Department of Nuclear Medicine, National Institute of Cardiology, Warsaw, Poland.
Department of Nuclear Medicine, Medical University of Warsaw, Warsaw, Poland.
Nucl Med Rev Cent East Eur. 2023;26(0):158-164. doi: 10.5603/nmr.98547.
The purpose of the study was to present the cardiological procedures performed and scintigraphic devices used in Poland in 2019-2021 - based on the results of a nationwide survey.
Forty-three (100%) institutions performing scintigraphic cardiology tests responded to the survey: 29 classic nuclear medicine centers (NM), 4 PET centers, and 10 institutions performing NM and PET examinations.
In 2021, 51 SPECT devices (including 5 dedicated cardiocentric semiconductor cameras, 12 SPECT gamma cameras, and 39 hybrid SPECT/CT devices) and 15 PET devices (14 PET/CT and 1 PET/MR) were used for cardiological examinations. The total number of cardiological SPECT and PET examinations has reached 33,107; PET shares 0.8%. The most frequently performed NM cardiological examination in 2019-2021 was myocardial perfusion scintigraphy (98-99% of all tests). NM cardiac amyloidosis studies accounted for less than 1% of all studies, and diagnostics of inflammation in the chest using labeled leukocytes - for less than 0.5%. The most frequently performed cardiological heart examination using the PET technique was the diagnostics of inflammation in the chest (166 of 269 examinations, i.e. 61.7%, in 2021), followed by the assessment of cardiac viability (46 examinations, i.e. 17.1%).
In Poland, in 2021, cardiac scintigraphy was performed in 39 classic nuclear medicine centers and 14 PET centers, using modern equipment, in approximately 1/1000 inhabitants per year. Polish nuclear cardiology is based on classical nuclear medicine. Almost 99% of the tests are stress and rest myocardial perfusion studies. PET has limited practical use (< 1% of cardiac studies).
本研究旨在根据全国性调查结果，介绍 2019 年至 2021 年波兰开展的心脏病学程序和闪烁成像设备。
对 43 家（100%）开展闪烁成像心脏病学检查的机构进行了调查：29 家经典核医学中心（NM）、4 家正电子发射断层扫描（PET）中心和 10 家开展 NM 和 PET 检查的机构。
2021 年，有 51 台 SPECT 设备（包括 5 台专用心脏半导体相机、12 台 SPECT 伽马相机和 39 台 SPECT/CT 混合设备）和 15 台 PET 设备（14 台 PET/CT 和 1 台 PET/MR）用于心脏病学检查。2019 年至 2021 年，进行了 33,107 次心脏 SPECT 和 PET 检查；PET 占 0.8%。2019 年至 2021 年最常进行的 NM 心脏病学检查是心肌灌注闪烁成像（所有检查的 98-99%）。NM 心脏淀粉样变性研究占所有研究的不到 1%，使用标记白细胞诊断胸部炎症不到 0.5%。使用 PET 技术进行的最常进行的心脏检查是胸部炎症的诊断（2021 年为 269 次检查中的 166 次，即 61.7%），其次是评估心脏活力（46 次检查，即 17.1%）。
2021 年，波兰在 39 个经典核医学中心和 14 个 PET 中心使用现代设备进行心脏闪烁成像检查，每年约有 1/1000 居民接受检查。波兰核心脏病学基于经典核医学。几乎 99%的检查是应激和静息心肌灌注研究。PET 的实际应用有限（<1%的心脏研究）。
