Neuroimaging referral for dementia diagnosis: The specialist's perspective in Ireland
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In: Alzheimer's and Dementia: Diagnosis, Assessment and Disease Monitoring, Vol. 1, No. 1, 29.03.2015, p. 41-47.
Research output: Contribution to journal › Article › peer-review
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T1 - Neuroimaging referral for dementia diagnosis: The specialist's perspective in Ireland
AU - Ciblis, A.S.
AU - Butler, M.L.
AU - Bokde, L.W.
AU - Mullins, P.G.
AU - O'Neill, D.
AU - McNulty, J.P.
PY - 2015/3/29
Y1 - 2015/3/29
N2 - Background: Neuroimaging is an increasingly important tool in the diagnostic workup of dementia. Neurologists, geriatricians, and old-age psychiatrists are involved in key tasks in the diagnostic process, frequently referring patients with suspected dementia for neuroimaging. Methods: The research design was a postal survey of all geriatricians, old-age psychiatrists, and neurologists in the Republic of Ireland (N5176) as identified by the Irish Medical Directory 2011–2012 and supplementary listings. Results: Almost 65% of specialists did not have access to 2-[18F]fluoro-2-deoxy-D-glucose positron emission (FDG-PET) or FDG-PET/computed tomography (CT), and 80.3% did not have access to perfusion hexamethylpropyleneamine oxime single-photon emission computed tomography (SPECT) or dopaminergic iodine-123-radiolabeled 2b-carbomethoxy-3b-(4-iodophenyl)-N- (3-fluoropropyl) nortropane SPECT. Most specialists (88.7%) referred patients with mild cognitive impairment or suspected dementia for magnetic resonance imaging (MRI), 81.7% referred for CT, and 26.8% for FDG-PET or FDG-PET/CT. Only 44.6% of respondents were aware of dementiaspecific protocols for referrals for neuroimaging. Conclusion: Specialist access to imaging modalities other than CT and MRI is restricted. Improved access may affect patient treatment and care..
AB - Background: Neuroimaging is an increasingly important tool in the diagnostic workup of dementia. Neurologists, geriatricians, and old-age psychiatrists are involved in key tasks in the diagnostic process, frequently referring patients with suspected dementia for neuroimaging. Methods: The research design was a postal survey of all geriatricians, old-age psychiatrists, and neurologists in the Republic of Ireland (N5176) as identified by the Irish Medical Directory 2011–2012 and supplementary listings. Results: Almost 65% of specialists did not have access to 2-[18F]fluoro-2-deoxy-D-glucose positron emission (FDG-PET) or FDG-PET/computed tomography (CT), and 80.3% did not have access to perfusion hexamethylpropyleneamine oxime single-photon emission computed tomography (SPECT) or dopaminergic iodine-123-radiolabeled 2b-carbomethoxy-3b-(4-iodophenyl)-N- (3-fluoropropyl) nortropane SPECT. Most specialists (88.7%) referred patients with mild cognitive impairment or suspected dementia for magnetic resonance imaging (MRI), 81.7% referred for CT, and 26.8% for FDG-PET or FDG-PET/CT. Only 44.6% of respondents were aware of dementiaspecific protocols for referrals for neuroimaging. Conclusion: Specialist access to imaging modalities other than CT and MRI is restricted. Improved access may affect patient treatment and care..
U2 - 10.1016/j.dadm.2014.11.011
DO - 10.1016/j.dadm.2014.11.011
M3 - Article
VL - 1
SP - 41
EP - 47
JO - Alzheimer's and Dementia: Diagnosis, Assessment and Disease Monitoring
JF - Alzheimer's and Dementia: Diagnosis, Assessment and Disease Monitoring
SN - 2352-8729
IS - 1
ER -