{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T16:20:03Z","timestamp":1793463603948,"version":"4.5.0"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"12","license":[{"start":{"date-parts":[[2023,7,15]],"date-time":"2023-07-15T00:00:00Z","timestamp":1689379200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,7,15]],"date-time":"2023-07-15T00:00:00Z","timestamp":1689379200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Heart and Diabetes Centre North Rhine-Westphalia (DKZ NRW)"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Nucl Med Mol Imaging"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>This paper presents the results of the first joint survey on the use of SPECT and PET myocardial perfusion imaging (MPI) and cardiac amyloidosis imaging in Austria, Germany, and Switzerland of the year 2021.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A questionnaire was sent in 2022 to centres practicing nuclear medicine.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Data from 14 Austrian (10,710 SPECT), 218 German (133,047 SPECT), and 16 Swiss centres (11,601 MPI (6,879 SPECT, 4722 PET)) were analysed. In Austria and Germany, the PET MPI numbers were close to zero and not considered. Official MPS numbers from 2015 to 2021 from Austria and Germany revealed a decline in Austria by about 40% in the pandemic years 2020 to 2021, but an increase in Germany by 9%. Ambulatory care cardiologists represented the major referral group (56\u201371%). Mostly, stress tests were performed pharmacologically (58\u201392%). Contrary to Germany, a 1-day protocol was predominant (58\u201397%) in Austria and Switzerland. The leading camera systems were SPECT-CT in Austria and Switzerland (57\u201379%) and multi-head systems in Germany (58%). Switzerland had the highest proportion of SPECT MPI with attenuation correction (84%), followed by Austria (43%), and Germany (33%). Electrocardiogram-gated SPECT MPI showed an overall high penetration of 87\u201399%. Scoring was most frequently applied in Germany (72%), followed by Austria (64%), and Switzerland (60%). Related to the population, the number of cardiac amyloidosis imaging was highest in Austria, followed by Switzerland and Germany.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>This first joint survey of 2021 shows considerable differences among the countries. The Swiss situation is outstanding due to the wide use of PET MPI. In terms of camera equipment, Switzerland is also leading, followed by Austria and Germany. Despite the differences in procedural issues, the results reveal an overall high standard of MPI imaging.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00259-023-06336-8","type":"journal-article","created":{"date-parts":[[2023,7,15]],"date-time":"2023-07-15T05:01:46Z","timestamp":1689397306000},"page":"3602-3608","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["SPECT and PET myocardial perfusion imaging in Austria, Germany, and Switzerland results of the first joint survey of 2021"],"prefix":"10.1007","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3777-0052","authenticated-orcid":false,"given":"O.","family":"Lindner","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4222-4083","authenticated-orcid":false,"given":"M.","family":"Hacker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.","family":"Burchert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8064-8904","authenticated-orcid":false,"given":"R. R.","family":"Buechel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,7,15]]},"reference":[{"key":"6336_CR1","doi-asserted-by":"publisher","first-page":"718","DOI":"10.1007\/s00259-015-3270-8","volume":"43","author":"O Lindner","year":"2016","unstructured":"Lindner O, Pascual TN, Mercuri M, et al. Nuclear cardiology practice and associated radiation doses in Europe: results of the IAEA Nuclear Cardiology Protocols Study (INCAPS) for the 27 European countries. Eur J Nucl Med Mol Imaging. 2016;43:718\u201328.","journal-title":"Eur J Nucl Med Mol Imaging."},{"key":"6336_CR2","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1007\/s00259-011-1923-9","volume":"39","author":"E Reyes","year":"2012","unstructured":"Reyes E, Wiener S, Underwood SR. Myocardial perfusion scintigraphy in Europe 2007: a survey of the European Council of Nuclear Cardiology. Eur J Nucl Med Mol Imaging. 2012;39:160\u20134.","journal-title":"Eur J Nucl Med Mol Imaging."},{"key":"6336_CR3","doi-asserted-by":"publisher","first-page":"1621","DOI":"10.1007\/s00259-023-06129-z","volume":"50","author":"O Lindner","year":"2023","unstructured":"Lindner O, Sch\u00e4fer W, Rischpler C, Silber S, Burchert W. Myocardial perfusion SPECT in Germany from 2012 to 2021: insights into development and quality indicators. Eur J Nucl Med Mol Imaging. 2023;50:1621\u20138.","journal-title":"Eur J Nucl Med Mol Imaging."},{"key":"6336_CR4","doi-asserted-by":"publisher","unstructured":"Lindner O, Schaefer W, Silber S, Rischpler C, Burchert W (2023) Myocardial Perfusion SPECT and ATTR imaging 2021 in Germany: Results of the 9th Survey. Nuklearmedizin : Jun 2. https:\/\/doi.org\/10.1055\/a-2084-7454","DOI":"10.1055\/a-2084-7454"},{"key":"6336_CR5","unstructured":"Deutsches Krankenhaus Adressbuch 2019. dka: Freiburg : Rombach Druck- und Verlagshaus, 2019; 57. Auflage 2019."},{"key":"6336_CR6","unstructured":"Deutsche Herzstiftung. 33. Deutscher Herzbericht 2021. 2022."},{"key":"6336_CR7","doi-asserted-by":"publisher","first-page":"7459","DOI":"10.3390\/jcm11247459","volume":"11","author":"M Wagener","year":"2022","unstructured":"Wagener M, Boeddinghaus J, Gaemperli O, et al. Trends in Coronary and Structural Heart Interventions in Switzerland over the Last 16 Years and Impact of COVID-19: Insights from the National Swiss PCI Survey. J Clin Med. 2022;11:7459. https:\/\/doi.org\/10.3390\/jcm11247459.","journal-title":"J Clin Med."},{"key":"6336_CR8","doi-asserted-by":"publisher","first-page":"2167","DOI":"10.1007\/s12350-021-02606-w","volume":"28","author":"UA Hasnie","year":"2021","unstructured":"Hasnie UA, Hawi R, Andrikopoulou E, Iskandrian AE, Hage FG. Stress testing and myocardial perfusion imaging for patients after recovery from severe COVID-19 infection requiring hospitalization: A single-center experience. J Nucl Cardiol. 2021;28:2167\u201373.","journal-title":"J Nucl Cardiol."},{"key":"6336_CR9","doi-asserted-by":"publisher","first-page":"421","DOI":"10.1007\/s00259-020-04994-6","volume":"48","author":"C Nappi","year":"2021","unstructured":"Nappi C, Megna R, Acampa W, et al. Effects of the COVID-19 pandemic on myocardial perfusion imaging for ischemic heart disease. Eur J Nucl Med Mol Imaging. 2021;48:421\u20137.","journal-title":"Eur J Nucl Med Mol Imaging."},{"key":"6336_CR10","doi-asserted-by":"crossref","unstructured":"Williams MC, Shaw L, Hirschfeld CB, et al. Impact of COVID-19 on the imaging diagnosis of cardiac disease in Europe. Open Heart. 2021;8.","DOI":"10.1136\/openhrt-2021-001681"},{"key":"6336_CR11","doi-asserted-by":"publisher","first-page":"407","DOI":"10.1093\/eurheartj\/ehz425","volume":"41","author":"J Knuuti","year":"2020","unstructured":"Knuuti J, Wijns W, Saraste A, et al. 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes. Eur Heart J. 2020;41:407\u201377.","journal-title":"Eur Heart J."},{"key":"6336_CR12","doi-asserted-by":"publisher","first-page":"1357","DOI":"10.1161\/CIRCULATIONAHA.116.024438","volume":"135","author":"MS Maurer","year":"2017","unstructured":"Maurer MS, Elliott P, Comenzo R, Semigran M, Rapezzi C. Addressing Common Questions Encountered in the Diagnosis and Management of Cardiac Amyloidosis. Circ. 2017;135:1357\u201377.","journal-title":"Circ."}],"container-title":["European Journal of Nuclear Medicine and Molecular Imaging"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00259-023-06336-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00259-023-06336-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00259-023-06336-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T09:06:41Z","timestamp":1696324001000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00259-023-06336-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,15]]},"references-count":12,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["6336"],"URL":"https:\/\/doi.org\/10.1007\/s00259-023-06336-8","relation":{},"ISSN":["1619-7070","1619-7089"],"issn-type":[{"value":"1619-7070","type":"print"},{"value":"1619-7089","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,15]]},"assertion":[{"value":"24 May 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 July 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 July 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}