Variation in gastric emptying scintigraphy protocols in Australia and New Zealand: An online survey
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View abstract on PubMed
Summary
This summary is machine-generated.Nuclear medicine gastric emptying scintigraphy (GES) protocols show significant variation in Australia and New Zealand. This lack of standardization impacts patient care and data comparability, highlighting a need for updated guidelines.
Area Of Science
- Nuclear Medicine
- Gastroenterology
- Medical Imaging
Background
- Standardization of nuclear medicine practice is crucial for high-quality patient care and reliable results.
- Variations in protocols can limit inter-departmental result comparison and reduce confidence in findings.
- Gastric emptying scintigraphy (GES) is a key nuclear medicine procedure for assessing gastrointestinal motility.
Purpose Of The Study
- To assess the extent of variation in current gastric emptying scintigraphy (GES) protocols across Australian and New Zealand nuclear medicine departments.
- To identify specific areas of divergence in GES procedures, including patient preparation, test meals, scanning, and data processing.
Main Methods
- A cross-sectional online survey was distributed to 442 Nuclear Medicine Technologists (NMTs) in Australia and New Zealand.
- The survey collected data on departmental GES protocols, including participant information, patient preparation, test meals, scanning techniques, and data processing.
- A total of 37 complete responses representing departmental protocols were included in the final analysis.
Main Results
- Significant protocol variations were observed, with 51.3% of departments using meal variations not fully aligned with SNMMI/ANMS guidelines.
- Most participants (81.0%) used a single isotope technique, and 94.6% included an egg component in their test meal.
- Marked differences were found in scanning (67.6% supine) and data processing (only 30% corrected for attenuation), with limited use of specific normal ranges for alternative meals (2.7%).
Conclusions
- There is substantial variation in GES protocols among Australian and New Zealand nuclear medicine departments, particularly concerning normal ranges.
- The study underscores a critical lack of standardization in GES practices within the region.
- Addressing these protocol variations is essential for improving the quality and comparability of nuclear medicine diagnostics.
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