Austin R Pantel, Matthias Eiber, Dmitry D Beyder, A Tuba Kendi, Richard Laforest, Isabel Rauscher, Edward B Silberstein, Matthew P Thorpe
{"title":"SNMMI Procedure Standard/EANM Practice Guideline for Palliative Nuclear Medicine Therapies of Bone Metastases.","authors":"Austin R Pantel, Matthias Eiber, Dmitry D Beyder, A Tuba Kendi, Richard Laforest, Isabel Rauscher, Edward B Silberstein, Matthew P Thorpe","doi":"10.2967/jnmt.123.265936","DOIUrl":"10.2967/jnmt.123.265936","url":null,"abstract":"University of Pennsylvania, Department of Radiology; School of Medicine, Department of Nuclear Medicine, Technische Universit€at M€unchen, Munich, Germany; Barnes-Jewish Hospital, Department of Radiology; Mayo Clinic Rochester, Department of Radiology; Washington University, Department of Radiology, St. Louis; Technical University of Munich, Department of Nuclear Medicine; and University of Cincinnati Medical Center, Cincinnati","PeriodicalId":16548,"journal":{"name":"Journal of nuclear medicine technology","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10168070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of Collimators in a High-Resolution, Whole-Body SPECT/CT Device with a Dual-Head Cadmium-Zinc-Telluride Detector for <sup>123</sup>I-FP-CIT SPECT.","authors":"Hitoshi Hiraki, Toshimune Ito, Masahisa Onoguchi, Hirotatsu Tsuchikame, Masaaki Shishido, Takafumi Maeno, Takayuki Shibutani, Hiroki Sanada","doi":"10.2967/jnmt.122.265328","DOIUrl":"https://doi.org/10.2967/jnmt.122.265328","url":null,"abstract":"<p><p>The study aim was to evaluate the adaptation of collimators to <sup>123</sup>I-<i>N</i>-fluoropropyl-2b-carbomethoxy-3b-(4-iodophenyl)nortropane (<sup>123</sup>I-FP-CIT) dopamine transporter SPECT (DAT-SPECT) by a high-resolution whole-body SPECT/CT system with a cadmium-zinc-telluride detector (C-SPECT) in terms of image quality, quantitation, diagnostic performance, and acquisition time. <b>Methods:</b> Using a C-SPECT device equipped with a wide-energy, high-resolution collimator and a medium-energy, high-resolution sensitivity (MEHRS) collimator, we evaluated the image quality and quantification of DAT-SPECT for an anthropomorphic striatal phantom. Ordered-subset expectation maximization iterative reconstruction with resolution recovery, scatter, and attenuation correction was used, and the optimal collimator was determined on the basis of the contrast-to-noise ratio (CNR), percentage contrast, and specific binding ratio. The acquisition time that could be reduced using the optimal collimator was determined. The optimal collimator was used to retrospectively evaluate diagnostic accuracy via receiver-operating-characteristic analysis and specific binding ratios for 41 consecutive patients who underwent DAT-SPECT. <b>Results:</b> When the collimators were compared in the phantom verification, the CNR and percentage contrast were significantly higher for the MEHRS collimator than for the wide-energy high-resolution collimator (<i>P</i> < 0.05). There was no significant difference in the CNR between 30 and 15 min of imaging time using the MEHRS collimator. In the clinical study, the areas under the curve for acquisition times of 30 and 15 min were 0.927 and 0.906, respectively, and the diagnostic accuracies of the DAT-SPECT images did not significantly differ between the 2 times. <b>Conclusion:</b> The MEHRS collimator provided the best results for DAT-SPECT with C-SPECT; shorter acquisition times (<15 min) may be possible with injected activity of 167-186 MBq.</p>","PeriodicalId":16548,"journal":{"name":"Journal of nuclear medicine technology","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10538243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Impact of the Coronavirus Disease 2019 Pandemic on the Clinical Environment.","authors":"Shannon N Youngblood, Sara L Johnson","doi":"10.2967/jnmt.123.265808","DOIUrl":"https://doi.org/10.2967/jnmt.123.265808","url":null,"abstract":"<p><p>The Nuclear Medicine Technology Certification Board performed an impact survey on the coronavirus disease 2019 pandemic to better assess the current state of nuclear medicine practice within the United States, as well as the perceptions and experiences of technologists working during the pandemic. <b>Methods:</b> A web-based automation platform was used to create, collect, and analyze the survey data. <b>Results:</b> The survey revealed many department protocol variations during the pandemic, a decrease in patient volume, and several other concerns and issues. Experiences regarding staffing and wage changes were varied. <b>Conclusion:</b> This research showed significant inconsistencies in practice and stresses to nuclear medicine technology during the pandemic, as well as concerns for the workforce pipeline. NMTCB decided to delay the JTA process and conduct additional research regarding the workforce.</p>","PeriodicalId":16548,"journal":{"name":"Journal of nuclear medicine technology","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10159723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Gathering.","authors":"Kathy S Thomas","doi":"10.1142/9789812565846_0003","DOIUrl":"https://doi.org/10.1142/9789812565846_0003","url":null,"abstract":"The Annual Meeting of the Society of Nuclear Medicine and Molecular Imaging in Chicago was fantastic! Gathering with nuclear medicine professionals from around the world to share new ideas, technologies, and information is always an exhilarating experience, and this year was no exception. Although the haze and smoke from the Canadian fires darkened the city skies, nothing could darken the mood of those attending the meeting, either virtually or in person. There was something for everyone, including the festive opening ceremony, the very competitive knowledge bowl, the packed educational opportunities, the many social events, the informative and educational exhibit hall, and the new ‘virtual’ poster hall, not to mention the many networking opportunities! A great social and educational time was had by all! During the educational program, Mary Beth Farrell, JNMT’s CE Editor, presented “How to Write a Manuscript” to students and attending nuclear medicine professionals, designed to provide and encourage future authors with the tools to write successfully. JNMT is always looking for new content and new authors! I followed with a very brief summary of the publication process once the manuscript is submitted. For authors new to the publication process, we stressed the fact that help is available and emphasized that, aside from the prestige and bragging rights of being published, there also may be financial rewards associated with being published! For those not quite ready to put pen to paper, ok, so I’m “old school”—how about fingers to the keyboard—we encouraged becoming a reviewer. Every nuclear medicine professional is an expert in some aspect of nuclear medicine. Why not consider becoming a reviewer of manuscripts specific to that expertise? The process is easy and begins by creating an account on the SNMMI publication portal at JNM Manuscript Processing System (snmjournals.org). Turning to this issue, a diverse collection of continuing education articles is offered. Dual-energy x-ray absorptiometry (DXA) units replaced dual-energy photon absorptiometry (DPA) units in the late 1980s; however, many nuclear medicine departments continue to perform DXA procedures today. Banks et al. present Part 1 of a two-part series that summarizes bone physiology, osteoporosis etiology, and the principles and technical aspects of DXA (1). Part 2 will follow in the December issue with a review of DXA interpretation as well as potential scanning pitfalls and techniques to improve image quality. Practice guidelines support best practice in the clinical setting. The Society of Nuclear Medicine and Molecular Imaging (SNMMI) and the European Association of Nuclear Medicine (EANM) routinely review and update guidelines for imaging and therapeutic nuclear medicine procedures to improve the quality of service for patients worldwide. The updated practice guideline for the treatment of palliation of bone pain provides the latest information on the therapeutic use of available ","PeriodicalId":16548,"journal":{"name":"Journal of nuclear medicine technology","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/9789812565846_0003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45834169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"<sup>18</sup>F-Fluoroestradiol Whole-Body Imaging.","authors":"Barbara J Grabher","doi":"10.2967/jnmt.122.265271","DOIUrl":"10.2967/jnmt.122.265271","url":null,"abstract":"","PeriodicalId":16548,"journal":{"name":"Journal of nuclear medicine technology","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10159724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"<sup>18</sup>F-FES Whole-Body Imaging Protocol for Evaluating Tumor Estrogen Receptor Status in Patients with Recurrent or Metastatic Breast Cancer.","authors":"Barbara J Grabher","doi":"10.2967/jnmt.122.265272","DOIUrl":"10.2967/jnmt.122.265272","url":null,"abstract":"<p><p>In September 2020, the <i>Journal of Nuclear Medicine and Technology</i> published a continuing education article, \"Breast Cancer: Evaluating Tumor Estrogen Receptor Status with Molecular Imaging to Increase Response to Therapy and Improve Patient Outcomes,\" that reviewed a promising new PET tracer, 16α-<sup>18</sup>F-fluoro-17β-fluoroestradiol (<sup>18</sup>F-FES). This tracer had the potential to be a valuable tool for medical oncologists and breast surgeons in noninvasively evaluating the estrogen receptor site status of their patients' recurrent tumor and secondary metastatic lesions. In May 2020, <sup>18</sup>F-FES received Food and Drug Administration approval and began being marketed by Zionexa using the trade name Cerianna and manufactured by PETNET. In May 2021, GE Healthcare acquired Zionexa, and Cerianna and is now being marketed by GE Healthcare and is still being manufactured by PETNET. This article will review the <sup>18</sup>F-FES package insert information and imaging protocol, as well as important guidelines for imaging with <sup>18</sup>F-FES.</p>","PeriodicalId":16548,"journal":{"name":"Journal of nuclear medicine technology","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10538239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Conversation with ChatGPT.","authors":"Geoffrey Currie","doi":"10.2967/jnmt.123.265864","DOIUrl":"10.2967/jnmt.123.265864","url":null,"abstract":"<p><p>ChatGPT chatbot powered by GPT 3.5 was released in late November 2022 but has been rapidly assimilated into educational and clinical environments. <b>Method:</b> Insight into ChatGPT capabilities was undertaken in an interview-style approach with the chatbot itself. <b>Results:</b> ChatGPT powered by GPT 3.5 exudes confidence in its capabilities in supporting and enhancing student learning in nuclear medicine and in supporting clinical practice. ChatGPT is also self-aware of limitations and flaws in capabilities and the risks these pose to academic integrity. <b>Conclusion:</b> Further objective evaluation of ChatGPT capabilities in authentic learning and clinical scenarios is required.</p>","PeriodicalId":16548,"journal":{"name":"Journal of nuclear medicine technology","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10538238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"ChatGPT in Nuclear Medicine Education.","authors":"Geoffrey Currie, Kym Barry","doi":"10.2967/jnmt.123.265844","DOIUrl":"10.2967/jnmt.123.265844","url":null,"abstract":"<p><p>Academic integrity has been challenged by artificial intelligence algorithms in teaching institutions, including those providing nuclear medicine training. The GPT 3.5-powered ChatGPT chatbot released in late November 2022 has emerged as an immediate threat to academic and scientific writing. <b>Methods:</b> Both examinations and written assignments for nuclear medicine courses were tested using ChatGPT. Included was a mix of core theory subjects offered in the second and third years of the nuclear medicine science course. Long-answer-style questions (8 subjects) and calculation-style questions (2 subjects) were included for examinations. ChatGPT was also used to produce responses to authentic writing tasks (6 subjects). ChatGPT responses were evaluated by Turnitin plagiarism-detection software for similarity and artificial intelligence scores, scored against standardized rubrics, and compared with the mean performance of student cohorts. <b>Results:</b> ChatGPT powered by GPT 3.5 performed poorly in the 2 calculation examinations (overall, 31.7% compared with 67.3% for students), with particularly poor performance in complex-style questions. ChatGPT failed each of 6 written tasks (overall, 38.9% compared with 67.2% for students), with worsening performance corresponding to increasing writing and research expectations in the third year. In the 8 examinations, ChatGPT performed better than students for general or early subjects but poorly for advanced and specific subjects (overall, 51% compared with 57.4% for students). <b>Conclusion:</b> Although ChatGPT poses a risk to academic integrity, its usefulness as a cheating tool can be constrained by higher-order taxonomies. Unfortunately, the constraints to higher-order learning and skill development also undermine potential applications of ChatGPT for enhancing learning. There are several potential applications of ChatGPT for teaching nuclear medicine students.</p>","PeriodicalId":16548,"journal":{"name":"Journal of nuclear medicine technology","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10538242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Gathering.","authors":"Kathy S Thomas","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":16548,"journal":{"name":"Journal of nuclear medicine technology","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10159722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Duration of Breastfeeding Interruption in Nuclear Medicine Procedures.","authors":"Dhrumil Naik, Hema Merai, Ran Klein, Wanzhen Zeng","doi":"10.2967/jnmt.122.264910","DOIUrl":"https://doi.org/10.2967/jnmt.122.264910","url":null,"abstract":"<p><p>The recommendation for the duration of breastfeeding interruption after radiopharmaceutical administration has not been standardized and varies among the guidance documents and publications in the literature. <b>Methods:</b> A working group consisting of 3 staff physicians, 2 fellows, and 2 technologists was designated to update the institutional recommendations on breastfeeding interruption based on the review of the guidance documents and the literature. <b>Results:</b> Our institutional recommendations on the duration of breastfeeding interruption for 54 radiopharmaceuticals are presented in 4 summary tables. For completeness, we also include other radiopharmaceuticals with available information. <b>Conclusion:</b> The detailed recommendation summary on breastfeeding might be helpful to other centers.</p>","PeriodicalId":16548,"journal":{"name":"Journal of nuclear medicine technology","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10166047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}