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Technical Protocols:
The Backbone Of The Imaging Laboratory
[continued]


from the November 2005 issue

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Available from the SNM website [www.snm.org] is a comprehensive Procedure Guidelines directory (see side menu "Practice Management," then select "Procedure Guidelines").
The guidelines listed below are available and provided as PDF files for viewing and download at www.snm.org:

CARDIAC

Gated Equilibrium Radionuclide Ventriculography 3.0
Myocardial Perfusion Imaging 3.0

ENDOCRINE

Gated Parathyroid Scintigraphy 3.0
Thyroid Scintigraphy 2.0
Extended Scintigraphy for Differentiated Thyroid Cancer 2.0
Thyroid Uptake Measurement 2.0

GASTROINTESTINAL

Gastric Emptying and Motility 2.0
Hepatic and Splenic Imaging 3.0
C-14 Urea Breath Test 3.0
Hepatobiliary Scintigraphy 3.0
Gastrointestinal Bleeding/Meckel's Diverticulum Scintigraphy 1.0

GENERAL

General Imaging 3.0
Performance and Responsibility Guidelines for NMT
Telenuclear Medicine 1.0
Guideline Development 3.0
Use of Radiopharmaceuticals 3.0

GENITOURINARY

Diagnosis of Renovascular Hypertension 3.0

INFECTION

Gallium Scintigraphy in Inflammation 3.0
In-111 Leukocyte Scintigraphy for Suspected Infection/Inflammation 3.0
Tc-99m Exametazime (HMPAO)-Labeled Leukocyte Scintigraphy
for Suspected Infection/Inflammation 3.0

MUSCULOSKELETAL

Bone Scintigraphy 2.0

NEUROLOGY

Brain Death Scintigraphy 1.0
Brain Perfusion Single Photon Emission Computed Tomography (SPECT) Using Tc-99m Radiopharmaceuticals 2.0

ONCOLOGY

Breast Scintigraphy 2.0
Palliative Treatment for Painful Bone Metastases 3.0
Lymphoscintigraphy and the Use of Intraoperative Gamma Probe for Sentinel
Lymph Node Localization in Melanoma of Intermediate Thickness 1.0
Therapy of Thyroid Disease with Iodine-131 (Sodium Iodide) 1.0
Gallium Scintigraphy in the Evaluation of Malignant Disease 3.0
Somatostatin Receptor Scintigraphy with In-111 Pentetreotide 1.0
Tumor Imaging Using F-18 FDG 2.0

PEDIATRIC

Renal Cortical Scintigraphy in Children 3.0
Pediatric Sedation in Nuclear Medicine 3.0
Radionuclide Cystography in Children 3.0
Diuretic Renography in Children 2.0

PULMONARY

Lung Scintigraphy 3.0

An excellent, published source for radiation safety issues is the Guide for Diagnostic Nuclear Medicine and Radiopharmaceutical Therapy by Jeffry A. Siegel, PhD, published by the Society of Nuclear Medicine.

Laboratory staff members are encouraged to utilize the above referenced sources in conjunction with input from their equipment application specialists to develop protocols specific to their camera and software that are in compliance with The ICANL Standards.

For ICANL accreditation purposes, the technical protocols should include a minimum of the documentation required by The ICANL Standards. However, if a laboratory chooses to include documentation beyond the requirements of the Standards, these should be addressed in the protocol and reflected in the laboratory examinations (and thus the submitted case studies for review).

Because of regularly changing technology and practice standards, the protocols should be assessed and updated on a regular basis. As an example, The ICANL Standards are reviewed by the Board of Directors and ICANL staff at regular intervals. A good practice for laboratories is to look at their protocols each time the new ICANL Standards are published, making any necessary adjustments and assuring that the actual practices within the laboratory are consistent with the corresponding written protocols and remain in compliance with The ICANL Standards.

A clear, concise protocol is generally of most value to the technologists in a laboratory. Though they should be thorough, wordy protocols lead to the loss of important information within paragraphs of text and can be frustrating to the staff they are intended to assist. Several sample protocols are published on the ICANL website [www.icanl.org/icanl/pdfs/sampleprotocol.pdf]. There are various formats used in developing protocols and this is provided only as an example and not a format required by the ICANL.

 


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November 2005 (2.7 mb)


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