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EANM Guidelines
EANM Guidelines

Find below the newest guideline on diuretic renogram which has been published by “SNMMI Paediatric Imaging Council” which includes diuretic dose as 1 mg/Kg up to 40 mg maximum

Diuresis renals in children

EANM Benchmark Document on EANM Technologists' Competencies

written by EANM Technologist Committee 2017

Comments from the Chair of the BNMS RTN Group

This document offers a comprehensive description of basic scope of practice for nuclear medicine technologists

It is an update from “Competencies for the European Nuclear Medicine Technologist, 1998”, a document produced by the EANM which itself arose from work published by the BNMS on nuclear medicine technologists’ scope of practice

It includes competencies in PET-CT which as a modality didn’t exist when previous work was published.

It uses European Qualification Framework (EQF) level 6 model (equivalent to Bachelor academic degree) to define Knowledge, Skills and Competency

The core competencies for technologists are divided into 13 groups or concepts generally considered to cover the whole range of tasks

The document was peer reviewed by all members of the EANM Technologist Committee (including myself) and representatives of ANZSNM, CAMRT & EFRS.

68Ga-PSMA PET/CT: Joint EANM and SNMMI procedure guideline for prostate cancer imaging: version 1.0.

Click here to view

The BNMS endorses the EANM practice guidelines for bone scintigraphy.

Click here to view, directly from their website

The EANM procedural guidelines for radionuclide myocardial perfusion imaging with SPECT and SPECT/CT have brought together several older documents to produce an excellent appraisal of the latest data available. We are very pleased that such a coherent and well edited document has been developed by the EANM. The guidelines acknowledge and take into account differences throughout Europe and are a very valuable addition to the British and American guidelines. It would be well worth keeping a copy in your department!

Published July 2015

Link to article

Reviewed by Kshama Wechalekar 2016

DaTSCAN guidance

The BNMS endorses the EANM procedure guidelines for brain neurotransmission SPECT using 123I-labelled dopamine transporter ligands, version 2

In addition to this guidance the BNMS advises the use of semi-quantitative assessment of tracer biding to compliment visual interpretation. Quantification is particularly useful in balanced striatal loss that can be seen in Lewy Body Dementia and Parkinson plus syndromes. It should be borne in mind that normal binding ratios vary with patient age and gender, camera type and make, and acquisition parameters.


EANM procedure guidelines for brain neurotransmission SPECT using 123I-labelled dopamine transporter ligands, version 2. Darcourt et al, Eur J Nucl Med Mol Imaging DO1 10.1007/s00259-009-1267-x

European multicentre database of healthy controls for [123I]FP-CIT SPECT (ENC-DAT): age-related effects, gender differences and evaluation of different methods of analysis. Varrone et al, Eur J Nucl Med Mol Imaging. 2013 Jan;40(2):213-27. doi: 10.1007/s00259-012-2276-8.

The BNMS endorses the EANM guidelines on VQ SPECT for PE diagnosis.

It should be noted that for departments that continue to use planar VQ imaging for PE diagnosis, the PIOPED criteria are appropriate for diagnosis.



The EANM guidelines for the dynamic and static paediatric scintigraphy are suitable for use in the UK. The only exception is that in calculating the injected activity for MAG3, DTPA and DMSA, the recommended practice in the UK is to follow the ARSAC recommendations rather than the EANM paediatric dosage card.


Isky Gordon & Amy Piepsz & Rune Sixt


Issued: October 3, 2009

Amy Piepsz1, Paula Colarinha2, Isky Gordon3, Klaus Hahn4, Pierre Olivier5, Isabel Roca6, Rune Sixt7, Jeannette van Velzen8.


Isky Gordon1, Paula Colarinha2, Jure Fettich3, Sibylle Fischer4, Jörgen Frökier5, K l aus Hahn4, Levent Kabasakal6, Mercedes Mitjavila7, Pierre Olivier8, Amy Piepsz9, Ute Porn4, Rune Sixt10, Jeannette van Velzen11.

The EANM therapy guidelines now cover the following procedures:.

I-131 therapy for treatment of benign and malignant thyroid disease.

I-131-ethiodised oil (Lipiodol) therapy.

I-131 MIBG therapy.

P-32 therapy.

Treatment of refractory metastatic bone pain.


Visit the EANM web site for a full list of guidelines available.

The following procedure guidelines have been developed by the EANM, with some input and support from the BNMS.

Bone Scintigraphy in Children

99m-Tc DMSA Imaging in Children Glomerular Filtration Rate Determination in Children Indirect Radionuclide Cystography Standard and Diuretic Renogram in Children

Direct Radionuclide Cystography Radioiodinated MIBG scintigraphy

Please visit the EANM web site for further details. The procedures are available in PDF and HTML format.

Comments/criticisms from the UK should be directed via the BNMS.


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The BNMS is a registered as a company in England and Wales with number 08082786.  The BNMS is a charity governed by the rules of the Charity Commission for England and Wales - Registered Number 1150234.  Registered Office: The Royal College of Physicians, 11 St. Andrew's Place, Regent's Park, London NW1 4LE.
The British Nuclear Medicine Society is not able to give specific clinical advice to members of the public. If you are concerned about your scan or therapy please seek the opinion of a nuclear medicine clinician where you were seen or the clinician who referred you to the department or your GP.
Enquiries related to issues such as internships and work experience opportunities, should be directed to the relevant professional body e.g., for radiologists, this will be the Royal College of Radiologists.