title: Standardization of administered activities in pediatric nuclear medicine: a report of the first nuclear medicine global initiative project, part 1-statement of the issue and a review of available resources.
abstract: The Nuclear Medicine Global Initiative (NMGI) was formed in 2012 and consists of 13 international organizations with direct involvement in nuclear medicine. The underlying objectives of the NMGI were to promote human health by advancing the field of nuclear medicine and molecular imaging, encourage global collaboration in education, and harmonize procedure guidelines and other policies that ultimately lead to improvements in quality and safety in the field throughout the world. For its first project, the NMGI decided to consider the issues involved in the standardization of administered activities in pediatric nuclear medicine. This article presents part 1 of the final report of this initial project of the NMGI. It provides a review of the value of pediatric nuclear medicine, the current understanding of the carcinogenic risk of radiation as it pertains to the administration of radiopharmaceuticals in children, and the application of dosimetric models in children. A listing of pertinent educational and reference resources available in print and online is also provided. The forthcoming part 2 report will discuss current standards for administered activities in children and adolescents that have been developed by various organizations and an evaluation of the current practice of pediatric nuclear medicine specifically with regard to administered activities as determined by an international survey of nuclear medicine clinics and centers. Lastly, the part 2 report will recommend a path forward toward global standardization of the administration of radiopharmaceuticals in children.
authors.affiliation: Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts Frederic.Fahey@childrens.harvard.edu.
authors.forename: Frederic H
authors.initials: FH
authors.lastname: Fahey
authors.affiliation: Chonnam National University Hwasun Hospital, Hwasun Jeonnam, South Korea.
authors.forename: Henry Hee-Seong
authors.initials: HH
authors.lastname: Bom
authors.affiliation: Humanitas Research Hospital, Rozzano, Italy.
authors.forename: Arturo
authors.initials: A
authors.lastname: Chiti
authors.affiliation: Hanyang University Hospital, Seoul, Republic of Korea.
authors.forename: Yun Young
authors.initials: YY
authors.lastname: Choi
authors.affiliation: Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China.
authors.forename: Gang
authors.initials: G
authors.lastname: Huang
authors.affiliation: University Würzburg, Würzburg, Germany.
authors.forename: Michael
authors.initials: M
authors.lastname: Lassmann
authors.affiliation: Centre Hospitalier Affilié Universitaire Régional de Trois-Rivières, Quebec, Canada.
authors.forename: Norman
authors.initials: N
authors.lastname: Laurin
authors.affiliation: Spanish Association Hospital, Montevideo, Uruguay.
authors.forename: Fernando
authors.initials: F
authors.lastname: Mut
authors.affiliation: International Atomic Energy Agency, Vienna, Austria.
authors.forename: Rodolfo
authors.initials: R
authors.lastname: Nuñez-Miller
authors.affiliation: Christchurch Hospital, Christchurch, New Zealand.
authors.forename: Darin
authors.initials: D
authors.lastname: O'Keeffe
authors.affiliation: Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.
authors.forename: Prasanta
authors.initials: P
authors.lastname: Pradhan
authors.affiliation: Austin Hospital and Ludwig Institute for Cancer Research, Melbourne, Australia.
authors.forename: Andrew M
authors.initials: AM
authors.lastname: Scott
authors.affiliation: Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China.
authors.forename: Shaoli
authors.initials: S
authors.lastname: Song
authors.affiliation: Department of Nuclear Medicine, Inkosi Albert Luthuli Central Hospital, DurbanKwaZulu Natal, South Africa.
authors.forename: Nischal
authors.initials: N
authors.lastname: Soni
authors.affiliation: Department of Radiology, The Jikei University School of Medicine, Minato, Tokyo, Japan; and.
authors.forename: Mayuki
authors.initials: M
authors.lastname: Uchiyama
authors.affiliation: Xalapa Medical Center, Xalapa, Mexico.
authors.forename: Luis
authors.initials: L
authors.lastname: Vargas
mesh_terms: D000293:Adolescent; D002648:Child; D005060:Europe; D014943:Global Health; D006801:Humans; D009683:Nuclear Medicine / Q000379:methods* / Q000592:standards; D010372:Pediatrics / Q000379:methods* / Q000592:standards; D011874:Radiometry / Q000379:methods* / Q000592:standards; D019275:Radiopharmaceuticals; D012955:Societies, Medical
chemical_list: D019275:Radiopharmaceuticals