Bilan des six premiers mois de fonctionnement du service de médecine nucléaire du centre hospitalier universitaire Yalgado Ouédraogo

Abstract

IntroductionThe first and only Anger camera of Burkina Faso has been installed at the Yalgado Ouedraogo University hospital (CHU YO) in November 2011. The first clinical applications began in January 2012, 20 years after the training of the first nuclear physician of Burkina Faso. The department has opened with the cooperation of the International agency of atomic energy (IAEA) in the framework of a structured project. The objective of this study was to analyze the distribution of scintigraphic examinations performed in the nuclear medicine department, CHU YO, according to medical indications, during the first 6 months. MethodsThe examinations were performed from January 09, 2012 to 15 July 2012. All patients who underwent a scan in the nuclear medicine department were included in the study. The imaging device used was a Mediso™ dual head camera installed in 2011. Tc 99m generator was delivered once per month by IBA™ France. Cold kits had been delivering at the opening of the nuclear medicine department. ResultsSlightly more than half of the examinations have been performed in men (53.1%). June was the month that recorded the greatest number of examinations carried out (25.7%). Bone and thyroid scans represented 68.1% of nuclear medicine diagnostic procedures. Yalgado Ouedraogo University hospital represented more than half of the departments of origin of prescribers (60.2%). Most scans performed in the department of nuclear medicine were prescribed by internal medicine physicians (22.1%). Work-up for bone metastases in breast cancer was the first indication of bone scans (22.7%). Multinodular goiter (36.4%) and solitary nodules (36.4%) were the first indications of thyroid scintigraphy. Searching for stress-induced myocardial ischemia has been the reason for myocardial perfusion scintigraphy in more than half of the cases (53%). The study of separate renal function has been the commonest indication of renal scans (72.73%). Suspicion of pulmonary embolism was the only clinical indication for lung perfusion scans in the nuclear medicine department. ConclusionIn the future, this new department aims to develop by the extension of the supply of diagnostic examinations and the beginning of radionuclide therapy.