Myocardial perfusion scintigraphy in Germany in 2009: utilization and state of the practice

Lindner, Oliver; Burchert, Wolfgang; Bengel, Frank M.; Zimmermann, Rainer; Dahl, Jürgen vom; Schäfers, Michael

doi:10.1007/s00259-011-1777-1

Cited by 17 publications

(12 citation statements)

References 15 publications

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“…Thus, the results can be regarded as representative. The estimated 60 % value is slightly above the 50–55 % level of the past surveys (11, 12). …”

Section: Discussionmentioning

confidence: 55%

Myocardial perfusion SPECT 2015 in Germany

Lindner¹,

Burchert²,

Schäfer³

et al. 2017

Nuklearmedizin

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SummaryAimThe 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.Method268 questionnaires (173 practices [PR], 67 hospitals [HO], 28 university hospitals [UH]) were evaluated. Results of the last survey from 2012 are set in squared brackets.ResultsMPS of 121 939 [105 941] patients were reported. 98 % [95 %] of all MPS were performed with Tc-99m radiopharmaceuticals and 2 % [5 %] with Tl-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 %] regadenoson, 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 requested by ambulatory care cardiologists.ConclusionThe 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.

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“…Thus, the results can be regarded as representative. The estimated 60 % value is slightly above the 50–55 % level of the past surveys (11, 12). …”

Section: Discussionmentioning

confidence: 55%

Myocardial perfusion SPECT 2015 in Germany

Lindner¹,

Burchert²,

Schäfer³

et al. 2017

Nuklearmedizin

Self Cite

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show abstract

“…Thus, the results can be regarded as representative. The estimated 60 % value is slightly above the 50-55 % level of the past surveys (11,12).…”

Section: Discussionmentioning

confidence: 58%

“…The last survey 3 years ago delivered data for the year 2012. With the current 2015 project, data from a total of 7 surveys are available (7)(8)(9)(10)(11)(12).…”

Section: Discussionmentioning

confidence: 99%

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Myocardial Perfusion SPECT 2018 in Germany: Results of the 8th Survey

Lindner¹,

Burchert²,

Buechel

et al. 2019

Nuklearmedizin

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Aim This paper presents the results of the 8th survey of myocardial perfusion SPECT (MPS) from the reporting year 2018. Methods 291 questionnaires (184 practices (PR), 77 hospitals (HO), 30 university hospitals (UH)) were evaluated. Results of the last survey from 2015 are set in squared brackets. Results MPS of 145 930 [121 939] patients were reported (+ 19.6 %). 76 % [78 %] of all patients were studied in PR, 16 % [14 %] in HO, and 8 % [8 %] in UH, mostly with a 2-day-protocol 48 % [50 %]. 99.96 % [98 %] of all MPS were performed with Tc-99 m radiopharmaceuticals and in 0.04 % with Tl-201.A pharmacological stress test was applied in 49 % [43 %] (23 % [22 %] adenosine, 26 % [20 %] regadenoson, dipyridamole or dobutamine together < 1 % [1 %]). Attenuation correction was performed in 26 % [25 %] of all MPS, gated SPECT in 86 % [80 %] of stress MPS, in 87 % [78 %] of rest and in 83 % [76 %] of all stress and rest MPS. 67 % [53 %] of the departments performed MPS scoring by default, whereas 16 % [24 %] did not apply this feature at all.69 % [60 %] reported an increase or no changes in their MPS patient numbers. One hundred twenty-six departments which participated in the surveys from 2009 to 2018 reported an increase in MPS by 44 %. 69 % [70 %] of the MPS were requested by ambulatory care cardiologists. Conclusion The 2018 MPS survey reveals a high-grade adherence of routine MPS practice to current guidelines. The positive development in MPS performance and MPS numbers observed since 2012 remains ongoing.

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“…Aux États-Unis, seuls 4 % des examens comportent une simple exploration de la perfusion à l'eff ort [18]. En Allemagne, ce chiff re monte à 13 %, ce qui reste faible dans la mesure où près de 40 % des patients explorés ne sont pas des coronariens connus [19]. En France, ces chiff res ne sont actuellement pas connus avec préci-sion, mais l'imagerie de type « stress only » y est de pratique ancienne et recommandée par les sociétés savantes [20].…”

Section: Confort Et Sécurité Des Patientsunclassified

Limites de la tomoscintigraphie myocardique (TSM)

Manrique

2013

Imagerie en Coupes Du Cœur Et Des Vaisseaux

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Myocardial perfusion scintigraphy in Germany in 2009: utilization and state of the practice

Cited by 17 publications

References 15 publications

Myocardial perfusion SPECT 2015 in Germany

Myocardial perfusion SPECT 2015 in Germany

Myocardial Perfusion SPECT 2018 in Germany: Results of the 8th Survey

Limites de la tomoscintigraphie myocardique (TSM)

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