ABC | Volume 110, Nº2, February 2018

Original Article Rodrigues et al Practices in Myocardial Perfusion Scintigraphy Arq Bras Cardiol. 2018; 110(2):175-180 1. Underwood SR, Anagnostopoulos C, CerqueiraM, Ell PJ, Flint EJ, Harbinson M, et al; British Cardiac Society; British Nuclear Cardiology Society; British Nuclear Medicine Society; Royal College of Physicians of London; Royal College of Radiologists. Myocardial perfusion scintigraphy: the evidence. Eur J Nucl Med Mol Imaging. 2004;31(2):261-91. doi: 10.1007/s00259- 003-1344-5. 2. Kolh P, Windecker S, Alfonso F, Collet JP, Cremer J, Falk V, et al; Task Force on Myocardial Revascularization of the European Society of Cardiology and the European Association for Cardio-Thoracic Surgery; European Association of Percutaneous Cardiovascular Interventions. 2014 ESC/ EACTS Guidelines on myocardial revascularization: the Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). Developed with the special contribution of the European Association of Percutaneous Cardiovascular Interventions (EAPCI). Eur J Cardiothorac Surg. 2014;46(4):517-92. doi: 10.1093/ejcts/ezu366. 3. Cerci JJ, Trindade E, PretoD, Cerci RJ, Lemos PA, Cesar LA, et al. Investigation route of the coronary patient in the public health system in Curitiba, Sao Paulo and in Incor - IMPACT study. Arq Bras Cardiol. 2014;103(3):192-200. http://dx.doi.org/10.5935/abc.20140107. 4. PozzoL,CouraFilhoG,OssoJrJA,SquairPL.OSUSnamedicinanucleardoBrasil: avaliaçãoecomparaçãodosdadosfornecidospeloDatasuseCNEN.RadiolBras. 2014;47(3):1418.doi :http://doi.org/10.1590/0100.3984.2013.1906. 5. Dos Santos MA, Santos MS, Tura BR, Félix R, Brito AS, De Lorenzo A. Budget impact of applying appropriateness criteria for myocardial perfusion scintigraphy: the perspective of a developing country. J Nucl Cardiol. 2016;23(5):1160-5. doi: 10.1007/s12350-016-0505-4. 6. Oliveira A, Rezende MF, Corrêa R, Mousinho R, Azevedo JC, Miranda SM, et al. Applicability of the appropriate use criteria for myocardial perfusion scintigraphy. Arq Bras Cardiol. 2014;103(5):375-81. doi: http://dx. doi.org/10.5935/abc.20140140. 7. Einstein AJ, Pascual TB, Mercuri M, Karthikeyan G, Vitola JV, Mahmarian JJ, et al; INCAPS Investigators Group. Current worldwide nuclear cardiology practices and radiation exposure: results from the 65 country IAEA nuclear cardiology protocols cross-sectional study (INCAPS). Eur Heart J. 2015;36(26):1689-96. doi: 10.1093/eurheartj/ehv117. 8. International Atomic Energy Agency. (IAEA). Quality management audits in nuclear medicine practices. 2 nd ed. Viena (Austria); 2015. (IAEA Human Health Series, nº33). ISBN: 978-92-0-101715-4. 9. International Atomic Energy Agency. (IAEA). IAEA NUMBAD: taking the pulse of nuclear medicine worldwide. J Nucl Med. 2009;50(5):16N. PMID: 19403871. 10. AmorimBJ, Nesquita CT, Araujo EB, Kubo T, Nogueira S, RiveraM. Guideline for rest and stress myocardial perfusion scintigraphy. Int J Cardiovasc Sci. 2016;29(3):243-7. doi: 10.5935/2359-4802.20160035. References physician, medical physicist, pharmacist, biomedical physician scientist, nurse and technician (at least one of each). Thus, the NMS with professionals of different areas provide better patient care by adding multiple domains of knowledge. The present study has some limitations, the most evident being the self-administered questionnaire, which attributes to the respondent the research’s degree of reliability. Despite being a random sample, most respondents lived in the southern and southeastern regions of Brazil. Conclusion Our study assessed the adoption of good practices in nuclear cardiology tests at NMS in Brazil. Although the response rate to the questionnaire was only 16% of the total NMS on operation, not representing a probabilistic sample, this is the largest data collection about nuclear medicine practices in cardiology in Brazil so far. We observed that the adoption rate of good practices, measured by use of the QI, is heterogeneous, showing an opportunity for improvement. One fifth of the participants has achieved excellence, which was more frequent in university-affiliated SNM and in those with a complete multidisciplinary team. We found that the adoption of good practices in the nuclear medicine tests in cardiology by the NMS assessed in Brazil is equivalent to that of other countries in Latin America, Asia and even North America, being, however, lower than that observed in other continents. There is the opportunity for improvement without cost increase, which requires the adoption of encouraging educational interventions to strengthen cardiology in Brazil. Author contributions Conception and design of the research, Analysis and interpretation of the data and Critical revision of the manuscript for intellectual content: Rodrigues CVB, Oliveira A, Wiefels CC, Leão MS, Mesquita CT; Acquisition of data: Rodrigues CVB; Rodrigues CVB, Oliveira A, Wiefels CC, Leão MS, Mesquita CT; Statistical analysis: Rodrigues CVB, Oliveira A, Mesquita CT; Obtaining financing: Rodrigues CVB; Writing of the manuscript: Rodrigues CVB, Mesquita CT. Potential Conflict of Interest No potential conflict of interest relevant to this article was reported. Sources of Funding This study was funded by CAPES. Study Association This article is part of the thesis of master submitted by Carlos Vitor Braga Rodrigues, fromUniversidade Federal Fluminense. Ethics approval and consent to participate This study was approved by the Ethics Committee of the Faculdade de Medicina da Universidade Federal Fluminense under the protocol number 36682714.5.0000.5243. All the procedures in this study were in accordance with the 1975 Helsinki Declaration, updated in 2013. Informed consent was obtained from all participants included in the study. 179