TY - JOUR T1 - Practical Aspects of <sup>18</sup>F-FDG PET When Receiving <sup>18</sup>F-FDG from a Distant Supplier JF - Journal of Nuclear Medicine Technology JO - J. Nucl. Med. Technol. SP - 164 LP - 169 DO - 10.2967/jnmt.109.062950 VL - 37 IS - 3 AU - Jaylene Ducharme AU - Andrew L. Goertzen AU - Judy Patterson AU - Sandor Demeter Y1 - 2009/09/01 UR - http://tech.snmjournals.org/content/37/3/164.abstract N2 - With PET becoming more widely used, there is an increase in the number of imaging centers being forced to rely on distant suppliers of 18F-FDG. Because of the large distances between major urban centers, this is particularly true for PET centers in Canada. Methods: Our PET center, located in Winnipeg, Manitoba, Canada, currently purchases 18F-FDG from a commercial vendor located more than 1,000 km from Winnipeg, necessitating transport by commercial airline cargo. This dependence on air transport and a distant supplier creates a situation in which our 18F-FDG supply is less reliable than it would be with onsite production. In this article, we offer insight into the obstacles we have encountered in imaging with a distant supplier of 18F-FDG and the solutions we have implemented to minimize the disruption to our patients and maximize the number of scans performed each year. Results: The development of contingency plans and protocols designed to suit our operating environment has allowed us to increase the number of patient scans obtained from 659 in year 1 to 993 in year 3, an increase of 51%, despite an increase in our actual number of scan days of only 24%. 18F-FDG injection timetables are presented for a variety of scenarios including normal delivery, low shipped activity, and delayed delivery. Conclusion: Through the careful establishment of contingency protocols and management of 18F-FDG shipments, patient throughput can be increased and disruptions minimized. ER -