File Name: hybrid pet ct and spect ct imaging a teaching file .zip
Any application with another CV will not be considered. The successful candidate will be asked to provide additional documents to the training centre for administrative purposes. The training centre will help the fellow with all organisational details.
The aim of our study was to probe the mindsets of radiological and nuclear medicine professionals in regard to current hybrid imaging practice and to assess relevant training aspirations and perceived shortfalls, particularly amongst young professionals.
An online survey was prepared on-line and launched on October-2, It was composed of 17 multiple-choice and open questions regarding the professional background, a perspective on hybrid imaging training efforts and lessons to be learned from disparate craft groups.
We report total responses per category and individual free-text responses. Three quarters of the responders were in favour of a curriculum allowing sub-specialisation in hybrid imaging. With respect to reporting of hybrid imaging, confidence increased with age. The average rating across all responders on the level of cooperation among the two specialties suggested a low overall level of satisfaction.
However, the survey feedback indicated the local on-site cooperation being somewhat better than the perceived cooperation between the relevant associations on a European level. We consider these results to represent an appropriate cross-section of professional opinions of imaging experts across different demographic and hierarchical levels. Collectively they provide evidence supporting a need to address current shortfalls in developing hybrid imaging expertise through national educational plans, and, thus, contribute to helping improve patient care.
Over the centuries, there has been continuous improvement in the diagnosis and treatment of diseases. However, cardiovascular, cancerous and neurodegenerative diseases still pose a major challenge to healthcare systems today [ 1 ]. Patients suffering from any of these diseases expect an accurate diagnosis, which in almost all cases will be guided by non-invasive imaging procedures. All of these imaging modalities represent exciting instrumentational and methodological approaches to diagnosing patients, and help us understand diseases better [ 4 ].
Although the adoption of these hybrid imaging systems has varied widely over time and across regions, their clinical traction has grown and proven to yield a diagnostic benefit in a variety of clinical questions [ 9 — 11 ]. These are but a few examples that attest to a continuous hesitation towards a game-changing adoption of hybrid imaging and, in turn, to an ongoing debate about key responsibilities and ownership issues in hybrid imaging. With increasing availability of more specific tracers for various types of cancer, the penetration of these technologies into oncological imaging is likely to further increase [ 16 ].
This especially includes the new generation of young professionals who have been exposed only to a period of merging technologies and practices. Therefore, we have set out to probe the opinions on hybrid imaging of, in particular, the next generation of imaging specialists and to compare them to senior clinicians.
Hybrid Imaging Survey with 17 questions geared towards the probing the knowledge and attitude of young healthcare professionals in the context of clinical hybrid imaging.
Furthermore, it was advocated through the Aunt Minnie community on Oct-2, , in addition to numerous individual mailings within the professional networks of the co-authors. Anonymized responses were received from Oct-2 to Oct, and tabulated for each question. We report total responses per category; minimum, and maximum values when applicable.
The individual free-text responses were analysed using a content analysis that permits the inclusion of textual information and the systematic identification of properties, such as the frequencies of the most frequently used keywords by locating the most important structures of its communication content [ 20 ]. In total, eligible responses were collected.
Of those, and eligible free text responses were received for the free text question on the cross-specialty learning experience for nuclear medicine and radiology, respectively. When being asked about their personal engagement in various education and training options, it became obvious that more accessible educational material increased its use Fig. Most opponents were radiologists by training.
The same observation was made across responses from European countries only Fig. However, the survey feedback suggests the local on-site cooperation being somewhat better than the perception of cooperation between the relevant associations, EANM and ESR. To take this further, we analyzed the level of cooperation in Germany, where the cooperation of the national societies, the German Society of Nuclear Medicine - DGN and the German Society of Radiology - DRG, was perceived much better than that on the European level, with the same observation being made for the collaboration on a local level Fig.
Quality of collaboration 1-very low, very high of radiologists and nuclear medicine specialists on a local on-site , national and European level: a all responses, b European responses only, and c responses from Germany only. Some examples of individual responses included:. Radiology, particularly MRI, is a dynamic field and new techniques are currently being developed for clinical applications.
Radiologists - I find - are more open to change and adapt quickly. Nucs can be a bit stiff to change. Some specific responses were:. Applied physiology.
Therapeutic approach. They are aware of the limitations of their imaging modality and can interpret images even in the presence of some noise. They are I would say, well trained Support Vector Machines.
Of note, 19 participants took the opportunity not only to answer both questions but to comment on the relationship between nuclear medicine and radiology. Some stress the obvious differences; others state that cooperation or common training are key. There were no distinguished differences between older and younger participants.
Some specific comments were:. They complete each other in imaging diagnostic field. The aim of this survey was to get an insight into current professional perspectives on the practice of hybrid imaging and any pertinent need for training and educational strategies for the international adoption of clinical hybrid imaging. Hence, we assume that the heterogeneity of answers we described will be even more manifold. Taken together, the data above show that the majority of medical professionals in the domains of radiology and nuclear medicine want to engage in continuous education.
Furthermore, there is a persistent interest and willingness in joint training programs. When being asked about their personal adoption of various education and training options e. The opinion trend surveyed here indicates a need for cooperation between the two specialties and a persistent wish for a strategy towards integrating hybrid imaging expertise into an interdisciplinary training [ 23 — 25 ], or into alternative forms of restructured training modules to account for multi-modality imaging [ 26 ].
As early adopters of hybrid imaging, we suggest embracing the numerous opportunities of hybrid imaging for the benefit of clinical patient management and healthcare systems. We should seize the opportunities of presenting high-sensitivity molecular information in judiciously tailored anatomical and morphological reference frames to engage referring clinicians in fostering personalized treatment plans, and to engage with other medical specialties in an attempt to merge knowledge about diseases for building models that help predict and assess disease of other patients in the future; big data can get bigger with hybrid images.
Our survey shows variations of the collaborations between the two specialties on local, national and international levels. Most participants consider the professional collaboration on a local level more positive than the collaboration between the National and European associations. In our view, this is an indicator that cooperation grows more complicated as soon as politics get involved.
An interesting divergent finding is the considerably well-perceived cooperation of the Societies of Radiology and Nuclear Medicine in Germany Fig. They have a long history of joint efforts towards the adoption of dual-modality imaging, given the national funding scheme for imaging system acquisitions put forward by the National Research Foundation DFG , which forces the specialties to cooperate.
Also, Germany has established a potential role model in negotiating joint training programs, as attested by the ongoing reviews of the national continuous educational procedures for radiology [ 27 ] and nuclear medicine [ 28 ].
Naturally, the engagement of local and national stakeholders takes time, but eventually helps build a sustainable framework for the continuous and efficient adoption of new imaging technologies without jeopardizing the core expertise of the adjoined specialties. These dispositions are usually shared by people with similar background […] and reflect the lived reality to which individuals are socialized, their individual experience and objective opportunities.
Thus, the habitus represents the way group culture and personal history shape the body and the mind, and, as a result, shape social action in the present.
Perhaps this type of statement in the light of clinical hybrid imaging lends itself to the definition of a new mindset for hybrid imagers, which could be addressed from the start through a more intense collaboration, or, even better and more sustainable, a joint training and education path that helps bridge the differing mindsets of nuclear medicine physicians and radiologists, for they both do care about their patients.
Such training path could start with the integration of radiologists and nuclear medicine physicians as members of a local multi-disciplinary clinical team, pending the initiation of a new or the continuous expansion of existing communication platforms involving the two specialties. Further, both specialties could establish disease-centric fellowships that include subspecialty hybrid imaging training, such as a Cancer Imaging fellowship as to equip the younger generation with the tools and knowledge needed to demonstrate the impact that imaging can have on patient management and outcome e.
And finally, training efforts could be formalized in residency programmes, including a dedicated cancer imaging curriculum, such as that advocated by Howard and colleagues [ 31 ].
We appreciate that web-based surveys have drawbacks, such as lower response rates compared to other survey modes [ 32 ]. Nonetheless, we decided to benefit from the easy, rapid, and widespread distribution of Web-based questionnaires. Furthermore, Web-based surveys offer logistic advantages such as fast response collection and low costs [ 33 ].
As such, we consider these results a representative cross-section of professional opinions by imaging experts across different demographic and hierarchical levels that may help contribute to recognizing a need to better address needs for hybrid imaging expertise in national educational plans, and, thus, contribute to helping improve patient care.
In short: hybrid imaging should be performed to the best possible diagnostic quality standards with the patient in mind - no more, no less. Our international field study of hybrid imaging adopters indicates a persistent interest, particularly of the younger generation of imaging professionals, to offer training programmes to support the education and certification of hybrid imaging experts. Free text interviews yield valuable insights into the professional vanities of radiology and nuclear medicine experts, but can help define learning objectives in joint curricula.
Cancer imaging is a field in which hybrid technologies already have an important role, and this is likely to expand. Therefore, the oncological imaging community could take a lead in improving training programmes and harmonising reporting methodology for the sake of a sustainable adoption of hybrid imaging techniques. TB and LSF conceived the study and designed the questionnaire. CB implemented an e-Version of the survey and condensed the results. All authors drafted, read and edited the manuscript and approved its final version.
TB is co-founder of cmi-experts Ltd. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Hicks, Email: gro. Brun, Email: gro. Antoch, Email: ed. Freudenberg, Email: ed. National Center for Biotechnology Information , U. Journal List Cancer Imaging v. Cancer Imaging. Published online Apr Beyer , 1 R. Hicks , 2 C. Brun , 3 G. Antoch , 4 and L. Freudenberg 5. Author information Article notes Copyright and License information Disclaimer.
Corresponding author. Received Jan 25; Accepted Apr This article has been cited by other articles in PMC. Methods An online survey was prepared on-line and launched on October-2,
The fusion was done in a Dicom workstation in sagital, axial and coronal reconstruction. The findings were evaluated by 2 Nuclear Medicine physicians and 2 radiologists of the staff of FSFB in an independent way. CT showed facet joint osteoarthrities in 27 Bone scan showed facet joint osteoarthrities in 29 The imaging fusion showed coincidence findings main lesion in CT with high uptake in scintigraphy in 34 patients In 15
The aim of our study was to probe the mindsets of radiological and nuclear medicine professionals in regard to current hybrid imaging practice and to assess relevant training aspirations and perceived shortfalls, particularly amongst young professionals. An online survey was prepared on-line and launched on October-2, It was composed of 17 multiple-choice and open questions regarding the professional background, a perspective on hybrid imaging training efforts and lessons to be learned from disparate craft groups. We report total responses per category and individual free-text responses. Three quarters of the responders were in favour of a curriculum allowing sub-specialisation in hybrid imaging.
The programme is structured and mentored, and is offered at one of these two sites:. The indications for hybrid imaging are rapidly evolving with the development of new tracers, refined scanning equipment and an increasing amount of scientific data. Patients with oncologic diseases are still the major group but hybrid imaging in cardiac and neurologic diseases are increasing. Even if fluoro-deoxy-glucose FDG is the most commonly used tracer, several other tracers are used to visualize a variety of biochemical changes on the molecular scale. Hybrid imaging in oncology is mainly used for staging but also for tissue characterization, treatment planning and evaluation, and follow-up.
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Metrics details. This paper is the first in a series of invited perspectives by four pioneers of Nuclear Medicine imaging and physics. A medical physicist and a Nuclear Medicine clinical specialist each take a backward look and a forward look at the contributions of Medical Physics to Nuclear Medicine. Contributions of Medical Physics are presented from the early discovery of radioactivity, development of first imaging devices, computers and emission tomography to recent development of hybrid imaging. There is evidence of significant contribution of Medical Physics throughout the development of Nuclear Medicine.