TABLE 4

Impact of Laboratory Characteristics and Staff Training on IAC Nuclear/PET Review Deficiencies in Protocols and Reporting

CharacteristicAdjusted odds ratio for protocol deficienciesAdjusted odds ratio for reporting deficiencies
Number of sites1.06 (0.96–1.19)1.08 (1.02–1.13)
Annual laboratory volume per 1,000 MPI studies0.93 (0.84–1.02)0.95 (0.86–1.04)
Application cycle (per subsequent cycle)1.07 (0.96–1.19)1.00 (0.91–1.10)
Consultant assistance with application0.55 (0.41–0.73)0.63 (0.48–0.81)
Hospital facility1.24 (0.85–1.82)0.78 (0.54–1.13)
Doing general nuclear medicine or PET oncology/neurology1.70 (1.12–2.56)0.99 (0.66–1.49)
Medical director with CBNC status0.88 (0.71–1.09)0.78 (0.63–0.95)
Cardiovascular pathway of medical director0.99 (0.79–1.24)0.82 (0.66–1.02)
Medical director compliant with CME0.55 (0.44–0.69)0.64 (0.51–0.80)
Volume of studies interpreted by medical director, quartiles
 0–300ReferentReferent
 301–5000.87 (0.65–1.16)0.91 (0.70–1.20)
 501–9000.98 (0.74–1.30)0.93 (0.71–1.22)
 901+1.51 (1.12–2.03)1.09 (0.81–1.45)
Number of medical staff1.16 (1.08–1.24)1.04 (0.97–1.11)
At least 50% of medical staff with CBNC0.85 (0.68–1.06)0.90 (0.73–1.11)
Number of medical staff compliant with CME0.84 (0.77–0.91)0.94 (0.87–1.02)
Technical director with NCT or PET vs. CNMT or RT(N)0.79 (0.55–1.13)0.67 (0.47–0.95)
Technical director compliant with CE0.56 (0.44–0.72)0.53 (0.41–0.67)
Number of technical staff0.92 (0.81–1.04)1.00 (0.90–1.11)
Number of technical staff compliant with CE1.06 (0.92–1.21)0.98 (0.87–1.11)
  • 95% confidence intervals are in parentheses.