EANM Guidelines Referral Guidelines Workshop F. Verzijlbergen September 21, 2012 Vienna

EANM: facts & figures individual members 39 national societies 16 affiliated members (countries outside Council of Europe)

EANM – Governance and Bodies Executive Committee Members Assembly Advisory Council Delegates Assembly 12 Committees 1 Task Group European School of Nuclear Medicine Executive Secretariat in Vienna with In-House Congress Management Educational Facility at the Executive Secretariat in Vienna

EANM Committees Cardiovascular Committee Dosimetry Committee Drug Development Committee Inflammation & Infection Neuroimaging Committee Oncology Committee Paediatrics Committee Physics Committee Radionuclide Therapy Committee Radiopharmacy Committee Technologist Committee Translational Molecular Imaging Committee Bone and Joint Committee

EANM Guidelines Dosimetry C 1. EANM Dosimetry Committee Series on Standard Operational Procedures for Pre-Therapeutic Dosimetry II. Radioiodine Test Prior to Radioiodine Therapy of Benign Thyroid Disease (revision 2012 in progress) 2. EANM Dosimetry Committee guidance document: good practice of clinical dosimetry reporting (publication: 2010) 3.EANM Dosimetry Committee guidelines for bone marrow and whole- body dosimetry (publication: 2010) 3. EANM Dosimetry Committee series on standard operational procedures for pre-therapeutic dosimetry: blood and bone marrow dosimetry in differentiated thyroid cancer therapy (publication: 2008) 4.

EANM Guidelines Paediatrics C 1. Guidelines for standard and diuretic renogram in children (publication: 2011) 2. Guideline for radioiodinated MIBG scintigraphy in children (publication: 2011) 3. Guidelines for paediatric bone scanning with 99mTc-labelled radiopharmaceuticals and 18F-fluoride (publication: 2010) 4. Guidelines on 99mTc-DMSA Scintigraphy in children (publication: 1 st version 2001, revised version 2009) 5. Guidelines for lung scintigraphy in children (publication: 2007) 6. Guidelines for 18F-FDG PET and PET-CT imaging in paediatric oncology (date of publication: not-available)

EANM Guidelines GL stimulated by the scientific committees, chaired by someone from the C, Members for GL preparation are easily attracted because publication in the EJNMMI is almost guaranteed (IF 6) with a lot of citations (Citation Index), In the last few years clinical members in the committee preparing the GL, Presented during the Annual Congress by the NM- physician and clinical specialist and vice-versa (succesfull with new techniques/approaches),

EANM relations : ECCO, ESTRO, EORTC, ASCO, EACR ALLIANCE FOR BIOMEDICAL RESEARCH UEMS/EBNM ESTRO, MIRO EFOMP ESMI, ESOI ECR ESR, ESMOFIR IAEA SNM EAU EFNS OECD, AIPES

EANM Guidelines Cardiovascular C 1.Hybrid cardiac imaging: SPECT/CT and PET/CT (A joint position statement by the European Association of Nuclear Medicine (EANM), the Eur. Society of Cardiac Radiology /ESCR/ and the European Council of Nuclear Cardiology /ECNC/) (publication: 2010) 2.EANM/ESC guidelines for radionuclide imaging of cardiac function (publication: 2008) 3. EANM/ESC procedural guidelines for myocardial perfusion imaging in nuclear cardiology (publication: 2005, under revision)

EANM Guidelines Oncology C 7. PET in radiotherapy planning: Particularly exquisite test or pending and experimental tool? (publication by EANM & ESTRO 2010) 8. EANM-EORTC general recommendations for sentinel node diagnostics in melanoma (publication: 2009) 9. Joint practice guidelines for radionuclide lymphoscintigraphy for sentinel node localization in oral/oropharyngeal squamous cell carcinoma (publication: 2009) 10. FDG PET and PET/CT: EANM procedure guidelines for tumour PET imaging: version 1.0 (publication: 2009) 11. Sentinel node in breast cancer procedural guidelines (publication: 2007)

EANM Guidelines Parallel GL prepared by technologists (mainly cardiovascular) Further improvement by cross checking with the SNM (started 2011), SNM/EANM Guideline for Guideline Development 6.0* (publication: 2012) SNMMI Guidelines (EANM endorsement) 1. SNM Practice Guideline for Sodium 18F-Fluoride PET/CT Bone Scans 1.0* (publication: 2010; EANM revision & endorsement 2012) 2. SNM Practice Guideline for Breast Scintigraphy with Breast-Specific g-Cameras 1.0* (publication: 2010; EANM revision & endorsement 2012) EANM Guidelines (SNMMI endorsement) I/123I-Metaiodobenzylguanidine (mIBG) Scintigraphy – Procedures Guidelines for Tumour Imaging (publication: 2010; SNMMI revision & endorsement 2012) 2. EANM procedure guideline of radio-immunotherapy for B-cell lymphoma with 90Y radiolabeled ibritumomab tiuxetan - Zevalin® (publication: 2006; SNMMI revision & endorsement 2012) Finally: imaging standardization, FDG-PET accreditation over Europe

Do the GL work? Most European NM physicians check the request the day before the actual study (recipe), Pharmacists and Physicists are members of the team, Working according to GL is a constant issue during audits, Further improvement on the clinicians side.