||Place of the scintigraphy imaging in French-speaking Black African cardiological practice
Adambounou Kokou ,
AMOUSSOU-GUENOU KUASSI MARCELLIN ,
||Nuclear Medicine and Biomedical Imaging
||Aim: To estimate the place of the scintigraphy imaging in French-speaking black African cardiological practice.
Materials and methods: Cross-sectional study conducted from February 1st till May 30th, 2017 including 97 cardiologists practicing in French-speaking black
African countries. The accessibility and the frequency of prescription of the examinations of nuclear cardiology as well as the interest carried in these examinations
by the cardiologists were analyzed.
Results: A department of nuclear medicine existed in their country, city and hospital of exercise respectively in 56,3%, 49.5% and 14.4% of the cases. A great majority
of the cardiologists had never prescribed a myocardial perfusion scintigraphy (70.1%), of pulmonary perfusion scintigraphy (81.4%) and an multigated acquisition
(MUGA) scan (94.8%). Only 5.2% of the cardiologists asserted prescribing often the myocardial perfusion scintigraphy and pulmonary scintigraphy and rarely
the MUGA scan. The low frequency of prescription was connected with the rarity of the departments of nuclear medicine in 82.6% and with the weak diagnostic
contribution in 8.2% of the cases.
The most sensitive examination for the diagnosis of the ischemia or the myocardial infarction was coronarography according to 66% of them and myocardial
scintigraphy according to 26.8%. In the evaluation of the left ventricle function, 64.9% considered that the echocardiography is the satisfactoriest against 35.1%
for the MUGA scan. To eliminate a pulmonary embolism in front of a normal thoracic radiography only 14.4% would ask for a pulmonary perfusion scintigraphy.
Conclusion: The place of the scintigraphy imaging is unsatisfactory in French-speaking black African cardiological practice and a raising awareness of the cardiologists
on the diagnostic interest and forecasts of the nuclear cardiology is imperative so that it occupies its special place.
||scintigraphy, nuclear cardiology, cardiac pathology, medical imaging, French-speaking Black Africa
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