ArticleEuropean journal of nuclear medicine and molecular imaging2023
Myocardial perfusion SPECT in Germany from 2012 to 2021: insights into development and quality indicators.
Article in European journal of nuclear medicine and molecular imaging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed, 10 citations in OpenAlex.
- Scintigraphy for transthyretin cardiac amyloidosis diagnosis in Austria, Germany, and Switzerland from 2021 to 2024. A survey report.European journal of nuclear medicine and molecular imaging · 2026Article
- Capacity for brain amyloid PET in Germany: Results from the 1st survey on nuclear brain imaging in Germany.European journal of nuclear medicine and molecular imaging · 2025Article
- On the Effect of the Patient Table on Attenuation in Myocardial Perfusion Imaging SPECT.EJNMMI physics · 2025Article
- SPECT and PET myocardial perfusion imaging in Austria, Germany, and Switzerland results of the first joint survey of 2021.European journal of nuclear medicine and molecular imaging · 2023Article
- Myocardial Perfusion SPECT and ATTR imaging 2021 in Germany: Results of the 9th Survey.Nuklearmedizin. Nuclear medicine · 2023Article
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Authors and funding
6 authors at 4 institutions in 1 country.
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Abstract
purposeThis paper summarises the results of 4 national surveys on the numbers, utilisation and technique of myocardial perfusion SPECT (MPS) from 2012 to 2021.
methodsA one-page questionnaire for information on MPS in 2012, 2015, 2018 and 2021 was sent to German centres practising nuclear medicine. To check for representativeness, the numbers obtained were related to official annual data and furthermore to the numbers of invasive coronary angiography procedures (ICA).
resultsMPS examinations increased by > 40% from 2012 to 2021 and showed a centralisation with increasing MPS per centre. In 2020, a mild impact of the COVID-19 pandemic could be observed in the form of only a slight MPS increase, which was compensated in the following year. Outpatient care cardiologists represent the most important referrer (70%). Mostly, 2-day protocols were used. One-day protocols and stress-only protocols showed insignificant changes. The use of exercise stress decreased steadily. In 2021, exercise stress was replaced by pharmacological stress as the most frequent stress modality. Camera systems showed a shift to more SPECT-CT systems. The use of gated SPECT increased to almost 90%. Quantitative scoring showed an increasing acceptance. The ratio of invasive coronary angiographies (ICA) to MPS was between 3.9 and 4.5. A significant proportion of ICA in the context of CCS (chronic coronary syndrome) was performed without prior testing for ischaemia.
conclusionThe 2012 to 2021 MPS surveys reveal a continuously growing number of examinations with only a mild temporary effect of the COVID-19 pandemic and a centralisation with increasing numbers per centre. Performance and technical data reveal a high-grade adherence of MPS practice to the current ESC guideline. A large potential of non-invasive diagnostics remains for the future.
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