Nuclear medicine in Spain: High technology 2013 | Revista Española de Medicina Nuclear e Imagen Molecular (English Edition)

array:24 ["pii" => "S2253808914001244" "issn" => "22538089" "doi" => "10.1016/j.remnie.2014.08.008" "estado" => "S300" "fechaPublicacion" => "2014-11-01" "aid" => "636" "copyright" => "Elsevier España, S.L.U. and SEMNIM" "copyrightAnyo" => "2014" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "dis" "cita" => "Rev Esp Med Nucl Imagen Mol. 2014;33:378-81" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 467 "formatos" => array:2 [ "HTML" => 282 "PDF" => 185 ] ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S2253654X14001504" "issn" => "2253654X" "doi" => "10.1016/j.remn.2014.07.009" "estado" => "S300" "fechaPublicacion" => "2014-11-01" "aid" => "636" "copyright" => "Elsevier España, S.L.U. y SEMNIM" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "dis" "cita" => "Rev Esp Med Nucl Imagen Mol. 2014;33:378-81" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 989 "formatos" => array:3 [ "EPUB" => 10 "HTML" => 656 "PDF" => 323 ] ] "es" => array:13 [ "idiomaDefecto" => true "cabecera" => "Opinión y debate" "titulo" => "Medicina nuclear en España: alta tecnología 2013" "tienePdf" => "es" "tieneTextoCompleto" => "es" "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "378" "paginaFinal" => "381" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Nuclear medicine in Spain: High technology 2013" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1701 "Ancho" => 3178 "Tamanyo" => 306360 ] ] "descripcion" => array:1 [ "es" => "Equipos SPECT Y SPECT-TAC por millón de habitantes en España y por CC. AA." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A.M. Soriano Castrejón, E. Prats Rivera, J.C. Alonso Farto, J.A. Vallejo Casas, A. Rodriguez Gasen, J. Setoain Perego, J. Arbizu Lostao" "autores" => array:8 [ 0 => array:2 [ "nombre" => "A.M." "apellidos" => "Soriano Castrejón" ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Prats Rivera" ] 2 => array:2 [ "nombre" => "J.C." "apellidos" => "Alonso Farto" ] 3 => array:2 [ "nombre" => "J.A." "apellidos" => "Vallejo Casas" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Rodriguez Gasen" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Setoain Perego" ] 6 => array:2 [ "nombre" => "J." "apellidos" => "Arbizu Lostao" ] 7 => array:1 [ "colaborador" => "miembros del comité ejecutivo de la SEMNIM" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2253808914001244" "doi" => "10.1016/j.remnie.2014.08.008" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253808914001244?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253654X14001504?idApp=UINPBA00004N" "url" => "/2253654X/0000003300000006/v1_201410310138/S2253654X14001504/v1_201410310138/es/main.assets" ] ] "itemSiguiente" => array:18 [ "pii" => "S2253808914001293" "issn" => "22538089" "doi" => "10.1016/j.remnie.2014.09.004" "estado" => "S300" "fechaPublicacion" => "2014-11-01" "aid" => "564" "copyright" => "Elsevier España, S.L.U. and SEMNIM" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Rev Esp Med Nucl Imagen Mol. 2014;33:382-3" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 260 "formatos" => array:2 [ "HTML" => 156 "PDF" => 104 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "Interesting image" "titulo" => "68Ga-DOTANOC PET/CT mimicking renal dynamic scan: Lack of physiological uptake in the spleen of a newborn and the pituitary gland in congenital hyperinsulinism" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "382" "paginaFinal" => "383" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "68Ga-DOTANOC PET/TC scan imitando dinámica renal: Falta de captación fisiológica en el bazo y la hipófisis de un recién nacido en el hiperinsulinismo congénito" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1393 "Ancho" => 2488 "Tamanyo" => 238351 ] ] "descripcion" => array:1 [ "en" => "68Ga-DOTANOC maximum intensity projection PET images revealed the physiological excretion of the radiotracer through kidneys, ureters and bladder; thus mimicking a renal dynamic scan (A). Transaxial CT and PET/CT images of pituitary gland (B, C) and spleen (D, E), which revealed no significant physiological 68Ga-DOTANOC uptake. Also, no abnormal uptake was noted in the pancreas (A)." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "G. Kumar, V.S. Dhull, S. Karunanithi, C. Bal, R. Kumar" "autores" => array:5 [ 0 => array:2 [ "nombre" => "G." "apellidos" => "Kumar" ] 1 => array:2 [ "nombre" => "V.S." "apellidos" => "Dhull" ] 2 => array:2 [ "nombre" => "S." "apellidos" => "Karunanithi" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Bal" ] 4 => array:2 [ "nombre" => "R." "apellidos" => "Kumar" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253808914001293?idApp=UINPBA00004N" "url" => "/22538089/0000003300000006/v1_201410280042/S2253808914001293/v1_201410280042/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S2253808914001311" "issn" => "22538089" "doi" => "10.1016/j.remnie.2014.09.006" "estado" => "S300" "fechaPublicacion" => "2014-11-01" "aid" => "571" "copyright" => "Elsevier España, S.L.U. and SEMNIM" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "crp" "cita" => "Rev Esp Med Nucl Imagen Mol. 2014;33:374-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 352 "formatos" => array:2 [ "HTML" => 168 "PDF" => 184 ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "Clinical note" "titulo" => "Pre-operative 68Ga-DOTANOC somatostatin receptor PET/CT imaging demonstrating multiple synchronous lesions in a patient with head and neck paraganglioma" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "374" "paginaFinal" => "377" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Estudio preoperatorio con receptores de la somatostatina 68Ga-DOTANOC PET/TC que demuestra múltiples lesiones sincrónicas en un paciente con paraganglioma de cabeza y cuello" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 4114 "Ancho" => 3000 "Tamanyo" => 705703 ] ] "descripcion" => array:1 [ "en" => "Axial PET/CT images of the pathologic lesions are shown. Intense tracer uptake is noted in bilateral carotid body tumors [A, arrows]. A small area of focal tracer uptake is also seen in the left jugular canal suggestive of a glomus jugulare tumor [B, bold arrow]. Two areas of abnormal tracer uptake are seen in the thorax in the middle mediastinum [C, bold arrow] and posterior to the left atrium [D, arrow]. Abnormal uptake is also noted in the right peri-hepatic space [E, arrow]. Bilateral adrenal gland neoplasms were also discovered with the right adrenal showing a slight nodularity [F, arrow] while a distinct tumor is seen in the left adrenal [G, arrow]. A total of eight abnormal lesions are described in these PET/CT sections (1–8) corresponding to those appreciated on the MIP image." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "N. Naswa, S. Karunanithi, P. Sharma, R. Soundararajan, C. Bal, R. Kumar" "autores" => array:6 [ 0 => array:2 [ "nombre" => "N." "apellidos" => "Naswa" ] 1 => array:2 [ "nombre" => "S." "apellidos" => "Karunanithi" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Sharma" ] 3 => array:2 [ "nombre" => "R." "apellidos" => "Soundararajan" ] 4 => array:2 [ "nombre" => "C." "apellidos" => "Bal" ] 5 => array:2 [ "nombre" => "R." "apellidos" => "Kumar" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253808914001311?idApp=UINPBA00004N" "url" => "/22538089/0000003300000006/v1_201410280042/S2253808914001311/v1_201410280042/en/main.assets" ] "en" => array:20 [ "idiomaDefecto" => true "cabecera" => "Opinion and debate" "titulo" => "Nuclear medicine in Spain: High technology 2013" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "378" "paginaFinal" => "381" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "A.M. Soriano Castrejón, E. Prats Rivera, J.C. Alonso Farto, J.A. Vallejo Casas, A. Rodriguez Gasen, J. Setoain Perego, J. Arbizu Lostao" "autores" => array:8 [ 0 => array:4 [ "nombre" => "A.M." "apellidos" => "Soriano Castrejón" "email" => array:1 [ 0 => "asoriano@sescam.org" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "E." "apellidos" => "Prats Rivera" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "J.C." "apellidos" => "Alonso Farto" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "c" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "J.A." "apellidos" => "Vallejo Casas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "d" "identificador" => "aff0020" ] ] ] 4 => array:3 [ "nombre" => "A." "apellidos" => "Rodriguez Gasen" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "e" "identificador" => "aff0025" ] ] ] 5 => array:3 [ "nombre" => "J." "apellidos" => "Setoain Perego" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "f" "identificador" => "aff0030" ] ] ] 6 => array:3 [ "nombre" => "J." "apellidos" => "Arbizu Lostao" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "g" "identificador" => "aff0035" ] ] ] 7 => array:1 [ "colaborador" => "miembros del comité ejecutivo de la SEMNIM" ] ] "afiliaciones" => array:7 [ 0 => array:3 [ "entidad" => "Hospital General Universitario de Ciudad Real, Ciudad Real, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Hospital Clínico Universitario Lozano Blesa de Zaragoza, Zaragoza, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Hospital Universitario Gregorio Marañón de Madrid, Madrid, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Hospital Universitario Reina Sofía de Córdoba, Córdoba, Spain" "etiqueta" => "d" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Hospital Universitario Bellvitge de Hospitalet de Llobregat-Barcelona, Barcelona, Spain" "etiqueta" => "e" "identificador" => "aff0025" ] 5 => array:3 [ "entidad" => "Hospital Clínic de Barcelona, Barcelona, Spain" "etiqueta" => "f" "identificador" => "aff0030" ] 6 => array:3 [ "entidad" => "Clínica Universitaria de Navarra, Pamplona, Spain" "etiqueta" => "g" "identificador" => "aff0035" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Medicina nuclear en España: alta tecnología 2013" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1319 "Ancho" => 2527 "Tamanyo" => 325434 ] ] "descripcion" => array:1 [ "en" => "PET and PET-CT per million inhabitants in Spain by autonomous community." ] ] ] "textoCompleto" => "Databases of the high technology (HT) available in Nuclear Medicine in Spain [positron emission tomography (PET) and gamma cameras (single photon emission computed tomography (SPECT)] are little known or are questionable. Indeed, there has been no publication on this matter since 2001.<a class="elsevierStyleCrossRef" href="#bib0005">1</a> On the other hand, these data are of great interest to nuclear physicians and the administration. Therefore, the Executive Committee of the Spanish Society of Nuclear Medicine and Molecular Imaging (SEMNIM) decided to determine the current situation of the PET and SPECT equipment in our country with the main objectives of knowing the national distribution and how long the HT had been in service. Since GE, Siemens and Philips are the main companies producing, commercializing and distributing gamma cameras and PET scanners in Spain, they were asked to collaborate by filling in an Excel sheet with very specific, freely interpreted data, maintaining the confidentiality of the data provided. We are grateful to these three companies for their collaboration.This article presents the data obtained, by Autonomous Community (AC), of the equipment in place as of December 31, 2013.On the other hand, a survey sent to the Presidents of the Autonomic Societies and Departments of Nuclear Medicine is currently pending receipt and analysis. This survey will provide global data related to the personnel, teaching, radiotracers, number of rooms for metabolic therapy, total number of studies performed and per organ systems and the costs of radiotracers in 2011–2013 (the latter data provided by the radiotracer industry). Data related to department structure will also be analyzed.Data related to radioguided surgery, PET-MR, PET breast scans, or other equipment used in Nuclear Medicine including dose calibrators, radiation detectors, radioactive markers, point sources, etc. were not included.In relation to the questionable data mentioned at the beginning of this article we are basically referring to the data published at the web site of the Ministry of Health, Social Services and Equality (MSSSI) using the search item High Technology Equipment by AC.<a class="elsevierStyleCrossRef" href="#bib0010">2</a> Data on equipment considered as HT are periodically published at this web site (<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>). Nonetheless, these data are not particularly sound since there do not seem to be any general criteria for all the AC as can be seen in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a> and <a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1 and 2</a> in which the data provided in the column from the SEMNIM survey do not coincide with the data provided by the companies producing and commercializing the equipment considered as HT. In fact, according to the Ministry the gamma camera and SPECT park consist of 257 gamma cameras and 82 PET scanners. On the other hand, in the online publication of the MSSSI there are no uniform criteria. Gamma cameras are named, and SPECT equipment is included in this section in a column which does not differentiate whether they are SPECT or SPECT-CT scanners. The AC of Catalonia is a clear example in which SPECT scanners are included in the gamma camera column. Neither are the PET scanners differentiated as PET or PET-CT. One important defect of this publication is that it does not specify how long ago the HT base was installed and, of course, neither the needs nor the planning is mentioned, both of which are important data for us and should be demanded from all the ACs by the MSSSI.<elsevierMultimedia ident="tbl0005"></elsevierMultimedia><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia>At a world level we can find no official data showing the availability or the length of service of the HT by countries. It is also true that there are no regulations or international norms related to criteria of obsolescence and the need for replacement, both of which are fundamental aspects for provision planning. On reviewing the literature we found that there are only recommendations from the manufacturers about equipment depreciation and half life. This is clearly a very complex matter that requires an effort on behalf of all the parties involved: patients, nuclear physicians, management teams, as well as the industry and administration in order to define the criteria of obsolescence or “end-of-life” of the equipment, its replacement and the acquisition of new technology.The first objective of the present article was to determine the distribution of HT in our country, and on analyzing the data provided we found evident disparities and, consequently, a lack of planning criteria in the introduction of HT in Nuclear Medicine in the ACs. The second objective was to assess the length of service of the equipment and the need for replacement in the Departments of Nuclear Medicine in Spain.<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a> and <a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1 and 2</a> clearly depict the disparity in the distribution of HT in Spain, reflecting an absence of planning on behalf of our health care system. It is true that the private sector predominates in PET scanners in Spain thereby making it difficult for the government to control. However, we are obliged to inform the health care authorities of the need to control the introduction of and correct the disparities in HT where necessary so that the necessary equipment is installed to provide adequate, fair and egalitarian health care to our population in all the ACs, and thus, access to HT in Nuclear Medicine.On analysis of the data obtained, the total number of PET scanners in Spain is 82 (9 PET and 72 PET-CT), with 1.74 per million inhabitants or 1 PET per 574,000 inhabitants. These data drift to the negative in the ACs of Castilla La Mancha (0.48 and 2,100,998), Castilla and León (0.80 and 1,259,938), Extremadura (0.91 and 1,104,004) and the Canary Islands (0.94 and 1,059,340) and to the positive in La Rioja (2.28 and 322,027), the Community of Madrid (2.77 and 360,864), the Community Foral of Navarra (3.10 and 322,239) and the Principality of Asturias (2.80 and 356,055). It is of note that the only AC with no PET in a public hospital is Aragon, although Castilla and León and the Principality of Asturias were in the same situation until this year.In relation to the SPECT cameras, Spain has 5.47 per million inhabitants or 1 camera per 182,674 inhabitants, with a total of 258 (194 SPECT and 64 SPECT-CT). The worst results are found in the ACs of the Region of Murcia, Castilla La Mancha and La Rioja (2.72/368,012, 2.86/350,166, 3.11/322,027 respectively). It is also interesting to note that there is no multi-modality equipment (SPECT-CT) in Cantabria or La Rioja.The equipment service life is adequate with respect to the SPECT-CT (mean age of 4.4 years in Spain) and PET-CT (mean age of 4.74 years in Spain), and none of the equipments are older than 8 years. However, the non-multimodal PET, which is currently obsolete, and SPECT have a worrisome age of 8.6 and 10.25 years, respectively with regional means for the SPECT cameras of greater than 11 years in 6 ACs and in 4 ACs for the PET cameras. These data can be found at the web site of the SEMNIM.The Executive Committee of the SEMNIM considers that the disparities among the ACs and the deficiencies in others are huge. Based on national and international publications we also foresee that in the next 5–10 years the need for PET-CT scanners will double due to the current new indications of the radiotracers and the development of new tracers which can be universally distributed and are more specific for different diseases. This has been demonstrated with the new radiotracers which have become available in the last 10 years including 18F-Dopa, 18F-Choline, 18F-tracers of amiloid plaque, etc. and the new possibility of using 68Germanium/68Gallium generators and more economic and smaller cyclotrons.The data obtained show that there is a relatively small number of 64 SPECT-CT scanners compared to 194 SPECT, with only 24.8% being multi-modality equipment.These numbers lead us to two questions: Is the number of SPECT-CT and PET-CT scanners available adequate? and What objective criteria should be used to declare equipment obsolete? To answer the first question we need reliable data from other countries and members of the European Association of Nuclear Medicine. We found no written document endorsing any European data. Nevertheless, different meetings of European delegates reported ratios of 150,000 inhabitants per gamma camera and 500,000 per PET scanner. In relation to the second question, we suggest a detailed reading of the policy on replacement criteria of the MHRA. Regulating Medicines and Medical Devices, April 2014<a class="elsevierStyleCrossRef" href="#bib0015">3</a> These criteria are:<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005">•Seriously damaged or worn out equipment, the repair of which would be beyond economic criteria.</li><li class="elsevierStyleListItem" id="lsti0010">•Unreliable equipment (check service history).</li><li class="elsevierStyleListItem" id="lsti0015">•Clinical or technical/technologic obsolescence.</li><li class="elsevierStyleListItem" id="lsti0020">•Changes in legal or local policies related to the use of the equipment.</li><li class="elsevierStyleListItem" id="lsti0025">•Manufacturer cannot supply replacement material.</li><li class="elsevierStyleListItem" id="lsti0030">•Impossibility to correctly replace parts of the equipment.</li><li class="elsevierStyleListItem" id="lsti0035">•The equipment cannot be repaired by the product specialists.</li><li class="elsevierStyleListItem" id="lsti0040">•End user opinions.</li><li class="elsevierStyleListItem" id="lsti0045">•Tangible benefits with replacement by new model/equipment (features, usability/functionality, clinical effectiveness, lower costs).</li><li class="elsevierStyleListItem" id="lsti0050">•Recommended life cycle/functioning of the equipment.</li></ul>Finally, with the MHRA criteria and the data provided by the companies commercializing HT Nuclear Medicine equipment in Spain, we can speculate that nine of the PET scanners currently available should be replaced by PET-CT equipment; in addition, scanners should be provided to the ACs lacking sufficient equipment. As specialists in Nuclear Medicine we know that PET-CT equipment of more than 5 years of length of service has a technological gap related to the new recently launched PET-CT scanners which have undergone very important improvements in detectors and “time of flight” and “digital” technology. Investment in this new equipment will be necessary within the next years to improve the clinical efficiency of this technology." "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2014-07-20" "fechaAceptado" => "2014-07-23" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec357618" "palabras" => array:4 [ 0 => "PET" 1 => "SPECT" 2 => "Geographic distribution" 3 => "Antiquity" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec357617" "palabras" => array:4 [ 0 => "PET" 1 => "SPECT" 2 => "Distribución geográfíca" 3 => "Antiguedad" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "This article details the high technology equipment in Spain obtained through a survey sent to the three main provider companies of equipment installed in Spain. The geographical distribution of High Technology by Autonomous Communities and its antiquity has been analyzed." ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "En este artículo se aportan los datos del equipamiento de alta tecnología en España obtenidos a través de una encuesta enviada a las tres principales compañías que son proveedoras de equipamiento en España. En la misma se analizan la distribución geográfica de la Alta Tecnología por Comunidades Autónomas así como su antigüedad." ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: Soriano Castrejón AM, Prats Rivera E, Alonso Farto JC, Vallejo Casas JA, Rodriguez Gasen A, Setoain Perego J, et al. Medicina nuclear en España: alta tecnología 2013. Rev Esp Med Nucl Imagen Mol. 2014;33:378–381." ] ] "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1396 "Ancho" => 2542 "Tamanyo" => 347661 ] ] "descripcion" => array:1 [ "en" => "SPECT and SPECT-CT equipment per million inhabitants in Spain by autonomous community." ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1319 "Ancho" => 2527 "Tamanyo" => 325434 ] ] "descripcion" => array:1 [ "en" => "PET and PET-CT per million inhabitants in Spain by autonomous community." ] ] 2 => array:8 [ "identificador" => "tbl0005" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "fuente" => "Modified from Ref. <a class="elsevierStyleCrossRef" href="#bib0010">2</a>. Data of the equipment per autonomous community and national total." "tabla" => array:2 [ "leyenda" => "GAM, gamma camera; SPECT, single photon emission computed tomography; SPECT/SPECT-CT, gamma cameras, SPECT and SPECT-CT SEMNIM survey. PET, positron emission tomography; PET–PET-CT, PET and PET-CT SEMNIM survey. The gamma camera data in Catalonia include SPECT." "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">Autonomous community \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">GAM \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">SPECT \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">PET \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">SPECT/SPECT-TAC \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">PET-PET-TAC \t\t\t\t\t\t\n \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Andalusia \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">33 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">11 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">44 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">12 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Aragón \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Prin. of Asturias \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Balearic Islands \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Canary Islands \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">11 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">13 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Cantabria \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Castilla-La Mancha \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">13 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Castilla and León \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">12 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Catalonia \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">43 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">52 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">14 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Community of Valenciana \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">27 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">12 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">29 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">10 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Extremadura \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Galicia \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">13 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">11 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Madrid \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">34 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">16 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">16 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">41 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">18 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Region of Murcia \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">C. Foral Navarra \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Basque Country \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">13 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">13 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">5 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">La Rioja \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Ceuta \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Melilla \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">National total \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">214 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">75 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">59 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">258 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">82 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab576292.png" ] ] ] ] "descripcion" => array:1 [ "en" => "High technology equipment available by autonomous community (current data of the ministry of health) and data of the SEMNIM (orange)." ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Practice of nuclear medicine in Spain" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J. Martin-Comin" 1 => "R. Alarcó" 2 => "J. Banzo" 3 => "L. Campos" 4 => "J. Freire" 5 => "D. García Solís" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur J Nucl Med" "fecha" => "2001" "volumen" => "28" "paginaInicial" => "105" "paginaFinal" => "112" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11202444" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Ministerio de Sanidad, Servicios Sociales e Igualdad (MSSSI). Available from [last visited 20 Jun 2014]." ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Medicines and Healthcare products Regulatory Agency. Available from [last visited 20 Jun 2014]." ] ] ] ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack99161" "titulo" => "Acknowledgements" "texto" => "We gratefully acknowledge Monica Penedo, GE Healthcare; Adolfo Velasco, Philips Healthcare; and Elena Carro, Siemens Healthcare." "vista" => "all" ] ] ] "idiomaDefecto" => "en" "url" => "/22538089/0000003300000006/v1_201410280042/S2253808914001244/v1_201410280042/en/main.assets" "Apartado" => array:4 [ "identificador" => "7925" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Opinion and debate" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22538089/0000003300000006/v1_201410280042/S2253808914001244/v1_201410280042/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253808914001244?idApp=UINPBA00004N"]

Statistics

Opinion and debate

Nuclear medicine in Spain: High technology 2013

Medicina nuclear en España: alta tecnología 2013

A.M. Soriano Castrejóna,

Corresponding author

asoriano@sescam.org

Corresponding author.

, E. Prats Riverab, J.C. Alonso Fartoc, J.A. Vallejo Casasd, A. Rodriguez Gasene, J. Setoain Peregof, J. Arbizu Lostaog, miembros del comité ejecutivo de la SEMNIM

a Hospital General Universitario de Ciudad Real, Ciudad Real, Spain

b Hospital Clínico Universitario Lozano Blesa de Zaragoza, Zaragoza, Spain

c Hospital Universitario Gregorio Marañón de Madrid, Madrid, Spain

d Hospital Universitario Reina Sofía de Córdoba, Córdoba, Spain

e Hospital Universitario Bellvitge de Hospitalet de Llobregat-Barcelona, Barcelona, Spain

f Hospital Clínic de Barcelona, Barcelona, Spain

g Clínica Universitaria de Navarra, Pamplona, Spain

Read

468

Times
was read the article

185

Total PDF

283

Total HTML

Share statistics

 array:24 [
  "pii" => "S2253808914001244"
  "issn" => "22538089"
  "doi" => "10.1016/j.remnie.2014.08.008"
  "estado" => "S300"
  "fechaPublicacion" => "2014-11-01"
  "aid" => "636"
  "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMNIM"
  "copyrightAnyo" => "2014"
  "documento" => "simple-article"
  "crossmark" => 0
  "subdocumento" => "dis"
  "cita" => "Rev Esp Med Nucl Imagen Mol. 2014;33:378-81"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 467
    "formatos" => array:2 [
      "HTML" => 282
      "PDF" => 185
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S2253654X14001504"
      "issn" => "2253654X"
      "doi" => "10.1016/j.remn.2014.07.009"
      "estado" => "S300"
      "fechaPublicacion" => "2014-11-01"
      "aid" => "636"
      "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; y SEMNIM"
      "documento" => "simple-article"
      "crossmark" => 0
      "subdocumento" => "dis"
      "cita" => "Rev Esp Med Nucl Imagen Mol. 2014;33:378-81"
      "abierto" => array:3 [
        "ES" => false
        "ES2" => false
        "LATM" => false
      ]
      "gratuito" => false
      "lecturas" => array:2 [
        "total" => 989
        "formatos" => array:3 [
          "EPUB" => 10
          "HTML" => 656
          "PDF" => 323
        ]
      ]
      "es" => array:13 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Opini&#243;n y debate</span>"
        "titulo" => "Medicina nuclear en Espa&#241;a&#58; alta tecnolog&#237;a 2013"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "tieneResumen" => array:2 [
          0 => "es"
          1 => "en"
        ]
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "378"
            "paginaFinal" => "381"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Nuclear medicine in Spain&#58; High technology 2013"
          ]
        ]
        "contieneResumen" => array:2 [
          "es" => true
          "en" => true
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0005"
            "etiqueta" => "Figura 1"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr1.jpeg"
                "Alto" => 1701
                "Ancho" => 3178
                "Tamanyo" => 306360
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Equipos SPECT Y SPECT-TAC por mill&#243;n de habitantes en Espa&#241;a y por CC&#46; AA&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "A&#46;M&#46; Soriano Castrej&#243;n, E&#46; Prats Rivera, J&#46;C&#46; Alonso Farto, J&#46;A&#46; Vallejo Casas, A&#46; Rodriguez Gasen, J&#46; Setoain Perego, J&#46; Arbizu Lostao"
            "autores" => array:8 [
              0 => array:2 [
                "nombre" => "A&#46;M&#46;"
                "apellidos" => "Soriano Castrej&#243;n"
              ]
              1 => array:2 [
                "nombre" => "E&#46;"
                "apellidos" => "Prats Rivera"
              ]
              2 => array:2 [
                "nombre" => "J&#46;C&#46;"
                "apellidos" => "Alonso Farto"
              ]
              3 => array:2 [
                "nombre" => "J&#46;A&#46;"
                "apellidos" => "Vallejo Casas"
              ]
              4 => array:2 [
                "nombre" => "A&#46;"
                "apellidos" => "Rodriguez Gasen"
              ]
              5 => array:2 [
                "nombre" => "J&#46;"
                "apellidos" => "Setoain Perego"
              ]
              6 => array:2 [
                "nombre" => "J&#46;"
                "apellidos" => "Arbizu Lostao"
              ]
              7 => array:1 [
                "colaborador" => "miembros del comit&#233; ejecutivo de la SEMNIM"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2253808914001244"
          "doi" => "10.1016/j.remnie.2014.08.008"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => false
            "ES2" => false
            "LATM" => false
          ]
          "gratuito" => false
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253808914001244?idApp=UINPBA00004N"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253654X14001504?idApp=UINPBA00004N"
      "url" => "/2253654X/0000003300000006/v1_201410310138/S2253654X14001504/v1_201410310138/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S2253808914001293"
    "issn" => "22538089"
    "doi" => "10.1016/j.remnie.2014.09.004"
    "estado" => "S300"
    "fechaPublicacion" => "2014-11-01"
    "aid" => "564"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMNIM"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "sco"
    "cita" => "Rev Esp Med Nucl Imagen Mol. 2014;33:382-3"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 260
      "formatos" => array:2 [
        "HTML" => 156
        "PDF" => 104
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Interesting image</span>"
      "titulo" => "<span class="elsevierStyleSup">68</span>Ga-DOTANOC PET&#47;CT mimicking renal dynamic scan&#58; Lack of physiological uptake in the spleen of a newborn and the pituitary gland in congenital hyperinsulinism"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "382"
          "paginaFinal" => "383"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "<span class="elsevierStyleSup">68</span>Ga-DOTANOC PET&#47;TC scan imitando din&#225;mica renal&#58; Falta de captaci&#243;n fisiol&#243;gica en el bazo y la hip&#243;fisis de un reci&#233;n nacido en el hiperinsulinismo cong&#233;nito"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Fig&#46; 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1393
              "Ancho" => 2488
              "Tamanyo" => 238351
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleSup">68</span>Ga-DOTANOC maximum intensity projection PET images revealed the physiological excretion of the radiotracer through kidneys&#44; ureters and bladder&#59; thus mimicking a renal dynamic scan &#40;A&#41;&#46; Transaxial CT and PET&#47;CT images of pituitary gland &#40;B&#44; C&#41; and spleen &#40;D&#44; E&#41;&#44; which revealed no significant physiological <span class="elsevierStyleSup">68</span>Ga-DOTANOC uptake&#46; Also&#44; no abnormal uptake was noted in the pancreas &#40;A&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "G&#46; Kumar, V&#46;S&#46; Dhull, S&#46; Karunanithi, C&#46; Bal, R&#46; Kumar"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "G&#46;"
              "apellidos" => "Kumar"
            ]
            1 => array:2 [
              "nombre" => "V&#46;S&#46;"
              "apellidos" => "Dhull"
            ]
            2 => array:2 [
              "nombre" => "S&#46;"
              "apellidos" => "Karunanithi"
            ]
            3 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Bal"
            ]
            4 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Kumar"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253808914001293?idApp=UINPBA00004N"
    "url" => "/22538089/0000003300000006/v1_201410280042/S2253808914001293/v1_201410280042/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S2253808914001311"
    "issn" => "22538089"
    "doi" => "10.1016/j.remnie.2014.09.006"
    "estado" => "S300"
    "fechaPublicacion" => "2014-11-01"
    "aid" => "571"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMNIM"
    "documento" => "simple-article"
    "crossmark" => 0
    "subdocumento" => "crp"
    "cita" => "Rev Esp Med Nucl Imagen Mol. 2014;33:374-7"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 352
      "formatos" => array:2 [
        "HTML" => 168
        "PDF" => 184
      ]
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Clinical note</span>"
      "titulo" => "Pre-operative <span class="elsevierStyleSup">68</span>Ga-DOTANOC somatostatin receptor PET&#47;CT imaging demonstrating multiple synchronous lesions in a patient with head and neck paraganglioma"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "374"
          "paginaFinal" => "377"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Estudio preoperatorio con receptores de la somatostatina <span class="elsevierStyleSup">68</span>Ga-DOTANOC PET&#47;TC que demuestra m&#250;ltiples lesiones sincr&#243;nicas en un paciente con paraganglioma de cabeza y cuello"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0010"
          "etiqueta" => "Fig&#46; 2"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr2.jpeg"
              "Alto" => 4114
              "Ancho" => 3000
              "Tamanyo" => 705703
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Axial PET&#47;CT images of the pathologic lesions are shown&#46; Intense tracer uptake is noted in bilateral carotid body tumors &#91;A&#44; <span class="elsevierStyleItalic">arrows</span>&#93;&#46; A small area of focal tracer uptake is also seen in the left jugular canal suggestive of a glomus jugulare tumor &#91;B&#44; <span class="elsevierStyleItalic">bold arrow</span>&#93;&#46; Two areas of abnormal tracer uptake are seen in the thorax in the middle mediastinum &#91;C&#44; <span class="elsevierStyleItalic">bold arrow</span>&#93; and posterior to the left atrium &#91;D&#44; <span class="elsevierStyleItalic">arrow</span>&#93;&#46; Abnormal uptake is also noted in the right peri-hepatic space &#91;E&#44; <span class="elsevierStyleItalic">arrow</span>&#93;&#46; Bilateral adrenal gland neoplasms were also discovered with the right adrenal showing a slight nodularity &#91;F&#44; <span class="elsevierStyleItalic">arrow</span>&#93; while a distinct tumor is seen in the left adrenal &#91;G&#44; <span class="elsevierStyleItalic">arrow</span>&#93;&#46; A total of eight abnormal lesions are described in these PET&#47;CT sections &#40;1&#8211;8&#41; corresponding to those appreciated on the MIP image&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "N&#46; Naswa, S&#46; Karunanithi, P&#46; Sharma, R&#46; Soundararajan, C&#46; Bal, R&#46; Kumar"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "N&#46;"
              "apellidos" => "Naswa"
            ]
            1 => array:2 [
              "nombre" => "S&#46;"
              "apellidos" => "Karunanithi"
            ]
            2 => array:2 [
              "nombre" => "P&#46;"
              "apellidos" => "Sharma"
            ]
            3 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Soundararajan"
            ]
            4 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Bal"
            ]
            5 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Kumar"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253808914001311?idApp=UINPBA00004N"
    "url" => "/22538089/0000003300000006/v1_201410280042/S2253808914001311/v1_201410280042/en/main.assets"
  ]
  "en" => array:20 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Opinion and debate</span>"
    "titulo" => "Nuclear medicine in Spain&#58; High technology 2013"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "378"
        "paginaFinal" => "381"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "A&#46;M&#46; Soriano Castrej&#243;n, E&#46; Prats Rivera, J&#46;C&#46; Alonso Farto, J&#46;A&#46; Vallejo Casas, A&#46; Rodriguez Gasen, J&#46; Setoain Perego, J&#46; Arbizu Lostao"
        "autores" => array:8 [
          0 => array:4 [
            "nombre" => "A&#46;M&#46;"
            "apellidos" => "Soriano Castrej&#243;n"
            "email" => array:1 [
              0 => "asoriano&#64;sescam&#46;org"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "E&#46;"
            "apellidos" => "Prats Rivera"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "J&#46;C&#46;"
            "apellidos" => "Alonso Farto"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "J&#46;A&#46;"
            "apellidos" => "Vallejo Casas"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">d</span>"
                "identificador" => "aff0020"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "A&#46;"
            "apellidos" => "Rodriguez Gasen"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">e</span>"
                "identificador" => "aff0025"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "J&#46;"
            "apellidos" => "Setoain Perego"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">f</span>"
                "identificador" => "aff0030"
              ]
            ]
          ]
          6 => array:3 [
            "nombre" => "J&#46;"
            "apellidos" => "Arbizu Lostao"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">g</span>"
                "identificador" => "aff0035"
              ]
            ]
          ]
          7 => array:1 [
            "colaborador" => "miembros del comit&#233; ejecutivo de la SEMNIM"
          ]
        ]
        "afiliaciones" => array:7 [
          0 => array:3 [
            "entidad" => "Hospital General Universitario de Ciudad Real&#44; Ciudad Real&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Hospital Cl&#237;nico Universitario Lozano Blesa de Zaragoza&#44; Zaragoza&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Hospital Universitario Gregorio Mara&#241;&#243;n de Madrid&#44; Madrid&#44; Spain"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
          3 => array:3 [
            "entidad" => "Hospital Universitario Reina Sof&#237;a de C&#243;rdoba&#44; C&#243;rdoba&#44; Spain"
            "etiqueta" => "d"
            "identificador" => "aff0020"
          ]
          4 => array:3 [
            "entidad" => "Hospital Universitario Bellvitge de Hospitalet de Llobregat-Barcelona&#44; Barcelona&#44; Spain"
            "etiqueta" => "e"
            "identificador" => "aff0025"
          ]
          5 => array:3 [
            "entidad" => "Hospital Cl&#237;nic de Barcelona&#44; Barcelona&#44; Spain"
            "etiqueta" => "f"
            "identificador" => "aff0030"
          ]
          6 => array:3 [
            "entidad" => "Cl&#237;nica Universitaria de Navarra&#44; Pamplona&#44; Spain"
            "etiqueta" => "g"
            "identificador" => "aff0035"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Medicina nuclear en Espa&#241;a&#58; alta tecnolog&#237;a 2013"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Fig&#46; 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 1319
            "Ancho" => 2527
            "Tamanyo" => 325434
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">PET and PET-CT per million inhabitants in Spain by autonomous community&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Databases of the high technology &#40;HT&#41; available in Nuclear Medicine in Spain &#91;positron emission tomography &#40;PET&#41; and gamma cameras &#40;single photon emission computed tomography &#40;SPECT&#41;&#93; are little known or are questionable&#46; Indeed&#44; there has been no publication on this matter since 2001&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> On the other hand&#44; these data are of great interest to nuclear physicians and the administration&#46; Therefore&#44; the Executive Committee of the Spanish Society of Nuclear Medicine and Molecular Imaging &#40;SEMNIM&#41; decided to determine the current situation of the PET and SPECT equipment in our country with the main objectives of knowing the national distribution and how long the HT had been in service&#46; Since GE&#44; Siemens and Philips are the main companies producing&#44; commercializing and distributing gamma cameras and PET scanners in Spain&#44; they were asked to collaborate by filling in an Excel sheet with very specific&#44; freely interpreted data&#44; maintaining the confidentiality of the data provided&#46; We are grateful to these three companies for their collaboration&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">This article presents the data obtained&#44; by Autonomous Community &#40;AC&#41;&#44; of the equipment in place as of December 31&#44; 2013&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">On the other hand&#44; a survey sent to the Presidents of the Autonomic Societies and Departments of Nuclear Medicine is currently pending receipt and analysis&#46; This survey will provide global data related to the personnel&#44; teaching&#44; radiotracers&#44; number of rooms for metabolic therapy&#44; total number of studies performed and per organ systems and the costs of radiotracers in 2011&#8211;2013 &#40;the latter data provided by the radiotracer industry&#41;&#46; Data related to department structure will also be analyzed&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Data related to radioguided surgery&#44; PET-MR&#44; PET breast scans&#44; or other equipment used in Nuclear Medicine including dose calibrators&#44; radiation detectors&#44; radioactive markers&#44; point sources&#44; etc&#46; were not included&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">In relation to the questionable data mentioned at the beginning of this article we are basically referring to the data published at the web site of the Ministry of Health&#44; Social Services and Equality &#40;MSSSI&#41; using the search item High Technology Equipment by AC&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Data on equipment considered as HT are periodically published at this web site &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46; Nonetheless&#44; these data are not particularly sound since there do not seem to be any general criteria for all the AC as can be seen in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a> and <a class="elsevierStyleCrossRefs" href="#fig0005">Figs&#46; 1 and 2</a> in which the data provided in the column from the SEMNIM survey do not coincide with the data provided by the companies producing and commercializing the equipment considered as HT&#46; In fact&#44; according to the Ministry the gamma camera and SPECT park consist of 257 gamma cameras and 82 PET scanners&#46; On the other hand&#44; in the online publication of the MSSSI there are no uniform criteria&#46; Gamma cameras are named&#44; and SPECT equipment is included in this section in a column which does not differentiate whether they are SPECT or SPECT-CT scanners&#46; The AC of Catalonia is a clear example in which SPECT scanners are included in the gamma camera column&#46; Neither are the PET scanners differentiated as PET or PET-CT&#46; One important defect of this publication is that it does not specify how long ago the HT base was installed and&#44; of course&#44; neither the needs nor the planning is mentioned&#44; both of which are important data for us and should be demanded from all the ACs by the MSSSI&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0030" class="elsevierStylePara elsevierViewall">At a world level we can find no official data showing the availability or the length of service of the HT by countries&#46; It is also true that there are no regulations or international norms related to criteria of obsolescence and the need for replacement&#44; both of which are fundamental aspects for provision planning&#46; On reviewing the literature we found that there are only recommendations from the manufacturers about equipment depreciation and half life&#46; This is clearly a very complex matter that requires an effort on behalf of all the parties involved&#58; patients&#44; nuclear physicians&#44; management teams&#44; as well as the industry and administration in order to define the criteria of obsolescence or &#8220;end-of-life&#8221; of the equipment&#44; its replacement and the acquisition of new technology&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">The first objective of the present article was to determine the distribution of HT in our country&#44; and on analyzing the data provided we found evident disparities and&#44; consequently&#44; a lack of planning criteria in the introduction of HT in Nuclear Medicine in the ACs&#46; The second objective was to assess the length of service of the equipment and the need for replacement in the Departments of Nuclear Medicine in Spain&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a> and <a class="elsevierStyleCrossRefs" href="#fig0005">Figs&#46; 1 and 2</a> clearly depict the disparity in the distribution of HT in Spain&#44; reflecting an absence of planning on behalf of our health care system&#46; It is true that the private sector predominates in PET scanners in Spain thereby making it difficult for the government to control&#46; However&#44; we are obliged to inform the health care authorities of the need to control the introduction of and correct the disparities in HT where necessary so that the necessary equipment is installed to provide adequate&#44; fair and egalitarian health care to our population in all the ACs&#44; and thus&#44; access to HT in Nuclear Medicine&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">On analysis of the data obtained&#44; the total number of PET scanners in Spain is 82 &#40;9 PET and 72 PET-CT&#41;&#44; with 1&#46;74 per million inhabitants or 1 PET per 574&#44;000 inhabitants&#46; These data drift to the negative in the ACs of Castilla La Mancha &#40;0&#46;48 and 2&#44;100&#44;998&#41;&#44; Castilla and Le&#243;n &#40;0&#46;80 and 1&#44;259&#44;938&#41;&#44; Extremadura &#40;0&#46;91 and 1&#44;104&#44;004&#41; and the Canary Islands &#40;0&#46;94 and 1&#44;059&#44;340&#41; and to the positive in La Rioja &#40;2&#46;28 and 322&#44;027&#41;&#44; the Community of Madrid &#40;2&#46;77 and 360&#44;864&#41;&#44; the Community Foral of Navarra &#40;3&#46;10 and 322&#44;239&#41; and the Principality of Asturias &#40;2&#46;80 and 356&#44;055&#41;&#46; It is of note that the only AC with no PET in a public hospital is Aragon&#44; although Castilla and Le&#243;n and the Principality of Asturias were in the same situation until this year&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">In relation to the SPECT cameras&#44; Spain has 5&#46;47 per million inhabitants or 1 camera per 182&#44;674 inhabitants&#44; with a total of 258 &#40;194 SPECT and 64 SPECT-CT&#41;&#46; The worst results are found in the ACs of the Region of Murcia&#44; Castilla La Mancha and La Rioja &#40;2&#46;72&#47;368&#44;012&#44; 2&#46;86&#47;350&#44;166&#44; 3&#46;11&#47;322&#44;027 respectively&#41;&#46; It is also interesting to note that there is no multi-modality equipment &#40;SPECT-CT&#41; in Cantabria or La Rioja&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">The equipment service life is adequate with respect to the SPECT-CT &#40;mean age of 4&#46;4 years in Spain&#41; and PET-CT &#40;mean age of 4&#46;74 years in Spain&#41;&#44; and none of the equipments are older than 8 years&#46; However&#44; the non-multimodal PET&#44; which is currently obsolete&#44; and SPECT have a worrisome age of 8&#46;6 and 10&#46;25 years&#44; respectively with regional means for the SPECT cameras of greater than 11 years in 6 ACs and in 4 ACs for the PET cameras&#46; These data can be found at the web site of the SEMNIM&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">The Executive Committee of the SEMNIM considers that the disparities among the ACs and the deficiencies in others are huge&#46; Based on national and international publications we also foresee that in the next 5&#8211;10 years the need for PET-CT scanners will double due to the current new indications of the radiotracers and the development of new tracers which can be universally distributed and are more specific for different diseases&#46; This has been demonstrated with the new radiotracers which have become available in the last 10 years including <span class="elsevierStyleSup">18</span>F-Dopa&#44; <span class="elsevierStyleSup">18</span>F-Choline&#44; <span class="elsevierStyleSup">18</span>F-tracers of amiloid plaque&#44; etc&#46; and the new possibility of using <span class="elsevierStyleSup">68</span>Germanium&#47;<span class="elsevierStyleSup">68</span>Gallium generators and more economic and smaller cyclotrons&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">The data obtained show that there is a relatively small number of 64 SPECT-CT scanners compared to 194 SPECT&#44; with only 24&#46;8&#37; being multi-modality equipment&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">These numbers lead us to two questions&#58; Is the number of SPECT-CT and PET-CT scanners available adequate&#63; and What objective criteria should be used to declare equipment obsolete&#63; To answer the first question we need reliable data from other countries and members of the European Association of Nuclear Medicine&#46; We found no written document endorsing any European data&#46; Nevertheless&#44; different meetings of European delegates reported ratios of 150&#44;000 inhabitants per gamma camera and 500&#44;000 per PET scanner&#46; In relation to the second question&#44; we suggest a detailed reading of the policy on replacement criteria of the MHRA&#46; Regulating Medicines and Medical Devices&#44; April 2014<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> These criteria are&#58;<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">&#8226;</span><p id="par0075" class="elsevierStylePara elsevierViewall">Seriously damaged or worn out equipment&#44; the repair of which would be beyond economic criteria&#46;</p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">&#8226;</span><p id="par0080" class="elsevierStylePara elsevierViewall">Unreliable equipment &#40;check service history&#41;&#46;</p></li><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">&#8226;</span><p id="par0085" class="elsevierStylePara elsevierViewall">Clinical or technical&#47;technologic obsolescence&#46;</p></li><li class="elsevierStyleListItem" id="lsti0020"><span class="elsevierStyleLabel">&#8226;</span><p id="par0090" class="elsevierStylePara elsevierViewall">Changes in legal or local policies related to the use of the equipment&#46;</p></li><li class="elsevierStyleListItem" id="lsti0025"><span class="elsevierStyleLabel">&#8226;</span><p id="par0095" class="elsevierStylePara elsevierViewall">Manufacturer cannot supply replacement material&#46;</p></li><li class="elsevierStyleListItem" id="lsti0030"><span class="elsevierStyleLabel">&#8226;</span><p id="par0100" class="elsevierStylePara elsevierViewall">Impossibility to correctly replace parts of the equipment&#46;</p></li><li class="elsevierStyleListItem" id="lsti0035"><span class="elsevierStyleLabel">&#8226;</span><p id="par0105" class="elsevierStylePara elsevierViewall">The equipment cannot be repaired by the product specialists&#46;</p></li><li class="elsevierStyleListItem" id="lsti0040"><span class="elsevierStyleLabel">&#8226;</span><p id="par0110" class="elsevierStylePara elsevierViewall">End user opinions&#46;</p></li><li class="elsevierStyleListItem" id="lsti0045"><span class="elsevierStyleLabel">&#8226;</span><p id="par0115" class="elsevierStylePara elsevierViewall">Tangible benefits with replacement by new model&#47;equipment &#40;features&#44; usability&#47;functionality&#44; clinical effectiveness&#44; lower costs&#41;&#46;</p></li><li class="elsevierStyleListItem" id="lsti0050"><span class="elsevierStyleLabel">&#8226;</span><p id="par0120" class="elsevierStylePara elsevierViewall">Recommended life cycle&#47;functioning of the equipment&#46;</p></li></ul></p><p id="par0125" class="elsevierStylePara elsevierViewall">Finally&#44; with the MHRA criteria and the data provided by the companies commercializing HT Nuclear Medicine equipment in Spain&#44; we can speculate that nine of the PET scanners currently available should be replaced by PET-CT equipment&#59; in addition&#44; scanners should be provided to the ACs lacking sufficient equipment&#46; As specialists in Nuclear Medicine we know that PET-CT equipment of more than 5 years of length of service has a technological gap related to the new recently launched PET-CT scanners which have undergone very important improvements in detectors and &#8220;time of flight&#8221; and &#8220;digital&#8221; technology&#46; Investment in this new equipment will be necessary within the next years to improve the clinical efficiency of this technology&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2014-07-20"
    "fechaAceptado" => "2014-07-23"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec357618"
          "palabras" => array:4 [
            0 => "PET"
            1 => "SPECT"
            2 => "Geographic distribution"
            3 => "Antiquity"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec357617"
          "palabras" => array:4 [
            0 => "PET"
            1 => "SPECT"
            2 => "Distribuci&#243;n geogr&#225;f&#237;ca"
            3 => "Antiguedad"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">This article details the high technology equipment in Spain obtained through a survey sent to the three main provider companies of equipment installed in Spain&#46; The geographical distribution of High Technology by Autonomous Communities and its antiquity has been analyzed&#46;</p>"
      ]
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">En este art&#237;culo se aportan los datos del equipamiento de alta tecnolog&#237;a en Espa&#241;a obtenidos a trav&#233;s de una encuesta enviada a las tres principales compa&#241;&#237;as que son proveedoras de equipamiento en Espa&#241;a&#46; En la misma se analizan la distribuci&#243;n geogr&#225;fica de la Alta Tecnolog&#237;a por Comunidades Aut&#243;nomas as&#237; como su antig&#252;edad&#46;</p>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Soriano Castrej&#243;n AM&#44; Prats Rivera E&#44; Alonso Farto JC&#44; Vallejo Casas JA&#44; Rodriguez Gasen A&#44; Setoain Perego J&#44; et al&#46; Medicina nuclear en Espa&#241;a&#58; alta tecnolog&#237;a 2013&#46; Rev Esp Med Nucl Imagen Mol&#46; 2014&#59;33&#58;378&#8211;381&#46;</p>"
      ]
    ]
    "multimedia" => array:3 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1396
            "Ancho" => 2542
            "Tamanyo" => 347661
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">SPECT and SPECT-CT equipment per million inhabitants in Spain by autonomous community&#46;</p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Fig&#46; 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 1319
            "Ancho" => 2527
            "Tamanyo" => 325434
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">PET and PET-CT per million inhabitants in Spain by autonomous community&#46;</p>"
        ]
      ]
      2 => array:8 [
        "identificador" => "tbl0005"
        "etiqueta" => "Table 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "fuente" => "Modified from Ref&#46; <a class="elsevierStyleCrossRef" href="#bib0010">2</a>&#46; Data of the equipment per autonomous community and national total&#46;"
        "tabla" => array:2 [
          "leyenda" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">GAM&#44; gamma camera&#59; SPECT&#44; single photon emission computed tomography&#59; SPECT&#47;SPECT-CT&#44; gamma cameras&#44; SPECT and SPECT-CT SEMNIM survey&#46; PET&#44; positron emission tomography&#59; PET&#8211;PET-CT&#44; PET and PET-CT SEMNIM survey&#46; The gamma camera data in Catalonia include SPECT&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Autonomous community&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">GAM&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">SPECT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">PET&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">SPECT&#47;SPECT-TAC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">PET-PET-TAC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Andalusia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">33&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Arag&#243;n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Prin&#46; of Asturias&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Balearic Islands&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Canary Islands&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Cantabria&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Castilla-La Mancha&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Castilla and Le&#243;n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Catalonia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">43&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">52&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Community of Valenciana&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">27&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Extremadura&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Galicia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Madrid&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">34&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">41&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Region of Murcia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">C&#46; Foral Navarra&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Basque Country&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">La Rioja&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Ceuta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Melilla&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">National total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">214&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">75&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">59&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">258&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">82&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab576292.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">High technology equipment available by autonomous community &#40;current data of the ministry of health&#41; and data of the SEMNIM &#40;orange&#41;&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:3 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Practice of nuclear medicine in Spain"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46; Martin-Comin"
                            1 => "R&#46; Alarc&#243;"
                            2 => "J&#46; Banzo"
                            3 => "L&#46; Campos"
                            4 => "J&#46; Freire"
                            5 => "D&#46; Garc&#237;a Sol&#237;s"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur J Nucl Med"
                        "fecha" => "2001"
                        "volumen" => "28"
                        "paginaInicial" => "105"
                        "paginaFinal" => "112"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11202444"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Ministerio de Sanidad&#44; Servicios Sociales e Igualdad &#40;MSSSI&#41;&#46; Available from &#91;last visited 20 Jun 2014&#93;&#46;"
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Medicines and Healthcare products Regulatory Agency&#46; Available from &#91;last visited 20 Jun 2014&#93;&#46;"
                ]
              ]
            ]
          ]
        ]
      ]
    ]
    "agradecimientos" => array:1 [
      0 => array:4 [
        "identificador" => "xack99161"
        "titulo" => "Acknowledgements"
        "texto" => "<p id="par0130" class="elsevierStylePara elsevierViewall">We gratefully acknowledge Monica Penedo&#44; GE Healthcare&#59; Adolfo Velasco&#44; Philips Healthcare&#59; and Elena Carro&#44; Siemens Healthcare&#46;</p>"
        "vista" => "all"
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/22538089/0000003300000006/v1_201410280042/S2253808914001244/v1_201410280042/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "7925"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Opinion and debate"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/22538089/0000003300000006/v1_201410280042/S2253808914001244/v1_201410280042/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253808914001244?idApp=UINPBA00004N"
]

Article information

ISSN: 22538089
Original language: English

DOI:10.1016/j.remnie.2014.08.008

The statistics are updated each day

Year/Month	Html	Pdf	Total

2021 December	1	0	1
2019 September	1	2	3
2018 April	0	1	1
2018 February	7	5	12
2018 January	9	1	10
2017 December	15	1	16
2017 November	16	2	18
2017 October	12	2	14
2017 September	10	4	14
2017 August	24	2	26
2017 July	15	3	18
2017 June	29	3	32
2017 May	23	6	29
2017 April	17	3	20
2017 March	12	26	38
2017 February	10	5	15
2017 January	8	8	16
2016 December	13	4	17
2016 November	14	9	23
2016 October	0	4	4
2016 September	0	4	4
2016 August	0	5	5
2016 July	0	1	1
2016 June	0	8	8
2016 May	0	15	15
2016 April	0	4	4
2016 March	0	4	4
2016 February	0	8	8
2016 January	6	8	14
2015 December	20	12	32
2015 November	17	11	28
2015 September	0	5	5
2015 August	0	2	2
2015 July	0	2	2
2015 June	0	1	1
2015 May	0	1	1
2015 April	0	1	1
2015 March	2	1	3
2015 February	2	0	2
2015 January	0	1	1

Show all

Indexed in:

Follow us:

Subscribe:

Statistics

Indexed in:

Follow us:

Subscribe:

Statistics

Subscribe to our newsletter