Nuclear Cardiology Practices and Radiation Exposure in the Oceania Region: Results From the IAEA Nuclear Cardiology Protocols Study (INCAPS)
Por:
Biswas, S, Better, N, Pascual, TNB, Mercuri, M, Vitola, JV, Karthikeyan, G, Westcott, J, Alexanderson, E, Allam, AH, Al-Mallah, MH, Bom, HHS, Bouyoucef, SE, Flotats, A, Jerome, S, Kaufman, PA, Lele, V, Luxenburg, O, Mahmarian, JJ, Shaw, LJ, Underwood, SR, Rehani, M, Kashyap, R, Dondi, M, Paez, D, Einstein, AJ, Alcheikh, A, Allen, B, Kelley, B, Bonomini, C, McGrath, C, Atkins, E, Craig, E, Murdoch, E, Souvannavong, F, Larcos, G, Taylor, G, Dixson, H, Duncan, I, Bevan, J, Christiansen, J, Hassall, J, Weale, J, Hartcher, K, Smidt, K, Taubman, K, Tse, K, Clark, L, Scarlett, L, O'Rourke, M, Pack, M, Hampson, R, Pearce, R, Praehofer, R, Fredericks, S, Gales, S, Kelly, S, O'Malley, S, Ramsay, S, Unger, S, de Kort, T, Hanley, T, Kidd, T, Macdonald, W, Magboo, VPC, Mut, F, Meeks, JB, Rehani, MM, Allam, A, Bom, H, Kaufmann, PA, Mahmarian, J, Vitola, J, Amouri, W, Essabbah, H, Gassama, SS, Makhdomi, KB, El Mustapha, GIE, El Ouchdi, N, Qais, N, Soni, N, Vangu, W, Abazid, RM, Adams, B, Agarwal, V, Alfeeli, MA, Alnafisi, N, Bernabe, L, Bural, GG, Chaiwatanarat, T, Chandraguptha, JM, Cheon, GJ, Cho, I, Dogan, AS, Eftekhari, M, Frenkel, A, Garty, I, George, S, Geramifar, P, Golan, H, Habib, S, Hussain, R, Im, H, Jeon, HJ, Kalawat, T, Kang, WJ, Keng, F, Klaipetch, A, Kumar, PG, Lee, J, Lee, WW, Lim, I, Macaisa, CMM, Malhotra, G, Mittal, BR, Mohammad, MH, Mohan, P, Mulyanto, ID, Nariman, D, Nayak, UN, Niaz, K, Nikolov, G, Obaldo, JM, Ozturk, E, Park, JM, Park, S, Patel, CD, Phuong, HK, Quinon, AP, Rajini, TR, Saengsuda, Y, Santiago, J, Sayman, HB, Shinto, AS, Sivasubramaniyan, V, Son, MH, Sudhakar, P, Syed, GMS, Tamaki, N, Thamnirat, K, Thientunyakit, T, Thongmak, S, Velasco, DN, Verma, A, Vutrapongwatana, U, Wang, Y, Won, KS, Yao, Z, Yingsa-Nga, T, Yudistiro, R, Yue, KT, Zafrir, N, Adrian, SC, Agostini, D, Aguade, S, Armitage, G, Backlund, M, Backman, M, Baker, M, Balducci, MT, Bavelaar, C, Berovic, M, Bertagna, F, Beuchel, R, Biggi, A, Bisi, G, Bonini, R, Bradley, A, Brudin, L, Bruno, I, Busnardo, E, Casoni, R, Choudhri, A, Cittanti, C, Clauss, R, Costa, DC, Costa, M, Dixon, K, Dziuk, M, Egelic, N, Eriksson, I, Fagioli, G, de Faria, DB, Florimonte, L, Francini, A, French, M, Gallagher, E, Garai, I, Geatti, O, Genovesi, D, Gianolli, L, Gimelli, A, del Giudice, E, Halliwell, S, Hansson, MJ, Harrison, C, Homans, F, Horton, F, Jedrzejuk, D, Jogi, J, Johansen, A, Johansson, H, Kalnina, M, Kaminek, M, Kiss, A, Kobylecka, M, Kostkiewicz, M, Kropp, J, Kullenberg, R, Lahoutte, T, Lang, O, Larsson, YH, Lazar, M, Leccisotti, L, Leners, N, Lindner, O, Lipp, RW, Maenhout, A, Maffioli, L, Marcassa, C, Martins, B, Marzullo, P, Medolago, G, Mendiguchia, CG, Mirzaei, S, Mori, M, Nardi, B, Nazarenko, S, Nikoletic, K, Oleksa, R, Parviainen, T, Patrina, J, Peace, R, Pirich, C, Piwowarska-Bilska, H, Popa, S, Prakash, V, Pubul, V, Puklavec, L, Rac, S, Ratniece, M, Rogan, SA, Romeo, A, Rossi, M, Ruiz, D, Sabharwal, N, Salobir, BG, Santos, AI, Saranovic, S, Sarkozi, A, Schneider, RP, Sciagra, R, Scotti, S, Servini, Z, Setti, LR, Starck, SA, Vajauskas, D, Vesely, J, Vieni, A, Vignati, A, Vito, IM, Weiss, K, Wild, D, Zdraveska-Kochovska, M, Aguro, RN, Alvarado, N, Barral, CM, Beretta, M, Berrocal, I, Cuellar, JFB, Chang, TMC, Rodriguez, LOC, Canessa, J, Mora, GC, Claudia, AC, Clavelo, GF, Cruz, AF, Faccio, FF, Fernandez, KM, Garibo, JRG, Gonzalez, U, Gonzalez, P, Guzzo, MA, Jofre, J, Kapitan, M, Kempfer, G, Lopez, JL, Massardo, TV, Colaco, IM, Mesquita, CT, Montecinos, M, Neubauer, S, Pabon, LM, Puente, A, Vazquez, LMR, Macias, JAS, Pino, AGS, Huber, FZT, Tovar, AP, Vargas, L, Wiefels, C, Aljizeeri, A, Alvarez, RJ, Barger, D, Beardwood, W, Behrens, J, Brann, L, Brown, D, Carr, H, Churchwell, K, Comingore, GA, Corbett, J, Costello, M, Cruz, F, Depinet, T, Dorbala, S, Earles, M, Esteves, FP, Etherton, E, Fanning, RJ, Fornace, J, Franks, L, Gewirtz, H, Gulanchyn, K, Hannah, CL, Hays, J, Hendrickson, J, Hester, J, Holmes, K, Johnson, A, Jopek, C, Lewin, H, Lyons, J, Manley, C, Meden, J, Moore, S, Moore, WH, Murthy, V, Nace, R, Neely, D, Nelson, L, Niedermaier, O, Rice, D, Rigs, R, Schiffer, K, Schockling, E, Schultz, T, Schumacker, T, Sheesley, B, Sheikh, A, Siegel, B, Slim, AM, Smith, J, Szulc, M, Tanskersley, N, Tilkemeier, P, Valdez, GD, Vrooman, R, Wawrowicz, D, Winchester, DE, Dixon, H, INCAPS Investigators Grp
Publicada:
1 ene 2017
Resumen:
Background There is concern about radiation exposure with radionuclide myocardial perfusion imaging (MPI). This sub-study of the International Atomic Energy Agency (IAEA) Nuclear Cardiology Protocols Study reports radiation doses from MPI, and use of dose-optimisation protocols in Australia and New Zealand (ANZ), and compares them with data from the rest of the world.
Methods Data were collected from 7911 MPI studies performed in 308 laboratories worldwide in one week in 2013, including 439 MPI studies from 34 ANZ laboratories. For each laboratory, effective radiation dose (ED) and a quality index (QI) score (out of 8) based on pre-specified "best practices'' was determined.
Results In ANZ patients, ED ranged from 0.9-17.9 milliSievert (mSv). Median ED was similar in ANZ compared with the rest of the world (10.0 (IQR: 6.5-11.7) vs. 10.0 (IQR 6.4-12.6, P=0.15), as were mean QI scores (5.5 +/- 0.7 vs. 5.4 +/- 1.3, P= 0.84). Use of stress-only imaging (17.6% vs. 31.8% of labs, P= 0.09) and weight-based dosing of technetium-99m (14.7% vs. 30.3%, P= 0.07) was lower in ANZ compared with the rest of the world but this difference was not statistically significant. Median ED was significantly lower in metropolitan versus nonmetropolitan laboratories (10.1 mSv vs. 11.6 mSv, P < 0.01), although mean QI scores were similar (5.4 +/- 0.8 vs. 5.5 +/- 0.7, P= 0.75).
Conclusion Across ANZ, there is variability in ED from MPI, and use of radiation safety practices, particularly between metropolitan and non-metropolitan laboratories. Overall, ANZ laboratories have a similar median ED to laboratories in the rest of the world.
Filiaciones:
Biswas, S:
Royal Melbourne Hosp, Dept Cardiol, Melbourne, Vic, Australia
Royal Melbourne Hosp, Dept Nucl Med, Melbourne, Vic, Australia
Better, N:
Royal Melbourne Hosp, Dept Cardiol, Melbourne, Vic, Australia
Royal Melbourne Hosp, Dept Nucl Med, Melbourne, Vic, Australia
Pascual, TNB:
IAEA, Div Human Hlth, Sect Nucl Med & Diagnost Imaging, Vienna, Austria
Mercuri, M:
Columbia Univ, Dept Med, Med Ctr, Div Cardiol, New York, NY USA
New York Presbyterian Hosp, New York, NY USA
Vitola, JV:
Quanta Diagnost & Terapia, Curitiba, Parana, Brazil
Karthikeyan, G:
All India Inst Med Sci, Dept Cardiol, New Delhi, India
Westcott, J:
Royal Melbourne Hosp, Dept Cardiol, Melbourne, Vic, Australia
Royal Melbourne Hosp, Dept Nucl Med, Melbourne, Vic, Australia
Royal Melbourne Hosp, Parkville, Vic, Australia
Alexanderson, E:
Inst Nacl Cardiol Ignacio Chavez, Dept Cardiol Nucl, Mexico City, DF, Mexico
Allam, AH:
Al Azhar Univ, Dept Cardiol, Cairo, Egypt
Al-Mallah, MH:
King Saud bin Abdulaziz Univ Hlth Sci, Div Adv Cardiac Imaging, Riyadh, Saudi Arabia
Bom, HHS:
Chonnam Natl Univ, Sch Med, Dept Nucl Med, Gwangju, South Korea
Bouyoucef, SE:
Ctr Hosp Univ Bab El Oued, Algiers, Algeria
Flotats, A:
Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Dept Nucl Med, Barcelona, Spain
Jerome, S:
Intersoc Accreditat Commiss, Ellicott City, MD USA
Univ Maryland, Div Cardiovasc Med, Baltimore, MD 21201 USA
Kaufman, PA:
Univ Zurich Hosp, Dept Nucl Med & Cardiac Imaging, Zurich, Switzerland
Lele, V:
Jaslok Hosp & Res Ctr, Dept Nucl Med & PET CT, Mumbai, Maharashtra, India
Luxenburg, O:
Minist Hlth, Med Technol & Infrastruct Adm, Jerusalem, Israel
Gertner Inst Epidemiol & Hlth Policy Res, Israeli Ctr Technol Assessment Hlth Care, Tel Hashomer, Israel
Mahmarian, JJ:
Houston Methodist DeBakey Heart & Vasc Ctr, Dept Cardiol, Houston, TX USA
Shaw, LJ:
Emory Univ, Sch Med, Dept Med, Div Cardiol, Atlanta, GA USA
Emory Univ, Sch Med, Emory Clin Cardiovasc Res Inst, Atlanta, GA USA
Underwood, SR:
Imperial Coll London, Natl Heart & Lung Inst, London, England
Royal Brompton Hosp, Dept Nucl Med, London, England
Harefield Hosp, Dept Nucl Med, London, England
Rehani, M:
IAEA, Radiat Protect Patients Unit, Vienna, Austria
Harvard Med Sch, Massachusetts Gen Hosp, Dept Radiol, Boston, MA USA
Kashyap, R:
IAEA, Div Human Hlth, Sect Nucl Med & Diagnost Imaging, Vienna, Austria
Dondi, M:
IAEA, Div Human Hlth, Sect Nucl Med & Diagnost Imaging, Vienna, Austria
Paez, D:
IAEA, Div Human Hlth, Sect Nucl Med & Diagnost Imaging, Vienna, Austria
Einstein, AJ:
Columbia Univ, Dept Med, Med Ctr, Div Cardiol, New York, NY USA
New York Presbyterian Hosp, New York, NY USA
Columbia Univ, Med Ctr, Dept Radiol, New York, NY USA
Alcheikh, A:
Westmead Hosp, Westmead, NSW, Australia
Allen, B:
Waikato Hosp, Hamilton, New Zealand
Kelley, B:
X Radiol Toowong, Toowong, Australia
Bonomini, C:
PRP Diagnost Imaging Tuggerah, Hornsby, NSW, Australia
McGrath, C:
Alfred Hosp, Alfred, NY, Australia
Atkins, E:
PRP Diagnost Imaging Frenchs Forest, Hornsby, NSW, Australia
Murdoch, E:
PRP Diagnost Imaging Castle Hill, Hornsby, NSW, Australia
Souvannavong, F:
North Shore Radiol & Nucl Med, St Leonards, NSW, Australia
Larcos, G:
Westmead Hosp, Westmead, NSW, Australia
Taylor, G:
PRP Diagnost Imaging Shellharbour, Flinders, NSW, Australia
Dixson, H:
Bankstown Lidcombe Hosp, Bankstown, NSW, Australia
Duncan, I:
South East Nucl Med, Noble Park, Vic, Australia
Bevan, J:
PRP Diagnost Imaging North Gosford, North Gosford, NSW, Australia
Christiansen, J:
NZ Med Imaging, Auckland, New Zealand
Hassall, J:
Christchurch Hosp, Christchurch, New Zealand
Weale, J:
PRP Diagnost Imaging Orange, Orange, NSW, Australia
Hartcher, K:
PRP Diagnost Imaging Cumberland, Wentworthville, NSW, Australia
Smidt, K:
MidCentral Hlth, Palmerston North, New Zealand
Taubman, K:
St Vincents Hosp Melbourne, Fitzroy, Vic, Australia
Tse, K:
Ballarat Hlth Serv, Ballarat, Vic, Australia
Clark, L:
PRP Diagnost Imaging Woy Woy, Woy Woy, NSW, Australia
Scarlett, L:
Capital Radiol, Docklands, Vic, Australia
O'Rourke, M:
PRP Diagnost Imaging Bathurst, Bathurst, NSW, Australia
Pack, M:
St George Hosp, St George, UT, Australia
Hampson, R:
Perth Radiol Clin, Perth, Australia
Pearce, R:
PRP Diagnost Imaging, Eastwood, NSW, Australia
Praehofer, R:
Royal Adelaide Hosp, Adelaide, SA, Australia
Fredericks, S:
Wollongong Hosp, Adelaide, SA, Australia
Gales, S:
St FX Cabrini, Malvern, Vic, Australia
Kelly, S:
PRP Diagnost Imaging Norwest, Bella Vista, NSW, Australia
O'Malley, S:
Christchurch Hosp, Christchurch, New Zealand
Ramsay, S:
Mater Private Hosp Townsville, Pimlico, Qld, Australia
Unger, S:
Lyell McEwin Hosp, Elizabeth Vale, SA, Australia
de Kort, T:
St Vincents Hosp Melbourne, Fitzroy, Vic, Australia
Hanley, T:
Royal Brisbane & Womens Hosp, Herston, Qld, Australia
Kidd, T:
NZ Med Imaging, Auckland, New Zealand
Macdonald, W:
Royal Perth Hosp, Perth, WA, Australia
Allam, A:
Al Azhar Univ, Dept Cardiol, Cairo, Egypt
Bom, H:
Chonnam Natl Univ, Sch Med, Dept Nucl Med, Gwangju, South Korea
Mahmarian, J:
Houston Methodist DeBakey Heart & Vasc Ctr, Dept Cardiol, Houston, TX USA
Vitola, J:
Quanta Diagnost & Terapia, Curitiba, Parana, Brazil
PRP Diagnost Imaging Hornsby, Hornsby, NSW, Australia.
Bronze
|