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 Cathy S Cutler A1 Elizabeth A Bailey A1 Vijay Kumar A1 Sally W Schwarz A1 Henry Hee-Seung Bom A1 Jun Hatazawa A1 Diana Paez A1 Pilar Orellana A1 Lizette Louw A1 Fernando Mut A1 Hiroki Kato A1 Arturo Chiti A1 Savvas Frangos A1 Frederic H Fahey A1 Gary Dillehay A1 Seoung Jun Oh A1 Dong Soo Lee A1 Sze Ting Lee A1 Rodolfo Nunez-Miller A1 Guru Pad Bandopadhyaya A1 Prasanta Pradhan A1 Andrew M Scott 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.