RT Journal Article SR Electronic T1 Global Issues of Radiopharmaceutical Access and Availability: a Nuclear Medicine Global Initiative Project JF Journal of Nuclear Medicine JO J Nucl Med FD Society of Nuclear Medicine SP jnumed.120.247197 DO 10.2967/jnumed.120.247197 A1 Cutler, Cathy S A1 Bailey, Elizabeth A A1 Kumar, Vijay A1 Schwarz, Sally W A1 Bom, Henry Hee-Seung A1 Hatazawa, Jun A1 Paez, Diana A1 Orellana, Pilar A1 Louw, Lizette A1 Mut, Fernando A1 Kato, Hiroki A1 Chiti, Arturo A1 Frangos, Savvas A1 Fahey, Frederic H A1 Dillehay, Gary A1 Oh, Seoung Jun A1 Lee, Dong Soo A1 Lee, Sze Ting A1 Nunez-Miller, Rodolfo A1 Bandopadhyaya, Guru Pad A1 Pradhan, Prasanta A1 Scott, Andrew M YR 2020 UL http://jnm.snmjournals.org/content/early/2020/07/09/jnumed.120.247197.abstract AB 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.