UPDATE NUCLEAR MEDICINE in THAILAND

YUTHANA SAENGSUDA

SOCIETY OF NUCLEAR MEDICINE OF THAILAND ( TSNM)

Thailand

Populations of 67 millions

21 nuclear medicine sites

Active members 150-200

Physicians 75

Khon khaen

Nuclear Medicine Site

10 University hospitals

Chulalongkorn university hospital

Siriraj hospital Ramathibodi hospital Chiang Mai university hospital Khon Kaen university hospital Rajavithi hospital Pramongkut hospital Prince of Songkla university

hospital Vachira hospital Burapa university hospital

5 Cancer center hospitals Chulabhorn institute

National cancer center

Lopburi cancer center

Lampang cancer center

Thanyaburi cancer center

4 Non-university based hospitals Sappasitthiprasong Hospital

Korat Hospital

Klang hospital

Surasthanee hospital

2 Private hospitals Bumrungrad hospital

Wattanosod hospital

PET CENTER AND CYCLOTRON SITES

8 PET CENTERS:

6 centers in BKK ( 4 public, 2 private)

2 centers outside BKK (one in Chiengmai and one in Khonkaen )

1 PEM CENTER Rajavithi hospital

3 Cyclotrons: Chulaporn

Chiengmai university hospital

Private hospital : BGH

Upcoming : Two university hospitals

Siriraj

Khon Khaen

STATUS OF THERAPEUTIC NUCLEAR MEDICINE

I-131 Hyperthyroid outpatient Rx I-131 Well-differentiated thyroid cancer

in/outpatient Rx Sm-153 EDTMP Bone pain in/outpatient Rx I131-MIBG Rx Y-90 Microsphere for liver metastasis I-131 Rituximab in patient Rx for low grade

lymphoma

Radionuclide therapy 2013

Hyperthyroidism 5760 cases Thyroid cancer RAI treatment 1936

cases MIBG treatment 34 cases Bone pain palliation 21 cases

Radiopharmaceuticals

Two major sources Thailand Institute of Nuclear Technology (TINT) ( commercial part of

office of atomic energy for peace in Thailand) daily supply for unit dose Tc-mm labeled , I-131, I-131 MIBG, Sm-153

EDTMP

Ga 68 dotatate research , Tc-99m octeotride

Global Medical Solution (GMS) : daily supply for unit dose Tc-99m lableled and I131

Clinical trials , IAEA projects Y-90 microsphere (SIRTEX), GMS

Pharmaceutical companies: Sanofi for Thyrogen , upcoming Radium 223 from Bayer

National Guidelines for Thyroid Cancer Management ( upcoming 2014)

Host : National cancer institute Scopes: Guidelines for screening, diagnosis and

treatment of thyroid cancer by clinicians and NM team.

Residence Training in NM of ThailandDiploma of Thai board of NM

Starting 1997 ,3 yrs training program Basic physics: Basic radiation physics , physics of NM,

radiobiology NM knowledge: scintigraphy, nonimaging studies, RIA ,

radiopharmaceuticals , BMD , radionuclide therapy Skills and attitude in NM Knowledge of diagnostic radiology and radiation therapy Lecture, practice, conference, seminar , literature review,

journal club, self learning , interesting case study, research

Resident Training Exam

Research paper , defend for thesis Preliminary exam: radiation physics and

radiation biology MCQ basic science and NM Short assay questions Oral examination

Thank You