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Journal of Nuclear Medicine Technology

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Research ArticleSpecial Contribution

Technologist Approach to Global Dose Optimization

Pedro Fragoso Costa, Giorgio Testanera, Luca Camoni, Christelle Terwinghe; on behalf of the EANM Technologist Committee, Elizabeth A. Bailey; on behalf of the ANZSNM Technologists Special Interest Group, Norman E. Bolus; on behalf of the SNMMI Technologist Section and Tina M. Alden; on behalf of CAMRT
Journal of Nuclear Medicine Technology March 2019, 47 (1) 75-82; DOI: https://doi.org/10.2967/jnmt.118.218131
Pedro Fragoso Costa
1Department of Nuclear Medicine, University Hospital Essen, University of Duisburg-Essen, Essen, Germany
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Giorgio Testanera
2Barts Health NHS Trust, Department of Nuclear Medicine, St. Bartholomew’s Hospital, London, United Kingdom
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Luca Camoni
3Nuclear Medicine Unit, Department of Nuclear Medicine, Spedali Civili of Brescia, Brescia, Italy
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Christelle Terwinghe
4Nuclear Medicine, University Hospitals Leuven, Leuven, Belgium
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Elizabeth A. Bailey
5Department of Nuclear Medicine, Royal North Shore Hospital, Sydney, Australia
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Norman E. Bolus
6Nuclear Medicine Technology Program, University of Alabama at Birmingham, Birmingham, Alabama; and
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Tina M. Alden
7BC Cancer Agency, Vancouver, British Columbia, Canada
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    FIGURE 1.

    Depiction of justification and optimization principles in a situation of medical exposure.

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    TABLE 1

    Optimization Process Applied to Different Procedural Steps Accompanied by Operational Questions and Clarification Resources

    StepQuestionMain source
    Radiopharmaceutical administrationWhat is radiopharmaceutical’s biodistribution and dosimetry?International Commission on Radiological Protection 128
    TechnologyCan I decrease injected activity, maintaining diagnostic accuracy?Manufacturer’s specifications; diagnostic reference levels
    ProtocolAre there any alternative methods? Are they appropriate? (SPECT vs. SPECT/CT; PET/CT vs. PET/MR)EANM and SNMMI guidelines; sister societies’ guidelines (e.g., ASNC)
    ImagingPatient comfort? Occupational dosimetry?EANM and SNMMI guidelines
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Journal of Nuclear Medicine Technology: 47 (1)
Journal of Nuclear Medicine Technology
Vol. 47, Issue 1
March 1, 2019
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Technologist Approach to Global Dose Optimization
Pedro Fragoso Costa, Giorgio Testanera, Luca Camoni, Christelle Terwinghe, Elizabeth A. Bailey, Norman E. Bolus, Tina M. Alden
Journal of Nuclear Medicine Technology Mar 2019, 47 (1) 75-82; DOI: 10.2967/jnmt.118.218131

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Technologist Approach to Global Dose Optimization
Pedro Fragoso Costa, Giorgio Testanera, Luca Camoni, Christelle Terwinghe, Elizabeth A. Bailey, Norman E. Bolus, Tina M. Alden
Journal of Nuclear Medicine Technology Mar 2019, 47 (1) 75-82; DOI: 10.2967/jnmt.118.218131
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  • Article
    • Abstract
    • DOSE REDUCTION PRINCIPLES
    • PEDIATRIC PATIENTS
    • HYBRID IMAGING
    • CARDIAC IMAGING
    • NEW TRENDS IN RADIONUCLIDE THERAPY
    • PET OCCUPATIONAL EXPOSURE
    • EANM INITIATIVES FOR DOSE OPTIMIZATION
    • AUSTRALIAN AND NEW ZEALAND SOCIETY OF NUCLEAR MEDICINE INITIATIVES FOR DOSE OPTIMIZATION
    • SNMMI INITIATIVES FOR DOSE OPTIMIZATION
    • CONCLUSION
    • DISCLOSURE
    • Footnotes
    • REFERENCES
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Keywords

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