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Revised 2024 (Resolution 14)

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ACR–ACNM–SNMMI PRACTICE PARAMETER FOR THE PERFORMANCE OF FLUORINE-18 FLUCICLOVINE PET/CT FOR RECURRENT PROSTATE CANCER

PREAMBLE

I. INTRODUCTION

II. INDICATIONS

III. QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

A. Physician

III. QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

B. Qualified Medical Physicist

III. QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

C. Radiologic and Nuclear Medicine Technologist

III. QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

D. Radiation Safety Officer

IV. PET/CT FOR PROSTATE CANCER EXAMINATION SPECIFICATIONS

IV. PET/CT FOR PROSTATE CANCER EXAMINATION SPECIFICATIONS

A. Patient Preparation

IV. PET/CT FOR PROSTATE CANCER EXAMINATION SPECIFICATIONS

B. Radiopharmaceutical

IV. PET/CT FOR PROSTATE CANCER EXAMINATION SPECIFICATIONS

C. CT Imaging Component

IV. PET/CT FOR PROSTATE CANCER EXAMINATION SPECIFICATIONS

D. PET Imaging Component

IV. PET/CT FOR PROSTATE CANCER EXAMINATION SPECIFICATIONS

E. PET/CT Fluciclovine Sample Protocol:

IV. PET/CT FOR PROSTATE CANCER EXAMINATION SPECIFICATIONS

F. Interpretation

V. EQUIPMENT SPECIFICATIONS

VI. DOCUMENTATION

VII. EQUIPMENT CONTROL

VIII. RADIATION SAFETY IN IMAGING

IX. QUALITY CONTROL AND IMPROVEMENT, SAFETY, INFECTION CONTROL, AND PATIENT EDUCATION

ACKNOWLEDGEMENTS

Writing Committee – members represent their societies in the initial and final revision of this practice parameter

ACR
Surasi, Devaki Shilpa MD, Chair
Marcus, Charles MD
Savir-Baruch, Bital MD

ACNM
Alagha, Mohammed MD
Cook, Michael A DO
Klitzke, Alan K MD
Yu, Jian (Michael) Q MD

SNMMI
Galgano, Samuel J MD
Schuster, David M MD

Committee on Practice Parameters – Nuclear Medicine and Molecular Imaging

(ACR Committee responsible for sponsoring the draft through the process)

Ghesani, Munir V MD, Chair	Subramaniam, Rathan M MBA, MD, MPH, PhD, Chair	Aboian, Mariam MD, PhD	Akin, Esma A MD
Bartel, Twyla B DO, MBA	Dibble, Elizabeth H MD	Gerard, Perry S MD	Karagulle Kendi, A. Tuba MD
Marcus, Charles MD	Mercier, Gustavo A MD, PhD	Peacock, Justin G MD, PhD	Solnes, Lilja B MBA, MD
Surasi, Devaki Shilpa MD	Trout, Andrew T MD	Wong, Terence Z MD, PhD	Zukotynski, Katherine MD, PhD

Committee on Practice Parameters and Technical Standards

(ACR Committee responsible for sponsoring the draft through the process)

Newell, Mary S MD, Chair

Caplin, Drew M MD

Larson, David B MBA, MD, Chair, Commission on Quality and Safety

Rohren, Eric MD, PhD, Chair, Commission on Nuclear Medicine & Molecular Imaging

Comments Reconciliation Committee

Moriarity, Andrew MD - CSC, Chair	Weissman, Ian DO - CSC, Co-Chair	Alagha, Mohammed MD	Bartel, Twyla B DO, MBA
Caplin, Drew M MD	Cook, Michael A DO	Crummy, Timothy MD, MHA - CSC	Galgano, Samuel J MD
Ghesani, Munir V MD	Klitzke, Alan K MD	Larson, David B MBA, MD	Marcus, Charles MD
Newell, Mary S MD	Rohren, Eric MD, PhD	Savir-Baruch, Bital MD	Schoppe, Kurt MD - CSC
Schuster, David M MD	Subramaniam, Rathan M MBA, MD, MPH, PhD	Surasi, Devaki Shilpa MD	Yu, Jian (Michael) Q MD

REFERENCES