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OtherClinical Investigations (Human)

Global Issues of Radiopharmaceutical Access and Availability: a Nuclear Medicine Global Initiative Project

Cathy S Cutler, Elizabeth A Bailey, Vijay Kumar, Sally W Schwarz, Henry Hee-Seung Bom, Jun Hatazawa, Diana Paez, Pilar Orellana, Lizette Louw, Fernando Mut, Hiroki Kato, Arturo Chiti, Savvas Frangos, Frederic H Fahey, Gary Dillehay, Seoung Jun Oh, Dong Soo Lee, Sze Ting Lee, Rodolfo Nunez-Miller, Guru Pad Bandopadhyaya, Prasanta Pradhan and Andrew M Scott
Journal of Nuclear Medicine July 2020, jnumed.120.247197; DOI: https://doi.org/10.2967/jnumed.120.247197
Cathy S Cutler
1 Brookhaven National Laboratory, Upton, MA, USA., United States;
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Elizabeth A Bailey
2 Department of Nuclear Medicine, Royal North Shore Hospital, Sydney, NSW, Australia., Australia;
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Vijay Kumar
3 Department of Nuclear Medicine & PET, Westmead Hospital & The Children's Hospital at Westmead, and University of Sydney, NSW, Australia.;
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Sally W Schwarz
4 Washington University School of Medicine, St Louis, MO, USA., United States;
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Henry Hee-Seung Bom
5 Department of Nuclear Medicine, Chonnam National University Hwasun Hospital, Jeollanam, Korea.;
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Jun Hatazawa
6 Department of Quantum Cancer Therapy, Research Center for Nuclear Physics, Osaka University, Osaka, Japan.;
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Diana Paez
7 Nuclear Medicine and Diagnostic Imaging Section, International Atomic Energy Agency, Vienna, Austria.;
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Pilar Orellana
8 Nuclear Medicine and Diagnostic Imaging Section, International Atomic Energy Agency, Vienna, Austria;
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Lizette Louw
9 University of the Witwatersrand, South Africa;
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Fernando Mut
10 Nuclear Medicine Service, Italian Hospital, Montevideo, Uruguay., Uruguay;
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Hiroki Kato
11 Department of Nuclear Medicine and Tracer Kinetics, Osaka University Graduate School of Medicine, Osaka, Japan.;
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Arturo Chiti
12 Humanitas University, and Nuclear Medicine Unit, Humanitas Research Hospital - IRCCS;
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Savvas Frangos
13 Bank of Cyprus Oncology Center, Cyprus;
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Frederic H Fahey
14 Department of Radiology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA., United States;
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Gary Dillehay
15 Department of Radiology, Division of Nuclear Medicine, The Robert H. Lurie Comprehensive Cancer Center, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., United States;
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Seoung Jun Oh
16 Department of Nuclear Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.;
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Dong Soo Lee
17 Department of Nuclear Medicine, Seoul National University College of Medicine, Seoul, Korea., Korea, Republic of;
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Sze Ting Lee
18 Department of Molecular Imaging and Therapy, Austin Health; University of Melbourne; Olivia Newton-John Cancer Research Institute; and School of Cancer Medicine, La Trobe University, Melbourne, Australia., Australia;
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Rodolfo Nunez-Miller
19 Excel Diagnostics and Nuclear Oncology Center, Houston, TX, USA.;
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Guru Pad Bandopadhyaya
20 Department of Nuclear Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India., India;
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Prasanta Pradhan
21 Department of Nuclear Medicine, Sanjay Gandhi Post Graduate Institute of Nuclear Medicine (SGPGIMS), Lucknow, India.
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Andrew M Scott
18 Department of Molecular Imaging and Therapy, Austin Health; University of Melbourne; Olivia Newton-John Cancer Research Institute; and School of Cancer Medicine, La Trobe University, Melbourne, Australia., Australia;
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Abstract

The Nuclear Medicine Global Initiative (NMGI) was formed in 2012 by 13 international organizations to promote human health by advancing the field of nuclear medicine and molecular imaging by supporting the practice and application of nuclear medicine. The first project focused on standardization of administered activities in pediatric nuclear medicine and resulted in two manuscripts. For its second project the NMGI chose to explore issues impacting on access and availability of radiopharmaceuticals around the world. Methods: Information was obtained by survey responses from 35 countries on available radioisotopes, radiopharmaceuticals and kits for diagnostic and therapeutic use. Issues impacting on access and availability of radiopharmaceuticals in individual countries were also identified. Results: Detailed information on radiopharmaceuticals utilized in each country, and sources of supply, was evaluated. Responses highlighted problems in access particularly due to the reliance on a sole provider, regulatory issues and reimbursement, as well as issues of facilities and workforce particularly in low- and middle-income countries. Conclusion: Strategies to address access and availability of radiopharmaceuticals are outlined, to enable timely and equitable patient access to nuclear medicine procedures worldwide. In the face of disruptions to global supply chains by the COVID-19 outbreak, renewed focus on ensuring reliable supply of radiopharmaceuticals is a major priority for nuclear medicine practice globally.

  • Molecular Imaging
  • Quality Assurance
  • Other
  • access
  • global issues
  • radiopharmaceuticals
  • Copyright © 2020 by the Society of Nuclear Medicine and Molecular Imaging, Inc.
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Journal of Nuclear Medicine
Vol. 63, Issue 5
May 1, 2022
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Global Issues of Radiopharmaceutical Access and Availability: a Nuclear Medicine Global Initiative Project
Cathy S Cutler, Elizabeth A Bailey, Vijay Kumar, Sally W Schwarz, Henry Hee-Seung Bom, Jun Hatazawa, Diana Paez, Pilar Orellana, Lizette Louw, Fernando Mut, Hiroki Kato, Arturo Chiti, Savvas Frangos, Frederic H Fahey, Gary Dillehay, Seoung Jun Oh, Dong Soo Lee, Sze Ting Lee, Rodolfo Nunez-Miller, Guru Pad Bandopadhyaya, Prasanta Pradhan, Andrew M Scott
Journal of Nuclear Medicine Jul 2020, jnumed.120.247197; DOI: 10.2967/jnumed.120.247197

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Global Issues of Radiopharmaceutical Access and Availability: a Nuclear Medicine Global Initiative Project
Cathy S Cutler, Elizabeth A Bailey, Vijay Kumar, Sally W Schwarz, Henry Hee-Seung Bom, Jun Hatazawa, Diana Paez, Pilar Orellana, Lizette Louw, Fernando Mut, Hiroki Kato, Arturo Chiti, Savvas Frangos, Frederic H Fahey, Gary Dillehay, Seoung Jun Oh, Dong Soo Lee, Sze Ting Lee, Rodolfo Nunez-Miller, Guru Pad Bandopadhyaya, Prasanta Pradhan, Andrew M Scott
Journal of Nuclear Medicine Jul 2020, jnumed.120.247197; DOI: 10.2967/jnumed.120.247197
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Keywords

  • molecular imaging
  • Quality Assurance
  • Other
  • access
  • global issues
  • Radiopharmaceuticals
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