Lindner Oliver, Burchert Wolfgang, Schäfer Wolfgang, Hacker Marcus
Prof. Dr. Oliver Lindner, Institut für Radiologie, Nuklearmedizin und Molekulare Bildgebung, Herz- und Diabeteszentrum NRW, Georgstr. 11, D-32545 Bad Oeynhausen, Tel.: ++49-5731-97-1309, Fax.: ++49-5731-97-2190, E-Mail:
Nuklearmedizin. 2017 Feb 14;56(1):31-38. doi: 10.3413/Nukmed-0858-16-10. Epub 2016 Dec 2.
The 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.
268 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.
MPS 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.
The 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.
德国核医学协会心血管核医学工作组公布了2015年报告年度第七次心肌灌注单光子发射计算机断层扫描（MPS）调查结果。
对268份调查问卷（173家诊所[PR]、67家医院[HO]、28家大学医院[UH]）进行了评估。2012年上次调查结果列于方括号内。
报告了121939例[105941例]患者的MPS。所有MPS的98%[95%]使用锝-99m放射性药物进行，2%[5%]使用铊-201。所有患者中的78%[79%]在诊所接受检查，14%[15%]在医院，8%[6%]在大学医院。43%[39%]的患者进行了药物负荷试验（22%[24%]使用腺苷，20%[9%]使用瑞加诺生，1%[6%]使用双嘧达莫或多巴酚丁胺）。25%[2009年：10%]的MPS应用了衰减校正。78%[70%]的静息MPS、80%[73%]的负荷MPS以及76%[67%]的负荷和静息MPS进行了门控SPECT检查。所有核医学科室中，53%[33%]默认进行MPS评分，而24%[41%]未进行任何定量分析。所有科室中，31%[26%]注意到其MPS计数增加，29%[29%]未发现变化。参与所有调查的89个科室的数据显示，MPS计数增加了11.1%（诊所：12.2%，医院：4.8%，大学医院：18.4%）。70%[60%]的MPS是由门诊心脏病专家要求进行的。
2015年MPS调查显示，常规MPS实践高度符合当前指南。2012年已观察到的MPS性能和MPS数量的积极趋势仍在持续。SPECT评分领域仍需要教育培训。
