Variations in PET/MRI Operations: Results from an International Survey Among 39 Active Sites.

Variations in PET/MRI Operations: Results from an International Survey Among 39 Active Sites.
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DOI:
10.2967/jnumed.116.174169
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发表时间:
2016-12
期刊:
Journal of nuclear medicine : official publication, Society of Nuclear Medicine
影响因子:
--
通讯作者:
Beyer T
Beyer T
中科院分区:
其他
文献类型:
--
作者:
Fendler WP;Czernin J;Herrmann K;Beyer T

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从正电子发射断层扫描/磁共振成像(PET/MRI)的操作地点收集信息,以确定其目前和未来的应用。这可能有助于集中讨论PET/MRI社区的共同利益。2015年6月至10月对PET/MRI用户进行了一项基于网络的调查。该调查由26个问题组成,涉及(A) PET/MRI中心,(B)目前的利用和成像方案,以及(C)对关键应用的看法。我们收集了来自39个进行PET/MRI手术中位时间为30个月(范围2至62个月)的国际站点的反馈。大多数装置位于以学术为重点的公共机构(n= 26,67%)。系统主要由核医学科室(n=13, 33%)、核医学和放射科联合(n=11, 28%)和仅放射科(n=10, 26%)操作。PET/MRI手术同样侧重于临床常规和研究(分别为47%和45%)。网站报告了对肿瘤学的强烈关注(76%的研究和88%的临床应用)。其他应用包括神经病学(9%临床,12%研究)和心脏病学(3%临床,6%研究)。人们认为优于正电子发射断层扫描/计算机断层扫描(PET/CT)的优势是临床采用该技术的最主要原因。超过一半的操作员期望PET/MRI在三到五年内在临床常规中脱颖而出。未来PET/MRI的关键应用是心血管疾病和炎症成像。一项对早期PET/MR采用者的国际调查显示,这种联合成像方式的混合应用重点是肿瘤学。PET/MRI在肿瘤学、神经学、心血管疾病和炎症方面的应用前景广阔。
Information has been collected from positron emission tomography/magnetic resonance imaging (PET/MRI) operational sites to identify its present and future applications. This may help to focus discussions on common interests of the PET/MRI community. A web-based survey of PET/MRI users was conducted from June to October 2015. The survey was composed of 26 questions related to (A) the PET/MRI center, (B) present utilization and imaging protocols and (C) perspectives on key applications. Responses were collected from 39 international sites that operated PET/MRI for a median of 30 months (range, 2 to 62 months). Most installations were located in public institutions with an academic focus (n=26, 67%). Systems were primarily operated by Nuclear Medicine Departments (n=13, 33%), jointly by Nuclear Medicine and Radiology (n=11, 28%), and Radiology only (n=10, 26%). PET/MRI operation was equally focused on clinic routine and research (47% vs. 45% of sites respectively). Sites reported a strong focus on oncology (76% of research and 88% of clinical applications). Other applications included neurology (9% clinical, 12% research) and cardiology (3% clinical, 6% research). Perceived superiority over positron emission tomography/computed tomography (PET/CT) was identified as the strongest driver for clinical adoption. Over half the operators expect PET/MRI to excel in clinical routine within three to five years. Emerging key applications for future PET/MRI use were cardiovascular disease and imaging of inflammation. An international survey of early PET/MR adopters reveals a mixed utilization of this combined imaging modality with a focus on oncology. The future of PET/MRI is seen in expanded application for oncology, neurology, but also cardiovascular disease and inflammation.
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