Together, we can protect patients and increase accountability in our health care system. We can make nuclear medicine procedures safer. Learn the extravasation warning signs and ask for copies of your images.
Read, download, and share these resources about nuclear medicine extravasations.
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Expert Opinions
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Experts Challenge SNMMI and ACR Statements on Extravasations in Letter to NRC Chairman
Summary: Dr. Dan Sullivan, Dr. David Townsend, and Dr. Ramsey Kilani, leading scientists and physicians in nuclear imaging and radiology, summarize their concerns about radiopharmaceutical extravasations in their letter to the Chairman of NRC. They challenge the statements by SNMMI and ACR, arguing that these organizations have downplayed the significance of extravasations and their impact on patient safety. The authors urge NRC to make extravasations reportable medical events and to adopt practices that improve patient safety.
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Association of Vascular Access (AVA): Extravasations Associated with Negative Outcomes
Summary: Many adverse outcomes related to vascular access are immediately recognized while others, like extravasation of radiopharmaceuticals, may go unrecognized for a prolonged period of time (sometimes years) and may be associated with negative outcomes including missed diagnosis or suboptimal treatment of nuclear therapy used to treat malignancies. Download.
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Organization of Agreement
States (OAS) Request Rulemaking for Extravasations Summary: The Board requests that the NRC accept the petition for rulemaking on extravasations. Until the rule can be finalized, the NMP will need to raise awareness, engage with stakeholders, and develop interim guidance. The Board is confident that through the rulemaking process we will arrive at the best solution for future regulation, and ensure patients get the highest quality care. Download.
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Nuclear Medicine Tech Says Medical Societies are on the Wrong Side of Extravasation Issue
Summary: We know significant extravasations can and do happen, are not characterized, and patients are not followed. When centers are aware of a significant extravasation, there are no established mitigation techniques and there are no clear criteria on whether to repeat these studies. However, what is clear to us is that the society is on the wrong side of this issue. Download.
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