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Garner HW, Slanetz PJ, Swanson JO, Griffith BD, DeBenedectis CM, Gould JE, Holm TL, Retrouvey M, Paladin AM, Rozenshtein A. What Program Directors Think About Resident Education: Results of the 2023 Spring Survey of the Association of Program Directors in Radiology (APDR) Part II. Acad Radiol 2024:S1076-6332(24)00607-X. [PMID: 39327135 DOI: 10.1016/j.acra.2024.08.044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2024] [Revised: 08/13/2024] [Accepted: 08/20/2024] [Indexed: 09/28/2024]
Abstract
RATIONALE AND OBJECTIVES The Association of Program Directors in Radiology (APDR) administers an annual survey to assess issues and experiences related to residency program management and education. Response data from the 2023 survey provides insights on the impact of COVID-19 on resident recruitment (Part I) and education (Part II), which can be used to facilitate planning and resource allocation for the evolving needs of programs and their leadership. MATERIALS AND METHODS An observational, cross-sectional study of the APDR membership was performed using a web-based survey consisting of 45 questions, 12 of which pertain to resident education in the post-pandemic era and are discussed in Part II of a two-part survey analysis. All active APDR members (n = 393) were invited to participate in the survey. RESULTS The response rate was 32% (124 of 393). Results were tallied using Qualtrics software and qualitative responses were tabulated or summarized as comments. CONCLUSIONS The primary challenges to resident education are faculty burnout, rising case volumes, and remote instruction. However, most program leaders report that in-person readouts are much more common than remote readouts. The ability to offer both in-person and remote AIRP sessions is viewed positively. Most program leaders require Authorized User certification, although many do not think all residents need it. Assessment of procedural competence varies by the type of procedure and is similar to graduates' self-assessment of competence.
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Affiliation(s)
- Hillary W Garner
- Department of Radiology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224 (H.W.G.).
| | - Priscilla J Slanetz
- Department of Radiology, Boston University Medical Center, 715 Albany St. E-113, Boston, MA 02118 (P.J.S.)
| | - Jonathan O Swanson
- Department of Radiology, University of Wisconsin School of Medicine and Public Health, 600 Highland Ave, Madison, WI 53792 (J.O.S.)
| | - Brent D Griffith
- Department of Radiology, Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI 48202 (B.D.G.)
| | - Carolynn M DeBenedectis
- Department of Radiology, University of Massachusetts Medical School, 55 Lake Ave North, Worcester, MA 01605 (C.M.D.)
| | - Jennifer E Gould
- Department of Radiology, Washington University Mallinckrodt Institute of Radiology at Barnes-Jewish Hospital, 4921 Parkview Pl # 3, St. Louis, MO 63110 (J.E.G.)
| | - Tara L Holm
- Department of Radiology, University of Minnesota Medical School, 420 Delaware St SE, MMC292, Minneapolis, MN 55455 (T.L.H.)
| | - Michele Retrouvey
- Department of Women's & Children's Health, Florida Atlantic University Charles E. Schmidt College of Medicine, 777 Glades Road BC-71, Boca Raton, FL 33431 (M.R.)
| | - Angelisa M Paladin
- Department of Radiology, Seattle Children's Hospital, 4800 Sand Point Way Ne, Seattle, WA (A.M.P.)
| | - Anna Rozenshtein
- Department of Radiology, Westchester Medical Center, 100 Woods Road, Valhalla, NY 10595 (A.R.)
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Mittra ES, Wong RKS, Winters C, Brown A, Murley S, Kennecke H. Establishing a robust radioligand therapy program: A practical approach for North American centers. Cancer Med 2024; 13:e6780. [PMID: 38214130 PMCID: PMC10905220 DOI: 10.1002/cam4.6780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Revised: 11/08/2023] [Accepted: 11/21/2023] [Indexed: 01/13/2024] Open
Abstract
Radioligand therapy (RLT) is a targeted approach to treating cancer that has been shown to be safe and effective in a variety of disease states, including gastroenteropancreatic neuroendocrine tumors, lymphoma, and most recently, advanced prostate cancer. In the United States, patient access to this therapy is currently variable. Implementation of new RLT programs and expansion of existing programs are needed to broaden patient access to and standardize the delivery of RLT, especially as new therapies are introduced into clinical practice. Drawing from experience in establishing RLT programs in different settings, we have developed practical recommendations for building and implementing a robust RLT program. In this review, we present our recommendations for minimal requirements and optimal requirements, as well as system considerations, and special issues associated with implementing an RLT program in North American centers.
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Affiliation(s)
- Erik S. Mittra
- Department of Diagnostic RadiologyOregon Health & Science UniversityPortlandOregonUSA
| | - Rebecca K. S. Wong
- Department of Radiation Oncology, Princess Margaret Cancer CentreUniversity of TorontoTorontoOntarioCanada
| | - Celeste Winters
- Department of Diagnostic RadiologyOregon Health & Science UniversityPortlandOregonUSA
| | - Adam Brown
- Department of Diagnostic RadiologyOregon Health & Science UniversityPortlandOregonUSA
| | - Shondra Murley
- Department of Nuclear MedicineWest Tennessee HealthcareJacksonTennesseeUSA
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Calais J, Eulau SM, Gardner L, Hauke RJ, Kendi AT, Shore ND, Zhao S. Incorporating radioligand therapy in clinical practice in the United States for patients with prostate cancer. Cancer Treat Rev 2023; 115:102524. [PMID: 36933329 DOI: 10.1016/j.ctrv.2023.102524] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Revised: 02/08/2023] [Accepted: 02/10/2023] [Indexed: 02/13/2023]
Abstract
Prostate cancer (PC) is the second most commonly diagnosed cancer in the United States. Advanced PC evolves to metastatic castration-resistant PC (mCRPC). Theranostics combining prostate-specific membrane antigen-targeted positron emission tomography imaging and radioligand therapy (RLT) represents a precision medicine approach to PC treatment. With the recent approval of lutetium Lu 177 (177Lu) vipivotide tetraxetan for men with mCRPC, the utilization of RLT will increase. In this review, we suggest a framework for incorporating RLT for PC into clinical practice. A search of PubMed and Google Scholar was performed using keywords related to PC, RLT, prostate-specific membrane antigen, and novel RLT centers. The authors also provided opinions based on their clinical experience. The setup and operation of an RLT center requires the diligence and cooperation of a well-trained multidisciplinary team committed to patient safety and clinical efficacy. Administrative systems should ensure that treatment scheduling, reimbursement, and patient monitoring are efficient. For optimal outcomes, the clinical care team must have an organizational plan that delineates the full range of required tasks. Establishing new RLT centers for treatment of PC is possible with appropriate multidisciplinary planning. We provide an overview of the key elements to consider when establishing a safe, efficient, and high-quality RLT center.
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Affiliation(s)
- Jeremie Calais
- Ahmanson Translational Theranostics Division, Department of Molecular and Medical Pharmacology, David Geffen School of Medicine, University of California Los Angeles, 650 Charles E. Young Drive South, Los Angeles, CA 90095, USA.
| | - Stephen M Eulau
- Swedish Cancer Institute at Swedish Medical Center, 1221 Madison Street, Seattle, WA, USA.
| | - Linda Gardner
- Department of Nuclear Medicine, University of California, Los Angeles, 650 Charles E. Young Drive South, Los Angeles, CA 90095, USA.
| | - Ralph J Hauke
- Nebraska Cancer Specialists, 17201 Wright Street, Suite 200, Omaha, NE 68130, USA.
| | - Ayse T Kendi
- Department of Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
| | - Neal D Shore
- Carolina Urologic Research Center/GenesisCare, US, Myrtle Beach, SC 29572, USA.
| | - Song Zhao
- Swedish Cancer Institute at Swedish Medical Center, 1221 Madison Street, Seattle, WA, USA.
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Cappon DJ, Fang S, Berry K, Capone G, Carlton GL, Chrétien M, Gough J, Kamen J, Khoorshed A, Miller A, Nelli S, Petric MP, Tourneur F, Zic JJ. Clinical Best Practices for Radiation Safety During Lutetium-177 Therapy. HEALTH PHYSICS 2023; 124:139-146. [PMID: 36508552 PMCID: PMC9803381 DOI: 10.1097/hp.0000000000001644] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
IMPORTANCE 177 Lu therapy as part of theranostic treatment for cancer is expanding but it can be a challenge for sites with limited radiation protection staff to implement the radiation safety program required for therapeutic nuclear medicine. OBJECTIVE To increase the adoption of 177 Lu therapy, especially in smaller centers and clinics, by providing a collection of radiation safety best practices and operational experience. To provide a resource for radiation safety officers supporting the implementation of a 177 Lu therapy program. METHODS A panel of 11 radiation safety professionals representing sites across Canada and the United States with experience delivering 177 Lu therapy was assembled and discussed their responses to a list of questions focused on the following radiation safety topics: facility layout and design; radiation safety program; and drug management and patient care. RESULTS A comprehensive set of best practice guidelines for clinical radiation safety during 177 Lu therapy has been developed based on the collective operational experience of a group of radiation safety professionals. Significant findings included that 177 Lu therapy is often safely administered in unshielded rooms, that staff radiation exposure associated with 177 Lu therapy is minimal relative to other nuclear medicine programs, and that some relatively simple preparation in advance including papering of common surfaces and planning for incontinence can effectively control contamination during therapy. CONCLUSION The guidance contained in this paper will assist radiation safety professionals in the implementation of safe, effective 177 Lu therapy programs, even at smaller sites with limited to no experience in therapeutic nuclear medicine.
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Affiliation(s)
| | - Susanna Fang
- McMaster University Health Physics Department, Hamilton, ON, Canada
| | | | - Gina Capone
- University Health Network, Toronto, ON, Canada
| | | | | | | | | | - Anne Khoorshed
- Hamilton Health Sciences & St Joseph’s Healthcare Hamilton, Hamilton ON, Canada
| | | | | | | | | | - Josip J. Zic
- McMaster University Health Physics Department, Hamilton, ON, Canada
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Berg WA. Nuclear Breast Imaging: Clinical Results and Future Directions. J Nucl Med 2016; 57 Suppl 1:46S-52S. [DOI: 10.2967/jnumed.115.157891] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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