%0 Journal Article
%T A systematic review for the evidence of recommendations and guidelines in hybrid nuclear cardiovascular imaging.
%A Besson FL
%A Treglia G
%A Bucerius J
%A Anagnostopoulos C
%A Buechel RR
%A Dweck MR
%A Erba PA
%A Gaemperli O
%A Gimelli A
%A Gheysens O
%A Glaudemans AWJM
%A Habib G
%A Hyafil F
%A Lubberink M
%A Rischpler C
%A Saraste A
%A Slart RHJA
%J Eur J Nucl Med Mol Imaging
%V 51
%N 8
%D 2024 Jul 15
%M 38221570
%F 10.057
%R 10.1007/s00259-024-06597-x
%X <B>OBJECTIVE: </B>This study aimed to evaluate the level of evidence of expert recommendations and guidelines for clinical indications and procedurals in hybrid nuclear cardiovascular imaging.<BR><B>METHODS: </B>From inception to August 2023, a PubMed literature analysis of the latest version of guidelines for clinical hybrid cardiovascular imaging techniques including SPECT(/CT), PET(/CT), and PET(/MRI) was performed in two categories: (1) for clinical indications for all-in primary diagnosis; subgroup in prognosis and therapy evaluation; and for (2) imaging procedurals. We surveyed to what degree these followed a standard methodology to collect the data and provide levels of evidence, and for which topic systematic review evidence was executed.<BR><B>RESULTS: </B>A total of 76 guidelines, published between 2013 and 2023, were included. The evidence of guidelines was based on systematic reviews in 7.9% of cases, non-systematic reviews in 47.4% of cases, a mix of systematic and non-systematic reviews in 19.7%, and 25% of guidelines did not report any evidence. Search strategy was reported in 36.8% of cases. Strengths of recommendation were clearly reported in 25% of guidelines. The notion of external review was explicitly reported in 23.7% of cases. Finally, the support of a methodologist was reported in 11.8% of the included guidelines.<BR><B>CONCLUSIONS: </B>The use of evidence procedures for developing for evidence-based cardiovascular hybrid imaging recommendations and guidelines is currently suboptimal, highlighting the need for more standardized methodological procedures.