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Nuclear cardiology practice in Spain.

Amelia Jimenez-Heffernan1, Santiago Aguade-Bruix2, Irene Casans-Tormo3

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Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology
|May 12, 2017
PubMed
Summary

Nuclear cardiology (NC) procedures are common in Spain, with SPECT myocardial perfusion imaging (MPI) being the most frequent. Challenges include adopting advanced SPECT cameras and expanding cardiac PET use.

Keywords:
Nuclear cardiologySPECTSpainmyocardial perfusion imagingsurvey

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Area of Science:

  • Cardiovascular Imaging
  • Nuclear Medicine

Background:

  • Nuclear cardiology (NC) procedures are the second most common studies in Spanish nuclear medicine (NM) centers.
  • NC plays a significant role in diagnostic imaging within Spain.

Purpose of the Study:

  • To assess the activity and characteristics of nuclear cardiology procedures in Spain in 2014.
  • To understand the landscape of NC services provided by Spanish NM departments.

Main Methods:

  • An online questionnaire was distributed to NM departments nationwide by the NC Working Group.
  • Data from 40,161 patients across 42 centers were collected for the year 2014.

Main Results:

  • SPECT myocardial perfusion imaging (MPI) constituted 69% of all NC procedures.
  • The most common study involved a 2-day, exercise-gated SPECT MPI for outpatient diagnosis, with a 21-day waiting time.
  • Public hospitals provided an estimated 2 NC studies per 1,000 population annually.

Conclusions:

  • Key challenges for NC in Spain include the adoption of advanced SPECT cameras and increased utilization of cardiac PET.
  • Expanding the availability of MPI tracers and viability/inflammation imaging tracers is crucial.