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Current status of nuclear cardiology practice in Latin America and the Caribbean, in the era of multimodality cardiac imaging approach: 2022 update

Cardiovascular diseases (CVDs) are the leading cause of mortality in Latin America and the Caribbean (LAC), with the risk in men being slightly higher than in women. The coronavirus disease 2019 (COVID-19) pandemic caused a significant reduction in the number of cardiac diagnostic procedures globall...

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Autores principales: Peix, Amalia, Mesquita, Claudio T., Gutiérrez, Claudia, Puente, Adriana, Dueñas-C, Karen A., Massardo, Teresa, Berrocal, Isabel, Astesiano, Andrea, Agüero, Roberto N., Bañolas, Ryenne, Hiplan, Enrique, Sánchez, Mayra, Barreda, Ana Ma., Gómez, Vanessa V., Fernández, Cynthia, Portillo, Silvia, Herrera, Yariela, Mendoza, Aurelio, Kapitan, Miguel, Castellanos, Carlos, Rodríguez, Diana I., Estrada, Enrique, Páez, Diana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9645550/
https://www.ncbi.nlm.nih.gov/pubmed/36266992
http://dx.doi.org/10.1097/MNM.0000000000001630
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author Peix, Amalia
Mesquita, Claudio T.
Gutiérrez, Claudia
Puente, Adriana
Dueñas-C, Karen A.
Massardo, Teresa
Berrocal, Isabel
Astesiano, Andrea
Agüero, Roberto N.
Bañolas, Ryenne
Hiplan, Enrique
Sánchez, Mayra
Barreda, Ana Ma.
Gómez, Vanessa V.
Fernández, Cynthia
Portillo, Silvia
Herrera, Yariela
Mendoza, Aurelio
Kapitan, Miguel
Castellanos, Carlos
Rodríguez, Diana I.
Estrada, Enrique
Páez, Diana
author_facet Peix, Amalia
Mesquita, Claudio T.
Gutiérrez, Claudia
Puente, Adriana
Dueñas-C, Karen A.
Massardo, Teresa
Berrocal, Isabel
Astesiano, Andrea
Agüero, Roberto N.
Bañolas, Ryenne
Hiplan, Enrique
Sánchez, Mayra
Barreda, Ana Ma.
Gómez, Vanessa V.
Fernández, Cynthia
Portillo, Silvia
Herrera, Yariela
Mendoza, Aurelio
Kapitan, Miguel
Castellanos, Carlos
Rodríguez, Diana I.
Estrada, Enrique
Páez, Diana
author_sort Peix, Amalia
collection PubMed
description Cardiovascular diseases (CVDs) are the leading cause of mortality in Latin America and the Caribbean (LAC), with the risk in men being slightly higher than in women. The coronavirus disease 2019 (COVID-19) pandemic caused a significant reduction in the number of cardiac diagnostic procedures globally and in particular in LAC. Nuclear cardiology is available in the region, but there is variability in terms of existing technology, radiopharmaceuticals, and human resources. In the region, there are 2385 single photon emission computed tomography (SPECT) and 315 PET scanners, Argentina and Brazil have the largest number. There is an increasing number of new technologies such as cadmium–zinc–telluride (CZT) cardiac-dedicated gamma cameras, SPECT/computed tomography (CT), and PET/CT. All countries performed myocardial perfusion imaging studies, mainly gated-SPECT; the rest are multi-gated acquisition, mainly for cardiac toxicity; detection of viability; rest gated SPECT in patients with dilated cardiomyopathy, and bone-avid tracer cardiac scintigraphy for transthyretin cardiac amyloidosis diagnosis. Regarding other non-nuclear cardiac imaging modalities, Argentina, Colombia, and Chile have the highest ratio of CT scanners, while Brazil, Argentina, and Chile show the highest ratio of MRI scanners. The development of nuclear cardiology and other advanced imaging modalities is challenged by the high cost of equipment, lack of equipment maintenance and service, insufficient-specific training both for imaging specialists and referring clinicians, and lack of awareness of cardiologists or other referring physicians on the clinical applications of nuclear cardiology. Another important aspect to consider is the necessity of implementing cardiac imaging multimodality training. A joint work of nuclear medicine specialists, radiologists, cardiologists, and clinicians, in general, is mandatory to achieve this goal. National, regional, and international cooperation including support from scientific professional societies such as the American Society of Nuclear Cardiology and Latin American Association of Biology and Nuclear Medicine Societies, cardiological societies, and organizations such as the International Atomic Energy Agency, and Pan American Health Organization, as well as government commitment are key factors in the overall efforts to tackle the burden of cardiovascular diseases in the region.
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spelling pubmed-96455502022-11-14 Current status of nuclear cardiology practice in Latin America and the Caribbean, in the era of multimodality cardiac imaging approach: 2022 update Peix, Amalia Mesquita, Claudio T. Gutiérrez, Claudia Puente, Adriana Dueñas-C, Karen A. Massardo, Teresa Berrocal, Isabel Astesiano, Andrea Agüero, Roberto N. Bañolas, Ryenne Hiplan, Enrique Sánchez, Mayra Barreda, Ana Ma. Gómez, Vanessa V. Fernández, Cynthia Portillo, Silvia Herrera, Yariela Mendoza, Aurelio Kapitan, Miguel Castellanos, Carlos Rodríguez, Diana I. Estrada, Enrique Páez, Diana Nucl Med Commun Review Article Cardiovascular diseases (CVDs) are the leading cause of mortality in Latin America and the Caribbean (LAC), with the risk in men being slightly higher than in women. The coronavirus disease 2019 (COVID-19) pandemic caused a significant reduction in the number of cardiac diagnostic procedures globally and in particular in LAC. Nuclear cardiology is available in the region, but there is variability in terms of existing technology, radiopharmaceuticals, and human resources. In the region, there are 2385 single photon emission computed tomography (SPECT) and 315 PET scanners, Argentina and Brazil have the largest number. There is an increasing number of new technologies such as cadmium–zinc–telluride (CZT) cardiac-dedicated gamma cameras, SPECT/computed tomography (CT), and PET/CT. All countries performed myocardial perfusion imaging studies, mainly gated-SPECT; the rest are multi-gated acquisition, mainly for cardiac toxicity; detection of viability; rest gated SPECT in patients with dilated cardiomyopathy, and bone-avid tracer cardiac scintigraphy for transthyretin cardiac amyloidosis diagnosis. Regarding other non-nuclear cardiac imaging modalities, Argentina, Colombia, and Chile have the highest ratio of CT scanners, while Brazil, Argentina, and Chile show the highest ratio of MRI scanners. The development of nuclear cardiology and other advanced imaging modalities is challenged by the high cost of equipment, lack of equipment maintenance and service, insufficient-specific training both for imaging specialists and referring clinicians, and lack of awareness of cardiologists or other referring physicians on the clinical applications of nuclear cardiology. Another important aspect to consider is the necessity of implementing cardiac imaging multimodality training. A joint work of nuclear medicine specialists, radiologists, cardiologists, and clinicians, in general, is mandatory to achieve this goal. National, regional, and international cooperation including support from scientific professional societies such as the American Society of Nuclear Cardiology and Latin American Association of Biology and Nuclear Medicine Societies, cardiological societies, and organizations such as the International Atomic Energy Agency, and Pan American Health Organization, as well as government commitment are key factors in the overall efforts to tackle the burden of cardiovascular diseases in the region. Lippincott Williams & Wilkins 2022-10-19 2022-12 /pmc/articles/PMC9645550/ /pubmed/36266992 http://dx.doi.org/10.1097/MNM.0000000000001630 Text en Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Review Article
Peix, Amalia
Mesquita, Claudio T.
Gutiérrez, Claudia
Puente, Adriana
Dueñas-C, Karen A.
Massardo, Teresa
Berrocal, Isabel
Astesiano, Andrea
Agüero, Roberto N.
Bañolas, Ryenne
Hiplan, Enrique
Sánchez, Mayra
Barreda, Ana Ma.
Gómez, Vanessa V.
Fernández, Cynthia
Portillo, Silvia
Herrera, Yariela
Mendoza, Aurelio
Kapitan, Miguel
Castellanos, Carlos
Rodríguez, Diana I.
Estrada, Enrique
Páez, Diana
Current status of nuclear cardiology practice in Latin America and the Caribbean, in the era of multimodality cardiac imaging approach: 2022 update
title Current status of nuclear cardiology practice in Latin America and the Caribbean, in the era of multimodality cardiac imaging approach: 2022 update
title_full Current status of nuclear cardiology practice in Latin America and the Caribbean, in the era of multimodality cardiac imaging approach: 2022 update
title_fullStr Current status of nuclear cardiology practice in Latin America and the Caribbean, in the era of multimodality cardiac imaging approach: 2022 update
title_full_unstemmed Current status of nuclear cardiology practice in Latin America and the Caribbean, in the era of multimodality cardiac imaging approach: 2022 update
title_short Current status of nuclear cardiology practice in Latin America and the Caribbean, in the era of multimodality cardiac imaging approach: 2022 update
title_sort current status of nuclear cardiology practice in latin america and the caribbean, in the era of multimodality cardiac imaging approach: 2022 update
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9645550/
https://www.ncbi.nlm.nih.gov/pubmed/36266992
http://dx.doi.org/10.1097/MNM.0000000000001630
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