National survey to set diagnostic reference levels in nuclear medicine single photon emission imaging in Croatia

2020 ◽  
Vol 78 ◽  
pp. 109-116
Author(s):  
Dea Dundara Debeljuh ◽  
Slaven Jurković ◽  
Ivan Pribanić ◽  
Frano Poljak ◽  
Ivana Kralik ◽  
...  
2020 ◽  
Vol 34 (11) ◽  
pp. 799-806
Author(s):  
Koichiro Abe ◽  
Makoto Hosono ◽  
Takayuki Igarashi ◽  
Takashi Iimori ◽  
Masanobu Ishiguro ◽  
...  

Abstract The diagnostic reference levels (DRLs) are one of several effective tools for optimizing nuclear medicine examinations and reducing patient exposure. With the advances in imaging technology and alterations of examination protocols, the DRLs must be reviewed periodically. The first DRLs in Japan were established in 2015, and since 5 years have passed, it is time to review and revise the DRLs. We conducted a survey to investigate the administered activities of radiopharmaceuticals and the radiation doses of computed tomography (CT) in hybrid CT accompanied by single photon emission computed tomography (SPECT)/CT and positron emission tomography (PET)/CT. We distributed a Web-based survey to 915 nuclear medicine facilities throughout Japan and survey responses were provided by 256 nuclear medicine facilities (response rate 28%). We asked for the facility's median actual administered activity and median radiation dose of hybrid CT when SPECT/CT or PET/CT was performed for patients with standard habitus in the standard protocol of the facility for each nuclear medicine examination. We determined the new DRLs based on the 75th percentile referring to the 2015 DRLs, drug package inserts, and updated guidelines. The 2020 DRLs are almost the same as the 2015 DRLs, but for the relatively long-lived radionuclides, the DRLs are set low due to the changes in the Japanese delivery system. There are no items set higher than the previous values. Although the DRLs determined this time are roughly equivalent to the DRLs used in the US, overall they tend to be higher than the European DRLs. The DRLs of the radiation dose of CT in hybrid CT vary widely depending on each imaging site and the purpose of the examination.


2012 ◽  
Vol 67 (9) ◽  
pp. 13-18 ◽  
Author(s):  
A. M. Granov ◽  
L. A. Tyutin ◽  
A. A. Stanzhevskii

Analysis of use of nuclear medicine imaging (positron emission tomography and single photon emission computed tomography) in diagnosis, differential diagnosis and evaluation of treatment efficacy of central nervous system diseases is presented in this review. The possibility of radionuclide imaging techniques in different variants of dementia, Parkinson's disease, brain tumors is demonstrated on the basis of personal authors experience and recent literature data. Results of PET application in evaluating of the effecacy of stereotactic interventions in patients with anxiety obsessive disorders are also described in the review. 


Herz ◽  
1999 ◽  
Vol 24 (7) ◽  
pp. 515-521 ◽  
Author(s):  
Heinrich Wieneke ◽  
Christina Zander ◽  
Ernst G. Eising ◽  
Michael Haude ◽  
Andreas Bockisch ◽  
...  

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