italiano IRCCS, Milan, Italy
- Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy
| | - R Guglielmi
- Department of Endocrinology, Regina Apostolorum Hospital, Albano Laziale, Italy
| | - C P Lombardi
- U.O.C. Chirurgia Endocrina e Metabolica, Fondazione Policlinico Universitario A. Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy
| | - P Miccoli
- Department of Surgical, Medical, Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy
| | - E Papini
- Department of Endocrinology, Regina Apostolorum Hospital, Albano Laziale, Italy
| | - G Pellegriti
- Endocrinology, Department of Clinical and Experimental Medicine, University of Catania, Garibaldi-Nesima Medical Center, Catania, Italy
| | - L Pezzullo
- Thyroid and Parathyroid Surgery Unit, Istituto Nazionale per lo Studio e la Cura dei Tumori-IRCCS 'Fondazione G. Pascale', Naples, Italy
| | - A Pontecorvi
- Cattedra di Endocrinologia, Area di Endocrinologia e Malattie Metaboliche, Università Cattolica del Sacro Cuore, Rome, Italy
| | - M Salvatori
- Istituto di Medicina Nucleare, Policlinico Gemelli, Rome, Italy
| | - E Seregni
- Struttura di Terapia Medico Nucleare ed Endocrinologia U.O. Medicina Nucleare Fondazione IRCCS Istituto Nazionale dei Tumori Milano, Milan, Italy
| | - P Vitti
- Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy
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Abstract
The field of nuclear cardiology has changed considerably over recent years, with greater attention paid to safety and radiation protection issues. The wider usage of technetium-99m (Tc-99m)-labeled radiopharmaceuticals for single-photon emission computed tomography (SPECT) imaging using gamma cameras has contributed to better quality studies and lower radiation exposure to patients. Increased availability of tracers and scanners for positron emission tomography (PET) will help further improve the quality of studies and quantify myocardial blood flow and myocardial flow reserve, thus enhancing the contribution of non-invasive imaging to the management of coronary artery disease. The introduction of new instrumentation such as solid state cameras and new software will help reduce further radiation exposure to patients undergoing nuclear cardiology studies. Results from recent studies, focused on assessing the relationship between best practices and radiation risk, provide useful insights on simple measures to improve the safety of nuclear cardiology studies without compromising the quality of results.
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Affiliation(s)
- Maurizio Dondi
- Nuclear Medicine and Diagnostic Imaging Section, Division of Human Health, International Atomic Energy Agency, Vienna, Austria.
| | - Thomas Pascual
- Nuclear Medicine and Diagnostic Imaging Section, Division of Human Health, International Atomic Energy Agency, Vienna, Austria
| | - Diana Paez
- Nuclear Medicine and Diagnostic Imaging Section, Division of Human Health, International Atomic Energy Agency, Vienna, Austria
| | - Andrew J Einstein
- Division of Cardiology, Department of Medicine, Columbia University Medical Center/New York-Presbyterian Hospital, New York, NY, USA
- Department of Radiology, Columbia University Medical Center/New York-Presbyterian Hospital, New York, NY, USA
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25
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Technologist News. J Nucl Med Technol 2016; 44:14A-7A. [PMID: 27601417] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023] Open
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Wang HB, Zhang QZ, Zhang Z, Hou CS, Li WL, Yang H, Sun QF. Necessity of Internal Monitoring for Nuclear Medicine Staff in a Large Specialized Chinese Hospital. Int J Environ Res Public Health 2016; 13:418. [PMID: 27077874 PMCID: PMC4847080 DOI: 10.3390/ijerph13040418] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/06/2015] [Revised: 01/17/2016] [Accepted: 03/04/2016] [Indexed: 11/18/2022]
Abstract
This work intends to quantify the risk of internal contaminations in the nuclear medicine staff of one hospital in Henan province, China. For this purpose, the criteria proposed by the International Atomic Energy Agency (IAEA) to determine whether it is necessary to conduct internal individual monitoring was applied to all of the 18 nuclear medicine staff members who handled radionuclides. The activity of different radionuclides used during a whole calendar year and the protection measures adopted were collected for each staff member, and the decision as to whether nuclear medicine staff in the hospital should be subjected to internal monitoring was made on the basis of the criteria proposed by IAEA. It is concluded that for all 18 members of the nuclear medicine staff in the hospital, internal monitoring is required. Internal exposure received by nuclear medicine staff should not be ignored, and it is necessary to implement internal monitoring for nuclear medicine staff routinely.
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Affiliation(s)
- Hong-Bo Wang
- Key Laboratory of Radiological Protection and Nuclear Emergency, National Institute for Radiological Protection, Chinese Center for Disease Control and Prevention, Beijing 100088, China.
- Graduate School of Chinese Center for Disease Control and Prevention, Beijing 100088, China.
| | - Qing-Zhao Zhang
- Key Laboratory of Radiological Protection and Nuclear Emergency, National Institute for Radiological Protection, Chinese Center for Disease Control and Prevention, Beijing 100088, China.
| | - Zhen Zhang
- Key Laboratory of Radiological Protection and Nuclear Emergency, National Institute for Radiological Protection, Chinese Center for Disease Control and Prevention, Beijing 100088, China.
| | - Chang-Song Hou
- Key Laboratory of Radiological Protection and Nuclear Emergency, National Institute for Radiological Protection, Chinese Center for Disease Control and Prevention, Beijing 100088, China.
| | | | - Hui Yang
- Henan Tumor Hospital, Zhengzhou 450008, China.
| | - Quan-Fu Sun
- Key Laboratory of Radiological Protection and Nuclear Emergency, National Institute for Radiological Protection, Chinese Center for Disease Control and Prevention, Beijing 100088, China.
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27
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Iskandrian AE. Technical corner initiative announcement. J Nucl Cardiol 2015; 22:1163. [PMID: 26396023 DOI: 10.1007/s12350-015-0285-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2015] [Accepted: 09/02/2015] [Indexed: 11/28/2022]
Affiliation(s)
- Ami E Iskandrian
- Division of cardiovascular Diseases, Department of Medicine, University of Alabama at Birmingham, 318 LHRB, 1900 University BLVD, Birmingham, AL, 35294, USA.
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Wolinsky D. ASNC Leaves Its Mark. J Nucl Cardiol 2015; 22:1329-30. [PMID: 26499769 DOI: 10.1007/s12350-015-0308-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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29
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Affiliation(s)
- Fernanda Erthal
- Division of Cardiology, Department of Medicine, National Cardiac PET Centre, University of Ottawa Heart Institute, Ottawa, Canada
| | - Rob Beanlands
- Division of Cardiology, Department of Medicine, National Cardiac PET Centre, University of Ottawa Heart Institute, Ottawa, Canada.
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Dhingra VK, Saini S, Basu S. How a tertiary medical nuclear medicine department at the Himalayan area in India can be established and function in an exemplary manner. Basic rules revisited. Hell J Nucl Med 2015; 18:252-256. [PMID: 26637505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Received: 10/10/2015] [Accepted: 11/23/2015] [Indexed: 06/05/2023]
Abstract
OBJECTIVE We describe and discuss the various medical, social and financial aspects of setting up, and optimizing, working conditions of a tertiary Nuclear Medicine Department. This department was established in a North Indian state which comprises 93% of hilly area. During the first three years after establishment we have developed infrastructure, cooperation with other departments, improved radiation safety and cost effectiveness of our work and designed future perspectives. The facility was established in a cancer center of a tertiary care hospital where a medical college infrastructure was developed. National guidelines formulated by the Atomic Energy Regulatory Board (AERB) were followed. Our department served a population area of 10.08 million inhabitants. Over the first three years 2,400 patients underwent diagnostic scans and 106 patients underwent low dose radioiodine treatment for thyrotoxicosis. To optimize resources and at the same time, enhance their effectivity, we procured our (99)Mo/ (99m)Tc generator every other week and arranged our daily programme accordingly. Fractionation of cold kits allowed us to perform low cost in-vivo procedures on a daily basis and to save the department's running costs by 30%-50%. We run continuing education nuclear medicine programmes for referring physicians, medical students and paramedical workers which were included in routine practice which led to a consistent growth in patients referral. The need for a positron emission tomography/computed tomography (PET/CT) scan and high dose treatment department for thyroid cancer was strongly felt. CONCLUSION Our nuclear medicine department in a peripheral region of a developing country applied better logistics by procuring new generator every fortnight, fractionating the cold kits and by organizing complete teaching programmes.
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Affiliation(s)
- Vandana Kumar Dhingra
- Department of Nuclear Medicine, Cancer Research Institute, Swami Rama Himalayan UniversitySwami Rama Nagar, P.O. Doiwala, Distt. Dehradun 248140, Uttarakhand, India.
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31
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Bolus NE. Some Long-Term Goals for JNMT Are Achieved. J Nucl Med Technol 2015; 43:6A. [PMID: 26338847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023] Open
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32
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Wolinsky D. The PROMISE of Nuclear Cardiology. J Nucl Cardiol 2015; 22:858-60. [PMID: 26108414 DOI: 10.1007/s12350-015-0208-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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33
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Zubal G. From the Exhibitors' Hall: SNMMI Annual Meeting 2015. J Nucl Med 2015; 56:16N-19N. [PMID: 26240083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023] Open
Affiliation(s)
- George Zubal
- Z-Concepts LLC and Yale School of Medicine, New Haven, CT
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34
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Bateman TM. Twelfth annual Mario S. Verani, MD memorial lecture: Vision, leadership, and change-A reflection on the challenges and opportunities in the community-based practice of nuclear cardiology. J Nucl Cardiol 2015; 22:435-49. [PMID: 25894058 DOI: 10.1007/s12350-015-0126-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2015] [Accepted: 03/09/2015] [Indexed: 12/23/2022]
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35
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Winchester DE, Moseley RE, Hendel R. The business of accreditation. J Nucl Cardiol 2015; 22:504-6. [PMID: 25376669 DOI: 10.1007/s12350-014-0021-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- David E Winchester
- Division of Cardiovascular Medicine, Department of Medicine, University of Florida College of Medicine, 1600 SW Archer Road, PO Box 100277, Gainesville, FL, 32610-0277, USA,
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36
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Segall G. ABNM Maintenance of Certification: Getting It Right. J Nucl Med 2015; 56:19N. [PMID: 26033626] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023] Open
Affiliation(s)
- George Segall
- Executive Director, American Board of Nuclear Medicine
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Beanlands R, Heller GV. Proceedings of the ASNC Cardiac PET Summit, 12 May 2014, Baltimore, MD : 1: The value of PET: Integrating cardiovascular PET into the care continuum. J Nucl Cardiol 2015; 22:557-62. [PMID: 25907354 DOI: 10.1007/s12350-015-0129-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2015] [Accepted: 03/10/2015] [Indexed: 01/08/2023]
Affiliation(s)
- Rob Beanlands
- Department of Cardiology, University of Ottawa Heart Institute, 40 Ruskin Street, Room 1220, Ottawa, ON, K1C7N4, Canada
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Wolinsky D. Growth and development with an all-inclusive ASNC. J Nucl Cardiol 2015; 22:590-1. [PMID: 25900345 DOI: 10.1007/s12350-015-0133-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- David Wolinsky
- American Society of Nuclear Cardiology, 4340 East-West Highway, Suite 1120, Bethesda, MD, 20814, USA,
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Jerome SD, Farrell MB, Godiwala T, Heller GV, Bezold LI, Choi JY, Cockroft KM, Gornik HL, Katanick SL, Manning WJ. Facility perception of nuclear cardiology accreditation: Results of an Intersocietal Accreditation Commission (IAC) survey. J Nucl Cardiol 2015; 22:496-503. [PMID: 25352528 DOI: 10.1007/s12350-014-0011-5] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2014] [Revised: 09/23/2014] [Accepted: 09/24/2014] [Indexed: 11/30/2022]
Abstract
BACKGROUND The Medicare Improvements for Patients and Providers Act requires accreditation for all non-hospital suppliers of nuclear cardiology, nuclear medicine, and positron emission tomography (PET) studies as a condition of reimbursement. The perceptions of these facilities regarding the value and impact of the accreditation process are unknown. We conducted an electronic survey to assess the value of nuclear cardiology accreditation. METHODS A request to participate in an electronic survey was sent to the medical and technical directors (n = 5,721) of all facilities who had received Intersocietal Accreditation Commission (IAC) Nuclear/PET accreditation. Demographic information, as well as, opinions on the value of accreditation as it relates to 16 quality metrics was obtained. RESULTS There were 664 (11.6%) respondents familiar with the accreditation process of which 26% were hospital-based and 74% were nonhospital-based. Of the quality metrics examined, the process was perceived as leading to improvements by a majority of all respondents for 10 (59%) metrics including report standardization, report completeness, guideline adherence, deficiency identification, report timeliness, staff knowledge, facility distinction, deficiency correction, acquisition standardization, and image quality. Overall, the global perceived improvement was greater for hospital-based facilities (63% vs 57%; P < .001). Ninety-five percent of respondents felt that accreditation was important. Hospital-based facilities were more likely to feel that accreditation demonstrates a commitment to quality (43% vs 33%, P = .029), while nonhospital-based facilities were more likely to feel accreditation is important for reimbursement (50% vs 29%, P≤ .001). CONCLUSION Although the accreditation process is demanding, the results of the IAC survey indicate that the accreditation process has a positive perceived impact for the majority of examined quality metrics, suggesting the facilities find the process to be valuable.
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Affiliation(s)
- Scott D Jerome
- University of Maryland School of Medicine, 295 Stoner Ave, #103, Baltimore, MD, 21157, USA,
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Harolds JA, Oates ME, Guiberteau MJ, Ghesani M, Scanlon MH, Iagaru AH. New training pathways to dual certification in nuclear medicine and radiology. J Nucl Med 2015; 56:17N-18N. [PMID: 26033625] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023] Open
Affiliation(s)
- Jay A Harolds
- Michigan State University College of Human Medicine and Advanced Radiology Services, Grand Rapids, MI
| | | | | | | | - Mary H Scanlon
- University of Pennsylvania School of Medicine, Philadelphia, PA
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41
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de Jong M, Van Laere K. Highlights lecture EANM 2014: "Gimme gimme gimme those nuclear Super Troupers". Eur J Nucl Med Mol Imaging 2015; 42:781-802. [PMID: 25687535 PMCID: PMC4349956 DOI: 10.1007/s00259-014-2986-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2014] [Accepted: 12/29/2014] [Indexed: 11/27/2022]
Abstract
The EANM Congress 2014 took place in Gothenburg, Sweden, from 18 to 22 October under the presidency of Prof. Wim Oyen, chair of the EANM Scientific Committee. Prof. Peter Gjertsson chaired the Local Organizing Committee, according to the standardized EANM congress structure. The meeting was a highlight for the multidisciplinary community that forms the heart and soul of nuclear medicine; attendance was exceptionally high. In total almost 5,300 participants came to Gothenburg, and 1,397 colleagues participated via the EANM LIVE sessions ( http://eanmlive.eanm.org/index.php ). Participants from all continents were presented with an excellent programme consisting of symposia, scientific and featured sessions, CME sessions, and plenary lectures. These lectures were devoted to nuclear medicine therapy, hybrid imaging and molecular life sciences. Two tracks were included in the main programme, clustering multi-committee involvement: the 5th International Symposium on Targeted Radionuclide-therapy and Dosimetry (ISTARD) and the first Molecules to Man (M2M) track, an initiative of the EANM Committees for Translational Molecular Imaging, Radiopharmacy and Drug Development. The industry made a substantial contribution to the success of the congress demonstrating the latest technology and innovations in the field. During the closing Highlights Lecture, a selection of the best-rated abstracts was presented including diverse areas of nuclear medicine: physics and instrumentation, radiopharmacy, preclinical imaging, oncology (with a focus on the clinical application of newly developed tracers) and radionuclide therapy, cardiology and neurosciences. This Highlights Lecture could only be a brief summary of the large amount of data presented and discussed during the meeting, which can be found in much greater detail in the congress proceedings book, published as Volume 41, Supplement 2 of the European Journal of Nuclear Medicine and Molecular Imaging in October 2014.
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Affiliation(s)
- Marion de Jong
- Departments of Nuclear Medicine and Radiology, Erasmus MC Rotterdam, Rotterdam, The Netherlands,
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42
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Delbeke D. JNM update for 2014. J Nucl Med 2015; 56:25A. [PMID: 25733607] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023] Open
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Herscovitch P. SNMMI leadership update: reaching out to develop a unified voice. J Nucl Med 2015; 56:16N. [PMID: 25733604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023] Open
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SNMMI industry forum created to work together on areas of promise. J Nucl Med 2015; 56:13N. [PMID: 25733601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023] Open
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Johnston TP. ReactorHealth Physics operations at the NIST center for neutron research. Health Phys 2015; 108:S19-S28. [PMID: 25551649 DOI: 10.1097/hp.0000000000000207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Performing health physics and radiation safety functions under a special nuclear material license and a research and test reactor license at a major government research and development laboratory encompasses many elements not encountered by industrial, general, or broad scope licenses. This article reviews elements of the health physics and radiation safety program at the NIST Center for Neutron Research, including the early history and discovery of the neutron, applications of neutron research, reactor overview, safety and security of radiation sources and radioactive material, and general health physics procedures. These comprise precautions and control of tritium, training program, neutron beam sample processing, laboratory audits, inventory and leak tests, meter calibration, repair and evaluation, radioactive waste management, and emergency response. In addition, the radiation monitoring systems will be reviewed including confinement building monitoring, ventilation filter radiation monitors, secondary coolant monitors, gaseous fission product monitors, gas monitors, ventilation tritium monitor, and the plant effluent monitor systems.
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Affiliation(s)
- Thomas P Johnston
- *National Institute of Standards &8; Technology, 100 Bureau Drive, MS 6100, Gaithersburg, MD 20899-6100
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47
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DePuey EG. ASNC's international outreach: JNC president's page. J Nucl Cardiol 2014; 21:1255-7. [PMID: 25343969 DOI: 10.1007/s12350-014-0010-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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48
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Herscovitch P. SNMMI leadership update: The importance of quality, evidence, and value in nuclear medicine. J Nucl Med 2014; 55:26N. [PMID: 25368336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023] Open
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49
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Shaw LJ. Safety issues now have a greater prominence within nuclear cardiology when compared to other modalities that do not expose patients to ionizing radiation. J Nucl Cardiol 2014; 21:225. [PMID: 24585132 DOI: 10.1007/s12350-014-9873-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Bazyka D, Sushko V, Chumak A, Buzunov V, Talko V, Yanovych L. State institution "National Research Center for Radiation Medicine of National Academy of Medical Sciences of Ukraine" 2012 annual report. Probl Radiac Med Radiobiol 2013:12-19. [PMID: 25191705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 08/21/2013] [Indexed: 06/03/2023]
Abstract
The 2012 annual results of NRCRM activity in research and its implementation in healthcare practice, aid to survivors, and international collaboration were summarized in the report by Director General of the NRCRM D.A. Bazyka at the Scientific Council meeting of NAMS on March 26, 2013.
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