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

Abstract

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.

Nuklearmedizinische Funktionsdiagnostik in der Kardiologie

“…Kontinuierliche Erhebungen zeigten in den letzten Jahren eine kontinuierliche Zunahme an durchgeführten MPS in Deutschland. Hierbei wurde auch die Qualität der MPS beurteiltinsgesamt wurde eine hochgradige Übereinstimmung mit den Leitlinien erfasst und somit eine gute Qualität der MPS in Deutschland bestätigt [5]. Für die Darstellung der globalen myokardialen Perfusion werden gern "Polar Maps" gewählt.…”

RSO im klinischen Alltag: Statuserfassung in Deutschland 2020

“…Spannend wäre es sicher, diese Umfrage in regelmäßigen Abständen mit unterschiedlichen Schwerpunkten zu wiederholen, um langfristigere Aussagen über die Entwicklung der RSO in Deutschland machen zu können. Vorbild könnten hier die Statuserhebungen in der Nuklearkardiologie [20] sein.…”

Myocardial Perfusion SPECT in Germany from 2012 to 2021: Insights into Development and Quality Indicators

“…The working group Cardiovascular Nuclear Medicine of the German Society of Nuclear Medicine performs regular surveys for information on development, utilisation and technique of myocardial perfusion SPECT (MPS) in Germany. The rst survey started in 2006 and has been carried out every 3 years since 2009 [1][2][3][4][5].…”