The ETP (http://www.readvizamyl.com but preloaded on dedicated computers for the purpose of this study) familiarized nuclear medicine physicians, radiologists and technologists with the proper orientation and interpretation of [18F]flutemetamol PET images, as well as providing background information on brain anatomy and pathophysiology useful for image interpretation. The programme comprised four interactive modules including self-assessments covering the following:
To complete the testing process, the trainee was required to independently read and classify images and was provided expert feedback on a series of images. To be deemed ready to interpret [18F]flutemetamol images, users had then to correctly assign at least 14/15 images in the test at the end of the training.
The programme emphasized the importance and benefits of a colour (e.g. rainbow or Sokoloff) scale to facilitate identification of elevated levels of [18F]flutemetamol activity. By setting a known negative region, such as the cerebellar cortex, to 30%, and/or using pons activity to set near maximal intensity (90%), the colour gradient enabled differentiation between positive and negative regions of amyloid uptake in the cortex.