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Nuclear medicine technologist

George Larcos, Mirela Prgomet, Andrew Georgiou, Johanna Westbrook
BACKGROUND: Errors by nuclear medicine technologists during the preparation of radiopharmaceuticals or at other times can cause patient harm and may reflect the impact of interruptions, busy work environments and deficient systems or processes. We aimed to: (a) characterise the rate and nature of interruptions technologists experience and (b) identify strategies that support safety. METHODS: We performed 100 hours of observation of 11 technologists at a major public hospital and measured the proportions of time spent in eight categories of work tasks, location of task, interruption rate and type and multitasking (tasks conducted in parallel)...
October 5, 2016: BMJ Quality & Safety
Nicole Kearney, Gary Denham
: When adverse radiation incidents occur in nuclear medicine in Australia they are reported to the relevant state or territory authorities who investigate the incident and report their findings to the Australian Radiation Protection and Nuclear Safety Agency (ARPANSA). The data is then compiled and included in the Australian Radiation Incident Register (ARIR). The only information that has been circulated from the ARIR are the annual summary reports available on the ARPANSA website. The aims of this study was to analyse the radiation incidents included in ARIR together with the state and territory registers that are available to the public, identify the reoccurring themes in Nuclear Medicine incidents and make recommendations to minimise future incidents...
September 15, 2016: Journal of Nuclear Medicine Technology
John F Valliant
The field of nuclear medicine will rely increasingly on the discovery, proper evaluation, and clinical use of molecular imaging probes and on collaborations. Collaborations will include new initiatives among experts already involved in the field and with researchers, technologists, and clinicians from different areas of science and medicine. This article serves to highlight some of the opportunities in which molecular imaging and nuclear medicine in conjunction with probe development, new imaging technologies, and multidisciplinary collaborations can have a significant impact on health care and basic science from the perspective of a person involved in probe development...
September 2016: Journal of Nuclear Medicine Technology
Diana Paez, Amalia Peix, Pilar Orellana, Joao Vitola, Fernando Mut, Claudia Gutiérrez, Crosby Plaza, Tarik Becic, Maurizio Dondi, Enrique Estrada
The burden of cardiovascular diseases (CVDs) in the world is ever growing. They represent the first cause of death worldwide and in Latin America. Nuclear cardiology has a well-established role in the management of patient with CVDs and is being increasingly integrated into the healthcare systems in the region. However, there remains variability as to the infrastructure available across the countries, in terms of existing technology, radiopharmaceuticals, and human resources. The approximate number of gamma (γ) cameras in the region is 1348, with an average of 2...
August 29, 2016: Journal of Nuclear Cardiology: Official Publication of the American Society of Nuclear Cardiology
Fabien Salesses, Paul Perez, Aline E Maillard, Julie Blanchard, Sabine Mallard, Laurence Bordenave
BACKGROUND: The recent spread of positron emission tomography-computed tomography (PET/CT) poses extremity dosimetry challenges. The question arose whether the radiation dose measured by the ring thermoluminescent dosimeter usually worn on the proximal phalanx (P1) of the index finger measures doses that are representative of the true doses received by the upper extremities of the operators. A prospective individual dosimetry study was performed in which the personal equivalent dose Hp (0...
December 2016: EJNMMI Physics
Patricia A Bautista, Teofilo O L San Luis
While the introduction of radioactive tracers in the study of metabolic pathways has been well-documented in clinical thyroidology as early as 1924, the widespread utilization in other clinical specialties has been hampered by slow developments in radiation-detecting devices and in the production of appropriate radiopharmaceuticals, in addition to the morbid fear of radiation. In the Philippines, the first radioisotope laboratory was established in 1956. Ten years later, the Philippine Society of Nuclear Medicine was formed...
2016: Asia Ocean J Nucl Med Biol
Shawn S Carter, Syed Ramisa Ehsan, Richard Duszak, Daniel J Lee, Fabio P Esteves, David C Brandon, Raghuveer K Halkar
The purpose of our pilot study was to optimize resource utilization of cholescintigraphy for suspected acute cholecystitis with a novel timesaving method. Hepatobiliary imaging data for 81 patients with suspected acute cholecystitis were recalled for modification into 2 summed static images, using only the first and last 5 minutes of the dynamic images, thereby eliminating the middle 50 minutes of imaging data. A total of 2 nuclear medicine physicians interpreted the summed images to assess visualization, and those interpretations were compared to the original reports based on using all 60 minutes of dynamic imaging...
May 11, 2016: Current Problems in Diagnostic Radiology
Abdelhamid H Elgazzar, Azuwuike Owunwanne, Saud Alenezi
The practice of nuclear medicine in Kuwait began in 1965 as a clinic for treating thyroid diseases. The practice developed gradually and until 1981 when the Faculty of Medicine established the Division of Nuclear Medicine in the Department of Radiology, which later became a separate department responsible for establishing and managing the practice in all hospitals of Kuwait. In 1987, a nuclear medicine residency program was begun and it is administered by Kuwait Institute for Medical Specializations originally as a 4-year but currently as a 5-year program...
July 2016: Seminars in Nuclear Medicine
Diana Paez, Tarik Becic, Uday Bhonsle, Amir R Jalilian, Rodolfo Nuñez-Miller, Joao Alberto Osso
The practice of nuclear medicine (NM) in the Middle East region has experienced an important growth in the last 2 decades and has become crucial in providing healthcare to the region's population of about 395 million people. Even though there are some countries in which the services provided are limited to basic coverage of studies with (99m)Tc and (131)I, most have well-established practices covering most of the available studies in this medical specialty; this is the case in for example, Iran, Israel, Kuwait, Saudi Arabia, and Turkey...
July 2016: Seminars in Nuclear Medicine
Miriam E Van Dyke, Vladimir Drozdovitch, Michele M Doody, Hyeyeun Lim, Norman E Bolus, Steven L Simon, Bruce H Alexander, Cari M Kitahara
The authors evaluated historical patterns in the types of procedures performed in diagnostic and therapeutic nuclear medicine and the associated radiation safety practices used from 1945-2009 in a sample of U.S. radiologic technologists. In 2013-2014, 4,406 participants from the U.S. Radiologic Technologists (USRT) Study who previously reported working with medical radionuclides completed a detailed survey inquiring about the performance of 23 diagnostic and therapeutic radionuclide procedures and the use of radiation safety practices when performing radionuclide procedure-related tasks during five time periods: 1945-1964, 1965-1979, 1980-1989, 1990-1999, and 2000-2009...
July 2016: Health Physics
Hiroki Shimura
In order to promote further advances of medical systems in the Tohoku region where the Great East Japan Earthquake and the subsequent accident at the Fukushima Dai-ichi Nuclear Power Plant occurred, the requirement of human resources in clinical laboratory medicine has increased. Therefore, the symposium entitled "Human resource development for Tohoku region after Great East Japan Earthquake" was held in The 47th Tohoku Regional Congress of Japanese Society of Laboratory Medicine. In Fukushima Prefecture, the Thyroid Ultrasound Examination program has been conducted since Oct...
January 2016: Rinsho Byori. the Japanese Journal of Clinical Pathology
Tracey Britton, Nicholas Robinson
(18)F-FDG PET imaging of tumors has pitfalls and pearls of wisdom that begin at the point of scheduling and continue through the patient interview, the resting phase, the scan itself, and the image review. Interviewing the patient at the time of scheduling, followed by placing a reminder phone call shortly before the appointment, can save a nuclear medicine department the financial loss of wasted doses and missed appointment slots in the schedule. The pitfalls and pearls of wisdom in tumor imaging are ever changing, and the technologist is in a constant state of inquiry about the patient's disease process and ability to comply...
June 2016: Journal of Nuclear Medicine Technology
Mustafa Demir, Mohammad Abuqbeitah, Lebriz Uslu-Beşli, Özlem Yıldırım, Nami Yeyin, İffet Çavdar, Betül Vatankulu, Hüseyin Gündüz, Levent Kabasakal
The aim of this study is to investigate the outpatient treatment protocol and radiation safety of a new-emerging lutetium-177 ((177)Lu) prostate specific membrane antigen (PSMA) therapy. This work analyzed the dose rate of 23 patients treated with 7400 MBq (177)Lu-PSMA at different distances (0, 0.25, 0.50, 1.0 and 2.0 m) and variable time marks (0, 1, 2, 4, 18, 24, 48 and 120 h) after the termination of infusion. Blood samples were withdrawn from 17 patients within the same group at 3, 10, 20, 40, 60 and 90 min and 2, 3, 24 h after termination of infusion...
June 2016: Journal of Radiological Protection: Official Journal of the Society for Radiological Protection
William F Sensakovic, Miguel Flores, Matthew Hough
PURPOSE: The Nuclear Regulatory Commission (NRC) has recently proposed changes that reduce the occupational dose limits for lens dose equivalent (LDE), embryo/fetus dose, and administrative control levels (ACLs) related to deep dose equivalent (DDE). This study collected occupational dose data from a large hospital system and determined how proposed NRC regulatory changes may affect worker and hospital workflow. METHODS: Radiation badge data were collected for 1,305 workers, from between 2013 and 2014, and 180 pregnancies, from between 2009 and 2014...
June 2016: Journal of the American College of Radiology: JACR
(no author information available yet)
No abstract text is available yet for this article.
September 2015: Clinical Privilege White Paper
Jonathan Baldwin, Vesper Grantham
The purpose of this article is to provide the reader with a better understanding of radiation hormesis, the investigational research that supports or does not support the theory, and the relationship between the theory and current radiation safety guidelines and practices. The concept of radiation hormesis is known to nuclear medicine technologists, but understanding its complexities and the historical development of the theory may bring about a better understanding of radiation safety and regulations.
December 2015: Journal of Nuclear Medicine Technology
Colin Tso, Geoffrey M Currie, David Gilmore, Hosen Kiat
The nuclear medicine technologist works with electrocardiography when performing cardiac stress testing and gated cardiac imaging and when monitoring critical patients. To enhance patient care, basic electrocardiogram interpretation skills and recognition of key arrhythmias are essential for the nuclear medicine technologist. This article provides insight into the anatomy of an electrocardiogram trace, covers basic electrocardiogram interpretation methods, and describes an example case typical in the nuclear medicine environment...
December 2015: Journal of Nuclear Medicine Technology
Lucas D Hetrick, Susan L Kraft, Thomas E Johnson
Cu-ATSM is an emerging radiopharmaceutical for diagnostic use in positron emission tomography (PET), but to date there are no studies that assess the potential occupational doses to workers in either human or veterinary medicine. This study was aimed at determining the external radiation dose to veterinary workers from clinical PET/CT (PET combined with computed tomography) procedures using Cu-ATSM. To determine the dose to the workers, each worker was assigned two Electronic Personal Dosimeters (EPDs) to be worn on the chest and waist during the entirety of each procedure...
November 2015: Health Physics
Robert Jeraj, Tyler Bradshaw, Urban Simončič
Molecular imaging plays a central role in the management of radiation oncology patients. Specific uses of imaging, particularly to plan radiotherapy and assess its efficacy, require an additional level of reproducibility and image quality beyond what is required for diagnostic imaging. Specific requirements include proper patient preparation, adequate technologist training, careful imaging protocol design, reliable scanner technology, reproducible software algorithms, and reliable data analysis methods. As uncertainty in target definition is arguably the greatest challenge facing radiation oncology, the greatest impact that molecular imaging can have may be in the reduction of interobserver variability in target volume delineation and in providing greater conformity between target volume boundaries and true tumor boundaries...
November 2015: Journal of Nuclear Medicine: Official Publication, Society of Nuclear Medicine
William Makis, Don Robinson, Alexander J B McEwan, Terence A Riauka
A 52-year-old woman diagnosed with invasive ductal carcinoma of both breasts had a chest x-ray for preoperative assessment. A striking artifact was noted by the x-ray technologist, who, as a result, became very concerned about radiation exposure from the patient. The patient had undergone bilateral sentinel lymph node injections in the nuclear medicine department with Tc-antimony trisulfite colloid just 2 hours before the chest x-ray. Radiation exposure to the x-ray technologist was determined to be similar to 8 hours of naturally occurring background radiation (∼2...
April 2016: Clinical Nuclear Medicine
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