| Questionnaire survey of hospitals in Saitama Prefecture regarding the shortage of 99mTc-labeled radiopharmaceuticals and 99Mo/99mTc generators. | |
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MedLine Citation:
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PMID: 20204551 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE AND METHODS: A questionnaire survey was conducted at all 32 hospitals in Saitama Prefecture to investigate the current difficult situation in terms of nuclear medicine management in the face of the (99m)Tc shortage due to insufficient supply, and 29 hospitals (90.6%) replied. RESULTS: Of the 29, 15 (51.7%) reported a reduction in the number of nuclear medicine studies performed due to the shortage of supply, although the reduction was small. The decrease per month was less than 20 studies in 73% of the institutions. Of the nuclear medicine studies that involve the use of (99m)Tc, the studies whose reduction in number most seriously affected patient management were, in decreasing order: (99m)Tc-MAA lung perfusion scans, (99m)Tc-MAG(3), (99m)Tc-DTPA, or (99m)Tc-DMSA renoscans, (99m)Tc-MDP bone scans, (99m)Tc-HMPAO or ECD brain SPECT studies, (99m)Tc-MIBI or tetrofosmin myocardial SPECT studies, (99m)Tc-radiocolloid sentinel lymphoscintigraphy, (99m)Tc-HSA-D or pyrophosphate bleeding scans, (99m)Tc-GSA hepatic function reserve scans, and (99m)Tc-MIBI parathyroid scans. The reduction is probably ascribable to factors such as cancellations of emergency studies, absence of substitute studies, sequential studies using the same radiopharmaceutical, and higher cost of the syringe-type products than the vial-type products. Substitutes for (99m)Tc studies were performed at 52% (15/29) of the institutions. Myocardial perfusion imaging with (201)Tl chloride was the most common substitute study. CONCLUSIONS: The results of this survey suggested the several procedures to resolve the issues related to the shortage. The staffs at all institutions except one gave the impression that their nuclear medicine ordering systems had been greatly affected by the shortage of supply. This adverse circumstance, however, may provide a good opportunity to educate the public about nuclear medicine studies that use (99m)Tc and SPECT, with which citizen are now unfamiliar. |
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Authors:
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Shigeru Kosuda; Hiroko Tomita; Katsumi Hayashi; Tamotsu Kita; Katsumi Koike; Takashi Arai |
Publication Detail:
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Type: Journal Article Date: 2010-03-04 |
Journal Detail:
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Title: Annals of nuclear medicine Volume: 24 ISSN: 1864-6433 ISO Abbreviation: Ann Nucl Med Publication Date: 2010 May |
Date Detail:
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Created Date: 2010-05-13 Completed Date: 2010-09-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8913398 Medline TA: Ann Nucl Med Country: Japan |
Other Details:
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Languages: eng Pagination: 319-23 Citation Subset: IM |
Affiliation:
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Department of Radiology, National Defense Medical College, 3-2 Namiki Tokorozawa, Saitama, 359-8513, Japan. nucleark@ndmc.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Hospitals
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statistics & numerical data* Molybdenum / supply & distribution* Nuclear Medicine / instrumentation*, statistics & numerical data Questionnaires* Radioisotopes / supply & distribution Radiopharmaceuticals / supply & distribution* Technetium / supply & distribution* |
| Chemical | |
Reg. No./Substance:
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0/Radioisotopes; 0/Radiopharmaceuticals; 7439-98-7/Molybdenum; 7440-26-8/Technetium |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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