DOCSLIB.ORG

Positron Emission Tomography CT (PET-CT)

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Positron Emission Tomography CT (PET-CT) www.rcr.ac.uk Recommendations for cross-sectional imaging in cancer management, Second edition Positron emission tomography CT (PET-CT) Faculty of Clinical Radiology www.rcr.ac.uk Contents Positron emission tomography CT (PET-CT) 3 Scanning 5 Patient preparation 3 Standardised uptake value (SUV) 5 Hyperglycaemia 4 Radiation protection 5 Injection site 5 References 8 3 www.rcr.ac.uk Positron emission tomography CT (PET-CT) Derangement in chemical processes is one of the be attending for their appointment at which point first indicators of cancer and this precedes the importance of arriving on time should be changes in morphology. PET-CT provides unique stressed. The information sheet should request information about metabolic processes within that patients inform the department if they are tissue and precisely identifies where areas of diabetic, claustrophobic, pregnant, breast deranged metabolism are occurring. The majority feeding, have difficulty lying flat on their back for of cancers have increased glucose metabolism at least 30 minutes or if they are scheduled for compared with normal tissue. In clinical practice, any other hospital appointments on the same day 18Fluorine fluoro-deoxyglucose (FDG) is the most as their PET-CT scan. At the time of booking, widely used radiotracer with PET-CT in clinical patients should also be advised that it is practice. FDG PET-CT identifies the difference recommended that they have minimal close and increase in glucose metabolism of cancer contact with pregnant women or young children cells compared with normal cells. FDG PET-CT is for the remainder of the day following their scan. now recognised as a key investigation for For patients who are claustrophobic or have optimum management in an increasing number difficulty lying down it is recommended that they of malignancies. Depending on the tumour type, visit the department prior to their appointment to FDG PET-CT can be highly effective for primary look at the scanner and discuss whether they tumour staging, assessing treatment response think they will be able to tolerate the scan. and for detecting disease recurrence.1 These Depending on the referral indication and local applications of FDG PET-CT have been shown to experience, imaging protocols will vary slightly alter patient management in approximately one- and specific information should be provided third of patients with cancer. The current where possible. document makes reference to the use of FDG PET-CT in specific tumours where best evidence Patients are asked to abstain from food and supports its use in routine clinical practice and its drink, other than water, for at least four to six limitations in other tumours are also addressed in hours before the scan. Patients should be the appropriate disease sections. encouraged to drink plenty of water but should be told that they can void as often as required and Drawing from new evidence, the use of FDG do not need to have a full bladder. Insulin- PET-CT in our cancer patients continues to be dependent diabetic patients should not be asked refined and expanded. The role of FDG PET-CT to fast and should be instructed to eat and take for radiotherapy planning and monitoring early their medication as usual. Their appointment response to neoadjuvant chemotherapy should be scheduled so that their FDG injection treatment are two areas which are currently is given as long after their last meal as possible, attracting considerable research attention. while preserving their normal routine. For patients Radiotracers other than FDG are being studied; with poorly controlled diabetes, a discussion included are fluoro-thymidine which provides an between the Administration of Radioactive index of cell proliferation and fluoro-ethyl and Substances Advisory Committee (ARSAC) fluro-methyl choline which measure cell certificate holder and the patient’s referrer prior to membrane turnover. booking will reduce the likelihood of an uninterpretable scan. Patient preparation Patients with stomas following bowel surgery All patients should receive written confirmation should be asked to bring fresh stoma bags with regarding the timing of their appointment along them so that, if required, the bag can be changed with information about what the scan involves, immediately prior to scanning. how long it will take and how the results will be communicated to their clinician. To reduce the To reduce the risk of false-positive or false- risk of wasted FDG and appointment times, negative results, when scheduling the patient’s patients should be asked to confirm that they will appointment, consideration should be given to 4 www.rcr.ac.uk the timing of the appointment in relation to Hyperglycaemia concurrent or recently completed chemo and radiotherapy. Guidance should be sought from All patients must have their blood glucose the ARSAC certificate holder as to the optimal measured and recorded prior to FDG injection. time for scanning. The finger prick blood test is, as a rule, avoided and instead a drop of blood is taken during For patients who will be receiving contrast media cannulation. as part of their PET-CT scan, please refer to the information provided in the CT section of this Considerations for a non-diabetic patient with document. high blood glucose The patient’s blood glucose is usually high On arrival in the department, it is important that because they have not fasted as instructed. If so, the procedure is clearly explained to the patient the patient is invited to drink 3–4 glasses of water and that the patient is allowed an opportunity to and the blood glucose is repeated about two ask questions so that they are as relaxed as hours later. The blood glucose is then ordinarily possible. It is important to take a clear clinical normal. history from the patient including details regarding recent treatment and to measure and If the blood glucose remains high, it is usually record the patient’s height and weight. Where due to a concurrent infection. If this is the case appropriate, last menstrual period (LMP) dates most centres would consider postponing the scan should be requested and recorded and, if and inviting the patient to visit their GP. necessary, pregnancy status should be established with local protocols followed ensuring Considerations for a diabetic patient compliance with The Ionising Radiations Tablet controlled: The patient is usually 2 . Regulations 1999 and the Ionising Radiation invited to attend an early morning 3 (Medical Exposure) Regulations 2000. For these appointment and asked to refrain from reasons appointment times should ideally include breakfast and their diabetic medication, or a pre-injection period of at least 20 minutes. invited to attend a middle of the day appointment having eaten a light breakfast at The patient should be comfortably warm before 6 am and taken all their medication including the scan to aid relaxation and reduce normal diabetic medication at the time of breakfast. physiological muscle and brown fat FDG uptake. Insulin controlled: In general, the patient is It is important to diminish physiological uptake by . invited to attend a middle of the day brown fat and muscle because this can lead to appointment having eaten a light breakfast at errors in interpretation of the scan. 6 am and taken all their medication at the time of breakfast, including their insulin injection. Normal physiological uptake of FDG into the However, each patient is advised on an intrinsic laryngeal muscles is demonstrated in individual basis and factors such as the time patients who speak before, during or after tracer of the insulin injection will influence their injection and this can cause confusion. For this appointment. reason, it is recommended that patients, and especially those with conditions involving the Patients with diabetes mellitus (DM) are asked to head and neck, such as head and neck cancer, drink plenty of water in the six hours leading up to observe a silence protocol with no talking for 20 the scan appointment (about a litre). Depending minutes prior to the injection, during the injection on the nature of the DM and the preparation period and for the majority of the uptake period instructions that have been given, they are (the first 30 minutes after injection being the most advised to bring their food/tablets/insulin with important period). These patients should, them to be taken immediately after their scan. therefore, be asked to arrive for their appointment Advice given is guided by the patient’s recent at least 40 minutes before their scheduled blood glucose levels and, for follow-up FDG PET- injection time. CTs, advice is also influenced by the blood glucose level of previous scans. In patients with blood glucose of more than 12 mmol/litre, it is 5 www.rcr.ac.uk usually appropriate to consider deferring the FDG Depending on local practice, some centres PET-CT, as it can result in false-negative results. routinely include the cranial cavity and others However, each patient is advised on an individual start scanning from the skull base. With modern basis and with all relevant factors taken into scanners, it usually takes about 30 minutes to consideration. obtain an FDG PET-CT from skull base to mid- thighs. Injection site Most centres in the UK do not give IV contrast as It is advisable to allow the patient to relax for a part of the FDG PET-CT examination. If IV couple of minutes between the cannulation and contrast CT is required, this is usually obtained the administration of the FDG. This also ensures immediately after the PET-CT applying standard that the integrity of the line can be adequately CT technique and in the same scanner. checked and will reduce the risk of extravasation. It is critical that the member of staff performing Standardised uptake value (SUV) the cannulation and injection (usually the nuclear medicine technologist or radiographer) is well The maximum SUV (SUVmax) of a lesion is the trained and well practised as a precise technique most commonly used measure of FDG uptake is critical.
Load more

Recommended publications
  • Having an Aortic Arch-Angiogram
    Information for patients Having an Aortic Arch-Angiogram Sheffield Teaching Hospitals Other names: Aortic arch-angiogram, arch-angiogram, arch-aortogram. You have been given this leaflet because you need a procedure known as an Aortic Arch-Angiogram. This leaflet explains more about Aortic Arch-Angiograms, and answers some of the most frequently asked questions. If, after reading this leaflet, you have any questions or concerns, you should write them down and discuss them at your next appointment with the consultant, doctor or specialist nurse. It is important that you understand the procedure, along with the potential benefits and risks before you agree to it. Where will my hospital appointments take place? This will depend on which specialist doctor you are seen by. You could be seen by a Neurologist, a Stroke Physician, a Vascular Surgeon or a Radiologist. Most of the appointments will be at either the Northern General or Royal Hallamshire Hospitals. However, you may also be seen at one of the outreach clinics at Rotherham or Barnsley District Hospitals. 2 What is an aortic arch-angiogram? An aortic arch-angiogram is an x-ray test that enables us to diagnose a problem (most commonly a narrowing or a blockage) in the arteries supplying your head, neck and arms. Arteries do not usually show up on x-rays, so the images are obtained by introducing a long, thin, flexible tube (a catheter) into an artery, usually at the top of your leg. Then, a special x-ray dye (contrast medium) is injected through it, into the circulation. The blood flow carries the dye along, highlighting the arteries, and x-ray pictures are taken.
    [Show full text]
  • Diagnostic Radiography Is the Production of High Quality Images for the Purpose of Diagnosis of Injury Or Disease
    A Career in Medical Imaging What is Diagnostic Radiography / Medical Imaging? Diagnostic Radiography is the production of high quality images for the purpose of diagnosis of injury or disease. It is a pivotal aspect of medicine and a patient's diagnosis and ultimate treatment is often dependent on the images produced. Diagnostic Radiography uses both ionising and non-ionising radiation in the imaging process. The equipment used is at the high end of technology and computerisation within medicine. What does a Diagnostic Radiographer / Medical Imaging Technologist do? A Diagnostic Radiographer/Medical Imaging Technologist is a key member of the health care team. They are responsible for producing high quality medical images that assist medical specialists and practitioners to describe, diagnose, monitor and treat a patient’s injury or illness. Much of the medical equipment used to gain the images is highly technical and involves state of the art computerisation. A Diagnostic Radiographer/Medical Imaging Technologist needs to have the scientific and technological background to understand and use the equipment within a modern Radiology department as well as compassion and strong interpersonal skills. They need to be able to demonstrate care and understanding and have a genuine interest in a patient's welfare. The Diagnostic Radiographer/Medical Imaging Technologist will also need to be able to explain to the patient the need for the preparation and post examination care as well as the procedure to be undertaken. The Diagnostic Radiographer/Medical Imaging Technologist is able to work in a highly advanced technical profession that requires excellent people skills. It is an exciting and rewarding profession to embark on and great opportunities await the graduate.
    [Show full text]
  • The Role of the GI Radiographer: a UK Perspective Nightingale, J and Hogg, P
    The role of the GI radiographer: A UK perspective Nightingale, J and Hogg, P Title The role of the GI radiographer: A UK perspective Authors Nightingale, J and Hogg, P Type Article URL This version is available at: http://usir.salford.ac.uk/id/eprint/12543/ Published Date 2007 USIR is a digital collection of the research output of the University of Salford. Where copyright permits, full text material held in the repository is made freely available online and can be read, downloaded and copied for non-commercial private study or research purposes. Please check the manuscript for any further copyright restrictions. For more information, including our policy and submission procedure, please contact the Repository Team at: [email protected]. ...................................................................................................... PEER REVIEW The Role of the GI Radiographer: A United Kingdom Perspective JULIE NIGHTINGALE, M.Sc. PETER HOGG, M.Phil. Context Since the 1990s radiographers in the United Kingdom have expanded their role in gastrointestinal (GI) radiology, first by performing double-contrast barium enema (DCBE) examinations independently and later by interpreting and reporting the results of these exams. Objective This article will trace the evolution of GI radiographers in the United Kingdom, evaluate their success and explore how the U.K. experience could apply to American radiologist assistants. Methods The authors surveyed the professional literature to determine the historical context in which GI radiographers emerged and assess how their performance on DCBE exams compares with radiologists’ performance. Results DCBE exams performed by GI radiographers have been shown to be efficient, cost effective and safe. In addition, GI radiographers have helped reduce waiting and turnaround times for DCBE exams.
    [Show full text]
  • Mammography Services Quality Assurance: Baseline Standards for Latin America and the Caribbean
    MAMMOGRAPHY SERVICES QUALITY ASSURANCE: BASELINE STANDARDS FOR LATIN AMERICA AND THE CARIBBEAN MAMMOGRAPHY SERVICES QUALITY ASSURANCE: BASELINE STANDARDS FOR LATIN AMERICA AND THE CARIBBEAN Washington, D.C., 2016 Original versión in Spanish: Garantía de calidad de los servicios de mamografía; Normas básicas para América Latina y el Caribe ISBN: 978-92-75-31926-0 PAHO HQ Library Cataloguing-in-Publication Data ********************************************************************************* Pan American Health Organization Mammography Services Quality Assurance: Baseline Standards for Latin America and the Caribbean. Washington, D.C. : PAHO, 2016. 1. Mammography – standards. 2. Mammography – methods. 3. Human Resources. 4. Equipment and Supplies. 5. Health Care Quality, Access, and Evaluation. 6. Americas. I. Title. ISBN: 978-92-75-11926-6 (NLM Classification: WP 815) © Pan American Health Organization, 2016 All rights reserved. Publications of the Pan American Health Organization (PAHO) are available on the PAHO website (www.paho.org). Requests for permission to reproduce or translate PAHO publications should be addressed to the Publications Program through the PAHO website (www.paho.org/permissions). Publications of the Pan American Health Organization enjoy copyright protection in accordance with the provisions of Protocol 2 of the Universal Copyright Convention. All rights are reserved. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the Secretariat of the Pan American Health Organization concerning the status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted and dashed lines on maps represent approximate border lines for which there may not yet be full agreement.
    [Show full text]
  • Your Computed Tomography (Ct) Examination
    YOUR COMPUTED TOMOGRAPHY (CT) EXAMINATION DIRECTORATE OF MEDICAL IMAGING INFORMATION FOR PATIENTS The Radiology Department The Radiology Department, X-ray or Imaging Department, is the facility in the hospital which carries out the radiological examination of patients, using a range of X-ray equipment, together with computed tomography (CT scan) as well as ultrasound and magnetic resonance imaging (MRI). The radiologists are doctors specially trained to interpret the results and carry out some of the more complex examinations. They are supported by radiographers who are highly trained to carry out many of the X-ray and other imaging procedures. What is a CT scan? A CT (Computed Tomography) scanner is a special X-ray machine which produces an image of a cross-section, or slice, of the body. The scanner consists of a ‘doughnut’ shaped structure, or gantry, about two feet thick, through which you pass on a couch. A narrow fan-shaped beam of X-rays is produced from inside the gantry, and rotates in a complete circle around you. The X-rays pass through your body and are detected by electronic sensors on the other side of the gantry. The information passes to a computer which then produces a picture of the internal structure of the body. The pictures are displayed on a TV screen and can be examined by the radiologist. It takes less than a second to produce each slice, which can vary in thickness from one millimetre to one centimetre. Depending on how much of the body is being scanned, it will be necessary to produce images of up to 30 or 40 slices, or even much higher numbers with some scanners.
    [Show full text]
  • Detecting the Pulmonary Trunk in CT Scout Views Using Deep Learning Aydin Demircioğlu 1,3*, Magdalena Charis Stein2,3, Moon‑Sung Kim1, Henrike Geske1, Anton S
    www.nature.com/scientificreports OPEN Detecting the pulmonary trunk in CT scout views using deep learning Aydin Demircioğlu 1,3*, Magdalena Charis Stein2,3, Moon‑Sung Kim1, Henrike Geske1, Anton S. Quinsten1, Sebastian Blex1, Lale Umutlu1 & Kai Nassenstein1 For CT pulmonary angiograms, a scout view obtained in anterior–posterior projection is usually used for planning. For bolus tracking the radiographer manually locates a position in the CT scout view where the pulmonary trunk will be visible in an axial CT pre‑scan. We automate the task of localizing the pulmonary trunk in CT scout views by deep learning methods. In 620 eligible CT scout views of 563 patients between March 2003 and February 2020 the region of the pulmonary trunk as well as an optimal slice (“reference standard”) for bolus tracking, in which the pulmonary trunk was clearly visible, was annotated and used to train a U‑Net predicting the region of the pulmonary trunk in the CT scout view. The networks’ performance was subsequently evaluated on 239 CT scout views from 213 patients and was compared with the annotations of three radiographers. The network was able to localize the region of the pulmonary trunk with high accuracy, yielding an accuracy of 97.5% of localizing a slice in the region of the pulmonary trunk on the validation cohort. On average, the selected position had a distance of 5.3 mm from the reference standard. Compared to radiographers, using a non‑inferiority test (one‑sided, paired Wilcoxon rank‑sum test) the network performed as well as each radiographer (P < 0.001 in all cases).
    [Show full text]
  • The Practice Standards for Medical Imaging and Radiation Therapy
    The Practice Standards for Medical Imaging and Radiation Therapy Radiography Practice Standards ©2017 American Society of Radiologic Technologists. All rights reserved. Reprinting all or part of this document is prohibited without advance written permission of the ASRT. Send reprint requests to the ASRT Communications Department, 15000 Central Ave. SE, Albuquerque, NM 87123-3909. Effective June 25, 2017 Preface to Practice Standards A profession’s practice standards serve as a guide for appropriate practice. The practice standards define the practice and establish general criteria to determine compliance. Practice standards are authoritative statements established by the profession for evaluating the quality of practice, service and education provided by individuals who practice in medical imaging and radiation therapy. Practice Standards can be used by individual facilities to develop job descriptions and practice parameters. Those outside the imaging, therapeutic and radiation science community can use the standards as an overview of the role and responsibilities of the individual as defined by the profession. The individual must be educationally prepared and clinically competent as a prerequisite to professional practice. Federal and state laws, accreditation standards necessary to participate in government programs, and lawful institutional policies and procedures supersede these standards. Format The Practice Standards are divided into six sections: introduction, scope of practice, clinical performance, quality performance, professional performance and advisory opinion statements. Introduction. The introduction provides definitions for the practice and the minimum qualifications for the education and certification of individuals in addition to an overview of the specific practice. Scope of Practice. The scope of practice delineates the parameters of the specific practice.
    [Show full text]
  • The Role of the Radiographer in Magnetic Resonance Imaging
    The role of the radiographer in Magnetic Resonance Imaging Introduction Magnetic Resonance Imaging (MRI) is an ever-advancing technology. Since its The radiography workforce delivers diagnostic introduction into mainstream imaging departments in the UK in the late 1980s, the imaging and radiotherapy services in a range of health and social care settings across the growth in MRI has been rapid culminating in it becoming the preferred imaging UK. Radiographers are pivotal to delivering modality for many investigations. Advances in magnet design, Radio Frequency (RF) fast and reliable diagnoses of disease, as well technology and the increasing availability of high field strength systems means that as curative and palliative treatment and care techniques such as cardiac, functional and interventional MRI to name a few are for patients with cancer. A large majority of patients will be referred for imaging during available in many imaging departments. The scope of radiographic practice within their treatment and radiographers are key to MRI continues to broaden, with highly specialised and knowledgeable radiographers the delivery of successful clinical outcomes. providing this essential imaging service. The Society and College of Radiographers (SCoR) is a professional body and trade union. With more than 90% of the radiography workforce in membership, it represents the Clinical applications of MRI entire profession. It shapes the healthcare MRI produces extremely detailed images of soft tissue and anatomical structures agenda and leads opinion on a wide range making it ideal for imaging the brain, spine, and joints. It plays an important role of professional issues, setting standards and developing policies that are adopted in imaging patients with conditions such as stroke, epilepsy , dementia and brain and acclaimed by governments and health tumours, and the development of functional MRI which assesses brain function has professionals worldwide.
    [Show full text]
  • Principles and Practice of PET/CT Part 1 a Technologist’S Guide
    EANM® Eu ne rope edici an Association of Nuclear M Publications · Brochures Principles and Practice of PET/CT Part 1 A Technologist‘s Guide Produced with the kind Support of Editors Peter Hogg Giorgio Testanera Head of Diagnostic Imaging Research Istituto Clinico Humanitas University of Salford Department of Nuclear Medicine Salford, UK Rozzano, Italy Contributors Suzanne Dennan Ann Heathcote Department of Diagnostic Imaging Regional Manger St. James Hospital, Dublin, Ireland Alliance Medical Limited Warwick, UK Thomas Kane Consultant in Radiology & Nuclear Medicine Amy Wareing Victoria Hospital, Blackpool Senior PET CT Technologist and Lancashire PETCT Centre, Preston, UK Preston PET CT Centre Royal Preston Hospital Jean-Marc Vrigneaud Lancashire Teaching Hospitals, UK Medical Physicist Nuclear Medicine Department Peter Julyan Centre Georges-François Leclerc Clinical Scientist Dijon, France North Western Medical Physics The Christie NHS Foundation Trust, UK Sylvianne Prevot Radiation Safety Officer Katy Szczepura Centre Georges-Francois Leclerc Medical Physics Lecturer Dijon, France Department of Diagnostic Radiography University of Salford Angela Meadows Greater Manchester, UK Unit Manager Preston PET/CT Centre Simona Cola Alliance Medical Technologist of the Department of Nuclear Royal Preston Hospital Medicine Lancashire Teaching Hospitals NHS Trust, UK S. Maria Nuova Hospital Reggio Emilia, Italy Ronald Boellaard Associate Professor and Head of Physics Department of Nuclear Medicine and PET Research VU University Medical Centre Amsterdam,
    [Show full text]
  • Magnetic Resonance Practice Standards
    The ASRT Practice Standards for Medical Imaging and Radiation Therapy Magnetic Resonance ©2019 American Society of Radiologic Technologists. All rights reserved. Reprinting all or part of this document is prohibited without advance written permission of the ASRT. Send reprint requests to the ASRT Publications Department, 15000 Central Ave. SE, Albuquerque, NM 87123-3909. Effective June 23, 2019 Table of Contents Preface .......................................................................................................................................................... 1 Format ....................................................................................................................................................... 1 Introduction .................................................................................................................................................. 3 Definition .................................................................................................................................................. 3 Education and Certification ...................................................................................................................... 5 Medical Imaging and Radiation Therapy Scope of Practice .......................................................................... 6 Standards ...................................................................................................................................................... 8 Standard One – Assessment ....................................................................................................................
    [Show full text]
  • PET-CT in the UK a Strategy for Development and Integration of a Leading Edge Technology Within Routine Clinical Practice Contributors
    The Royal College of Radiologists In collaboration with The Royal College of Physicians The Intercollegiate Standing Committee on Nuclear Medicine The British Nuclear Medicine Society The Institute of Physics and Engineering in Medicine and supported by The Society and College of Radiographers PET-CT in the UK A strategy for development and integration of a leading edge technology within routine clinical practice Contributors Dr Rosemary Allan Professor Janet Husband Chair, RCR Radionuclide Radiology Sub-Committee Chair of Working Party Consultant Radiologist, St. George’s Hospital, London President of Royal College of Radiologists (RCR) Professor of Diagnostic Radiology, Royal Marsden NHS Dr Nicholas Ashford Foundation Trust Consultant Radiologist, St. Richard’s Hospital, Chichester Professor Isky Gordon Dr Deborah Cunningham Lead Co-ordinator of Project Consultant Radiologist, St. Mary’s Hospital, London Lead on Working Party’s Standards Sub-Group Miss Margaret Dakin Secretary, Intercollegiate Standing Committee Clinical Manager, St. Thomas’ Hospital Clinical PET Centre, Professor of Paediatric Imaging, Great Ormond Street London Hospital for Children Professor Adrian Dixon Mr Steve Ebdon-Jackson Warden, RCR Faculty of Clinical Radiology Lead on Working Party’s Contracts Sub-Group Professor of Radiology, Cambridge University Radiation Protection Division, Health Protection Agency Dr Fergus Gleeson Professor Kenneth Miles Consultant Radiologist, Radcliffe Hospitals, Oxford Joint lead on Working Party’s Education & Research Sub-Group Chairman
    [Show full text]
  • Positron Emission Tomography (PET)- Computed Tomography (CT) Curriculum
    Positron Emission Tomography (PET)- Computed Tomography (CT) Curriculum Sponsored by the American Society of Radiologic Technologists, 15000 Central Ave. SE, Albuquerque, NM 87123-3917 and the Society of Nuclear Medicine Technologist Section, 1850 Samuel Morse Drive, Reston, VA 20190. The PET-CT Curriculum was produced by a Multiorganizational Curriculum Project Group. ©Copyright 2004, by the American Society of Radiologic Technologists and Society of Nuclear Medicine. All rights reserved. Request to reprint all or part of this document is prohibited without advance written permission of the ASRT or SNMTS. Send reprint requests to the ASRT Education Department at the above address. Introduction The Society of Nuclear Medicine Technologist Section (SNMTS) and the American Society of Radiologic Technologists (ASRT) convened a consensus conference to discuss the personnel issues involved in performing fusion imaging. Conference participants included technologists, physicians and educators, as well as representatives from state regulatory agencies, companies that manufacture hybrid imaging equipment and supply radiopharmaceuticals, educational accreditation agencies, certification bodies and professional associations. The goal of the conference was to develop specific recommendations for the education and regulation of personnel who operate hybrid imaging equipment. Conference participants, by offering these recommendations in the form of consensus statements, hoped to ensure safe, high- quality care for all patients who undergo fusion imaging examinations. A consensus statement addressing personnel qualified to operate PET-CT equipment states: Any registered radiographer with the credential R.T.(R), registered radiation therapist with the credential R.T.(T), or registered certified nuclear medicine technologist with the credentials R.T.(N) or CNMT may operate PET-CT equipment after obtaining appropriate additional education or training and demonstrating competency.
    [Show full text]