Japanese consensus guidelines for pediatric nuclear medicine

Shinichi Kanaya,Masayuki Yano,Teisuke Hashimoto,Atsushi Nakanishi,Masayuki Kitamura,Masayuki Sasaki,Kimio Kanegawa,Seiichi Watanabe,Chisato Kondo,Yukihiko Fujita,Hiroshi Matsuda,Kensuke Karasawa,Hiroshi Hataya,Keishi Hirono,Tatsuo Kono,Tetsuo Kida,Hidekazu Masaki,Ken Hoshino,Hiroshi Onuma,Mayuki Uchiyama,Hitoshi Terada,Mitsuo Okuno,Eiji Oguma,Kiyoshi Koizumi,Hiroshi Kono ,Shin Ichiro Hamano

doi:10.1007/s12149-014-0826-9

Abstract

The Japanese Society of Nuclear Medicine has recently published the consensus guidelines for pediatric nuclear medicine. This article is the English version of the guidelines. Part 1 proposes the dose optimization in pediatric nuclear medicine studies. Part 2 comprehensively discusses imaging techniques for the appropriate conduct of pediatric nuclear medicine procedures, considering the characteristics of imaging in children.

Highlights

In 2011, an incident of intentional administration of excessive radioactivity to children in nuclear medicine studies at a hospital in Japan was disclosed. With this case as the springboard, the Japanese Society of Nuclear Medicine set up a committee to review the appropriate conduct of pediatric nuclear medicine studies, including the radiopharmaceutical administered doses, in 2012
The guidelines are subject to revision in accordance with the global trend toward standardization of pediatric nuclear medicine studies
This formula has been widely used in the clinical practice of pediatric nuclear medicine studies in Japan since

Summary

Objectives and background of the guidelines

The Society of Nuclear Medicine and Molecular Imaging proposed appropriate radiopharmaceutical administered doses for pediatric nuclear medicine studies in 2010 as part of the project to reduce medical radiation exposure of children called ‘‘Image Gently’’ [5,6,7]. In 2011, an incident of intentional administration of excessive radioactivity to children in nuclear medicine studies at a hospital in Japan was disclosed With this case as the springboard, the Japanese Society of Nuclear Medicine set up a committee to review the appropriate conduct of pediatric nuclear medicine studies, including the radiopharmaceutical administered doses, in 2012. Part 3 provides pediatric illnesses for which nuclear medicine studies are highly useful and that may partly justify the use of radiopharmaceuticals causing radiation exposure in children In this English version, Parts 1 and 2 have been translated. The guidelines are subject to revision in accordance with the global trend toward standardization of pediatric nuclear medicine studies

Concepts and methods for calculation

Part 2: Technical considerations for pediatric nuclear medicine imaging procedures

Procedures during imaging