重新检查符合胃空化扫描指南的遵守:对社会间认证委员会数据库的更新分析
Dawood Tafti1,2, Mary Beth Farrell3, M Cory Dearborn2
1Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Journal of nuclear medicine technology
|June 14, 2023
概括
胃排空扫描 (GES) 协议的遵守情况正在改善,但仍然不理想,影响了患者的护理. 标准化协议对于可靠的结果和实验室间比较至关重要.
科学领域:
- 核医学是一种核医学.
- 胃肠病学 胃肠病学
- 医疗成像医学成像
背景情况:
- 胃排空扫描 (GES) 结果的变化源于缺乏标准化,阻碍了比较和研究可信度.
- 核医学和分子成像学会 (SNMMI) 在2009年发布了标准化GES协议的指南,以提高一致性.
- 跨社会认证委员会 (IAC) 在其认证过程中评估是否遵守这些指南.
研究的目的:
- 在寻求IAC认证的实验室中重新评估对标准化SNMMI GES协议的合规性.
- 自2016年之前的评估以来,确定协议遵守的变化和趋势.
主要方法:
- 分析了2018年至2021年期间申请IAC认证的118个实验室的协议.
- 根据SNMMI指南定义的14个变量来评估合规性,包括患者的准备,食,获取和加工.
- 对于每个变量,使用了二进制评估 (符合/不符合).
主要成果:
- 总体而言,在14个变量中,平均符合8个变量,只有4个站点遵守所有变量.
- 在使用共识餐 (62%对30%) 和测量保留百分比 (65%对35%) 中观察到显著的改善.
- 最低的遵守是记录血糖值 (3%),而禁食遵守率很高 (97%).
结论:
- 尽管有所改进,但对标准化SNMMI GES协议的遵守在其发布近13年后仍然不够理想.
- 在GES协议的持续变化可能会导致不可靠的结果,可能会影响患者管理.
- 采用标准化方案对于一致的解释,实验室间比较和临床接受是必不可少的.
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