scholarly journals Creation and characterization of Japanese standards for myocardial perfusion SPECT: database from the Japanese Society of Nuclear Medicine Working Group

2007 ◽  
Vol 21 (9) ◽  
pp. 505-511 ◽  
Author(s):  
Kenichi Nakajima ◽  
Shinichiro Kumita ◽  
Yoshio Ishida ◽  
Mitsuru Momose ◽  
Jun Hashimoto ◽  
...  
Keyword(s):  
Nuclear Medicine ◽  
Myocardial Perfusion ◽  
Working Group ◽  
Japanese Society ◽  
Myocardial Perfusion Spect ◽  
Perfusion Spect

scholarly journals Myocardial perfusion SPECT 2015 in Germany

2017 ◽  
Vol 56 (01) ◽  
pp. 31-38 ◽  
Author(s):  
Wolfgang Burchert ◽  
Wolfgang Schäfer ◽  
Marcus Hacker ◽  
Oliver Lindner
Keyword(s):  
Nuclear Medicine ◽  
Myocardial Perfusion ◽  
Stress Test ◽  
Myocardial Perfusion Spect ◽  
German Society ◽  
Positive Trend ◽  
University Hospitals ◽  
Educational Training ◽  
Pharmacological Stress ◽  
Perfusion Spect

SummaryAim: The working group Cardiovascular Nuclear Medicine of the German Society of Nuclear Medicine presents the results of the 7th survey of myocardial perfusion SPECT (MPS) of the reporting year 2015. Method: 268 guestionnaires (173 practices [PR], 67 hospitals [HO], 28 university hospitals ]UH[) were evaluated. Results of the last survey from 2012 are set in sguared brackets. Results: MPS of 121939 [105941] patients were reported. 98% [95 %] of all MPS were performed with Tc-99m radiopharmaceuticals and 2 % [5 %] with TI-201.78% [79%] of all patients were studied in PR, 14% [15%] in HO, and 8% [6%] in UH. A pharmacological stress test was performed in 43% [39%] (22 % [24 %] adenosine, 20 % [9 %] regade- noson, 1 % [6 %] dipyridamole or dobutamine). Attenuation correction was applied in 25 % [2009: 10 %] of MPS. Gated SPECT was performed in 78 % [70 %] of all rest MPS, in 80 % [73 %] of all stress and in 76 % [67 %] of all stress and rest MPS. 53 % [33 %] of all nuclear medicine departments performed MPS scoring by default, whereas 24% [41 %] did not apply any quantification. 31 % [26 %] of all departments noticed an increase in their counted MPS and 29% [29%] no changes. Data from 89 departments which participated in all surveys showed an increase in MPS count of 11.1 % (PR: 12.2 %, HO: 4.8%, UH: 18.4%). 70 % [60 %] of the MPS were reguested by ambulatory care cardiologists. Conclusion: The 2015 MPS survey reveals a high-grade adherence of routine MPS practice to current guidelines. The positive trend in MPS performance and number of MPS already observed in 2012 continues. Educational training remains necessary in the field of SPECT scoring.

Nuclear Medicine in Diagnosis of Angiopathy in Patients with Diabetes Mellitus Type 2

2017 ◽  
Vol 62 (1) ◽  
pp. 56-64
Author(s):  
Никитин ◽  
A. Nikitin ◽  
Мосин ◽  
D. Mosin ◽  
Кондаков ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Nuclear Medicine ◽  
Myocardial Perfusion ◽  
Diabetes Mellitus Type 2 ◽  
Myocardial Perfusion Spect ◽  
Diabetes Mellitus Type ◽  
Diagnostic Methods ◽  
Patients With Diabetes ◽  
Perfusion Spect

Purpose: To determine the role of nuclear medicine techniques in the early detection of angiopathy in patients with diabetes and to estimate their accuracy in comparison with routine diagnostic methods for evaluation of target organ damage. Material and methods: A literature review, selected from the Russian and international bibliographic databases (RSCI, Medline, Google Scholar), dedicated to diagnostic technologies for identification of angiopathy in patients with diabetes mellitus. Results: 193 sources dedicated to the diagnosis of micro- and macrovascular damage were analyzed, 66 of which were included in this study, 54 of them international and 12 domestic ones responding to the purpose of the study. The analysis revealed that the radionuclide methods of investigation reflecting the functional state of the tissues were evaluated in a small number of publications on early diagnosis angiopathy caused by diabetes mellitus type 2. Most often, high blood glucose concentration damages kidney tissue and myocardium. It is shown that the methods of dynamic nephroscintigraphy and ECG- gated myocardial perfusion SPECT allow to evaluate the progression of micro- and macrovascular disease before the manifestation of paraclinical signs according to other diagnostic methods. Key determined parameter in dynamic nephroscintigraphy is glomerular filtration rate, which declines on the early stages of the disease. Myocardial perfusion SPECT imaging provides a possibility to assess frequency and severity of ischemic myocardial injury. Conclusions: The use of nuclear medicine techniques in the diagnosis of angiopathy in diabetes allows verification of early damage to target organs. The most effective diagnostic methods for this purpose are dynamic nephroscintigraphy and myocardial perfusion SPECT which sensitivity is substantially higher than conventional diagnostic methods.

Myocardial perfusion scintigraphy in Germany

2007 ◽  
Vol 46 (02) ◽  
pp. 49-55 ◽  
Author(s):  
W. Burchert ◽  
F. M. Bengel ◽  
R. Zimmermann ◽  
J. vom Dahl ◽  
W. Schäfer ◽  
...  
Keyword(s):  
Nuclear Medicine ◽  
Myocardial Perfusion ◽  
Attenuation Correction ◽  
Working Group ◽  
Primary Care Physicians ◽  
Gated Spect ◽  
Myocardial Perfusion Scintigraphy ◽  
German Society ◽  
University Hospitals ◽  
Perfusion Scintigraphy

SummaryThe working group Cardiovascular Nuclear Medicine of the German Society of Nuclear Medicine (DGN), in cooperation with the working group Nuclear Cardiology of the German Cardiac Society (DGK), decided to conduct a national survey on myocardial perfusion scintigraphy (MPS). Method: A questionnaire to evaluate MPS for the year 2005 was sent. Results: 346 completed questionnaires had been returned (213 private practices, 99 hospitals and 33 university hospitals). MPS of 112 707 patients were reported with 110 747 stress and 95 878 rest studies. The majority (>75%) was performed with 99mTc-MIBI or tetrofosmin. 201Tl stress-redistribution was used in 22 637 patients (20%). The types of stress were exercise in 78%, vasodilation with adenosine or dipyridamol in 21% and dobutamine in 1%. 99.97% of all MPS were SPECT studies. Gated SPECT was performed in 36% of the stress and in 32% of the rest studies. An attenuation correction was used in 21%. 29 institutions (8%) performed gated SPECT (stress and rest) and attenuation correction. 47% of all MPS were requested by ambulatory care cardiologists, 17% by internists, 12% by primary care physicians, 21% by hospital departments and 2% by others. Conclusion: In Germany, MPS is predominantly performed with 99mTc-perfusion agents. The common type of stress is ergometry. Gated SPECT and attenuation correction do not yet represent standards of MPS practice in Germany, which indicates some potential of optimization.

Exercise Myocardial Perfusion SPECT in Patients Without Known Coronary Artery Disease

Circulation ◽  
1996 ◽  
Vol 93 (5) ◽  
pp. 905-914 ◽  
Author(s):  
Rory Hachamovitch ◽  
Daniel S. Berman ◽  
Hosen Kiat ◽  
Ishac Cohen ◽  
J. Arthur Cabico ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Myocardial Perfusion ◽  
Myocardial Perfusion Spect ◽  
Perfusion Spect ◽  
Artery Disease
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