Pulmonary scintigraphy for the diagnosis of acute pulmonary embolism: A survey of current practices in Australia, Canada, and France

Pierre Yves Le Roux, Matthieu Pelletier-Galarneau, Romain De Laroche, Michael S. Hofman, Lionel S. Zuckier, Paul Roach, Jean Philippe Vuillez, Rodney J. Hicks, Grégoire Le Gal, Pierre Yves Salaun

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

There are currently no data published regarding the proportion of nuclear medicine centers using SPECT or SPECT/CT rather than planar ventilation/perfusion (V/Q) imaging in patients with suspected acute pulmonary embolism (PE). Furthermore, the reporting criteria used for interpretation of both planar and SPECT V/Q scans are variable and data are lacking regarding which criteria are commonly used in various centers. The aim of this study was to assess current practices regarding the performance and interpretation of lung scintigraphy across 3 different countries. Methods: A short online survey composed of simple multiple-choice questions was distributed to nuclear medicine departments in Australia, Canada, and France during the period April to December 2014. The survey covered image acquisition, interpretation criteria for SPECT and planar images, and use of pseudoplanar images and radiopharmaceuticals. Information was initially solicited by 2 sets of e-mails, which pointed to the survey internet link. Departments were subsequently contacted by telephone. A single response per department was consolidated. Results: Three hundred thirty-one responses were collected (Australia, 74; Canada, 48; and France, 209). Twenty-eight percent of centers indicated use of V/Q planar imaging alone whereas 72% of centers included some form of SPECT in their acquisition protocol for evaluation of PE, specifically V/Q SPECT in 36%, V/Q SPECT/CT in 29%, Q SPECT/CT in 2%, and both V/Q planar and SPECT in 5%, with a strong variability among countries. The most commonly used criteria for SPECT interpretation were the those of the European Association of Nuclear Medicine (60%). Criteria used for planar interpretation were heterogeneous (European Association of Nuclear Medicine criteria, 35%; Prospective Investigation of Pulmonary Embolism Diagnosis study, 29%; no standardized criteria, 21%). Sixty-three percent of departments used pseudoplanar images in addition to SPECT images. Conclusion: In the 3 countries surveyed, SPECT has largely replaced planar imaging for evaluation of PE, with almost half of the SPECT studies incorporating a CT acquisition. Criteria used for interpretation are inconsistent, especially for planar imaging.

Original languageEnglish (US)
Pages (from-to)1212-1217
Number of pages6
JournalJournal of Nuclear Medicine
Volume56
Issue number8
DOIs
StatePublished - Aug 1 2015
Externally publishedYes

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Single-Photon Emission-Computed Tomography
Pulmonary Embolism
Radionuclide Imaging
France
Canada
Lung
Nuclear Medicine
Surveys and Questionnaires
Radiopharmaceuticals
Postal Service
Telephone
Internet
Ventilation
Perfusion

Keywords

  • Practices
  • Pulmonary embolism
  • Single photon emission computed tomography
  • Ventilation perfusion scintigraphy

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Pulmonary scintigraphy for the diagnosis of acute pulmonary embolism : A survey of current practices in Australia, Canada, and France. / Le Roux, Pierre Yves; Pelletier-Galarneau, Matthieu; De Laroche, Romain; Hofman, Michael S.; Zuckier, Lionel S.; Roach, Paul; Vuillez, Jean Philippe; Hicks, Rodney J.; Le Gal, Grégoire; Salaun, Pierre Yves.

In: Journal of Nuclear Medicine, Vol. 56, No. 8, 01.08.2015, p. 1212-1217.

Research output: Contribution to journalArticle

Le Roux, PY, Pelletier-Galarneau, M, De Laroche, R, Hofman, MS, Zuckier, LS, Roach, P, Vuillez, JP, Hicks, RJ, Le Gal, G & Salaun, PY 2015, 'Pulmonary scintigraphy for the diagnosis of acute pulmonary embolism: A survey of current practices in Australia, Canada, and France', Journal of Nuclear Medicine, vol. 56, no. 8, pp. 1212-1217. https://doi.org/10.2967/jnumed.115.157743
Le Roux, Pierre Yves ; Pelletier-Galarneau, Matthieu ; De Laroche, Romain ; Hofman, Michael S. ; Zuckier, Lionel S. ; Roach, Paul ; Vuillez, Jean Philippe ; Hicks, Rodney J. ; Le Gal, Grégoire ; Salaun, Pierre Yves. / Pulmonary scintigraphy for the diagnosis of acute pulmonary embolism : A survey of current practices in Australia, Canada, and France. In: Journal of Nuclear Medicine. 2015 ; Vol. 56, No. 8. pp. 1212-1217.
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abstract = "There are currently no data published regarding the proportion of nuclear medicine centers using SPECT or SPECT/CT rather than planar ventilation/perfusion (V/Q) imaging in patients with suspected acute pulmonary embolism (PE). Furthermore, the reporting criteria used for interpretation of both planar and SPECT V/Q scans are variable and data are lacking regarding which criteria are commonly used in various centers. The aim of this study was to assess current practices regarding the performance and interpretation of lung scintigraphy across 3 different countries. Methods: A short online survey composed of simple multiple-choice questions was distributed to nuclear medicine departments in Australia, Canada, and France during the period April to December 2014. The survey covered image acquisition, interpretation criteria for SPECT and planar images, and use of pseudoplanar images and radiopharmaceuticals. Information was initially solicited by 2 sets of e-mails, which pointed to the survey internet link. Departments were subsequently contacted by telephone. A single response per department was consolidated. Results: Three hundred thirty-one responses were collected (Australia, 74; Canada, 48; and France, 209). Twenty-eight percent of centers indicated use of V/Q planar imaging alone whereas 72{\%} of centers included some form of SPECT in their acquisition protocol for evaluation of PE, specifically V/Q SPECT in 36{\%}, V/Q SPECT/CT in 29{\%}, Q SPECT/CT in 2{\%}, and both V/Q planar and SPECT in 5{\%}, with a strong variability among countries. The most commonly used criteria for SPECT interpretation were the those of the European Association of Nuclear Medicine (60{\%}). Criteria used for planar interpretation were heterogeneous (European Association of Nuclear Medicine criteria, 35{\%}; Prospective Investigation of Pulmonary Embolism Diagnosis study, 29{\%}; no standardized criteria, 21{\%}). Sixty-three percent of departments used pseudoplanar images in addition to SPECT images. Conclusion: In the 3 countries surveyed, SPECT has largely replaced planar imaging for evaluation of PE, with almost half of the SPECT studies incorporating a CT acquisition. Criteria used for interpretation are inconsistent, especially for planar imaging.",
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AU - De Laroche, Romain

AU - Hofman, Michael S.

AU - Zuckier, Lionel S.

AU - Roach, Paul

AU - Vuillez, Jean Philippe

AU - Hicks, Rodney J.

AU - Le Gal, Grégoire

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