Abstract：
This study aimed to analyze the compliance of health care institutions with the Society of Nuclear Medicine and Molecular Imaging (SNMMI) procedure guidelines for gastric emptying scintigraphy (GES). Methods: A 19-question survey on demographics and the GES protocol was conducted using a Google form. The demographic questions covered position, number of technologists in the department, location, type of health care institution, and number of GES studies per month. The protocol questions included patient preparation, meal preparation, withholding of scheduled medications, radiopharmaceutical type, and radiopharmaceutical dose. The survey was sent to 7 nuclear medicine Facebook groups and a list of clinical affiliates provided by the Indiana University School of Medicine Nuclear Medicine Program. Descriptive statistics were compiled for most questions. A Fisher exact test with a significance level of 0.05 was used to compare the type of health care institution with compliance with the SNMMI GES protocol regarding radiolabeling time, meal preparation, and meal components, as well as to compare the type of health care institution with the number of GES studies performed per institution. Results: In total, 240 people responded to the survey. Most were nonsupervisory nuclear medicine technologists (72%) in nonacademic institutions (72%) and groups with 4 or more technologists (62%). Of the respondents, 72% followed the SNMMI guideline of adding the radiopharmaceutical before cooking, but only 37% followed the meal component guideline. There was no significant association between the type of institution or the number of GES studies and compliance with radiolabeling time or with meal preparation or components. Most respondents asked patients to withhold medications per SNMMI guidelines and used the recommended radiopharmaceutical (99mTc-sulfur colloid, 95%) at the recommended dose (18.5-37 MBq, 84%). Conclusion: Although most respondents followed most aspects of the SNMMI guidelines for GES, more than half did not use the recommended meal of liquid egg whites. Compliance did not vary between academic and nonacademic institutions or between groups performing a large or a small number of GES studies.
摘要：
本研究旨在分析医疗机构对核医学与分子成像协会（SNMMI）胃排空闪烁显像（GES）程序指南的遵守情况。方法：使用Google表格对人口统计和GES协议进行了19个问题的调查。人口统计问题涵盖了位置，该部门的技术人员数量，location,医疗保健机构的类型，以及每月GES研究的数量。协议问题包括病人准备，膳食准备,扣留预定的药物，放射性药物类型，和放射性药物剂量。该调查已发送给7个核医学Facebook小组和印第安纳大学医学院核医学计划提供的临床分支机构列表。为大多数问题编制了描述性统计数据。使用显著性水平为0.05的Fisher精确检验来比较医疗保健机构的类型与关于放射性标记时间的SNMMIGES协议的依从性。膳食准备,和膳食成分，以及将医疗机构的类型与每个机构进行的GES研究的数量进行比较。结果：总的来说，240人回答了调查。大多数是非学术机构（72％）的非监督核医学技术人员（72％）和拥有4名或更多技术人员的团体（62％）。在受访者中，72%遵循SNMMI指南，即在烹饪前添加放射性药物，但只有37%遵循膳食成分指南。机构类型或GES研究数量与放射性标记时间或膳食准备或成分的依从性之间没有显着关联。大多数受访者要求患者根据SNMMI指南保留药物，并使用推荐的放射性药物（99mTc-硫胶体，95％）在推荐剂量（18.5-37MBq，84%）。结论：尽管大多数受访者遵循SNMMIGES指南的大多数方面，超过一半的人没有使用推荐的液体蛋白。学术和非学术机构之间或进行大量或少量GES研究的小组之间的依从性没有差异。
