A quality assurance in a Nuclear Medicine Department: Implementation, results and implications

International Nuclear Information System (INIS)

Komninos, C.; Roach, P.J.

1998-01-01

Full text: An increasing emphasis is being placed on quality assurance programs in all areas of health care delivery. We describe our experience with such a program in the Nuclear Medicine Department of a large teaching hospital. We obtained completed patient questionnaires from 92 outpatients referred to the Nuclear Medicine Department. Questions related to areas such as provision of information about the test; patient''s impressions of staff involved with the procedure (doctors, technologists, nurses, secretaries); waiting times and delays; the appearance of the department; and the patients'' general level of satisfaction with their attendance in our department. Suggestions for improvement were specifically encouraged. The results indicated that while there was a high level of satisfaction with the people performing the studies, comments and criticisms were made by a significant number of people in some areas. These included provision of more information about the study prior to and during the test; all staff introducing themselves by name during the procedure; better communication about any delays; and an upgrading in the appearance of the department. Based on the results of this questionnaire, we have been able to implement various changes within the department. Although the results of our survey will apply specifically to this department, we encourage other departments and practices to implement similar patient surveys, thereby potentially improving the quality of service and patient satisfaction

A quality assurance in a Nuclear Medicine Department: Implementation, results and implications

Energy Technology Data Exchange (ETDEWEB)

Komninos, C.; Roach, P.J. [Royal North Shore Hospital, St Leonards, NSW (Australia)

1998-03-01

Full text: An increasing emphasis is being placed on quality assurance programs in all areas of health care delivery. We describe our experience with such a program in the Nuclear Medicine Department of a large teaching hospital. We obtained completed patient questionnaires from 92 outpatients referred to the Nuclear Medicine Department. Questions related to areas such as provision of information about the test; patient``s impressions of staff involved with the procedure (doctors, technologists, nurses, secretaries); waiting times and delays; the appearance of the department; and the patients`` general level of satisfaction with their attendance in our department. Suggestions for improvement were specifically encouraged. The results indicated that while there was a high level of satisfaction with the people performing the studies, comments and criticisms were made by a significant number of people in some areas. These included provision of more information about the study prior to and during the test; all staff introducing themselves by name during the procedure; better communication about any delays; and an upgrading in the appearance of the department. Based on the results of this questionnaire, we have been able to implement various changes within the department. Although the results of our survey will apply specifically to this department, we encourage other departments and practices to implement similar patient surveys, thereby potentially improving the quality of service and patient satisfaction.

Internal Contamination by 131I in nuclear medicine department

International Nuclear Information System (INIS)

Chahed, N.; Mtimet, S.; Hammami, H.; Mhiri, A.

1998-01-01

Therapeutic applications in nuclear medicine use high activities of 131 I in sodium iodine liquid from which is volatile at ambient temperature. Besides external exposure there is, for the nuclear medicine personnel, an internal exposure risk induced by 131 iodine inhalation. So we tried to assess this risk among the personnel in a nuclear medicine department. We used direct method for measuring 131 radioactivity in vivo by external counting. Gamma ray detector with a Nal ( TI ) probe positioned near the thyroid gland allows investigation of 131 radioactivity. We realised 34 measurements among the personnel, two times at an interval of one month. The results indicate that an 131 iodine internal contamination is found. Estimated thyroid activities were ranging from 35 to 132 Bq. The highest activities has been found in the thyroid of the technicians involved in the administration of 131 iodine therapy. Therefore this values are lower than norms. This study must lead to the implementation control of the 131 iodine internal contamination in order to optimise the personnel protection in nuclear medicine departments (author)

Check-up and follow-up of papillary and follicular thyroid carcinoma in the department of nuclear medicine at Ibn Sina hospital Rabat

International Nuclear Information System (INIS)

Ben Rais Aouad, N.; Ghfir, I.; Guerrouj, H.; Fellah, S.; Rahali, J.; Ksyar, R.; Missoum, F.; Bssis, A.; Azrak, S.

2009-01-01

In the department of nuclear medicine at Ibn Sina university hospital. Thyroid carcinoma follow-up strategy has been modified and includes cervical ultrasonography and thyroglobulin measurement. The role of radio-iodine scanning in the management of differentiated thyroid carcinoma is decreasing. Papillary and follicular carcinoma have good prognosis but late metastases exist and can lead to death. A lifelong follow-up is therefore mandatory. The main goal of follow-up is to detect earlier persistent or recurrent disease. (authors)

Hospital Intranet and Extranet in nuclear medicine

International Nuclear Information System (INIS)

Gambini, D.J.; Baum, T.P.; Spector, M.; Dumas, F.; Elgard, M.C.; Collington, M.A.; Barritault, L.

1997-01-01

Since two years ago nuclear medicine service of Laennec Hospital has implemented transmission and distribution networks of scintigraphic images. A new stage was reached at present by developing an Intranet and Extranet system for nursing units and other services of nuclear medicine. The Intranet link to the services of Laennec Hospital and AP HP is based on a image server connected to the service gamma camera and, after a possible post-processing, the images are transmitted in PCX format by e-mail, attached to the medical record. For communication between nuclear medicine services, a heavier procedure making use of a program for image processing under inter-file standards has been implemented. To achieve the Extranet link with services and physicians of town, exterior to AP HP, a procedure was installed which allows reaching any nursing unit or town physicians having at their disposal e-mail on a secured network. This procedure will be generalized when the Health secured network, linking the medical bodies to Health insurance institutions, will be operational. The interactive tele-medicine will be achieved by means of a procedure based on Internet cooperative tools (wild cards, video- and vision-conferences) which will permits in all situations an interactive work on all the transmitted patient files

Digital nuclear medicine department: Is a filmless environment conceivable?

International Nuclear Information System (INIS)

Hacker, M.; Bauerschaper, B.; Dresel, S.; Weiss, M.; Heiss, D.; Hahn, K.; Muenchen Univ.

2000-01-01

Recent hardware improvements, the installation and development of fast networks and new technologies for storage of large data volumes all contribute to the propagation of digital reading and reporting of nuclear medicine studies. Thus, the vision of a fully digitized nuclear medicine department becomes reality. The high costs of purchasing hardware- and software-components are compensated by saving costs of films and by the improvement of the work flow in the long run. Independently from these issues, filmless reporting proves to be advantageous over conventional film reading in many facts that justify to switch to a digital department. Problems that occur in the process of becoming film-free are mainly based on compatibility issues and demand strong cooperation between the user and the manufacturer of the imaging devices in order to integrate all systems into one reading and reporting tool. The departments of nuclear medicine and radiology of the University of Munich, Innenstadt, now are reviewing a one-year process of being film-free, which makes a return to conventional film reading unconceivable. (orig.) [de

Quality control in Department of Nuclear Medicine, Clinical Center Banja Luka, RS, Bosnia and Herzegovina

International Nuclear Information System (INIS)

Goran Vuleta

2007-01-01

Complete test of publication follows. The aim of this work is to give a review of situations in the Department of Nuclear Medicine in Banja Luka related to quality control. We must perform daily, weekly and monthly control of equipment in the Department of Nuclear Medicine, and we must keep records. In our Department we have equipment from different producers and different year of production: 3 gamma cameras (1973, 1989, 2000); 2 auto gamma counters (2000, 2006); 2 dose calibrators (1973, 2000); 1 thyroid uptake system (2000). Normally procedures for quality control are also different. The situation, according to results of quality control is good. All equipment is working normally and with good performance (except one gamma camera - a problem with hard drive), but we don't have a routine daily control and periodical control for others tests. Keeping a records is another problem. Why? 1. In Bosnia and Herzegovina we don't have Regulatory authority. That means that we don't have legislation, rules, inspection or any other regulatory instruments. 2. There is only school for nurses, we have no special school for medical technician. So, we need an education in that field. 3. Very small number of physicist in hospital, no education for medical and nuclear medicine physicist. Conclusion. Situation in Department of Nuclear Medicine in Banja Luka related to quality control is on the medium level. We are trying to put that on the higher level, but to accomplish that we need additional education for nurses (technicians) and physicist.

Checklists for quality assurance and audit in nuclear medicine

International Nuclear Information System (INIS)

Williams, E.D.; Harding, L.K.; McKillop, J.H.

1989-01-01

A series of checklists are given which aim to provide some guidance to staff in determining whether their working procedures in nuclear medicine are likely to produce a good service and avoid mistakes. The checklists relate to the special equipment used in nuclear medicine departments, radiopharmaceuticals, nuclear medicine staff, services to medical and other hospital staff and finally the service to patients. The checklists are relevant to an average nuclear medicine department performing less than 2000 imaging studies per year. (U.K.)

Beijing nuclear medicine survey 2005: general information

International Nuclear Information System (INIS)

Geng Jianhua; Si Hongwei; Chen Shengzu

2008-01-01

Objective: To evaluate the status of nuclear medicine department in Beijing area. Methods: Staff, equipment and clinical applications of nuclear medicine departments in Beijing area during 2005 were evaluated by postal questionnaires. Results: Thirty nuclear medicine departments responded to our survey. In these departments, 321 staff, 141 doctors, 122 technicians, 7 physicists, 22 nurses and 29 other staff were employed; and 41 large imaging equipments, 37 SPECT, 3 PET, 1 PET-CT were equipped. During 2005, 88135 radionuclide imaging (84734 for SPECT, 3401 for PET), 462246 radioimmunoassay and 2228 radionuclide therapies (the most for Graves' disease, the second for thyroid cancer, the third for bone metastasis) were performed. For only 41.5% and 22.0% equipments the daily quality control (QC) and weekly QC were conducted. Conclusions Staff, equipments and activities of nuclear medicine department in Beijing were in a considerable scale, but did not balance among hospitals. Most departments should increase the number of physicists and the equipment QC procedures to improve the image quality. (authors)

Nuclear medicine. The management of patients coming out of a nuclear medicine department - Radiation protection sheet ED 4242

International Nuclear Information System (INIS)

2006-03-01

This sheet aims at providing elements for the preparation of the management of a patient by a department or unit other than a nuclear medicine department after this patient has been submitted to an examination or treatment involving the use of radionuclides in unsealed sources, as this exposure may result in an internal or external exposure risk for the personnel, other persons and relatives. It briefly describes the modalities of performance of nuclear medicine act, the modalities of information of patients and of their relatives, indicates instructions to departments hosting the patient (instruction regarding the patient and wastes), and instructions for pregnant or breast feeding women

Application of Balance Score Card (BSC) in a Nuclear Medicine Department

International Nuclear Information System (INIS)

Rayo, J.I.; Serrano, J.; Martin, R.; Corral, C.

2002-01-01

Balanced Scorecard (BSC) is a concept helping you translate strategy into action. BSC provides management with a comprehensive picture of business operations and a methodology that facilitates the communication and understanding of business goals and strategies at all levels of an organization. Traditional performance measurement, focusing on external accounting data, was quickly becoming obsolete and something more was needed to provide the information age enterprises with efficient planning tools, For this purpose Kaplan and Norton introduced four different perspectives. Aim: Application of BSC to a Nuclear Medicine Department for provides four perspectives: financial perspective, customer perspective, process perspective and learning and innovation perspective. Conclusion: BSC helps align key performance measures with strategy at all levels of a Nuclear Medicine Department, facilitates communication and understanding, provides feedback and learning and reduce the vast amount of information the Nuclear Medicine Department into essentials

Experience with Nuclear Medicine Information System

Directory of Open Access Journals (Sweden)

Bilge Volkan-Salanci

2012-12-01

Full Text Available Objective: Radiology information system (RIS is basically evolved for the need of radiologists and ignores the vital steps needed for a proper work flow of Nuclear Medicine Department. Moreover, CT/MRI oriented classical PACS systems are far from satisfying Nuclear Physicians like storing dynamic data for reprocessing and quantitative analysis of colored images. Our purpose was to develop a workflow based Nuclear Medicine Information System (NMIS that fulfills the needs of Nuclear Medicine Department and its integration to hospital PACS system. Material and Methods: Workflow in NMIS uses HL7 (health level seven and steps include, patient scheduling and retrieving information from HIS (hospital information system, radiopharmacy, acquisition, digital reporting and approval of the reports using Nuclear Medicine specific diagnostic codes. Images and dynamic data from cameras of are sent to and retrieved from PACS system (Corttex© for reprocessing and quantitative analysis. Results: NMIS has additional functions to the RIS such as radiopharmaceutical management program which includes stock recording of both radioactive and non-radioactive substances, calculation of the radiopharmaceutical dose for individual patient according to body weight and maximum permissible activity, and calculation of radioactivity left per unit volume for each radionuclide according their half lives. Patient scheduling and gamma camera patient work list settings were arranged according to specific Nuclear Medicine procedures. Nuclear Medicine images and reports can be retrieved and viewed from HIS. Conclusion: NMIS provides functionality to standard RIS and PACS system according to the needs of Nuclear Medicine. (MIRT 2012;21:97-102

Necessity of Internal Monitoring for Nuclear Medicine Staff in a Large Specialized Chinese Hospital.

Science.gov (United States)

Wang, Hong-Bo; Zhang, Qing-Zhao; Zhang, Zhen; Hou, Chang-Song; Li, Wen-Liang; Yang, Hui; Sun, Quan-Fu

2016-04-12

This work intends to quantify the risk of internal contaminations in the nuclear medicine staff of one hospital in Henan province, China. For this purpose, the criteria proposed by the International Atomic Energy Agency (IAEA) to determine whether it is necessary to conduct internal individual monitoring was applied to all of the 18 nuclear medicine staff members who handled radionuclides. The activity of different radionuclides used during a whole calendar year and the protection measures adopted were collected for each staff member, and the decision as to whether nuclear medicine staff in the hospital should be subjected to internal monitoring was made on the basis of the criteria proposed by IAEA. It is concluded that for all 18 members of the nuclear medicine staff in the hospital, internal monitoring is required. Internal exposure received by nuclear medicine staff should not be ignored, and it is necessary to implement internal monitoring for nuclear medicine staff routinely.

Estimation of Internal Radiation Dose to Nuclear Medicine Workers at Siriraj Hospital

International Nuclear Information System (INIS)

Asawarattanapakdee, J.; Sritongkul, N.; Chaudakshetrin, P.; Kanchanaphiboon, P.; Tuntawiroon, M.

2012-01-01

Every type of work performed in a nuclear medicine department will make a contribution to both external and internal exposure of the worker. The purpose of this study is to evaluate the potential risks of internal contamination to staff members during nuclear medicine practices and to conclude about the requirement of a routine internal monitoring. Following the method describes in the ICRP Publication 78 and the IAEA Safety Standard Series No. RS- G-1.2, in vivo thyroid bioassays using NaI(Tl) thyroid probe were performed to determine the intake estimates on 7 groups of nuclear medicine personnel working with I-131 and Tc-99m, based on working conditions and amount of radionuclides being handled. Frequency of measurements was between 7 and 14 days. These include (1) physicians and physicists, (2) radiochemists (3) technologists, (4) nurses and assistant nurses, (5) imaging room assistants, (6) hot lab workers and (7) hospital ward housekeepers/cleaners. Among all workers, the intake estimates of I-131 in the thyroid ranged from 0 to 76.7 kBq and of the technetium-99m from 0 to 35.4 MBq. The mean committed effective dose equivalent (CEDE) from both I-131 and Tc-99m were 0.63, 1.44 0.53, 0.57, 0.73, 0.98, and 1.36, mSv, for group 1 through group 7 respectively. However, the highest mean CEDE of 1.44 (max. 1.75) and 1.36 (max. 2.11) mSv observed in groups of radiochemists and hospital ward housekeepers were within the permissible level. Our results showed that CEDE for internal exposure in this study were less than investigate level of 5 mSv according to the ICRP Publication 78 and the IAEA Basic Safety Standards. However, the mean CEDE for radiochemists and hospital ward housekeepers were considered in exceed of the limits of recording level (1 mSv).The increasing use of I-131 and Tc-99m in nuclear medicine poses significant risks of internal exposure to the staff. This study suggests that a routine monitoring program for internal exposures should be implemented for

Present status of radioactive wastes from nuclear medicine in the hospitals of Guangdong province and the preliminary exploration to some relevant problems

International Nuclear Information System (INIS)

Kong Lingfeng

1999-01-01

In Guangdong province of China nuclear medicine is quite developed. There are about 50 hospitals (not including the hospitals only with radioimmunoassay) in the medical units of Guangdong province which have their own nuclear medical departments. More than 40 ECTs are owned by the hospitals and more than 10 radioisotopes, such as 131 I, 125 I, 99 Mo- 99m Tc, 90 Sr, 32 P, 153 Sm etc., are mainly used. The thesis, based on the author's work in checking the use of radiopharmaceuticals in the hospitals of Guangdong province, investigates and summarizes the actual situations of the use of radiopharmaceuticals and the discharge and treatment of radioactive wastes in nuclear medical departments of the hospitals in Guangdong province. According to the actual problems in administration and disposal of the radioactive wastes in the hospitals, it makes a preliminary exploration and puts forward some countermeasures and suggestions on how to supervise and administer the discharge of radioactive wastes in the hospitals, and how to further solve them, in order to prevent and reduce the radioactive contamination and damage to the environment and the public caused by the development of nuclear medicine

IRSN's expertise about nuclear medicine hospital effluents

International Nuclear Information System (INIS)

2009-01-01

This brief note aims at presenting the radioactivity follow up of hospital effluents performed by the French Institute of Radiation Protection and Nuclear Safety (IRSN). This follow up concerns the radioactive compounds and radiopharmaceuticals used in nuclear medicine, and principally technetium 99 and iodine 131. The IRSN has developed a network of remote measurement systems for the monitoring of sewers and waste water cleaning facilities. Data are compiled in a data base for analysis and subsequent expertise. (J.S.)

222Radon concentration and irradiation dose inside the department of nuclear medicine in Wuhan

International Nuclear Information System (INIS)

Cheng Xiaoli; Wang Changyin; Gao Jianhua; Zou Xiaofeng

2002-01-01

Objective: Inspecting the high radioactivity area in department of nuclear medicine in Wuhan region and estimating the irradiation dose on relevant doctors. Methods: Select six 'three A' hospitals' high radioactivity area in department of nuclear medicine and common residential houses as examples. A half-year surveillance using 222 Rn detector (type LIH-2) was performed. Results: In high radioactivity rooms, imaging rooms residential houses, the average 222 Rn concentration are 27.8, 48.2, 27.1 (Bq·m -3 ) respectively. Effective dose equivalent absorbed by doctors in high radioactivity room and imaging room are 0.16 and 0.28 mSv. The authors estimated that the effective dose equivalent of doctors in these two room and common residents per year are 0.84, 0.70 and 0.64 mSv respectively. Conclusions: Doctors in imaging room and high radioactivity room are exposed to a relatively higher annual effective dose than common residents. But they are still within the normal range. Only two imaging rooms have high 222 Rn concentrations, which will cause potential harm

Extracts from IAEA's Resources Manual in Nuclear Medicine. Part-3: Establishing Nuclear Medicine Services

International Nuclear Information System (INIS)

2003-01-01

In the past, consideration was given to the categories of nuclear medicine ranging from simple imaging or in-vitro laboratories, to more complex departments performing a full range of in-vitro and in-vivo procedures that are also involved in advanced clinical services, training programmes, research and development. In developing countries, nuclear medicine historically has often been an offshoot of pathology, radiology or radiotherapy services. These origins are currently changing as less radioimmunoassay is performed and fully-fledged, independent departments of nuclear medicine are being set up. The trend appears to be that all assays (radioassay or ELISA) are done in a biochemistry laboratory whereas nuclear medicine departments are involved largely in diagnostic procedures, radionuclide therapy and non-imaging in-vitro tests. The level of nuclear medicine services is categorized according to three levels of need: Level 1: Only one gamma camera is needed for imaging purposes. The radiopharmaceutical supply, physics and radiation protection services are contracted outside the centre. Other requirements include a receptionist and general secretarial assistance. A single imaging room connected to a shared reporting room should be sufficient, with a staff of one nuclear medicine physician and one technologist, with back-up. This level is appropriate for a small private practice. Level 2: This is suitable for a general hospital where there are multiple imaging rooms where in-vitro and other non-imaging studies would generally be performed as well as radionuclide therapy. Level 3: his is appropriate for an academic institution where there is a need for a comprehensive clinical nuclear medicine service, human resource development and research programmes. Radionuclide therapy for in-patients and outpatients is provided

Java-based remote viewing and processing of nuclear medicine images: toward "the imaging department without walls".

Science.gov (United States)

Slomka, P J; Elliott, E; Driedger, A A

2000-01-01

In nuclear medicine practice, images often need to be reviewed and reports prepared from locations outside the department, usually in the form of hard copy. Although hard-copy images are simple and portable, they do not offer electronic data search and image manipulation capabilities. On the other hand, picture archiving and communication systems or dedicated workstations cannot be easily deployed at numerous locations. To solve this problem, we propose a Java-based remote viewing station (JaRViS) for the reading and reporting of nuclear medicine images using Internet browser technology. JaRViS interfaces to the clinical patient database of a nuclear medicine workstation. All JaRViS software resides on a nuclear medicine department server. The contents of the clinical database can be searched by a browser interface after providing a password. Compressed images with the Java applet and color lookup tables are downloaded on the client side. This paradigm does not require nuclear medicine software to reside on remote computers, which simplifies support and deployment of such a system. To enable versatile reporting of the images, color tables and thresholds can be interactively manipulated and images can be displayed in a variety of layouts. Image filtering, frame grouping (adding frames), and movie display are available. Tomographic mode displays are supported, including gated SPECT. The time to display 14 lung perfusion images in 128 x 128 matrix together with the Java applet and color lookup tables over a V.90 modem is remote nuclear medicine viewing station using Java and an Internet or intranet browser. Images can be made easily and cost-effectively available to referring physicians and ambulatory clinics within and outside of the hospital, providing a convenient alternative to film media. We also find this system useful in home reporting of emergency procedures such as lung ventilation-perfusion scans or dynamic studies.

A DICOM based PACS for nuclear medicine

International Nuclear Information System (INIS)

Lassmann, M.; Reiners, C.

2002-01-01

The installation of a radiology information system (RIS) connected to a hospital information system (HIS) and a picture archiving and communications system (PACS) seems mandatory for a nuclear medicine department in order to guarantee a high patient throughput. With these systems a fast transmission of reports, images to the in- and out-patients' wards and private practitioners is realized. Therefore, since April 2000, at the department of nuclear medicine of the university of Wuerzburg a completely DICOM based PACS has been implemented in addition to the RIS. With this system a DICOM based workflow is realized throughout the department of nuclear medicine for reporting and archiving. The PACS is connected to six gamma-cameras, a PET scanner, a bone densitometry system and an ultrasound device. The volume of image data archived per month is 4 GByte. Patient demographics are provided to the modalities via DICOM-Worklist. With these PACS components a department specific archive purely based on DICOM can be realized. During the installation process problems occurred mainly because of the complex DICOM standard for nuclear medicine. Related to that is the problem that most of the software implementations still contain bugs or are not adapted to the needs of a nuclear medicine department (particularly for PET). A communication software for the distribution of nuclear medicine reports and images based on techniques used for the worldwide web is currently tested. (orig.) [de

Security in the nuclear medicine department

International Nuclear Information System (INIS)

Bassingham, S.; Gane, J.; Chan, P.S.; Heenan, S.; Gulliver, N.; McVey, J.

2005-01-01

The current threat from terrorism highlights the need for awareness of adequate security of radioactive sources by health bodies to prevent the opportunistic access to, theft of. or accidental loss of sources, together with stringent security measures in place to prevent the international misuse of radioactive sources as a weapon by unauthorised access. This presentation discusses the processes undertaken to ensure the safety and security of radioactive materials within the nuclear medicine department in line with current regulations and guidelines. These include risk assessments, security systems, audit trails, restricted access and personnel background checks

Internal dosimetry in nuclear medicine procedures

International Nuclear Information System (INIS)

Carrera Magarino, F.; Salgado Garcia, C.; Ruiz Manzano, P.; Rivas Ballarin, M. A.; Jimenez Hefernan, A.; Sanchez Segovia, J.

2011-01-01

The Department of Radio Physics and Radiation Protection, University Hospital Lozano Blesa Zaragoza presented a calculus textbook to estimate patient doses in diagnostic nuclear medicine. In this paper present an updated referred Book of calculation.

Nuclear medicine: the Philippine Heart Center experience

International Nuclear Information System (INIS)

Cancino, E.L.

1994-01-01

The following is a report of a three (3) months on-the-job training in Nuclear Medicine at the Nuclear Medicine Department of the Philippine Heart Center. The hospital has current generation nuclear medicine instruments with data processor and is capable of a full range of in vivo and in vitro procedures. Gamma camera is the principal instrument for imaging in nuclear medicine used in the Philippine Heart Center. Thyroid scanning procedure is being performed with these instruments. Also the cardiovascular procedures, the pulmonary, skeletal, renal and hepatobiliary procedures were being performed with the use of gamma camera. Special emphasis is on nuclear cardiology since the PHC attends primarily to cardiovascular patients. (auth.)

The medical physicist in a nuclear medicine department

International Nuclear Information System (INIS)

Trujillo Z, F.E.; Gomez A, E.

2007-01-01

The diagnostic studies and therapeutic treatments carried out in a Nuclear Medicine department make use of radioactive material. For such a reason it becomes necessary to take a strict control in the reception, use and waste that are generated of the typical works inside the department. Also, work related with the quality control of the equipment dedicated to produce images and of those not image formers, need to carry out to guarantee its maximum performance; as well as quality of the diagnostic and of the therapy imparted in patients. Additionally its are needed to make originated works of the individual procedures to patient and of the acquisition of radioactive materials and removal of the waste or radioactive contaminations. Presently work the recommendations of the American College of Radiology (ACR), the European Federation of Organizations for Medical Physics (EFOMP) and of the Mexican Official Standards relating to the functions that should be observed in a Nuclear Medicine Department are exposed. The ACR and the EFOMP, conclude in their recommendations that the medical physicist fulfills with the suitable profile and likewise they describe in detail the actions and functions that he should supervise, to carry out, to document and to inform. (Author)

Application of ISO 9001:2000 in a Nuclear Medicine Department

International Nuclear Information System (INIS)

Rayo, J.I.; Serrano, J.; Martin, R.; Corral, C.

2002-01-01

Since 1947 ISO has been developing voluntary technical standards over almost all sectors of business, industry, and technology. The ISO 9000 standards were published in 1987, and new versions of the standards saw daylight in 1994 and 2000. The highlights of ISO 9001:2000 are: quality management system, management responsibility, resource management, product realization and measurement, analysis and improvement. Aim: Application of ISO 9001:2000 to a Nuclear Medicine Department for provides the organization with a model to follow, customer focus, people will understand the goals of the organization and are motivated to work for objectives and lower costs and shorter cycle times through effective use of resources. Conclusion: ISO 9001:2000 focuses on continual improvement of business processes that should be a permanent objective of the Nuclear Medicine Department

Availability of oncological nuclear medicine in the regions of Slovakia

International Nuclear Information System (INIS)

Lepej, J.; Kaliska, L.

2004-01-01

Full text: Nuclear medicine (NM) imaging technology, alone and in combination with other imaging modalities, provides clinically significant and useful information in the staging and treatment of the oncological diseases. The main objective of our study was to find out and present the situation vis-a-vis nuclear medicine facilities in the Central European country that soon becomes the new member of EU. For the purposes statistical data of WHO, Slovak Republic (SR) and nuclear medicine department (NMD) were evaluated for the period 1995-2001. Comparison with Czech Republic (CR) was done because of almost similar occurrence of the malignant diseases in these two republics that were a one country till separation in 1993. First nuclear medicine department in Czechoslovakia was established about 55 years ago. Comparing to CR the expenditures on health care per capita in SR is only 67% of CR. The number of gamma cameras, physicians and number of investigations are far from good standard of CR. The number NM departments are significantly low and growth of only 29% compared to CR is alarming. The one main reason is inadequate financial support to the health care and high debts of hospitals running nuclear medicine facilities. Providing radiology departments with new CT and MRI scanners is another reason of less nuclear medicine facilities. During the last five years, though the number of gamma cameras increased by 10%, but the number of investigations did not rise accordingly. Because of bad management of health care services in Slovakia, the latest facilities availability is greatly delayed. However, the exception is the installation of a new PET scanner in 2001. Of late, sentinel lymph node detection was started only with the help of IAEA. Data shows that most of the nuclear medicine centers are around the state capital. It is imperative to have sufficient diagnostic and therapeutic facilities in each region so as to make these available to patients living away from the

Study of dose levels absorbed by members of the public in the nuclear medicine departments

International Nuclear Information System (INIS)

Cabral, Geovanna Oliveira de Mello

2001-03-01

In nuclear Medicine, radioisotopes are bound to various compounds (called radiopharmaceuticals) for use in various diagnostic and therapeutic applications. These unsealed sources are administered in various forms to patients, who remain radioactive for hours or days, and represent a source of potential radiation exposure for others. Thus, in nuclear medicine departments, radiation protection of workers and members of the public, especially persons accompanying patients, must consider, this exposure. In Brazil, the Comissao Nacional de Energia Nuclear (CNEN) establishes that, in nuclear medicine departments, the patients and persons accompanying should be separated each other. However, this rule is not always followed due to many factors such as physical and emotional conditions of patients. In this context, the aim of this study was the investigation of dose levels, which the persons accompanying patients are exposed to. For monitoring, thermoluminescent dosimeters were employed. The dosimeters were given to 380 persons who were accompanying patients in nuclear medicine departments. Exposure results were lower than 1 mSv. On the basis of CNEN rules, issues regarding stay conditions for members of the public in these departments are discussed. (author)

The development of nuclear medicine in Slovenia and Ljubljana; half a century of nuclear medicine in Slovenia

International Nuclear Information System (INIS)

Slavec, Zvonka Zupanic; Gaberscek, Simona; Slavec, Ksenija

2012-01-01

Nuclear medicine began to be developed in the USA after 1938 when radionuclides were introduced into medicine and in Europe after radionuclides began to be produced at the Harwell reactor (England, 1947). Slovenia began its first investigations in the 1950s. This article describes the development of nuclear medicine in Slovenia and Ljubljana. The first nuclear medicine interventions were performed in Slovenia at the Internal Clinic in Ljubljana in the period 1954–1959. In 1954, Dr Jože Satler started using radioactive iodine for thyroid investigations. In the same year, Dr Bojan Varl, who is considered the pioneer of nuclear medicine in Slovenia, began systematically introducing nuclear medicine. The first radioisotope laboratories were established in January 1960 at the Institute of Oncology and at the Internal Clinic. Under the direction of Dr. Varl, the laboratory at the Internal Clinic developed gradually and in 1973 became the Clinic for Nuclear Medicine with departments for in vivo and in vitro diagnostics and for the treatment of inpatients and outpatients at the thyroid department. The Clinic for Nuclear Medicine became a teaching unit of the Medical Faculty and developed its own post-graduate programme – the first student enrolled in 1972. In the 1960s, radioisotope laboratories opened in the general hospitals of Slovenj Gradec and Celje, and in the 1970s also in Maribor, Izola and Šempeter pri Novi Gorici. Nowadays, nuclear medicine units are modernly equipped and the staff is trained in morphological, functional and laboratory diagnostics in clinical medicine. They also work on the treatment of cancer, increased thyroid function and other diseases

[In vivo mutagenicity and clastogenicity of ionizing radiation in nuclear medicine

International Nuclear Information System (INIS)

1989-01-01

The overall goals of our research remains to investigate the mutagenic and clastogenic effects of exposure to low levels of ionizing radiation in human lymphocytes. We are studying hospital patients referred to a nuclear medicine department for diagnostic cardiac imaging and nuclear medicine technologists who administer radionuclides

Links between nuclear medicine and radiopharmacy; Structuration des liens entre medecine nucleaire et radiopharmacie

Energy Technology Data Exchange (ETDEWEB)

Pelegrin, M. [Inserm, U896, CRLC Val-d' Aurelle-Paul-Lamarque, institut de recherche en cancerologie de Montpellier (IRCM), universite Montpellier 1, 34 - Montpellier (France); Francois-Joubert, A. [Service de medecine nucleaire, centre hospitalier de Chambery, 73 - Chambery (France); Chassel, M.L. [Radiopharmacie, service de pharmacie, centre hospitalier de Chambery, 73 - Chambrry (France); Desruet, M.D. [Service de radiopharmacie et service pharmaceutique, clinique universitaire de medecine nucleaire, CHU de Grenoble, 38 - Grenoble (France); Bolot, C. [Service de radiopharmacie, service pharmaceutique, centre de medecine nucleaire, groupement hospitalier Est, 69 - Bron (France); Lao, S. [Service de radiopharmacie, medecine nucleaire, hopital de l' Archet, 06 - Nice (France)

2010-11-15

Radiopharmaceuticals are nowadays under the responsibility of the radio-pharmacist because of their medicinal product status. Radiopharmacy belongs to the hospital pharmacy department, nevertheless, interactions with nuclear medicine department are important: rooms are included or located near nuclear medicine departments in order to respect radiation protection rules, more over staff, a part of the material and some activities are shared between the two departments. Consequently, it seems essential to formalize links between the radiopharmacy and the nuclear medicine department, setting the goals to avoid conflicts and to ensure patients' security. Modalities chosen for this formalization will depend on the establishment's organization. (authors)

PACS in nuclear medicine

International Nuclear Information System (INIS)

Kang, Keon Wook

2000-01-01

PACS (Picture Archiving and Communication System) is being rapidly spread and installed in many hospitals, but most of the system do not include nuclear medicine field. Although additional costs of hardware for nuclear medicine PACS is low, the complexity in developing viewing software and little market have made the nuclear medicine PACS not popular. Most PACS utilize DICOM 3.0 as standard format, but standard format in nuclear medicine has been Interfile. Interfile should be converted into DICOM format if nuclear images are to be stored and visualized in most PACS. Nowadays, many vendors supply the DICOM option in gamma camera and PET. Several hospitals in Korea have already installed nucler PACS with DICOM, but only the screen captured images are supplied. Software for visualizing pseudo-color with color lookup tables and expressing with volume view should be developed to fulfill the demand of referring physicians and nuclear medicine physicians. PACS is going to integrate not only radiologic images but also endoscopic and pathologic images. Web and PC based PACS is now a trend and is much compatible with nuclear medicine PACS. Most important barrier for nuclear medicine PACS that we encounter is not a technical problem, but indifference of investor such as administrator of hospital or PACS. Now it is time to support and invest for the development of nuclear medicine PACS

Impact of the prospective payment system on the delivery of nuclear medicine services

International Nuclear Information System (INIS)

Crucitti, T.W.; Pappas, V.M.

1986-07-01

The study evaluates the effect of the Medicare Prospective Payment System (PPS) on nuclear medicine technologists and services. Since 80% of nuclear medicine technologists work in hospitals, a large segment of the professionals would be affected by the new system. The survey was designed to assess the PPSs effect on nuclear medicine departments at the early implementation stage

Analysis of changed bio-signal to radiation exposure of nuclear medicine worker

International Nuclear Information System (INIS)

Lee, Hwun Jae; Lee, Sang Bock

2007-01-01

In this paper, we are evaluated about bio-signal between general workers and nuclear medicine workers which is more radiation exposure relatively. In order to reciprocal evaluated two group, we experimented nuclear medicine workers in Chung-Buk National University Hospital at department of nuclear medicine and worker in Chon-Nam National University Hospital at CT room, general radiographic room, medical recording room, receipt room, general office room. Used of experimental equipments as follows, for a level of radiation measurement by pocket dosimeter which made by Arrow-Tech company, for heart rate and blood pressure measurement by TONOPORT V which made by GE medical systems company, for heat flux and skin temperature and energy expenditure measurement by Armband senseware 2000 which made by Bodymedia company. Result of experiment obtains as follows : 1) Individual radiation exposure is recorded 3.05 uSv at department of nuclear medicine and order as follows CT room, general radiograpic room, medical recording room, receipt room, general office room. Department of nuclear medicine more 1.5 times than other places. 2) Radiation accumulated dose is not related to Heat flux, Skin temperature, Energy expenditure. 3) Blood pressure is recorded equal to nuclear medical workers, general officer, general people about systolic blood pressure and diastolic blood pressure. Compared to blood pressure between nuclear medical works which is more radiation exposure and other workers was not changed. Consequently, more radiation exposed workers at nuclear medicine field doesn't have hazard

Is lead dust within nuclear medicine departments a hazard to pediatric patients?

Science.gov (United States)

Hulbert, Shannon M; Carlson, Katherine A

2009-09-01

Because of the penetrating ability of the radiation used in nuclear medicine, metallic lead is widely used as radiation shielding. However, this shielding may present an insidious health hazard because of the dust that is readily removed from the surfaces of lead objects. The lead dust may become airborne, contaminate floors and other nearby surfaces, and be inadvertently inhaled or ingested by patients. We determined if the quantity of lead dust encountered within nuclear medicine departments exceeded Environmental Protection Agency (EPA) standards. For lead dust quantification, professional lead test kits were used to sample fifteen 1-ft(2) sections of different surfaces within the department. Four samples were collected once per week from each site. The samples were then submitted to a National Lead Laboratory-accredited program for a total lead measurement. Lead contamination (mug/ft(2)) for each of the 60 samples was compared with the EPA standards for lead dust. Lead contamination was present at 6 of the 15 sites, and of 60 samples, 18 exceeded the EPA standard of 50 mug/ft(2). Lead contamination is present within nuclear medicine departments, and corrective measures should be considered when dealing with pediatric patients. A larger series needs to be conducted to confirm these findings.

Development of RadRob15, A Robot for Detecting Radioactive Contamination in Nuclear Medicine Departments

Directory of Open Access Journals (Sweden)

Shafe A.

2016-09-01

Full Text Available Accidental or intentional release of radioactive materials into the living or working environment may cause radioactive contamination. In nuclear medicine departments, radioactive contamination is usually due to radionuclides which emit high energy gamma photons and particles. These radionuclides have a broad range of energies and penetration capabilities. Rapid detection of radioactive contamination is very important for efficient removing of the contamination without spreading the radionuclides. A quick scan of the contaminated area helps health physicists locate the contaminated area and assess the level of activity. Studies performed in IR Iran shows that in some nuclear medicine departments, areas with relatively high levels of activity can be found. The highest contamination level was detected in corridors which are usually used by patients. To monitor radioactive contamination in nuclear medicine departments, RadRob15, a contamination detecting robot was developed in the Ionizing and Non-ionizing Radiation Protection Research Center (INIRPRC. The motor vehicle scanner and the gas radiation detector are the main components of this robot. The detection limit of this robot has enabled it to detect low levels of radioactive contamination. Our preliminary tests show that RadRob15 can be easily used in nuclear medicine departments as a device for quick surveys which identifies the presence or absence of radioactive contamination.

Internal dosimetry in nuclear medicine procedures; Dosimetria interna por procedimientos en medicina nuclear

Energy Technology Data Exchange (ETDEWEB)

Carrera Magarino, F.; Salgado Garcia, C.; Ruiz Manzano, P.; Rivas Ballarin, M. A.; Jimenez Hefernan, A.; Sanchez Segovia, J.

2011-07-01

The Department of Radio Physics and Radiation Protection, University Hospital Lozano Blesa Zaragoza presented a calculus textbook to estimate patient doses in diagnostic nuclear medicine. In this paper present an updated version referred Book of calculation.

Application of medical psychology in the reception of nuclear medicine department

International Nuclear Information System (INIS)

Zhan Hao; Xiong Jie; Huang Daijuan; Yuan Bin; Xu Wendai; Zhang Yongxue

2003-01-01

Reception of nuclear medicine department is often ignored. In fact, it is an important part of clinical work. If the patient's psychological status is understood, and the psychological knowledge is handles and applied in practice, the quality of work can be improved. The personnel in nuclear medicine should recognize the significance of humanity in medical practice and acquire the communication skill between doctors and patients. They should also understand the four aspects of psychological need of patients: The need of being understood and respected; the need of being greeted, accepted and a sense of belonging; the need of being informed; the need of feeling safe and rehabilitated

Establishment of national diagnostic reference level for renal doses in nuclear medicine departments at Khartoum-Sudan

International Nuclear Information System (INIS)

Alameen, Suhaib; Hamid, Alhadi; Rushdi, M. A. H.

2016-01-01

In this work we established a diagnostic reference level (DRL) for patient dose focusing on the investigation of activity to the kidneys during(99mTc-DTPA) kidney scan, selected two department nuclear medicine in main hospitals in Khartoum state. The DRLs is an investigational level used to identify unusually high radiation doses for common diagnostic medical in Nuclear Medicine procedures and suggested action levels above which a facility should review its methods and determine if acceptable image quality can be achieved at lower doses. The high specific activity of 99mTc makes it suitable as a first pass agent, for multiple or sequential studies, 99mTc diethylenetriaminepentaacetic acid (DTPA) is preferred to 99mTc-pertechnetate. Patients who had been prepared for the kidney scan 99mTc- DTPA were divided to three groups. The first group received dose less than 5 mCi, are represent (27.03%) from all patients, second group received dose 5 to 5.5 mCi are represent(66.67%) and the third group received dose from 5.6 to 6.2 mCi are represent (6.31%) from all patients 99mTc-DTPA. And according to the IAEA recommendation for adult doses(5-10mCi) this study show that about 93.1% of the sample examines by dose less than 5.5 mCi. The results presented will serve as a baseline data needed for deriving reference doses for renal examinations for nuclear medicine departments in Sudan.(Author)

Occupational exposure at the Department of Nuclear Medicine as a work environment: A 19-year follow-up

OpenAIRE

Piwowarska-Bilska, Hanna; Birkenfeld, Bożena; Gwardyś, Aleksandra; Supińska, Aleksandra; Listewnik, Maria H.; Elbl, Bogumiła; Cichoń-Bańkowska, Katarzyna

2011-01-01

Summary Background: This study assessed the radiation safety at Nuclear Medicine Department being a work environment. Ionizing radiation exposure of the employees in the last 19 years and the effects of legislative changes in radiological protection were analyzed. Material/Methods: All employees of the investigated department were regularly and individually monitored using chest badges equipped with Kodak film type 2. Overall, 629 annual doses of the employees of nuclear medicine department, ...

Medical and administrative management of a nuclear medicine department with a microcomputer

International Nuclear Information System (INIS)

Legras, B.; Kohler, F.

1984-01-01

The use of a microcomputer for data management in a department of Nuclear Medicine has allowed to reduce considerably office work, and supplies the physicians with very useful statistics on the investigations carried out [fr

Hospital structure and technical efficiency in the production of nuclear medicine. Doctoral thesis

International Nuclear Information System (INIS)

Wilson, G.W.

1976-01-01

The relationship of hospital structure to production efficiency is explored. The hospital subindustry on which this research centers is nuclear medicine. The hypotheses generated were that technical efficiency is reduced by increased competitive intensity, by a lack of profit incentive, by a broader service range, and by in-house training of technical personnel. Most data employed in the study were gathered from the American College of Radiology and the Energy Research and Development Administration Census of Nuclear Medicine. More specific information came from questionnaires sent to 2,050 short-term general hospitals known to have a nuclear medicine facility. Of the responses 1,362 were usable for the study. A major study finding was that over half of the variations observed in technical efficiency were attributable to the structural elements being studied. The research indicated that competition for staff physicians has a role in reducing technical efficiency; that the output effect of in-house manpower training was relatively unimportant; and that profit incentives do have a significant impact. It is suggested that increased technical efficiency could be achieved through reduced competitive intensity, stronger profit orientation, and reduced service range. A bibliography is included

Occupational exposure in nuclear medicine in Portugal in the 1999-2003 period

International Nuclear Information System (INIS)

Martins, M. B.; Alves, J. G.; Abrantes, J. N.; Roda, A. R.

2007-01-01

The annual doses received by the staff of nuclear medicine departments from public hospitals and private clinics and evaluated by the Individual Monitoring Service of the Radiological Protection and Nuclear Safety Dept. (DPRSN) of the Nuclear and Technological Inst. (ITN) in Portugal, in the 5 y period from 1999 to 2003, are analysed and presented in this paper. In the 1999-2003 period, ITN-DPRSN monitored on an average 462 workers from nuclear medicine departments, which represents 6% of the 8000 workers of the medical field (approximately). The medical sector represents 80-85% of all the monitored population in Portugal. The professions of the monitored workers at nuclear medicine departments were identified by the respective departments as administrative, auxiliary, medical doctor, nuclear medicine technician, nurse, pharmacist and physicist. This information was collected at the onset of the monitoring and was updated over the last 3 y. The annual whole-body doses evaluated in the period 1999-2003 were used to derive the distribution of workers by dose intervals for every profession. The respective annual average doses and annual collective doses, as well as, the total average and total collective doses for the nuclear medicine sector were also determined and are presented. Internal radiation hasn't been monitored. (authors)

Radiation protection in nuclear medicine

Energy Technology Data Exchange (ETDEWEB)

Volodin, V; Hanson, G P

1993-12-31

The goal of this Chapter is to give a general outline of the essential principles and procedures for radiation protection in a nuclear medicine department where radionuclides are used for diagnosis and therapy. More detailed recommendations regarding radiation protection in nuclear medicine are given in the publications of the International Commission on Radiation Protection (ICRP, publications 25, 57, 60) and in ILO/IAEA/WHO Manual on Radiation Protection in Hospitals and General Practice (Volume 2: Unsealed Sources, WHO, Geneva, 1975), on which this Chapter is based. This chapter is not intended to replace the above-mentioned international recommendations on radiation protection, as well as existing national regulations on this subject, but intended only to provide guidance for implementing these recommendations in clinical practice

Radiation protection in nuclear medicine

International Nuclear Information System (INIS)

Volodin, V.; Hanson, G.P.

1992-01-01

The goal of this Chapter is to give a general outline of the essential principles and procedures for radiation protection in a nuclear medicine department where radionuclides are used for diagnosis and therapy. More detailed recommendations regarding radiation protection in nuclear medicine are given in the publications of the International Commission on Radiation Protection (ICRP, publications 25, 57, 60) and in ILO/IAEA/WHO Manual on Radiation Protection in Hospitals and General Practice (Volume 2: Unsealed Sources, WHO, Geneva, 1975), on which this Chapter is based. This chapter is not intended to replace the above-mentioned international recommendations on radiation protection, as well as existing national regulations on this subject, but intended only to provide guidance for implementing these recommendations in clinical practice

Equivalent doses of ionizing radiation received by medical staff at a nuclear medicine department

International Nuclear Information System (INIS)

Dziuk, E.; Kowalczyk, A.; Siekierzynski, M.; Jazwinski, J.; Chas, J.; Janiak, M.K.; Palijczuk, D.

2002-01-01

Aim: Total annual activity of I-131 used for the treatment of thyroid disorders at the Dept.of Nuclear Medicine, Central Clinical Hospital, Military University School of Medicine, in Warsaw, Poland, equal to 190 GBq; at the same time, total activity of Tc-99m utilized at the same Department for diagnostic purposes reached 1 TBq. As estimated from the radiometer readings, in extreme cases the equivalent at a couple of measurement points at this Department may exceed 200 mSv per year. Thus, in the present study we aimed to assess the potential risk of the exposure of medical personnel of the Department to ionizing radiation. Material and Methods: Polymethacrylate cases each housing four thermoluminescent dosimeters were continuously worn for one year by the nurses and doctors with the dosimeters being replaced by the new ones every three months. In addition, cases containing thermoluminescent dosimeters (three dosimeters per case) were placed in 20 different measurement points across the Department and the monitoring of the doses was carried out continuously for more than six years (from May 1995 to March 2002). Based on the quarterly readings of the dosimeters, equivalent doses were calculated for both the members of the personnel and the measurement space points. Results: The doses registered in the patient rooms ranged 5 to 90 mSv x y -1 , in the application room 10 to 15 mSv x y -1 , in the laboratory rooms 1.5 to 30 mSv x y -1 , and in the waiting room 2 to 6 mSv x y -1 ; no increment above the background level was detected in the nurses' station. Accordingly, the annual doses calculated from the dosimeters worn by the staff ranged 0.2 to 1.1 mSv x y -1 ; these latter findings were confirmed by direct readings from individual film dosimeters additionally worn by the staff members. Conclusion: The obtained results indicate that it is unlikely for the personnel of the monitored Nuclear Medicine Department to receive doses of radiation exceeding 40% of the annual

Technetium99m shortage: Practical solutions to manage lack of the radio-isotope in nuclear medicine departments

International Nuclear Information System (INIS)

Biechlin-Chassel, M.L.; Francois-Joubert, A.; Bolot, C.; Desruet, M.D.; Bourrel, F.; Pelegrin, M.; Couret, I.; Lao, S.; Quelven, I.

2010-01-01

Technetium 99m ( 99m Tc) shortage crisis regularly affect nuclear medicine activity and oblige the community to find solutions in order to perform most of the prescribed exams and avoid systematic substitutions by other non-nuclear medicine techniques. Firstly, some practical solutions can be set up in radiopharmacy departments such as using more than two generators together, realizing fractionated elutions, preparing radiopharmaceuticals with elutions providing from different generators.. Then, it could be interesting to have a reflexion in nuclear medicine departments to convene patients the days when 99m Tc supply is sufficient, to pool some exams or to make substitutions with more available isotopes. (authors)

Nuclear Medicine week in Colombia

International Nuclear Information System (INIS)

Padhy, A.K.

2003-01-01

During the week of 6-12 October 2003 the IAEA organized a Research Coordination Meeting on 'Relationship between lower Respiratory Tract Infection, Gastroesophageal reflux and bronchial Asthma in children' at Hospital San Ignacio in Bogota. Besides there were four workshops in Bogota; workshops on Bone infection and Bone scan in Pediatric ortopaedics at Hospital Militar and Fundacion CardioInfantil, a workshop for Nuclear Medicine Technologists and a workshop on Sentinel Lymph Node mapping and Surgical Gamma Probe Application at Institute of Oncology. A nuclear cardiology workshop was organized in Medellin, and finally crowning them all was the 9th Congress of the Colombian Association of Nuclear Medicine at Cali from 10-12 October, 2003; probably the largest and best Colombian nuclear medicine congress every held in the country. A workshop was also organized in Cali for nuclear medicine technologists in conjunction with the Annual Convention. It was a mix of IAEA's Technical Cooperation and Regular Budget activities along with the activities of Colombian Association of Nuclear Medicine, bringing in absolute synergy to galvanize the entire nuclear medicine community of the country. The week saw nuclear medicine scientists from more than 20 IAEA Member States converging on Colombia to spread the message of nuclear medicine, share knowledge and to foster International understanding and friendship among the nuclear medicine people of the world

Exposure from diagnostic nuclear medicine procedures

International Nuclear Information System (INIS)

Iacob, O.; Diaconescu, C.; Isac, R.

2002-01-01

According to our last national study on population exposures from natural and artificial sources of ionizing radiation, 16% of overall annual collective effective dose represent the contribution of diagnostic medical exposures. Of this value, 92% is due to diagnostic X-ray examinations and only 8% arise from diagnostic nuclear medicine procedures. This small contribution to collective dose is mainly the result of their lower frequency compared to that of the X-ray examinations, doses delivered to patients being, on average, ten times higher. The purpose of this review was to reassess the population exposure from in vivo diagnostic nuclear medicine procedures and to evaluate the temporal trends of diagnostic usage of radiopharmaceuticals in Romania. The current survey is the third one conducted in the last decade. As in the previous ones (1990 and 1995), the contribution of the Radiation Hygiene Laboratories Network of the Ministry of Health and Family in collecting data from nuclear medicine departments in hospitals was very important

Nuclear medicine in Tunisia : current status and prospects

International Nuclear Information System (INIS)

Hammami, Hatem

2013-01-01

Nuclear medicine is concerned with the utilisation of radioactivity in vivo or in vitro for diagnostic or therapeutic purposes. In Tunisia, there are four public departments of nuclear medicine and seven private clinics. 50% of the population is localized in the north, which justifies the existence of 7 public and private departments of nuclear medicine with nine gamma cameras in this region. In the south, there are 30 pour cent of the population that goes to Sfax and 20 pour cent to Sousse where we count two departments with gamma cameras in public services and one in the private sector. The nuclear medicine services in the public sector have 4 SPECT / CT. Siemens is the leading provider of gamma cameras and occupies 73 pour cent of market share, subsequently ranks SMV (13 pour cent) and (GE and GAEDE) have the same proportion of the market share (7 pour cent). For radio-protected rooms, there is a single center with a single chamber from four public services. On the other hand, there are 2/7 private centers that are equipped with five radio-protected electrically rooms. Concerning the human resources, there are 26 doctors and 24 technicians in the public sector. The private sector has 6 doctors and 12 technicians. In 2012, there has been 22000 examinations (diagnostic and therapeutic procedures) in which 14,600 in nuclear medicine departments of public hospitals. Bone scintigraphy ranks first, with a relative frequency of 40-80 pour cent thereafter ranks renal scintigraphy (10-15 pour cent) and then the thyroid scintigraphy (8-12 pour cent). The waiting period is a major problem, especially in the public sector. Taking as an example, for the therapy of thyroid, injection of 100 mCi of I-131 requires a period of waiting more than six months and waiting more than three months for the bone scan. The second problem for patient with cancer is the distance, there are 11 centers concentrated in 3 coastal cities and none in the inner areas of the country, no regional

The role of skeletal scintigraphy in nuclear oncology at a medium-sized hospital in South Korea

International Nuclear Information System (INIS)

Choe, W.

2004-01-01

Full text: Skeletal scintigraphy (SS) has been a workhorse in nuclear medicine departments, whether the department is in a developed country or in a developing country. It also plays an essential role in nuclear oncology in staging or diagnosing cancers or monitoring management of cancer patients. With the availability of improved imaging modalities like positron emission tomography, the role of skeletal scintigraphy is changing accordingly. This study was performed to evaluate the role of SS in nuclear oncology at a medium-sized (900-bed) university hospital in South Korea, by reviewing hospital cases along with the statistics of recently published papers in the journal of Clinical Nuclear Medicine. The hospital does not have a PET. The study period was three years (from 2000 to 2002). The SS is requested from many specialties for various reasons. Only cancer-related cases were selected. Using PubMed database, relevant articles in the Clinical Nuclear Medicine were assessed. To retrieve the articles, the keywords 'skeletal scintigraphy' and 'bone scan' were combined by using Boolean operation. There were a total of 9707 SS out of 16429 nuclear medicine imaging cases at the hospital during the study period. The hospital had 49% of SS contributed to cancer patients, while 52% percent of the SS in the CNM dealt with cancers. During the same period, articles regarding PET were 273 of which 171 were cancer-related PET studies (62%, more often than SS). 59% of the total nuclear medicine studies performed at the hospital were SS, whereas only 9% of the total articles were SS and 5% dealt with cancer-related cases. The cases of SS and cancer-related SS at the hospital increased during the period, whereas the articles in the CNM decreased. Analytic statistics were not considered necessary. In conclusion, there is an increasing demand of SS in nuclear oncology at a medium-sized hospital with non-availability of PET and the proportions of SS and cancer-related SS to the

[E-learning in nuclear medicine - a nationwide survey in Germany].

Science.gov (United States)

Freudenberg, L S; Nattland, A; Jonas, G; Beyer, T; Bockisch, A

2010-01-01

To assess available e-learning concepts and programmes for nuclear medicine at university hospitals in Germany. All (34) departments of nuclear medicine at German university hospitals were asked to participate in an anonymized online survey. Questions were categorized into four topics: 1.) clinic and education; 2.) on-site strategies for e-learning; 3.) available e-learning offers and 4.) free text comments on experiences and expectations. All input was reviewed descriptively; free text was analyzed analytically. The response rate was 56% (19/34). 13/19 responses indicated well-defined e-learning strategies, mainly to support frontal teaching courses. Future e-learning perspectives focus on clinical case studies with sufficient imaging materials. Only 7/19 university hospitals operate a centralized e-learning platform (e. g. Moodle). The acceptance of the available e-learning options by the students is considered relatively poor. Today e-learning concepts for nuclear medicine are available at selected university hospitals only. All responders wish to expand on e-learning but many report the lack of administrative support to do so. These data could be regarded as a basis for discussions of inter-university teaching scenarios.

Nuclear medicine in Ghana

International Nuclear Information System (INIS)

Affram, R.K.; Kyere, K.; Amuasi, J.

1991-01-01

The background to the introduction and application of radioisotopes in medicine culminating in the establishment of the nuclear Medicine Unit at the Korle Bu Teaching Hospital, Ghana, has been examined. The Unit has been involved in important clinical researches since early 1970s but routine application in patient management has not always been possible because of cost per test and lack of continuous availability of convertible currency for the purchase of radioisotopes which are not presently produced by the National Nuclear Research Institute at Kwabenya. The capabilities and potentials of the Unit are highlighted and a comparison of Nuclear Medicine techniques to other medical diagnostic and imaging methods have been made. There is no organised instruction in the principles of medical imaging and diagnostic methods at both undergraduate and postgraduate levels in Korle Bu Teaching Hospital which has not promoted the use of Nuclear Medicine techniques. The development of a comprehensive medical diagnostic and imaging services is urgently needed. (author). 18 refs., 3 tabs

A postal survey of quality assurance in nuclear medicine imaging in the UK during 1988

International Nuclear Information System (INIS)

Williams, E.D.; Harding, L.K.; McKillop, J.H.

1989-01-01

A questionnaire was sent to all the estimated 200 hospital departments providing nuclear medicine imaging services in the UK. Replies were received from 162 (81%). The questionnaire was brief, but covered a wide range of aspects of a nuclear medicine service. While all responses showed departments to have some quality control procedures in operation, they were often not used correctly. In most departments there appears to be scope for improvement so that departmental managers can monitor more closely the quality of service provided. (author)

Radiation doses of employees of a nuclear medicine department after implementation of more rigorous radiation protection methods

International Nuclear Information System (INIS)

Piwowarska-Bilska, H.; Supinska, A.; Listewnik, M. H.; Zorga, P.; Birkenfeld, B.

2013-01-01

The appropriate radiation protection measures applied in departments of nuclear medicine should lead to a reduction in doses received by the employees. During 1991-2007, at the Department of Nuclear Medicine of Pomeranian Medical University (Szczecin, Poland), nurses received on average two-times higher (4.6 mSv) annual doses to the whole body than those received by radiopharmacy technicians. The purpose of this work was to examine whether implementation of changes in the radiation protection protocol will considerably influence the reduction in whole-body doses received by the staff that are the most exposed. A reduction in nurses' exposure by ∼63% took place in 2008-11, whereas the exposure of radiopharmacy technicians grew by no more than 22% in comparison with that in the period 1991-2007. Proper reorganisation of the work in departments of nuclear medicine can considerably affect dose reduction and bring about equal distribution of the exposure. (authors)

The main rules regarding the management of solid waste and liquid effluent contaminated during use at nuclear medicine departments; Les principales regles de gestion des dechets solides et des effluents liquides contamines dans les services de medecine nucleaire

Energy Technology Data Exchange (ETDEWEB)

Boudouin, E. [Autorite de Surete Nucleaire, Direction des rayonnements ionisants et de la sante, 75 - Paris (France)

2011-02-15

This article describes the key requirements applicable to the management of contaminated medical waste and effluent from hospitals and health care centres, and more especially from nuclear medicine departments that use radionuclides for the purposes of diagnosis (in vivo or in vitro) or in patient treatment. It also presents the key management regulations, making a distinction between contaminated solid waste and contaminated liquid waste from such nuclear medicine departments. (author)

The design of diagnostic imaging and nuclear medicine facilities in a major new teaching hospital

International Nuclear Information System (INIS)

Causer, D.A.

2010-01-01

Full text: The design of the layout and radiation shielding for diagnostic imaging and nuclear medicine facilities in a modern teaching hospital requires the collaboration of persons from a number of professions including architects, engineers, radiologists, nuclear medicine physi cians, medical imaging technologists and medical physicists. This paper discusses the design of such facilities, including PET/CT and T-131 ablation therapy suites for a major new tertiary hospital in Perth. The importance of involving physicists on the planning team from the earliest stages of the design process is stressed, design plans presented, and some of the problems which may present themselves and their solutions are illustrated.

Nuclear medicine in China

International Nuclear Information System (INIS)

Wang, Shihchen; Liu, Xiujie

1986-01-01

Since China first applied isotopes to medical research in 1956, over 800 hospitals and research institutions with 4000 staff have taken up nuclear technology. So far, over 120 important biologically active materials have been measured by radioimmunoassay in China, and 44 types of RIA kit have been supplied commercially. More than 50,000 cases of hyperthyroidism have been treated satisfactorily with 131 I. Radionuclide imaging of practically all organs and systems of the human body has been performed, and adrenal imaging and nuclear cardiology have become routine clinical practice in several large hospitals. The thyroid iodine uptake test, renogram tracing and cardiac function studies with a cardiac probe are also commonly used in most Chinese hospitals. The active principles of more than 60 medicinal herbs have been labelled with isotopes in order to study the drug metabolism and mechanism of action. Through the use of labelled neurotransmitters or deoxyglucose, RIA, radioreceptor assay and autoradiography, Chinese researchers have made remarkable achievements in the study of the scientific basis of acupuncture analgesia. In 1980 the Chinese Society of Nuclear Medicine was founded, and since 1981 the Chinese Journal of Nuclear Medicine has been published. Although nuclear medicine in China has already made some progress, when compared with advanced countries, much progress is still to be made. It is hoped that international scientific exchange will be strengthened in the future. (author)

Quality assessment according to DIN EN ISO 9001:2000. Certification in a nuclear medicine department

International Nuclear Information System (INIS)

Doebert, N.; Osterloh, M.; Menzel, C.; Gruenwald, F.; Kahla-Witzsch, H.A.

2005-01-01

In the year 2002 our department started to inaugurate a quality management system. The certification according to DIN EN ISO 9001:2000 as required by the hospital management was achieved in August 2004. The aim was the optimisation of internal operating schedules and the standardisation of procedures according to logistic interfaces with external structures. Since 2000 the implementation of an internal quality management system is required by German law (SGB V paragraph 135) and threatened by penalty in case of non-implementation (SGB V paragraph 137). Beside a basic audit and optimisation of all organisational procedures all core processes of our department were determined and the approvals were checked. These aims concern i.e. both the quality of our diagnostics of nuclear medicine and of the in vitro laboratory and the aspects of service such as quickness of scheduling and forwarding of reports and economic and efficient aspects of our work. An important role plays the department of ''quality management'', whose main tasks are the professional guidance and the training of the quality management representatives. The realisation of the new regulations and the restructuring resulted in an increase of effectiveness and in an improvement of operational procedures in our department. Especially the patients and the staff granted from the reorganised and modified sequence of operations. Implementation of a quality management system takes some efforts but the positive aspects for the structure and the flow of work are predominant so that the inauguration of a quality management system in the different departments of a hospital are recommendable. (orig.)

Fundamentals of nuclear medicine

Energy Technology Data Exchange (ETDEWEB)

Alazraki, N.P.; Mishkin, F.S.

1984-01-01

This guidebook for clinical nuclear medicine is written as a description of how nuclear medicine procedures should be used by clinicians in evaluating their patients. It is designed to assist medical students and physicians in becoming acquainted with nuclear medicine techniques for detecting and evaluating most common disorders. The material provides an introduction to, not a textbook of, nuclear medicine. Each chapter is devoted to a particular organ system or topic relevant to the risks and benefits involved in nuclear medicine studies. The emphasis is on presenting the rationales for ordering the various clinical imaging procedures performed in most nuclear medicine departments. Where appropriate, alternative imaging modalities including ultrasound, computed tomography imaging, and radiographic special procedures are discussed. Comparative data between nuclear medicine imaging and other modalities are presented to help guide the practicing clinician in the selection of the most appropriate procedure for a given problem.

Nuclear Medicine in Turkey

International Nuclear Information System (INIS)

Durak, H.

2001-01-01

Nuclear Medicine is a medical specialty that uses radionuclides for the diagnosis and treatment of diseases and it is one of the most important peaceful applications of nuclear sciences. Nuclear Medicine has a short history both in Turkey and in the world. The first use of I-131 for the treatment of thyrotoxicosis in Turkey was in 1958 at the Istanbul University Cerrahpasa Medical School. In 1962, Radiobiological Institute in Ankara University Medical School was established equipped with well-type counters, radiometers, scalers, external counters and a rectilinear scanner. In 1965, multi-probe external detection systems, color dot scanners and in 1967, anger scintillation camera had arrived. In 1962, wet lab procedures and organ scanning, in 1965 color dot scanning, dynamic studies (blood flow - renograms) and in 1967 analogue scintillation camera and dynamic camera studies have started. In 1974, nuclear medicine was established as independent medical specialty. Nuclear medicine departments have started to get established in 1978. In 1974, The Turkish Society of Nuclear Medicine (TSNM) was established with 10 members. The first president of TSNM was Prof. Dr. Yavuz Renda. Now, in the year 2000, TSNM has 349 members. Turkish Society of Nuclear Medicine is a member of European Association of Nuclear Medicine (EANM), World Federation of Nuclear Medicine and Biology (WFNMB) and WFNMB Asia-Oceania. Since 1974, TSNM has organized 13 national Nuclear Medicine congresses, 4 international Nuclear Oncology congresses and 13 nuclear medicine symposiums. In 1-5 October 2000, 'The VII th Asia and Oceania Congress of Nuclear Medicine and Biology' was held in Istanbul, Turkey. Since 1992, Turkish Journal of Nuclear Medicine is published quarterly and it is the official publication of TSNM. There are a total of 112 Nuclear Medicine centers in Turkey. There are 146 gamma cameras. (52 Siemens, 35 GE, 16 Elscint, 14 Toshiba, 10 Sopha, 12 MIE, 8 Philips, 9 Others) Two cyclotrons are

Nuclear medicine in the Philippines

International Nuclear Information System (INIS)

Villadolid, Leland.

1978-01-01

This article traces the history of nuclear medicine in the country from the time the first radioisotope laboratory was set up by the Philippine General Hospital about 1955, to the not too satisfactory present facilities acquired by hospitals for diagnosis, treatment and investigation of diseases. It is in research, the investigation of disease that is nuclear medicine's most important area. The Philippine Atomic Energy Commission (PAEC) has pioneered in the conducting of courses in the medical uses of radioisotopes. The local training of nuclear manpower has been continued and updated and foreign fellowships are availed of through the cooperation of IAEA. Quite a number are already trained also in the allied fields that support the practice of nuclear medicine. However the brain drain has seriously affected the number of trained staff of medical units. Discussed and presented is the growth of the medical use of radioisotopes which are locally produced by PAEC. In order to benefit from the full advantage that nuclear medicine can do to a majority of Filipinos, the government should extend its financial support in acquiring such facilities to equip strategic hospitals in the country and support training programs. The Philippine has the expertise to start the expansion but only with adequate provision of funds will our capacity turn into reality. (RTD)

Effect of usual lead apron in decreasing dose rate in nuclear medicine department

Energy Technology Data Exchange (ETDEWEB)

Momennezhad, M.; Ghazikhanloo, K.; Zakavi, S.R. [Mashhad Univ. of Medical Sciences (Iran, Islamic Republic of)

2006-07-01

Full text of publication follows: Introduction: In a busy nuclear medicine department personnel exposure to radiation is inevitable during patient positioning and radiotracer preparation. There is controversy regarding usage of usual lead aprons with respect to penetrating gamma rays used in nuclear medicine departments as well as production of characteristic lead x-ray from aprons.This study tries to evaluate the effect of 0.5 mm lead apron on dose reduction. Methods and materials: We used three point sources usual radioisotopes used in nuclear medicine departments (99 mTc, 201 Tl and 131 I) and a single head L.F.O.V. gamma camera (S.M.V., D.S.X.) was used for counting purposes. The count rate for each source was about 20 K count/sec in air and in a brain water phantom. All point sources were placed at a distance of 3 meters, parallel to the center of the detector. The collimator was removed and imaging was performed for 1 min with and without lead apron on the detector. Lead apron covered all field of view of the detector. Each imaging was repeated 3 times and mean count was obtained for each radioisotope. The measurements were accomplished from full spectrum and specific region of spectrum such as characteristic lead x rays region (88 keV 20%) with and without apron. Result and Discussion: The measurement and comparison of count rates (count/min) for each source in different conditions (with and without apron source in air and in water phantom) showed that count rates were reduced in air about 77.3%, 84.2% and 40.8% for 99 mTc, 201 Tl and 131 I respectively. The reduction in count rates when sources placed in brain water phantom were 83.5%, 87% and 53.7% for the same isotope respectively. As the main source of radiation for personnel is from scattered photon and with respect to about 83% of count rate reduction using lead aprons for 99 mTc, it is expected that wearing lead apron significantly decrease dose rate. Conclusion: Our study showed that lead aprons

Effect of usual lead apron in decreasing dose rate in nuclear medicine department

International Nuclear Information System (INIS)

Momennezhad, M.; Ghazikhanloo, K.; Zakavi, S.R.

2006-01-01

Full text of publication follows: Introduction: In a busy nuclear medicine department personnel exposure to radiation is inevitable during patient positioning and radiotracer preparation. There is controversy regarding usage of usual lead aprons with respect to penetrating gamma rays used in nuclear medicine departments as well as production of characteristic lead x-ray from aprons.This study tries to evaluate the effect of 0.5 mm lead apron on dose reduction. Methods and materials: We used three point sources usual radioisotopes used in nuclear medicine departments (99 mTc, 201 Tl and 131 I) and a single head L.F.O.V. gamma camera (S.M.V., D.S.X.) was used for counting purposes. The count rate for each source was about 20 K count/sec in air and in a brain water phantom. All point sources were placed at a distance of 3 meters, parallel to the center of the detector. The collimator was removed and imaging was performed for 1 min with and without lead apron on the detector. Lead apron covered all field of view of the detector. Each imaging was repeated 3 times and mean count was obtained for each radioisotope. The measurements were accomplished from full spectrum and specific region of spectrum such as characteristic lead x rays region (88 keV 20%) with and without apron. Result and Discussion: The measurement and comparison of count rates (count/min) for each source in different conditions (with and without apron source in air and in water phantom) showed that count rates were reduced in air about 77.3%, 84.2% and 40.8% for 99 mTc, 201 Tl and 131 I respectively. The reduction in count rates when sources placed in brain water phantom were 83.5%, 87% and 53.7% for the same isotope respectively. As the main source of radiation for personnel is from scattered photon and with respect to about 83% of count rate reduction using lead aprons for 99 mTc, it is expected that wearing lead apron significantly decrease dose rate. Conclusion: Our study showed that lead aprons

An eighteen year experience of differentiated thyroid carcinoma treatment with 131 radioiodine at the Military Hospital Nuclear Medicine Department

Energy Technology Data Exchange (ETDEWEB)

Jofre, M J; Sierralta, M P [Military Hospital Nuclear Medicine Department, Santiago (Chile); Del Campo, G; Ide, A; Wiener, R [Department of Endocrinology of the Military Hospital, Santiago (Chile)

2002-09-01

An eighteen year experience of differentiated thyroid carcinoma treatment with 131 radioiodine at the Military Hospital Nuclear Medicine Department. Since the beginning of Nuclear Medicine, the thyroid gland has been an important subject for study. In the fifties, the complimentary use of 131 radioiodine after differentiated thyroid carcinoma (DTC) surgery was postulated. The aim of the study was to analyze our experience of the management of patients with DTC. Material and methods: An 18-year retrospective analysis was made including 109 patients with previous diagnosis of DTC, 90 % females, mean age 47 +/- 17 y.o. (range: 19-85 y.o). Tumoral histology was 67 % papillary, 28 % follicular and 5% non-determined in the medical record. First doses of 131 radioiodine were between 50 and 200 mCi. In all, 156 radioiodine doses were given and 6 patients received 4 doses or more, with total doses between 300 and 570 mCi. Results: The distribution of first and total radioiodine doses is presented in the table below. Of the group of patients who received a first radioiodine dose of less than 100 mCi post surgery, 79% were treated before 1990. Those who received 150mCi or more had cervical ganglionar compromise, trachea invasion or subtotal thyroidectomy. In 50% of the patients who received 4 or more doses, the first two doses were 50 mCi. It is important to mention that there was one patient who received 8 radioiodine doses in 4 years , seven of them were 50 mCi ( total dose 438 mCi). This patient presented trachea and larynx invasion in the early stages, with a persistent focus in the left supraclavicular region. She later developed pulmonary fibrosis, for which she was treated with complimentary radiotherapy (30 Gy), before dying. Distribution of radioiodine doses is presented. Conclusion: It is important to emphasize the validity of a first 131 radioiodine dose after surgery of DTC patients of 100 mCi or more, to obtain the ablation of the remaining thyroid tissue. This

An eighteen year experience of differentiated thyroid carcinoma treatment with 131 radioiodine at the Military Hospital Nuclear Medicine Department

International Nuclear Information System (INIS)

Jofre, M.J.; Sierralta, M.P.; Del Campo, G.; Ide, A.; Wiener, R.

2002-01-01

An eighteen year experience of differentiated thyroid carcinoma treatment with 131 radioiodine at the Military Hospital Nuclear Medicine Department. Since the beginning of Nuclear Medicine, the thyroid gland has been an important subject for study. In the fifties, the complimentary use of 131 radioiodine after differentiated thyroid carcinoma (DTC) surgery was postulated. The aim of the study was to analyze our experience of the management of patients with DTC. Material and methods: An 18-year retrospective analysis was made including 109 patients with previous diagnosis of DTC, 90 % females, mean age 47 +/- 17 y.o. (range: 19-85 y.o). Tumoral histology was 67 % papillary, 28 % follicular and 5% non-determined in the medical record. First doses of 131 radioiodine were between 50 and 200 mCi. In all, 156 radioiodine doses were given and 6 patients received 4 doses or more, with total doses between 300 and 570 mCi. Results: The distribution of first and total radioiodine doses is presented in the table below. Of the group of patients who received a first radioiodine dose of less than 100 mCi post surgery, 79% were treated before 1990. Those who received 150mCi or more had cervical ganglionar compromise, trachea invasion or subtotal thyroidectomy. In 50% of the patients who received 4 or more doses, the first two doses were 50 mCi. It is important to mention that there was one patient who received 8 radioiodine doses in 4 years , seven of them were 50 mCi ( total dose 438 mCi). This patient presented trachea and larynx invasion in the early stages, with a persistent focus in the left supraclavicular region. She later developed pulmonary fibrosis, for which she was treated with complimentary radiotherapy (30 Gy), before dying. Distribution of radioiodine doses is presented. Conclusion: It is important to emphasize the validity of a first 131 radioiodine dose after surgery of DTC patients of 100 mCi or more, to obtain the ablation of the remaining thyroid tissue. This

Data processing equipment of a Nuclear Medicine Department in 1980 - Introductory Report

International Nuclear Information System (INIS)

Itti, R.; Liehn, J.C.; Valeyre, J.

1979-01-01

A brief history enables the place taken by computers in nuclear medicine to be situated. Three stages are involved: at first, the quantitative functional studies developed (radioisotopic uptake curves) then the morphological studies with the research into increasingly efficient pictures systems and the introduction of data processing to improve the quality of the pictures and, finally, the digital analysis of the pictures leading to the build-up of regional physiological studies. The part played by computer systems in a Nuclear Medicine Department is summarized. The main advantages are emphasized and present possibilities are indicated. The components which make it possible to design a future acquisition and data processing system that may be used not only for routine practice examinations but also for axial scanning studies by emission are presented. The application of hyper-specialized systems using microprocessors is also under consideration [fr

Analysis of radiation doses to patients from diagnostic department of nuclear medicine

International Nuclear Information System (INIS)

Lepej, L.; Messingerova, M.

1995-01-01

In this paper the values of mean effective dose equivalents per unit activity (H E/1Bq ) were used for the calculation of mean effective dose equivalents for one examination (H E ). The collective effective dose equivalents for each radiopharmaceutical and type of examination (S ER ) and global collective effective dose equivalent for department for all radiopharmaceuticals (S E ) during evaluated period were defined. The data for years from 1992 to 1994 were evaluated and compared with results in literature. The evaluation of radiation doses in nuclear medicine department is useful parameter for internal quality control. Using this method, the radiation dose in this laboratory was changed to minimum (under mean value of Slovak Republic). Unfortunately, the real data of patients radiation doses are different from the calculated one. Due to different kinetic of radiopharmaceuticals in individual patients (influenced by pathology, age, etc.) the evaluation of radiation burden to nuclear medicine patients is problematic. But this approach enable the relative comparison of the changes in values of H E and S E during the observed period. The evaluation of individual (minimal) effective dose equivalent - (H min ) which represents dose calculated under physiologic conditions can be useful for indication of diagnostic examination by physicians. Therefore the systematic registration of H min from all examinations - patient's radiation history. This is specially important in the case of children and young people. The importance of the proposed method, is in regulation of radiation dose from nuclear medicine diagnostic examinations, not only be the control of number and type of examinations, but also by selection of used radiopharmaceuticals and by the way how to use them. (J.K.) 1 fig., 2 refs

Radiation hazards in the nuclear medicine

International Nuclear Information System (INIS)

Roo, M.J.K. de

1981-01-01

After a survey of the actual situation of nuclear medicine in Belgium, the evolution of nuclear medicine is studied with regard to quantitative aspects (tracerquantities, number of radioisotopic explorations, number of certified doctors) and qualitative aspects (use of short living isotopes emitting low energy radiation, introduction of in vitro tests). Taking these data into consideration, the exposure of nuclear medicine staff by external or internal radiation is evaluated. From this study it appears that the radiation exposure of the personnel of nuclear medicine departments remains low if proper manipulation methods and simple protective devices are used and if there is an efficient collaboration with an active health physics department or radiation control organism. (author)

Quality assessment according to DIN EN ISO 9001:2000. An experience and development report of a nuclear medicine department

International Nuclear Information System (INIS)

Glawe, M.

2005-01-01

In 2001 the Department of Nuclear Medicine of the University Hospital Hamburg-Eppendorf was the first department in Germany certified by DIN EN ISO 9001:2000. Since then the quality management system (QM-system) was adapted to the needs and demands of our nuclear medicine department and of our team members. For easy access to all documents the whole system was put on a digital basis. Considering the meeting structure of our clinic the guidance of documents and the history of documents was integrated in a digital system. Revisions were made step-by-step with the objective to remove and avoid redundancies. To realise this requirement the investigation documentation (paragraph 85-sheet) was integrated in the QM-system in form and content complementing the guidelines of the corresponding Standard Operating Procedures (SOPs). The configuration of the SOPs has modified in the course of time and was tightened. A text module system was developed to assure a standardized quality of discharge letters and diagnostic findings. At regular intervals internal und external audits were performed. The exposure to so called ''undesired incidences'' has taken an important focus in our established QM-system. For a professional handling with mistakes we introduced a new system that also provides potential legal coverage. The critical examination of the own achievement and the professional handling of weak points is the major obstacle of a QM-system based on long-term considerations. (orig.)

Training and education in nuclear medicine at the Medical Faculty of the University of Zagreb

International Nuclear Information System (INIS)

Ivancevic, D.; Popovic, S.; Simonovic, I.; Vlatkovic, M.

1986-01-01

Training for specialization in nuclear medicine in Yugoslavia includes 12 months of training in departments of clinical medicine and 24 months of training in departments of nuclear medicine. Since 1974 many physicians have passed the specialist examination in Zagreb. A postgraduate study in nuclear medicine began at the Medical Faculty of the University of Zagreb in 1979. It includes four semesters of courses and research on a selected subject leading to the degree of Magister (Master of Science). Most of the training is conducted by the Institute of Nuclear Medicine at the University Hospital, Rebro, in Zagreb, which has the necessary teaching staff, equipment and space. Forty-four students have completed this postgraduate study. Nuclear medicine in a developing country faces several problems. Scarcity of expensive equipment and radiopharmaceuticals calls for modifications of methods, home made products and instrument maintenance. These, mostly economic, factors are given special emphasis during training. Nuclear power generation may solve some of the country's energy problems; therefore, specialists in nuclear medicine must obtain additional knowledge about the medical care and treatment of persons who might be subject to irradiation and contamination in nuclear power plants. Lower economic resources in developing countries require better trained personnel, stressing the need for organized training and education in nuclear medicine. With some support the Institute of Nuclear Medicine will be able to offer various forms of training and education in nuclear medicine for physicians, chemists, physicists, technologists and other personnel from developing countries. (author)

The medical physicist in a nuclear medicine department; El fisico medico en un departamento de medicina nuclear

Energy Technology Data Exchange (ETDEWEB)

Trujillo Z, F.E.; Gomez A, E. [Instituto nacional de Cancerologia, 14000 Mexico D.F. (Mexico)

2007-07-01

The diagnostic studies and therapeutic treatments carried out in a Nuclear Medicine department make use of radioactive material. For such a reason it becomes necessary to take a strict control in the reception, use and waste that are generated of the typical works inside the department. Also, work related with the quality control of the equipment dedicated to produce images and of those not image formers, need to carry out to guarantee its maximum performance; as well as quality of the diagnostic and of the therapy imparted in patients. Additionally its are needed to make originated works of the individual procedures to patient and of the acquisition of radioactive materials and removal of the waste or radioactive contaminations. Presently work the recommendations of the American College of Radiology (ACR), the European Federation of Organizations for Medical Physics (EFOMP) and of the Mexican Official Standards relating to the functions that should be observed in a Nuclear Medicine Department are exposed. The ACR and the EFOMP, conclude in their recommendations that the medical physicist fulfills with the suitable profile and likewise they describe in detail the actions and functions that he should supervise, to carry out, to document and to inform. (Author)

Promoting nuclear medicine in developing countries

International Nuclear Information System (INIS)

Ganatra, R.; Nofal, M.

1986-01-01

After a short review of the applications of nuclear medicine in diagnosis and treatment of diseases or in medical research the ways and the means of IAEA's support in helping developing countries to set up nuclear medicine capabilities in their hospitals are described. Some trends and new directions in the field of nuclear medicine and the problems related to the implementation of these techniques in developing countries are presented

Nuclear Medicine Practice in Kenya

International Nuclear Information System (INIS)

Ndrirangu, T.T.

2017-01-01

Nuclear medicine is a medical specialty that relies on the use of nuclear technology in the diagnosis and treatment (therapy) of diseases. Nuclear medicine uses the principle that a certain radiopharmaceutical (tracer) will at a certain point in time have a preferential uptake by a particular body, tissue or cell. Unlike other radiation applications for medical use, nuclear medicine uses open (unsealed) sources of radiation. The tracer is introduced into the body of the patient through several routes (oral, intravenous, percutaneous, intradermally, inhalation, intracapsular etc) and s/he becomes the source of radiation. Early diagnosis of diseases coupled with associated timely therapeutic intervention will lead to better prognosis. In a country with an estimated population of 42 million in 2017, Kenya has only two (2) nuclear medicine facilities (units) that is Kenyatta National Hospital - Public facility and Aga Khan University Hospital which is a Private facility. Being a relatively new medical discipline in Kenya, several measures have been taken by the clinical nuclear medicine team to create awareness at various levels. Kenya does not manufacture radiopharmaceuticals. We therefore have to import them from abroad and this makes them quite expensive, and the process demanding. There is no local training in nuclear medicine and staff have to be sent abroad for training, making this quite expensive and cumbersome and the IAEA has been complimenting in this area. With concerted effort by all stakeholders at the individual, national and international level, it is possible for Kenya to effectively sustain clinical nuclear medicine service not only as a diagnostic tool in many disease entities, but also play an increasingly important role in therapy

Analysis of radiation doses to patients from diagnostic department of nuclear medicine

Energy Technology Data Exchange (ETDEWEB)

Lepej, L; Messingerova, M [F.D. Rosvelt Hospital, Banska Bystrica (Slovakia). Dept. of Nuclear Medicine; Ftacnikova, S [Inst. of Preventive and Clinical Medicine, Bratislava (Slovakia)

1996-12-31

In this paper the values of mean effective dose equivalents per unit activity (H{sub E/1Bq}) were used for the calculation of mean effective dose equivalents for one examination (H{sub E}). The collective effective dose equivalents for each radiopharmaceutical and type of examination (S{sub ER}) and global collective effective dose equivalent for department for all radiopharmaceuticals (S{sub E}) during evaluated period were defined. The data for years from 1992 to 1994 were evaluated and compared with results in literature. The evaluation of radiation doses in nuclear medicine department is useful parameter for internal quality control. Using this method, the radiation dose in this laboratory was changed to minimum (under mean value of Slovak Republic). Unfortunately, the real data of patients radiation doses are different from the calculated one. Due to different kinetic of radiopharmaceuticals in individual patients (influenced by pathology, age, etc.) the evaluation of radiation burden to nuclear medicine patients is problematic. But this approach enable the relative comparison of the changes in values of H{sub E} and S{sub E} during the observed period. The evaluation of individual (minimal) effective dose equivalent - (H{sub min}) which represents dose calculated under physiologic conditions can be useful for indication of diagnostic examination by physicians. Therefore the systematic registration of H{sub min} from all examinations - patient`s radiation history. This is specially important in the case of children and young people. The importance of the proposed method, is in regulation of radiation dose from nuclear medicine diagnostic examinations, not only be the control of number and type of examinations, but also by selection of used radiopharmaceuticals and by the way how to use them. (J.K.) 1 fig., 2 refs.

Coordination compounds in nuclear medicine

International Nuclear Information System (INIS)

Jurisson, S.; Berning, D.; Wei Jia; Dangshe Ma

1993-01-01

Radiopharmaceuticals, drugs containing a radionuclide, are used routinely in nuclear medicine departments for the diagnosis of disease and are under investigation for use in the treatment of disease. Nuclear medicine takes advantage of both the nuclear properties of the radionuclide and the pharmacological properties of the radiopharmaceutical. Herein lies the real strength of nuclear medicine, the ability to monitor biochemical and physiological functions in vivo. This review discusses the coordination chemistry that forms the basis for nuclear medicine applications of the FDA-approved radiopharmaceuticals that are in clinical use, and of the most promising diagnostic and therapeutic radiopharmaceuticals that are in various stages of development. 232 refs

Study of dose levels absorbed by members of the public in the nuclear medicine departments; Estudo dos niveis de dose em individuos do publico nos servicos de medicina nuclear

Energy Technology Data Exchange (ETDEWEB)

Cabral, Geovanna Oliveira de Mello

2001-03-01

In nuclear Medicine, radioisotopes are bound to various compounds (called radiopharmaceuticals) for use in various diagnostic and therapeutic applications. These unsealed sources are administered in various forms to patients, who remain radioactive for hours or days, and represent a source of potential radiation exposure for others. Thus, in nuclear medicine departments, radiation protection of workers and members of the public, especially persons accompanying patients, must consider, this exposure. In Brazil, the Comissao Nacional de Energia Nuclear (CNEN) establishes that, in nuclear medicine departments, the patients and persons accompanying should be separated each other. However, this rule is not always followed due to many factors such as physical and emotional conditions of patients. In this context, the aim of this study was the investigation of dose levels, which the persons accompanying patients are exposed to. For monitoring, thermoluminescent dosimeters were employed. The dosimeters were given to 380 persons who were accompanying patients in nuclear medicine departments. Exposure results were lower than 1 mSv. On the basis of CNEN rules, issues regarding stay conditions for members of the public in these departments are discussed. (author)

Managing medical treatment waste and effluent: the point of view of a nuclear medicine practitioner

International Nuclear Information System (INIS)

Karcher, G.

2011-01-01

The nuclear medicine department of the Nancy CHU hospital is one of the largest in France: 16.000 patients are welcomed each year and 4.000 persons undergo a tomography there. 5 shielded and isolated rooms, dedicated to Iodine 131 treatment, allow the care of 150 to 200 patients each year. The head of the nuclear medicine department gives his meaning about the new regulation on the management of radioactive effluents. According to him, regulations are necessary but the values of the imposed thresholds have to be scientifically justified. Another point is that a lot of money is spent on radiation protection issues while the radioactive risks are almost null, which leads to wasting money. The elaboration of the radioprotection regulations must be made not as a whole but on a specific basis according to the domain: nuclear power plants, research reactors or nuclear medicine, it applies. (A.C.)

Evaluation of radiation doses received by the staff in nuclear medicine department of Rick

International Nuclear Information System (INIS)

Ali, Naemat Abdalla Mohamed

2001-01-01

Environmental monitoring in nuclear medicine rooms at Radiation and Isotopes Center Khartoum RICK were carried out using survey meter and thermoluminescent dosimetry. Staff bodies and hands doses measurements are being conducted using thermoluminescent dosimetry. The purpose of the study is to evaluate the radiation received by the staff work in the nuclear medicine department at RICK. Survey meter (RDS-120) and TLD clips of LiF. (Mg.Ti) were used to measure the environment leading of the staff. The associated annual doses have been determined to the staff bodies and hands. It was found that the dose-equivalent rates from bodies and hands of the staff obtained through this work using TLD clips are: nuclear medicine technologist body reading 6.75 mSv per year, physicist body reading 7.89 mSv per year, chemist body reading 6.1 mSv per year, and nurse body reading 8.1 mSv per year. On the other hand the nuclear medicine technologist hands reading 24.19 mSv per year, physicist hands reading 19.15 mSv per year, chemist hands reading 14.616 mSv per year, and nurse hands reading 277.96 mSv per year. All the staff reading in this study agree with the national regulations and international recommendations. It is clear that the dose of nurse hands is the highest one, this is because when they inject the patient with the Tc-99 m they use to spend relatively long time. (Author)

Radiation protection on nuclear medicine services

International Nuclear Information System (INIS)

Anon

2000-01-01

Nuclear medicine is a sector of the medicine that studies and applies radionuclide in diagnosis and therapy. Nuclear medicine is a very specific area of the medicine, making use of non-sealed radioactive sources which are prescribed to the patient orally or are injected. Special procedures in radiation protection are required in nuclear medicine to manipulate these kind of sources and to produce technetium-99m through molybdenum generator. The present paper addresses the them radiation protection in a Nuclear Medicine Department (NMD), showing the main requirements of the CNEN- National Commission of Nuclear Energy and the Public Health. Radiation protection procedures adopted in assembling a NMD, as well the daily techniques for monitoring and for individual dosimetry are discussed. Past and present analyses in a level of radiation protection are presented. (author)

Key formal and legal aspects of acquiring radiopharmaceuticals used in nuclear medicine departments

International Nuclear Information System (INIS)

Kapuscinski, J.

2007-01-01

The article presents the key both Polish and EU legal regulation concerning terms and conditions of acquiring radiopharmaceuticals, i.e. isotope labelled compounds used for diagnostic and/ therapeutic purposes in nuclear medicine departments. The emphasis was put on the requirements regarding provision of the medicaments' safety in broad meaning of the term, which are important factors in providing patients' safety. Legal acts discussed in the article remain valid as of May 2007. (author)

Diagnostic reference activities for nuclear medicine procedures in Australia and New Zealand

International Nuclear Information System (INIS)

Smart, R.C.; Towson, J.E.

2000-01-01

In July 1998 a survey of diagnostic nuclear medicine procedures in Australia and New Zealand was undertaken on behalf of the Australian and New Zealand Society of Nuclear Medicine (ANZSNM) and the Australasian Radiation Protection Society (ARPS) in order to establish diagnostic reference activities. A total of 96 responses were received representing 154 practices, comprising 45 public hospital departments, 21 private hospital departments, 87 private practices and 1 unspecified practice. The survey requested the usual activities administered for a standard adult, the method used to determine the activity for children and the minimum activities used for paediatric patients. Data was obtained for 80 different imaging procedures and for 17 non-imaging tracer studies. For those procedures for which information was available from 10 or more practices, 68 in total, the reference activity was calculated as the 75th percentile of the distribution of activities. The Most Common Activity, the Reference Activity, together with the effective dose in both male and female patients, is tabulated for all these procedures. Copyright (2000) Australasian Radiation Protection Society Inc

Passive Dosimetry Of Nuclear Medicine Service Staff, Ibn Sina Hospital

International Nuclear Information System (INIS)

Sebihi, R.; Talsmat, K.; Cherkaoui, R.; Ben Rais, N.

2010-01-01

Full text: Since the implementation of Law No. 00571 of 21 Chaabane 1391 on protection against ionizing radiation and its decrees 2: 2-97-30 and 2-97-132 28 October 1997, surveillance of workers has the subject of major regulatory developments in Morocco, including individual registration delayed for dosimetry. As part of optimizing the protection of medical personnel, a dosimetric study was performed for the first time at the national level, the Nuclear Medicine Service of the Ibn Sina hospital in collaboration with the National Center for Energy Sciences and Nuclear Techniques (CNESTEN). Dosimetric monitoring was conducted for 2 weeks with the use of passive thermoluminescent dosimeters, (GR200A), covering all categories of staff. The administration of samarium (β emitter with energy substantially higher than the energies encountered in conventional nuclear medicine) has been studied, given his first service. Other cases of people concerned our study: a pregnant woman doctor, whose exposure of the unborn child must be reduced as much as possible, and a woman from a private company, working without dosimeter, handles maintenance of premises. To control the conditions imposed on all activities requiring exposure to ionizing radiation, we evaluated the dose at the extremities of operators with the use of ring dosimeters (GR200A) and the dose on the ambient environment of staff (dosimeters ALNOR). This experiment has shown exposure levels below legal limits, without been negligible for certain post. The evaluation results equivalent doses manipulators justify the wearing of dosimeter rings as a complementary dosimeter in Nuclear Medicine service and a way of controlling the normal working conditions. Finally Monitoring ambient dosimetry showed that the environment is low radiation doses. Lessons learned from this study, for the protection of personnel are as follows: from the simple awareness of staff and means of optimizing radiation can maintain a dosimetry annual

In vivo mutagenicity and clastogenicity of ionizing radiation in nuclear medicine

International Nuclear Information System (INIS)

Kelsey, K.T.

1991-01-01

The overall goal of our research was to investigate the mutagenic and clastogenic effects of exposure to low levels of ionizing radiation to human lymphocytes. Principally, we studied hospital patients referred to a nuclear medicine department for diagnostic cardiac imaging and nuclear medicine technologists who administer radionuclides. Emphasis in the first year, as described in the first progress report, was on optimization of the hprt mutation assay, measurement of mutant frequencies in patients imaged with thallium-201, and measurement of mutant frequencies in controls. Emphasis in the second and third years was on measurements of: (1) chromosome aberrations in patients imaged with thallium-201; (2) mutant frequencies in patients imaged with technetium-99; (3) mutant frequencies in nuclear medicine technicians and physical therapists; and (4) mutant frequencies in patients treated for Hodgkins disease with radiotherapy. The completed work has been published and is described below in more detail

The New South Wales nuclear medicine technology labour market

International Nuclear Information System (INIS)

Ridoutt, L.; Cowell, S.; Bush, V.

1989-01-01

A workforce study of 30 organisations was conducted in response to staffing difficulties in public hospital nuclear medicine departments. It was found that out of a total of 165.5 full-time equivalent establishment positions existed in public hospitals and the private sector, only 135.38 were filled. The vacancy level of about 15% was considered to be above the acceptable norm. Growth in demand between 1989 and 1993 is estimated at 46.7% and 89.1% in the public and private sector respectively. Recommendations are made to reduce losses from the workforce. 2 figs., tabs

Radiation exposure of workers in nuclear medicine

International Nuclear Information System (INIS)

Bujnova, A.

2008-01-01

Nuclear medicine is an interdisciplinary department that deals with diagnosis and therapy using open sources. Therefore workers in nuclear medicine are in daily contact with ionizing radiation and thus it is essential to monitor a radiation load. Each work must therefore carry out monitoring of workers. It monitors compliance with the radiation limits set by law, allows an early detection of deviations from normal operation and to demonstrate whether the radiation protection at the workplace is optimized. This work describes the principles of monitoring of workers in nuclear medicine and monitoring methods for personal dosimetry. In the next section the author specifically deals with personal dosimetry at the Department of Nuclear Medicine St. Elizabeth Cancer Institute, Bratislava (KNM-Ba-OUSA). The main part of the work is to evaluate the results of a one-year monitoring of radiation workers KNM-Ba-OUSA. (author)

Handbook of nuclear medicine practice in developing countries

International Nuclear Information System (INIS)

1992-01-01

This ''Handbook of Nuclear Medicine Practices in the Developing Countries'' is meant primarily for those, who intend to install and practice nuclear medicine in a developing country. By and large, the conventional Textbooks of nuclear medicine do note cater to the special problems and needs of these countries. The Handbook is not trying to replace these textbooks, but supplement them with special information and guidance, necessary for making nuclear medicine cost-effective and useful in a hospital of a developing country. It is written mostly by those, who have made success in their careers in nuclear medicine, in one of these countries. One way to describe this Handbook will be that it represents the ways, in which, nuclear medicine is practised in the developing countries, described by those, who have a long and authentic experience of practising nuclear medicine in a developing country

Nuclear medicine applications: Summary of Panel 4

International Nuclear Information System (INIS)

Wolf, A.P.

1988-01-01

Nuclear medicine is currently facing a desperate shortage of organic and inorganic chemists and nuclear pharmacists who also have advanced training in nuclear and radiochemistry. Ironically, this shortfall is occurring in the face of rapid growth and technological advances which have made the practice of nuclear medicine an integral part of the modern health care system. This shortage threatens to limit the availability of radiopharmaceuticals required in routine hospital procedures and to impede the development of new diagnostic and therapeutic agents. To redress this need and prevent a similar shortfall in the future, this panel recommends immediate action and a long-term commitment to the following: educating the public on the benefits of nuclear medicine; informing undergraduate and graduate chemistry students about career opportunities in nuclear medicine; offering upper level courses in nuclear and radiochemistry (including laboratory) in universities; establishing training centers and fellowships at the postgraduate level for specialized education in the aspects of nuclear and radiochemistry required by the nuclear medicine profession. 1 tab

Radiation management for infectious waste from nuclear medicine studies

International Nuclear Information System (INIS)

Kondo, Yuji; Takeuchi, Yasuyuki; Masumoto, Kazuya

2003-01-01

An industrial waste management service has refused to collect medical waste from our hospital owing to radioactive contamination found in the waste in July 2000. An investigation revealed that the ''three-way stopcock'' and handling diapers used for radioisotope examination were the radioactive contaminants. We therefore reconsidered the system of medical waste maintenance especially for radioactive materials. Since February 2001, we have resumed radiation maintenance by following the manual for the handling diapers of patients administered radiopharmaceuticals issued by five organizations associated with Japan Radiological Society (JRS), Japanese Society of Radiological Technology (JSRT), the Japanese Society of Nuclear Medicine (JSNM), the Japanese Society of Nuclear Medicine Technology (JSNMT), and Japan Association on Radiological Protection in Medicine (JARPM). A major change was to check the radioactive waste at the individual departments and at a centralized check system. This eliminated the problem of dumping radioactive material into medical waste as well as resolving the concerns of the industrial waste management service. (author)

Case assessments for nuclear medicine registrars

International Nuclear Information System (INIS)

Farlow, D.

1994-01-01

Westmead Hospital set some of the recent nuclear medicine cases for registrar training. These case assessments have been completed by the registrars and he thought it might be interesting for the general nuclear medicine community to attempt the cases themselves and compare their answers with the model reports and patient follow-ups. Edited versions of two cases and model answers are presented. 35 refs

Environmental dose in the Nuclear Medicine Department of the National Institute of Cancer

International Nuclear Information System (INIS)

Torres U, C. L.; Avila A, O. L.; Medina V, L. A.; Buenfil B, A. E.; Brandan S, M. E.; Trujillo Z, F. E.; Gamboa de Buen, I.

2009-01-01

The dosimeters TLD-100 and TLD-900 were used to know the levels of environmental dose in areas of the Nuclear Medicine Department of the National Institute of Cancer. The dosimeters calibration was carried out in the Metrology Department of the National Institute of Nuclear Research. The radioisotopes used in the studied areas are 131 I, 18 F, 67 Ga, 99m Tc, 111 In, 201 Tl and 137 Cs with gamma energies between 93 and 662 KeV. Dosimeters were placed during five months in the diagnostic, injection, waiting and PET rooms as well as hot room, waste room, enclosed corridors to patient rooms treated with 131 I and 137 Cs and witness dosimeters to know the bottom. The values found vary between 0.3 and 70 major times that those of bottom. The maximum doses were measured in the waste room and in the enclosed corridor to the patient rooms with cervical uterine cancer treated with 137 Cs. (Author)

An overview of radioactive waste disposal procedures of a nuclear medicine department.

Science.gov (United States)

Ravichandran, R; Binukumar, J P; Sreeram, Rajan; Arunkumar, L S

2011-04-01

Radioactive wastes from hospitals form one of the various types of urban wastes, which are managed in developed countries in a safe and organized way. In countries where growth of nuclear medicine services are envisaged, implementations of existing regulatory policies and guidelines in hospitals in terms of handling of radioactive materials used in the treatment of patients need a good model. To address this issue, a brief description of the methods is presented. A designed prototype waste storage trolley is found to be of great help in decaying the I-131 solid wastes from wards before releasing to waste treatment plant of the city. Two delay tanks with collection time of about 2 months and delay time of 2 months alternately result in 6 releases of urine toilet effluents to the sewage treatment plant (STP) of the hospital annually. Samples of effluents collected at releasing time documented radioactive releases of I-131 much below recommended levels of bi-monthly release. External counting of samples showed good statistical correlation with calculated values. An overview of safe procedures for radioactive waste disposal is presented.

An overview of radioactive waste disposal procedures of a nuclear medicine department

International Nuclear Information System (INIS)

Ravichandran, R.; Binukumar, J.P.; Sreeram, Rajan; Arunkumar, L.S.

2011-01-01

Radioactive wastes from hospitals form one of the various types of urban wastes, which are managed in developed countries in a safe and organized way. In countries where growth of nuclear medicine services are envisaged, implementations of existing regulatory policies and guidelines in hospitals in terms of handling of radioactive materials used in the treatment of patients need a good model. To address this issue, a brief description of the methods is presented. A designed prototype waste storage trolley is found to be of great help in decaying the 131 I solid wastes from wards before releasing to waste treatment plant of the city. Two delay tanks with collection time of about 2 months and delay time of 2 months alternately result in 6 releases of urine toilet effluents to the sewage treatment plant (STP) of the hospital annually. Samples of effluents collected at releasing time documented radioactive releases of 131 I- much below recommended levels of bi-monthly release. External counting of samples showed good statistical correlation with calculated values. An overview of safe procedures for radioactive waste disposal is presented. (author)

Nuclear Medicine

Science.gov (United States)

... Parents/Teachers Resource Links for Students Glossary Nuclear Medicine What is nuclear medicine? What are radioactive tracers? ... funded researchers advancing nuclear medicine? What is nuclear medicine? Nuclear medicine is a medical specialty that uses ...

Occupational exposure at the Department of Nuclear Medicine as a work environment: A 19-year follow-up

International Nuclear Information System (INIS)

Piwowarska-Bilska, H.; Birkenfeld, B.; Gwardys, A.; Listewnik, M. H.; Elbl, B.; Cichon-Bankowska, K.; Supinska, A.

2011-01-01

Background: This study assessed the radiation safety at Nuclear Medicine Department being a work environment. Ionizing radiation exposure of the employees in the last 19 years and the effects of legislative changes in radiological protection were analyzed. Material/Methods: All employees of the investigated department were regularly and individually monitored using chest badges equipped with Kodak film type 2. Overall, 629 annual doses of the employees of nuclear medicine department, registered in the period 1991 - 2009, were analyzed statistically. Results: Technicians were found to be the largest exposed professional group, whereas nurses received the highest annual doses. Physicians received an average annual dose at the border detection methods. Ancillary and administration staff occasionally received doses above the method detection limit (MDL). The average annual dose for all dosimetry records was 0.7 mSv, and that for dosimetry records equal and higher than MDL was 2.2 mSv. Conclusions: There was no case of an exceeded dose limit for a worker. Furthermore, improvement of radiological protection had a significant impact on the reduction of doses for the most exposed employees. (authors)

Handbook of nuclear medicine practice in developing countries

Energy Technology Data Exchange (ETDEWEB)

NONE

1993-12-31

This ``Handbook of Nuclear Medicine Practices in the Developing Countries`` is meant primarily for those, who intend to install and practice nuclear medicine in a developing country. By and large, the conventional Textbooks of nuclear medicine do note cater to the special problems and needs of these countries. The Handbook is not trying to replace these textbooks, but supplement them with special information and guidance, necessary for making nuclear medicine cost-effective and useful in a hospital of a developing country. It is written mostly by those, who have made success in their careers in nuclear medicine, in one of these countries. One way to describe this Handbook will be that it represents the ways, in which, nuclear medicine is practised in the developing countries, described by those, who have a long and authentic experience of practising nuclear medicine in a developing country Figs, tabs

Estimation dose in patients of nuclear medicine. Implementation of a calculi program and methodology

International Nuclear Information System (INIS)

Prieto, C.; Espana, M.L.; Tomasi, L.; Lopez Franco, P.

1998-01-01

Our hospital is developing a nuclear medicine quality assurance program in order to comply with medical exposure Directive 97/43 EURATOM and the legal requirements established in our legislation. This program includes the quality control of equipment and, in addition, the dose estimation in patients undergoing nuclear medicine examinations. This paper is focused in the second aspect, and presents a new computer program, developed in our Department, in order to estimate the absorbed dose in different organs and the effective dose to the patients, based upon the data from the ICRP publication 53 and its addendum. (Author) 16 refs

Evaluation of the radiological protection in several departments of nuclear medicine

International Nuclear Information System (INIS)

Lopez Bejerano, G.; Jova Sed, L.

2001-01-01

For the evaluation of radiation protection, in several departments of nuclear medicine a survey was elaborated and applied that includes mainly: aspects of the licence and compliance with the requirements settled down in this, the program of individual radiological surveillance and their evaluation, functions that it completes the service of radiation protection, training program and the personnel's training, equipment and means of radiation protection, radiological surveillance program of the work areas, characteristics of the installation, radioactive waste management, quality assurance program, relative aspects to radiation protection in the procedures of diagnoses, as well as to pregnant patients and those related with the investigation of accidental medical exposures. The work makes a systematization and discussion of the state of compliance of the radiation protection requirements reflected in the International Basic Safety Standards for Protection against Ionizing Radiation and for the Safety of Radiation Sources (BSS) and the main recommendations are exposed to achieve in these departments the optimization of the radiation protection. (author)

SPECT/CT co-registration of nuclear medicine studies and technologists: challenges and victories

International Nuclear Information System (INIS)

Cameron, P.J.

2002-01-01

Full text: A dual modality SPECT/CT gamma camera was installed in the Department of Nuclear Medicine at Fremantle Hospital, WA in 2000. The challenges were satisfying the requirements of the Radiological Advisory Council of WA with respect to room modifications and presence of a radiographer during CT acquisitions and once installation was complete, learning to operate the camera in dual modality mode. The victories are making CT/SPECT acquisitions a simple and routine procedure and the impact of the co-registered studies in both diagnostic and therapeutic applications in our practice. Copyright (2002) The Australian and New Zealand Society of Nuclear Medicine Inc

The teaching of nuclear medicine

International Nuclear Information System (INIS)

Bok, B.; Ducassou, D.

1984-01-01

Having first recalled the need of a specialized teaching in the field of nuclear medicine, the authors describe the training programmes now available in this sector for doctors, chemists and hospital-attendants [fr

[Costing nuclear medicine diagnostic procedures].

Science.gov (United States)

Markou, Pavlos

2005-01-01

To the Editor: Referring to a recent special report about the cost analysis of twenty-nine nuclear medicine procedures, I would like to clarify some basic aspects for determining costs of nuclear medicine procedure with various costing methodologies. Activity Based Costing (ABC) method, is a new approach in imaging services costing that can provide the most accurate cost data, but is difficult to perform in nuclear medicine diagnostic procedures. That is because ABC requires determining and analyzing all direct and indirect costs of each procedure, according all its activities. Traditional costing methods, like those for estimating incomes and expenses per procedure or fixed and variable costs per procedure, which are widely used in break-even point analysis and the method of ratio-of-costs-to-charges per procedure may be easily performed in nuclear medicine departments, to evaluate the variability and differences between costs and reimbursement - charges.

Developing and setting up of a nuclear medicine information management system

International Nuclear Information System (INIS)

Baghel, N.S.; Asopa, R.; Nayak, U.N.; Rajan, M.G.R.; Subhalakshmi, P.V.; Shailaja, A.; Rajashekharrao, B.; Karunanidhi, Y.R.

2010-01-01

Full text: With the advent and progress of information technology in the present decade, high-performance networks are being installed in hospitals to implement an effective and reliable Hospital Information Management Systems (HIMS). The Radiation Medicine Centre (RMC), is one of the earliest and largest nuclear medicine centres in India and several thousand patients undergo diagnostic as well as therapeutic procedures with different radiopharmaceuticals. The evolution towards a fully digital department of nuclear medicine is driven by expectations of not only improved patient management but also a well-defined workflow along with prompt and quality patient services. The aim was to develop and set up a practical and utility based Nuclear Medicine Information Management System (NMIMS) for various functional procedures at RMC. A customised NMIMS is developed with M/s ECIL using ASP.NET and SQL server technology facilitated by an IBM x3650 M3 Server, 18 thin-clients/desktop PCs and Windows 2008 server operating system and MS-SQL 2005 server software. The various modules have been developed to meet the requirements of different activities pertaining to patient appointment and scheduling, clinical assessment, radiopharmacy procedures, imaging and non-imaging studies and protocols, in-vitro laboratory tests, in-patient and out-patient treatment procedures, radiation protection and regulatory aspects and other routine operational procedures associated with patient management at RMC. The menus are developed as per scheduled workflow (SWF) in the department. The various aspects of SWF have been designed to ensure smooth, easy and trouble free patient management. Presently, the NMIMS has been developed excluding imaging data and we are in the process of setting up Picture Archiving Communication System (PACS) integrated to the existing database system, which will archive and facilitate imaging data in DICOM format in order to make a paperless department. The developed NMIMS

Czechoslovak nuclear medicine, development and present state

Energy Technology Data Exchange (ETDEWEB)

Hupka, S [Ustav Klinickej Onkologie, Bratislava (Czechoslovakia)

1981-01-01

The growth is described of nuclear medicine departments and units in Czechoslovakia in the past 25 years of the existence of the Czechoslovak Society for Nuclear Medicine and Radiation Hygiene, the numbers of personnel and their qualifications. While only three nuclear medicine units were involved in the use of radioisotopes for diagnostic and therapeutic purposes in the 1950's, 29 specialized departments and 15 laboratories are now in existence with a staff of 299 medical doctors and other university graduates and 365 technicians and nurses. They operate all possible instruments, from simple detector devices via gamma cameras to computer tomographs. Briefly, the involvement of the Society is described in coordinated research programs, both with institutions in the country and with the other CMEA countries and IAEA.

Historic images in nuclear medicine

DEFF Research Database (Denmark)

Hess, Søren; Høilund-Carlsen, Poul Flemming; Alavi, Abass

2014-01-01

In 1976, 2 major molecular imaging events coincidentally took place: Clinical Nuclear Medicine was first published in June, and in August researchers at the Hospital of the University of Pennsylvania created the first images in humans with F-FDG. FDG was initially developed as part of an evolution...... set in motion by fundamental research studies with positron-emitting tracers in the 1950s by Michel Ter-Pegossian and coworkers at the Washington University. Today, Clinical Nuclear Medicine is a valued scientific contributor to the molecular imaging community, and FDG PET is considered the backbone...

An overview of radioactive waste disposal procedures of a nuclear medicine department

Science.gov (United States)

Ravichandran, R.; Binukumar, J. P.; Sreeram, Rajan; Arunkumar, L. S.

2011-01-01

Radioactive wastes from hospitals form one of the various types of urban wastes, which are managed in developed countries in a safe and organized way. In countries where growth of nuclear medicine services are envisaged, implementations of existing regulatory policies and guidelines in hospitals in terms of handling of radioactive materials used in the treatment of patients need a good model. To address this issue, a brief description of the methods is presented. A designed prototype waste storage trolley is found to be of great help in decaying the I-131 solid wastes from wards before releasing to waste treatment plant of the city. Two delay tanks with collection time of about 2 months and delay time of 2 months alternately result in 6 releases of urine toilet effluents to the sewage treatment plant (STP) of the hospital annually. Samples of effluents collected at releasing time documented radioactive releases of I-131 much below recommended levels of bi-monthly release. External counting of samples showed good statistical correlation with calculated values. An overview of safe procedures for radioactive waste disposal is presented. PMID:21731225

An overview of radioactive waste disposal procedures of a nuclear medicine department

Directory of Open Access Journals (Sweden)

R Ravichandran

2011-01-01

Full Text Available Radioactive wastes from hospitals form one of the various types of urban wastes, which are managed in developed countries in a safe and organized way. In countries where growth of nuclear medicine services are envisaged, implementations of existing regulatory policies and guidelines in hospitals in terms of handling of radioactive materials used in the treatment of patients need a good model. To address this issue, a brief description of the methods is presented. A designed prototype waste storage trolley is found to be of great help in decaying the I-131 solid wastes from wards before releasing to waste treatment plant of the city. Two delay tanks with collection time of about 2 months and delay time of 2 months alternately result in 6 releases of urine toilet effluents to the sewage treatment plant (STP of the hospital annually. Samples of effluents collected at releasing time documented radioactive releases of I-131 much below recommended levels of bi-monthly release. External counting of samples showed good statistical correlation with calculated values. An overview of safe procedures for radioactive waste disposal is presented.

[Clinical and economic analysis of an internal medicine-infectious disease department at a university general hospital (2005-2006)].

Science.gov (United States)

Gómez, Joaquín; García-Vázquez, Elisa; Antonio Puertas, José; Ródenas, Julio; Herrero, José Antonio; Albaladejo, Carmen; Baños, Víctor; Canteras, Manuel; Alcaraz, Manolo

2009-02-01

Comparative study in patients with infectious diseases admitted to a specialized Internal Medicine-Infectious Diseases Department (IMID) versus those admitted to other medical departments in a university general hospital, investigating quality and cost-effectiveness. Analysis of patients in 10 principle diagnosis-related groups (DRGs) of infectious diseases admitted to the IMID were compared to those admitted to other medical departments (2005-2006). The DRG were divided in 4 main groups: respiratory infections (DGR 88, 89, 90, 540), urinary infections (DRG 320, 321), sepsis (DRG 416, 584), and skin infections (DRG 277, 278). For each group, quality variables (mortality and readmission rate), efficacy variables (mean hospital stay and mean DRG-based cost per patient) and complexity variables (case mix, relative weight, and functional index) were analyzed. 542 patients included in the 10 main infectious disease DRGs were admitted to IMID and 2404 to other medical departments. After adjusting for DRG case mix (case mix 0.99 for IMID and 0.89 for others), mean hospital stay (5.11 days vs. 7.65 days), mortality (3.5% vs. 7.9%) and mean DRG-based economic cost per patient (1521euro/patient vs. 2952euro/patient) was significantly lower in the group of patients hospitalized in IMID than the group in other medical departments (peconomic cost per patient. Creation and development of IMID departments should be an essential objective to improve healthcare quality and respond to social demands.

Code of practice for radiation protection in nuclear medicine

International Nuclear Information System (INIS)

Hamed, M. I.

2010-05-01

In aim of this study was to develop a draft for a new code practice for radiation protection in nuclear medicine that meets the current relevant international recommendation. The draft includes the following main fields: methods of radiation protection for workers, patients and public. Also, the principles of safe design of nuclear medicine departments, quality assurance program, proper manipulation of radiation sources including radioactive waste and emergency preparedness and response. The practical part of this study includes inspections of three nuclear medicine departments available in Sudan so as to assess the degree of compliance of those departments with what is stated in this code. The inspection missions have been conducted using a checklist that addresses all items that may affect radiation raincoat issues in addition to per formin area radiation monitoring around the installation of the radioactive sources. The results of this revealed that most of the departments do not have effective radiation protection program which in turn could lead to unnecessary exposure to patients, public and workers. Finally, some recommendations are given that - if implemented - could improve the status of radiation protection in nuclear medicine department. (Author)

[History of the 4th Department of Internal Medicine of the First Faculty of Medicine at Charles University and the General University Hospital in Prague].

Science.gov (United States)

Bartůněk, Petr

In 2015, the doctors and nurses of the 4th Department of Internal Medicine of the First Faculty of Medicine, Charles University and the General University Hospital in Prague celebrated the 70th anniversary of its founding. The article summarizes the clinics contribution to the field of internal medicine, and particularly to angiology, hepatogastroenterology and lipidology. It comments the clinics current activities and the possibilities of its further development. Attention is also paid to the tradition of high ethical and professional standards of medical care in accordance with the norms established by the clinic's founder, prof. MUDr. Bohumil Prusík.

Occupational exposure of nuclear medicine personnel

International Nuclear Information System (INIS)

Roessler, M.

1982-01-01

The results are given of measurements of the radiation burden of personnel in departments of nuclear medicine in the years 1979 to 1981 using film dosemeters and ring thermoluminescence dosemeters evaluated by the national personnel dosemeter service. The relations are examined of the exposure of hands and the preparation of radiopharmaceuticals and especially their use for examinations. Certain organizational measures are indicated for reducina radiation burden in a laboratory for the preparation of radiopharmaceuticals. The results of measurements and evaluations of radiation burden of personnel of nuclear medicine departments are confronted with conclusions published in the literature. (author)

[Laboratory medicine in the obligatory postgraduate clinical training system--common clinical training program in the department of laboratory medicine in our prefectural medical university hospital].

Science.gov (United States)

Okamoto, Yasuyuki

2003-04-01

I propose a postgraduate common clinical training program to be provided by the department of laboratory medicine in our prefectural medical university hospital. The program has three purposes: first, mastering basic laboratory tests; second, developing the skills necessary to accurately interpret laboratory data; third, learning specific techniques in the field of laboratory medicine. For the first purpose, it is important that medical trainees perform testing of their own patients at bedside or in the central clinical laboratory. When testing at the central clinical laboratory, instruction by expert laboratory technicians is helpful. The teaching doctors in the department of laboratory medicine are asked to advise the trainees on the interpretation of data. Consultation will be received via interview or e-mail. In addition, the trainees can participate in various conferences, seminars, and meetings held at the central clinical laboratory. Finally, in order to learn specific techniques in the field of laboratory medicine, several special courses lasting a few months will be prepared. I think this program should be closely linked to the training program in internal medicine.

The practice of nuclear medicine in the Philippines

International Nuclear Information System (INIS)

San Luis, T.O.L.

1996-01-01

The advent of nuclear medicine in the early 1940's came with the use of radioiodine in the study of thyroid physiology and eventual treatment of hyperthyroidism. Instrumentation to detect radionuclides introduced into the human body, and the production of various radiopharmaceuticals as tracers or as therapy agents provided the impetus for the rapid development of nuclear medicine as a distinct specialty. In the Philippines, nuclear medicine formally began in 1956 with the establishment of the Radioisotope Laboratory at the Philippine General Hospital. Acquisition of nuclear instrumentation by various institutions, training of medical staff and personnel, sourcing of radiopharmaceuticals proceeded thereafter

Hospital-Acquired Urinary Tract Infections: Results of a Cohort Study Performed in an Internal Medicine Department.

Science.gov (United States)

Lobão, Maria João; Sousa, Paulo

2017-09-29

Urinary tract infections are the most frequent healthcare associated infections, being related to both high costs and morbidity. Our intention was to carry out an epidemiological characterization of hospital acquired urinary tract infections that occurred in an internal medicine department of a Portuguese hospital. Retrospective cohort study (historic cohort). Data were analysed from a systematic random sample of 388 patients, representative of the 3492 admissions occurred in 2014 in that department. One in four patients underwent the placement of a bladder catheter [24.7% (n = 96); 95% CI: 20% - 29%], 36.5% (95% CI: 33% - 48%) of which in the absence of clinical criteria for that procedure. The global cumulative incidence rate for nosocomial urinary tract infections was 4.6% (95% CI: 2.5% - 6.7%). Most hospital acquired urinary tract infections (61.1%) were related to bladder catheter use. We quantified 3.06 infections / 1000 patient-days and 14.5 infections / 1000 catheter-days. Catheter associated urinary tract infection occurred at an early stage of hospitalization. The vast majority of patients (66.7%) that developed a catheter associated urinary tract infection were subjected to bladder catheter placement at emergency department. Seventy one per cent of catheter associated urinary tract infection occurred in patients that were subjected to bladder catheter placement without criteria. These results point to an excessive and inadequate use of urinary catheters, highlighting the need for judicious use taking into account the formal clinical indications. The incidence of catheter associated urinary tract infection is similar to what we found in other studies. Nevertheless we found a very high incidence density per catheter-days that may foresee a problem probably related to the absence of early withdrawal of the device, and to both bladder catheter placement and maintenance practices. A significant part of catheter associated urinary tract infection

Draft report on the national seminar in nuclear medicine

International Nuclear Information System (INIS)

1977-01-01

The proceedings of the seminar on nuclear medicine have been conducted in four main sessions. In the first session a review of the current status of clinical nuclear medicine in India is reviewed. The use of radioisotopes in thyroid function studies, central nervous systems, liver disorders, lung and bone imaging, renal function studies, dynamic function studies, gastroenterology haematology etc. are described. The existing facilities and the future needs for radioimmunoassay and radiotherapy are discussed. In Session 2, the existing facilities in nuclear medicine in different states in India are reviewed. In Session 3, the available resources in nuclear medicine are reviewed. Radiation protection procedures are outlined. Various nuclear instruments developed at the Bhabha Atomic Research Centre, (BARC), Bombay, for use in nuclear medicine are briefly described. A list of radiopharmaceuticals developed by BARC and in current use, is given. The roles of the physicist, pharmacist and the nuclear medicine technologist in the hospitals having nuclear medicine units, are stressed. The importance of training and education for personnel in nuclear medicine and medical physics is pointed out. (A.K.)

In vivo diagnostic nuclear medicine. Pediatric experience

International Nuclear Information System (INIS)

Goetz, W.A.; Hendee, W.R.; Gilday, D.L.

1983-01-01

The use of radiopharmaceuticals for diagnostic tests in children is increasing and interest in these is evidenced by the addition of scientific sessions devoted to pediatric medicine at annual meetings of The Society of Nuclear Medicine and by the increase in the literature on pediatric dosimetry. Data presented in this paper describe the actual pediatric nuclear medicine experience from 26 nationally representative U.S. hospitals and provide an overview of the pediatric procedures being performed the types of radiopharmaceuticals being used, and the activity levels being administered

Radiation doses to patients from nuclear medicine examinations

International Nuclear Information System (INIS)

Boehm, K.; Boehmova, I.

2014-01-01

Public Health Authority of the Slovak Republic, Bratislava The exposure of the population to ionizing radiation is rising rapidly, nearly exclusively due to increasing medical use of radiation, including diagnostic methods of nuclear medicine. In 2012 Public health authority of the Slovak republic (PHA SR) performed a survey about the population exposure from nuclear medicine procedures. The primary objectives of this survey were to assess the frequency of different nuclear medicine procedures, determine the average activities administered by nuclear medicine procedures and compare them with the national diagnostic reference levels and determine the annual collective effective dose to the Slovak population from nuclear medicine. The effective dose calculation was based on the methodology of the ICRP32, ICRP80 and ICRP106. In Slovak republic are 11 nuclear medicine departments. The collected data of activities administered by different procedures correspond to 100 % of nuclear medicine departments. The total number of procedures included in the study was 36 250. The most commonly performed procedure was bone scintigraphy (35.9%), followed by lung perfusion and ventilation scintigraphy (17.0%), static and dynamic renal scintigraphy (13.0%), whole-body positron emission tomography of tumors with PET radiopharmaceuticals (11.6%), myocardial perfusion (8.8%), thyroid scintigraphy (6.2%), parathyroid scintigraphy (2.1%), scintigraphy of tumors (2.1%), scintigraphy of the liver and spleen (0.8%), brain perfusion (0.7%) and examination of the gastrointestinal system (0.3%). (authors)

Staff and patient absorbed doses due to diagnostic nuclear medicine procedures

International Nuclear Information System (INIS)

Tabei, F.; Neshandar Asli, I.; Aghamiri, S.M.; Arbabi, K.

2004-01-01

Background: annual patient effective dose equivalent can be considered as a quantitative physical parameter describing the activities performed in each nuclear medicine department. annual staff dose equivalent could be also considered as a parameter describing the amount of radiation risk for performing the activities. We calculated the staff to patient dose equivalent ratio to be used as a physical parameter for quantification of ALARA law in nuclear medicine department. Materials and methods: as a part of nationwide study, this paper reports the staff and patient absorbed dose equivalents from diagnostic nuclear medicine examinations performed in four nuclear medicine department during 1999-2002. The type and frequency of examinations in each department were determined directly from hospital medical reports. Staff absorbed doses equivalents were calculated from regular personal dosimeter reports. Results: the total number of examinations increased by 16.7 % during these years. Annual patient collective dose equivalent increased about 13.0 % and the mean effective dose equivalent per exam was 3.61 ± 0.07 mSv. Annual total staff absorbed dose equivalent (total of 24 radiation workers) in four departments increased from 40.45 mSv to 47.81 mSv during four years that indicates an increase of about 20.6 %. The average of annual ratios of staff to patient effective dose equivalents in four departments were 1.83 x 10 -3 , 1.04 x 10 -3 , 3.28 x 10 -3 and 3.24 x 10 -3 , respectively, within a range of 0.9 x 10 -3 - 4.17 x 10 -3 . The mean value of ratios in four years was about 2.24 x 10 -3 ± 1.09 x 10 -3 that indicates the staff dose of about two 1000 th of patient dose. Conclusion: The mean value of ratios in four years was about 1.89 x 10 -3 ± 0.95 x 10 -3 indicating the staff dose of about one 1000 th of the patient dose. The staff to patient absorbed dose equivalent ratio could be used as a quantitative parameter for describing ALARA law in radiation protection and

The liquidation of liquid radioactive waste on nuclear medicine departments

International Nuclear Information System (INIS)

Fueriova, A.

1995-01-01

The most serious problems for Clinic of Nuclear Medicine of National Oncological Institute, Bratislava (CNM) is the localization of CNM in the downtown, inside the hospital area with the dilution water deficit. This department is the only one in Slovak Republic performing therapeutical applications. To be able to perform the necessary amount of therapies and also to introduce a new therapeutical methods, in 1992-1994 the old liquidation waste disposal station (LWDS) was reconstructed with the aim to satisfy the newest requirements of radiation hygiene. LWDS is the 5-floor object partly underground which satisfied the requirements for liquidation of radioactive liquid waste from diagnostic procedures(annually 5000 patients) and also from 200 therapeutical applications annually (15 beds, 720 GBq iodine-131). The capacity of LWDS is able to store about 90 m 3 liquid radioactive waste. Part of the underground spaces are used for the storage of solid radioactive trash. The liquid waste from CNM is collected through isolated metal sewage system to the storage with continuous observation of water specific activity. According to the activity, the liquid waste is placed to the 5 decay storages with the volume about 15 m 3 . The six one serves for the case of technical accident. When the activity declines, the liquid waste is diluted with non active medical trash to the level which is acceptable by low about radiation hygiene protection. The storage walls are made from barium-concrete 25-50 cm thick which is enough for sufficient protection of operation staff and also for walking around persons. Double-layer high quality chemical material prevents the water leak and diffusion of radionuclides into the concrete. Technology consists of cast-iron drains, powerful slush pumps, operation valves, regulation technology from dosimetric system for continuous monitoring of specific activity, for managing system with powerful industrial computer

The liquidation of liquid radioactive waste on nuclear medicine departments

Energy Technology Data Exchange (ETDEWEB)

Fueriova, A [National Oncological Institue, Bratislava (Slovakia). Hospital St. Elis, Clinic of Nuclear Medicine

1996-12-31

The most serious problems for Clinic of Nuclear Medicine of National Oncological Institute, Bratislava (CNM) is the localization of CNM in the downtown, inside the hospital area with the dilution water deficit. This department is the only one in Slovak Republic performing therapeutical applications. To be able to perform the necessary amount of therapies and also to introduce a new therapeutical methods, in 1992-1994 the old liquidation waste disposal station (LWDS) was reconstructed with the aim to satisfy the newest requirements of radiation hygiene. LWDS is the 5-floor object partly underground which satisfied the requirements for liquidation of radioactive liquid waste from diagnostic procedures(annually 5000 patients) and also from 200 therapeutical applications annually (15 beds, 720 GBq iodine-131). The capacity of LWDS is able to store about 90 m{sup 3} liquid radioactive waste. Part of the underground spaces are used for the storage of solid radioactive trash. The liquid waste from CNM is collected through isolated metal sewage system to the storage with continuous observation of water specific activity. According to the activity, the liquid waste is placed to the 5 decay storages with the volume about 15 m{sup 3}. The six one serves for the case of technical accident. When the activity declines, the liquid waste is diluted with non active medical trash to the level which is acceptable by low about radiation hygiene protection. The storage walls are made from barium-concrete 25-50 cm thick which is enough for sufficient protection of operation staff and also for walking around persons. Double-layer high quality chemical material prevents the water leak and diffusion of radionuclides into the concrete. Technology consists of cast-iron drains, powerful slush pumps, operation valves, regulation technology from dosimetric system for continuous monitoring of specific activity, for managing system with powerful industrial computer.

Hand Dose in Nuclear Medicine Staff Members

International Nuclear Information System (INIS)

Taha, T.M.; Shahein, A.Y.; Hassan, R.

2009-01-01

Measurement of the hand dose during preparation and injection of radiopharmaceuticals is useful in the assessment of the extremity doses received by nuclear medicine personnel. Hand radiation doses to the occupational workers that handling 99m Tc-labeled compounds, 131 I for diagnostic in nuclear medicine were measured by thermoluminescence dosimetry. A convenient method is to use a TLD ring dosimeter for measuring doses of the diagnostic units of different nuclear medicine facilities . Their doses were reported in millisieverts that accumulated in 4 weeks. The radiation doses to the hands of nuclear medicine staff at the hospitals under study were measured. The maximum expected annual dose to the extremities appeared to be less than the annual limit (500 mSv/y) because all of these workers are on rotation and do not constantly handle radioactivity throughout the year

General Nuclear Medicine

Science.gov (United States)

... Resources Professions Site Index A-Z General Nuclear Medicine Nuclear medicine imaging uses small amounts of radioactive ... of General Nuclear Medicine? What is General Nuclear Medicine? Nuclear medicine is a branch of medical imaging ...

Nuclear Medicine National Headquarter System

Data.gov (United States)

Department of Veterans Affairs — The Nuclear Medicine National HQ System database is a series of MS Excel spreadsheets and Access Database Tables by fiscal year. They consist of information from all...

OrdoCMN: a communication tool for nuclear medicine

International Nuclear Information System (INIS)

Lamy, P.; Bizollon, C.; Damien, J.; Itti, R.

1997-01-01

OrdoCMN is a computer software which offers an easy solution for the management of a nuclear medicine department. It has been developed using a data management tool: 4. Dimension. This network based software acts mainly as a communication tool between the various parts of the nuclear medicine department. It provides time saving and optimisation for the interdependent operations which are necessary when performing a scintigraphy study. In addition, it has all the functionalities which are needed to manage the data concerning a scintigraphy examination: study planing, patient files, radiopharmaceuticals prescription edition, labels and report printing, and radiopharmaceuticals management. Centered around the patient's file, it guaranties the confidentiality and security of the informations through several levels of security: passwords, data coding, etc. Since further evolution is specially easy, thanks to its modular structure, it may be adapted to the specific needs of any nuclear medicine department. (authors)

Present situation and proposal for nuclear medicine development

International Nuclear Information System (INIS)

Oliva Gonzalez, Juan P.

2003-01-01

In the present paper, the current situation of the Cuban nuclear medicine, after its introduction in the country in the 40s of the 20 th century and its expansion since 1962 and, particularly, from the installation of the first gamma camera in 1980, is analyzed. Nowadays, there is a total 14 Nuclear Medicine Departments or Services in our country within the National Oncology Networks and national Health System (SNS), which provide medical attention to the population depending on the nuclear equipment available A Program for the medical and technical personnel's training is proposed, as well as for gradual development of nuclear medicine department's (including the installation of gamma cameras, divided into two stages: 2003-2004 and 2005-2006). The prospective results of the proposed program are analyzed, as well as the impact on the populations health

Nuclear medicine

International Nuclear Information System (INIS)

Lentle, B.C.

1986-01-01

Several growth areas for nuclear medicine were defined. Among them were: cardiac nuclear medicine, neuro-psychiatric nuclear medicine, and cancer diagnosis through direct tumor imaging. A powerful new tool, Positron Emission Tomography (PET) was lauded as the impetus for new developments in nuclear medicine. The political environment (funding, degree of autonomy) was discussed, as were the economic and scientific environments

A nuclear medicine information system that allows reporting and sending images through intranet

International Nuclear Information System (INIS)

Anselmi, C.E.; Anselmi, O.E.

2002-01-01

A nuclear medicine information system that allows reporting and sending images through intranet. Aim: This system was developed in order to improve the processes of typing, correcting, verifying and distribution of the reports and images, improving the efficiency of the personnel in the nuclear medicine department and reducing the time between the creation of the report and its reading by the referring physician. Materials and Methods: The system runs a web server (Personal Web Server, Microsoft) which serves web pages written in hypertext markup language (HTML) and active server pages (ASP). The database utilized is Microsoft Access 97. The whole communication between the web server and the database is performed by the programs written in ASP. Integrating the images from the patients is done through a 486 ibm-pc running Red Hat Linux, which serves as an intermediary between the isolated nuclear medicine network and the hospital's network. Results: The time from report verification and referring physician reading has decreased from approximately 24 hours to 12 hours. It is possible to run queries in the system in order to get productivity reports or clinical research. Imaging storage allows for correlation of current and previous studies. Conclusion: Bureaucratic processes have diminished to a certain extent in the department. Reports are now online as soon as they are verified by the nuclear medicine physician. There is no need to install dedicated software in the viewing stations since the whole system runs in the server

Thirty year celebration of the contribution of nuclear medicine physicists in Australia

International Nuclear Information System (INIS)

Walker, B. M.

2007-01-01

Full text: The intention of this article is to describe the contributions of the many nuclear medicine physicists who in a large or small way have added to the ongoing development of nuclear medicine in Australia from the first years of the discipline in the late 1960s to the present time. Unlike our colleagues in radiation oncology physics, the nuclear medicine physicist fraternity has always been a very small group which unfortunately has not expanded greatly over the 30 years and beyond. This is emphasized in the survey by W.H.Round 1 which showed the bias towards older physicists being involved in the discipline. Because of the small numbers of nuclear medicine physicists in the public hospital system, mostly one or two per teaching hospital, most physicists are heavily involved in clinical duties to keep up the high standard of equipment and software performance required. Many nuclear medicine physicists also have the dual role of hospital radiation safety officers which is becoming more demanding as radiation legislation increases. For this reason much of the pure research has been confined to the hospitals with larger numbers of physicists. However a high proportion of nuclear medicine physicists across the country have contributed greatly to clinical research and development as part of their job. Unfortunately these cannot all be recognised in this article. Young physicists may not realise how much 'in house' research and development was carried out by physicists in the early years of nuclear medicine when equipment companies did not provide the software which is now available to purchase. Many of these innovative techniques and software, described in this article, are still in use today. Some of the 'big events' in the history of nuclear medicine in Australia in which physicists have played a leading role will also be highlighted. This will serve to emphasize how physicists have worked closely with clinicians and technologists in the ongoing development of

Magistral preparation in nuclear medicine departments: Requirements for their realization

International Nuclear Information System (INIS)

Desruet, M.D.; Bolot, C.; Bourrel, F.; Francois-Joubert, A.; Biechlin-Chassel, M.L.; Couret, I.; Pelegrin, M.; Lao, S.; Ouhayon, E.; Sauvan, R.

2010-01-01

Use of radiopharmaceuticals in French nuclear medicine departments depends on marketing authorization and their development may be compromised by a limited return on investment. As an alternative, radiopharmaceuticals may also be prepared in the form of a magistral preparation, like in some European countries. In this case, these preparations are subjected to restrictions and requirements for radio-pharmacies relating to quality assurance, facilities and equipment, quality of starting materials and final radiopharmaceutical products defined in French good preparation practice. Labelled tracers used as magistral preparations have to be prepared under the full responsibility of a radio-pharmacist and used under the responsibility of the prescribing physician. Conditions of sufficient guarantees for the safety of the patient and adherence to pharmaceutical rules must be evaluated individually. However, this form of preparation intends to supply specific medical needs for an individual patient and is not an answer in the framework of development of radiopharmaceuticals. (authors)

The design of a purpose-built nuclear medicine department

International Nuclear Information System (INIS)

Dixon, J.; Walker, B.

1999-01-01

Full text: In December 1997, the Department of Nuclear Medicine relocated to new purpose-built premises. Two years of detailed planning preceded this move. Several innovative features were incorporated in the design. The 6 gamma camera rooms are arranged in pairs with shared shielded console areas, around a central 'staff-only' corridor with the radiopharmacy dispensing room (RP) at one end. This allows for direct staff access between these rooms while preserving the privacy of the patients. Hatches from the RP to the stress lab and procedures rooms allow for minimal carrying of doses. A separate hotlab adjoining the RP with a dedicated dose calibrator is used for preparations of all therapy doses and 18 F. A 'no return' policy was adopted for the RP. A separate isolated radioactive waste storage room (WSR) has an easily accessible anteroom used only for 99 Tc m , which allows efficient management of this short-lived waste. The nurses' station visualizes all waiting facilities, which include separate areas for trolley and ambulant patients as well as a playroom for the paediatric patients. An area for resting 18 F patients is located away from the general waiting areas and close to the coincidence detection camera room. After 1 year of operation, these specific design features have proved successful. They have led to improvement in the efficiency of operation of the department for the staff and increased comfort for the patients

Dose received by occupationally exposed workers at a nuclear medicine department

Science.gov (United States)

Ávila, O.; Sánchez-Uribe, N. A.; Rodríguez-Laguna, A.; Medina, L. A.; Estrada, E.; Buenfil, A. E.; Brandan, M. E.

2012-10-01

Personal Dose Equivalent (PDE) values were determined for occupational exposed workers (OEW) at the Nuclear Medicine Department (NMD) of "Instituto Nacional de Cancerología" (INCan), Mexico, using TLD-100 thermoluminescent dosemeters. OEW at NMD, INCan make use of radiopharmaceuticals for diagnosis and treatment of diseases. Radionuclides associated to a pharmaceutical compound used at this Department are 131I, 18F, 68Ga, 99mTc, 111In and 11C with main gamma emission energies between 140 and 511 keV. Dosemeter calibration was performed at the metrology department of "Instituto Nacional de Investigaciones Nucleares" (ININ), Mexico. Every occupational worker used dark containers with three dosimeters which were replaced monthly for a total of 5 periods. Additionally, control dosemeters were also placed at a site free of radioactive sources in order to determine the background radiation. Results were adjusted to find PDE/day and estimating annual PDE values in the range between 2 mSv (background) and 9 mSv. The mean annual value is 3.51 mSv and the standard deviation SD is 0.78 mSv. Four of the 16 OEW received annual doses higher than the average +1 SD (4.29 mSv). Results depend on OEW daily activities and were consistent for each OEW for the 5 studied periods as well as with PDE values reported by the firm that performs the monthly service. All obtained values are well within the established annual OEW dose limit stated in the "Reglamento General de Seguridad Radiológica", México (50 mSv), as well as within the lower limit recommended by the "International Commission on Radiation Protection" (ICRP), report no.60 (20 mSv). These results verify the adequate compliance of the NMD at INCan, Mexico with the norms given by the national regulatory commission.

More about ... Nuclear medicine

African Journals Online (AJOL)

Thyroid scintigraphy. In neonates with hypothyroidism detected on neonatal screening and confirmed by subsequent testing, a radionuclide thyroid scan should be performed as soon as possible. It must be undertaken in all nuclear medicine departments as a matter of urgency. Any delay in treatment should be avoided.

A protocol to determine the situation of nuclear medicine in Venezuela, 1999-2000

International Nuclear Information System (INIS)

Carrizales, L.; Leandro, G.

2001-01-01

This paper presents preliminary results and the methodology followed for the implementation of a Protocol that included Radiological Protection and Quality Control at SPECT Systems in two important public hospitals at Republica Bolivariana de Venezuela. We found in these inspections that the main problems were the lack of medical physicist capacity in nuclear medicine that implemented programs of quality assurance as well as radiation protection in these departments. (author)

A protocol to determine the situation of nuclear medicine in Venezuela, 1999-2000

Energy Technology Data Exchange (ETDEWEB)

Carrizales, L; Leandro, G [Laboratorio Secundario de Calibracion Dosimetrica, Unidad de Tecnologia Nuclear, Instituto Venezolano de Investigaciones Cientificas, Caracas (Venezuela)

2001-03-01

This paper presents preliminary results and the methodology followed for the implementation of a Protocol that included Radiological Protection and Quality Control at SPECT Systems in two important public hospitals at Republica Bolivariana de Venezuela. We found in these inspections that the main problems were the lack of medical physicist capacity in nuclear medicine that implemented programs of quality assurance as well as radiation protection in these departments. (author)

Quality management audits in nuclear medicine practices

International Nuclear Information System (INIS)

2008-12-01

An effective management system that integrates quality management (QM) is essential in modern nuclear medicine departments in Member States. The IAEA, in its Safety Standards Series, has published a Safety Requirement (GS-R-3) and a Safety Guide (GS-G-3.1) on management systems for all facilities. These publications address the application of an integrated management system approach that is applicable to nuclear medicine organizations as well. Quality management systems are maintained with the intent to continuously improve effectiveness and efficiency, enabling nuclear medicine to achieve the expectations of its quality policy, and to satisfy its customers. The IAEA has a long history of providing assistance in the field of nuclear medicine to its Member States. Regular quality audits and assessments are essential for modern nuclear medicine departments. More importantly, the entire QM and audit process has to be systematic, patient oriented and outcome based. The management of services should also take into account the diversity of nuclear medicine services around the world and multidisciplinary contributions. The latter include clinical, technical, radiopharmaceutical and medical physics procedures. Aspects of radiation safety and patient protection should also be integral to the process. Such an approach ensures consistency in providing safe, quality and superior services to patients. Increasingly standardized clinical protocol and evidence based medicine is used in nuclear medicine services, and some of these are recommended in numerous IAEA publications, for example, the Nuclear Medicine Resources Manual. Reference should also be made to other IAEA publications such as the IAEA Safety Standards Series, which include the regulations for the safe transport of nuclear material and on waste management as all of these have an impact on the provision of nuclear medicine services. The main objective of this publication is to introduce a routine of conducting an

Nuclear magnetic resonance and medicine. Present applications

International Nuclear Information System (INIS)

1984-01-01

At the workshop on nuclear magnetic resonance and medicine held at Saclay, the following topics were presented: physical principles of NMR; NMR spectroscopy signal to noise ratio; principles of NMR imaging; methods of NMR imaging; image options in NMR; biological significance of contrast in proton NMR imaging; measurement and significance of relaxation times in cancers; NMR contrast agents; NMR for in-vivo biochemistry; potential effects and hazards of NMR applications in Medicine; difficulties of NMR implantation in Hospitals; NMR imaging of brain tumors and diseases of the spinal cord; NMR and Nuclear Medicine in brain diseases [fr

Measurement of beta emitting radionuclides in dose calibrators routinely used in nuclear medicine departments

International Nuclear Information System (INIS)

Tastan, S.; Soylu, A.; Kucuk, O.; Ibis, E.

2004-01-01

Full text: Radionuclides for diagnostics purposes like Tc-99m, Tl-201, Ga-67 and In-111 are measured by using ionization type of dose calibrators. Therapeutic radionuclides, which emit both beta and gamma rays are detected by the same type of dose calibrators. Other therapeutic products like Y-90, P-32 and Sr-89 are pure beta emitters and they are gaining wider utility because various new therapy radiopharmaceuticals are being developed. The type of container material, like glass or plastic, may seriously affect radioactivity measurement due to attenuation, Since it is crucial to give the exact amount of radioactivity to the patient for therapy purposes, dedicated dose calibrators are specially manufactured for the measurement of these radionuclides. But these measuring systems are not widely available in nuclear medicine centers where therapy is applied to the patient. It is a known fact that dose calibrators routinely used in nuclear medicine departments can be calibrated for vials and syringes using standard sources of the same radioisotope. The method of calibration of Y-90 measurement for two ionization chamber dose calibrators available in the institute will be summarized in this presentation

Measurement of beta emitting radionuclides in dose calibrators routinely used in nuclear medicine departments

International Nuclear Information System (INIS)

Tastan, S.; Soylu, A.; Kucuk, O.; Ibis, E.

2004-01-01

Radionuclides for diagnostics purposes like Tc-99m, Tl-201, Ga-67 and In-111 are measured by using ionization type of dose calibrators. Therapeutic radionuclides, which emit both beta and gamma rays are detected by the same type of dose calibrators. Other therapeutic products like Y-90, P-32 and Sr-89 are pure beta emitters and they are gaining wider utility because various new therapy radiopharmaceuticals are being developed. The type of container material, like glass or plastic, may seriously affect radioactivity measurement due to attenuation, Since it is crucial to give the exact amount of radioactivity to the patient for therapy purposes, dedicated dose calibrators are specially manufactured for the measurement of these radionuclides. But these measuring systems are not widely available in nuclear medicine centers where therapy is applied to the patient. It is a known fact that dose calibrators routinely used in nuclear medicine departments can be calibrated for vials and syringes using standard sources of the same radioisotope. The method of calibration of Y-90 measurement for two ionization chamber dose calibrators available in the institute will be summarized in this presentation. (author)

Assessment of knowledge of general practitioners about nuclear medicine

International Nuclear Information System (INIS)

Zakavi, R.; Derakhshan, A.; Pourzadeh, Z.

2002-01-01

Nuclear medicine is an important department in most of scientific hospitals in the world. Rapid improvement in the filed of nuclear medicine needs continuing education of medical students. We tried to evaluate the knowledge of general practitioners in the flied of nuclear medicine, hoping that this study help mangers in accurate planning of teaching programs. Methods and materials: We prepared a questionnaire with 14 questions regarding applications of nuclear medicine techniques in different specialities of medicine. We selected questions as simple as possible with considering the most common techniques and best imaging modality in some disease. One question in nuclear cardiology, one in lung disease, two questions in thyroid therapy, another two in gastrointestinal system, two in genitourinary system and the last two in nuclear oncology. Also 4 questions were about general aspects of nuclear medicine. We have another 4 questions regarding the necessity of having a nuclear medicine subject during medical study, the best method of teaching of nuclear medicine and the preferred method of continuing education. Also age, sex, graduation date and university of education of all subjects were recorded. Results: One hundred (General practitioners) were studied. including, 58 male and 42 female with age range of 27-45 years did . About 60% of cases were 27-30 years old and 40 cases were older than 40. Seventy two cases were graduated in the last 5 years. Mashad University was the main university of education 52 cases with Tehran University (16 cases) and Tabriz University (6 cases) in the next ranks. Also 26 cases were graduated from other universities. From four questions in the field of general nuclear nedione 27% were correctly answered to all questions, 37% correctly answered two questions and 10% had correct answered only one question. No correct answer was noted in 26% . correct answer was noted in 80% the held of nuclear cardiology and in 72% in the field of lung

Nuclear Medicine and Application of Nuclear Techniques in Medicine

International Nuclear Information System (INIS)

Wiharto, Kunto

1996-01-01

The use of nuclear techniques medicine covers not only nuclear medicine and radiology in strict sense but also determination of body mineral content by neutron activation analysis and x-ray fluorescence technique either in vitro or in vivo, application of radioisotopes as tracers in pharmacology and biochemistry, etc. This paper describes the ideal tracer in nuclear medicine, functional and morphological imaging, clinical aspect and radiation protection in nuclear medicine. Nuclear technique offers facilities and chances related to research activities and services in medicine. The development of diagnostic as well as therapeutic methods using monoclonal antibodies labeled with radioisotope will undoubtedly play an important role in the disease control

Nuclear medicine program progress report for quarter ending December 31, 1996

Energy Technology Data Exchange (ETDEWEB)

Knapp, F.F. Jr.; Beets, A.L.; Boll, R.; Luo, H.; McPherson, D.W.; Mirzadeh, S.

1997-03-20

In this report the authors describe the use of an effective method for concentration of the rhenium-188 bolus and the results of the first Phase 1 clinical studies for bone pain palliation with rhenium-188 obtained from the tungsten-188/rhenium-188 generator. Initial studies with therapeutic levels of Re-188-HEDP at the Clinic for Nuclear Medicine at the University of Bonn, Germany, have demonstrated the expected good metastatic uptake of Re-188-HEDP in four patients who presented with skeletal metastases from disseminated prostatic cancer with good pain palliation and minimal marrow suppression. In addition, skeletal metastatic targeting of tracer doses of Re-188(V)-DMSA has been evaluated in several patients with metastases from prostatic cancer at the Department of Nuclear Medicine at the Canterbury and Kent Hospital in Canterbury, England. In this report the authors also describe further studies with the E-(R,R)-IQNP ligand developed in the ORNL Nuclear Medicine Program as a potential imaging agent for detection of changes which may occur in the cerebral muscarinic-cholinergic receptors (mAChR) in Alzheimer`s and other diseases.

Nuclear medicine therapy

CERN Document Server

Eary, Janet F

2013-01-01

One in three of the 30 million Americans who are hospitalized are diagnosed or treated with nuclear medicine techniques. This text provides a succinct overview and detailed set of procedures and considerations for patient therapy with unsealed radioactivity sources.  Serving as a complete literature reference for therapy with radiopharmaceuticals currently utilized in practice, this source covers the role of the physician in radionuclide therapy, and essential procedures and protocols required by health care personnel.

The radiation dose to accompanying nurses, relatives and other patients in a nuclear medicine department waiting room

Energy Technology Data Exchange (ETDEWEB)

Harding, L K; Harding, N J; Warren, H; Mills, A; Thomson, W H [Dudley Road Hospital, Birmingham (UK)

1990-01-01

The radiation dose to accompanying nurses, relatives and other patients in a nuclear medicine department waiting room was assessed at 5 min intervals by observing the seating arrangement. The total radiation dose to each person was calculated, using fixed values of dose rate per 100 MBq activity for radionuclides, and applying the inverse square law. Radioactive decay and attenuation effects due to intervening persons were also taken into account. The median radiation doses to accompanying nurses, relatives and other patients were 2.3, 2.0 and 0.2 {mu}Sv with maximum values of 17, 33 and 5 {mu}Sv respectively. In all cases, the radiation dose received by patients was less than 0.2% of the radiation dose resulting from their own investigation. Also, the maximum radiation dose received by an accompanying norse or friend was less than 1% of their appropriate annual dose limit. Similar values were obtained with calculations based on a 15 min time interval. The radiation doses received by those in a nuclear medicine department waiting room are small, and separate waiting room facilities for radioactive patients are unnecessary. (author).

Radiochemistry and its application to nuclear medicine

International Nuclear Information System (INIS)

Welch, J.J.

1990-01-01

The role of the radiochemist in Nuclear Medicine has increased since the early 1960's. At that time the first medical 99 Mo/ 99m /Tc generator was developed at Brookhaven National Laboratory and the first hospital based cyclotron installed at Washington University. Radiochemists have been involved in both the development and application of generator and accelerator based radiopharmaceuticals. The development of oxygen-15, nitrogen 13, carbon-11 and fluorine-18 simple compound and synthetic precursors will be discussed. In recent years new high current accelerators have been proposed from Nuclear Medicine isotope production. Generator produced radiopharmaceuticals continue to play a major role in Nuclear Medicine. Problems in the development of targetry to produce parent nuclides as well as challenges in generator development will be described

Security in transport, storage and disposal of radioactive materials, providing to the department of nuclear medicine in hospitals Rafael Angel Calderon Guardia, San Juan de Dios and Mexico

International Nuclear Information System (INIS)

Elizondo Valle, Alejandro; Jimenez Mendez, Christian; Leiton Araya, Christopher; Villalobos Rodriguez, Geovanny; Leal Vega, Olga Maritza; Lopez Gatjens, Santiago

2010-01-01

The security is analysed for the transport and storage of radioactive sources and the management of radioactive waste product of practices and interventions in nuclear medicine services in hospitals Calderon Guardia, San Juan de Dios and Mexico. The objective is to assess the compliance with current regulations, the effectiveness and efficiency of the same. The security and compliance with current regulations were considered related to the transport of radioactive sources by the two private companies that provide this service, from the Juan Santamaria airport customs to three hospitals evaluated. Compliance with national and international rules on storage of radioactive sources and waste materials were analyzed. For this has been studied Costa Rican law and the recommendations of international organizations related to the subject matter, in the three nuclear medicine services valued. The national and international background related to radiological accidents occurred with radioactive sources during transport, storage and waste were revised, where highlights that in most cases, these accidents occurred for breach of the regulations established. Studies in Costa Rica on radioactive waste management were analysed, and the current status of nuclear medicine services in terms of radiation safety, which helped with the investigation. The compliance and regulations were analyzed by the result of observation and interviews during development, to finally make a series of findings and provide recommendations that are considered relevant. Various variants and indicators that are defined in the theoretical framework were used; also, the strategy of methodology is described. The purpose of the work has been to provide a scientific nature, and that methodology met the objectives, offering an approach from different angles and the actors involved, and a critical and objective analysis strictly in order to contribute to public health. The research is a valuable tool that provides

Workplace monitoring at the nuclear medicine department of IPO-CROL

International Nuclear Information System (INIS)

Rezio, M.T.; Vieira, M.R.; Alves, J.G.

2005-01-01

Full text: The Nuclear Medicine Department of the Portuguese Institute of Oncology in Lisboa (IPO-CROL, SA) has recently acquired a new type of equipment for workplace monitoring: TAM radiation meter system (Tema Sinergy, Italy). It consists of a Geiger-Mueller detector with a dose rate range between 0.1 μSv.h -1 to 0.02 Sv.h -1 and sensitive to energies between 50 keV to 1 MeV. Eight detectors were installed in the most important areas of our department, namely, radiopharmacy, waiting room for accompanying persons, waiting room of injected patients (at two points), room of injected patients, PET radiopharmacy, PET commands room, and waiting room of PET injected patients. The dose rate measured by the equipment is collected on a computer on a 24-hour basis. The system allows an online visualization of the measurements as well as the storage on a database for evaluation. In this work the data collected with this equipment is analyzed. The system gives us the dose rate average, for example, in the PET commands room (0,186 μSv.h -1 ) and in the PET radiopharmacy (0,240 μSv.h -1 ). The results show that the dose rate limits established by law for this type of installations (0.4 mSv.week -1 for professionally exposed workers and 0.02 mSv.week -1 for the general public) are not exceeded. The aim of this work is to demonstrate there are presently good radiation protection conditions at our department. (author)

Operational measurements during medical examinations: nuclear medicine department

International Nuclear Information System (INIS)

Gardin, I.

2009-01-01

After having briefly recalled the nuclear medicine principles and objectives, and the main radiations used for different purposes (positrons for diagnosis, photons for diagnosis, electrons for therapy or diagnosis), the author presents the principle of determination of the absorbed dose: how this dose is expressed, how it is calculated per cumulative activity unit, how cumulative activity is determined. Then, she discusses some practical aspects of dosimetric assessments during diagnosis or therapeutic examinations

Evaluation of management of radioactive waste in nuclear medicine department of radiation and isotopes center, Khartoum

International Nuclear Information System (INIS)

Ahmed, Amel Bushra Abaker

2001-01-01

Evaluation of management of radioactive waste in nuclear medicine department of radiation and isotopes center in Khartoum, Sudan, was conducted using radiation survey meter. The purpose of this study is to provide protection of workers, patients, co patients, an the environment by introducing good practice in management of radioactive waste generated in this lab. In this work measurement of radiation effective dose at different locations in the department were carried out. These locations were selected around the radioactive liquid and solid waste disposal position. It was found that the effective doses per year from radioactive wastes obtained through this work using the survey meter RDS-120 at these locations, are 1.47 mSv/y at the neighbouring patients room, 5.47 mSv/y at the hot lab., 0.09 mSv/y at the neighbouring toilet, 0.321 mSv/y at the water closet, and 1.4 mSv/y at the place down water closet. The results obtained shows that the dose levels waste at the location not exceed the recommended dose limits for workers 20 mSv/y, that set by basic safety standards (Bss 115) which published by the international atomic energy agency. Also it s comply with the national regulation, regulation on basic radiation protection requirement and dose limits 1996, issued by sudan atomic energy commission act 1996. The annual dose calculated for the patients and co-patients at rooms around the nuclear medicine department, the results shows that dose are fairly high. Measure should taken to improve the waste management in the department for better protection of workers, patients and co patients. (Author)

Nuclear medicine

International Nuclear Information System (INIS)

Kand, Purushottam

2012-01-01

Nuclear medicine is a specialized area of radiology that uses very small amounts of radioactive materials to examine organ function and structure. Nuclear medicine is older than CT, ultrasound and MRI. It was first used in patients over 60-70 years ago. Today it is an established medical specialty and offers procedures that are essential in many medical specialities like nephrology, pediatrics, cardiology, psychiatry, endocrinology and oncology. Nuclear medicine refers to medicine (a pharmaceutical) that is attached to a small quantity of radioactive material (a radioisotope). This combination is called a radiopharmaceutical. There are many radiopharmaceuticals like DTPA, DMSA, HIDA, MIBI and MDP available to study different parts of the body like kidneys, heart and bones etc. Nuclear medicine uses radiation coming from inside a patient's body where as conventional radiology exposes patients to radiation from outside the body. Thus nuclear imaging study is a physiological imaging, whereas diagnostic radiology is anatomical imaging. It combines many different disciplines like chemistry, physics mathematics, computer technology, and medicine. It helps in diagnosis and to treat abnormalities very early in the progression of a disease. The information provides a quick and accurate diagnosis of wide range of conditions and diseases in a person of any age. These tests are painless and most scans expose patients to only minimal and safe amounts of radiation. The amount of radiation received from a nuclear medicine procedure is comparable to, or often many times less than, that of a diagnostic X-ray. Nuclear medicine provides an effective means of examining whether some tissues/organs are functioning properly. Therapy using nuclear medicine in an effective, safe and relatively inexpensive way of controlling and in some cases eliminating, conditions such as overactive thyroid, thyroid cancer and arthritis. Nuclear medicine imaging is unique because it provides doctors with

Nuclear medicine

International Nuclear Information System (INIS)

Anon.

1993-01-01

The area of nuclear medicine, the development of artificially produced radioactive isotopes for medical applications, is relatively recent. Among the subjects covered in a lengthy discussion are the following: history of development; impact of nuclear medicine; understanding the most effective use of radioisotopes; most significant uses of nuclear medicine radioimmunoassays; description of equipment designed for use in the field of nuclear medicine (counters, scanning system, display systems, gamma camera); description of radioisotopes used and their purposes; quality control. Numerous historical photographs are included. 52 refs

Investigation of public exposure resulted from the radioiodine delay tank facility of nuclear medicine department

Energy Technology Data Exchange (ETDEWEB)

Yusof, Mohd Fahmi Mohd, E-mail: mfahmi@usm.my; Ali, Abdul Muhaimin Mat; Abdullah, Reduan; Idris, Abdullah Waidi [School of Health Sciences, Universiti Sains Malaysia, 16150 Kota Bharu, Kelantan (Malaysia)

2016-01-22

The study is carried out to assess the exposure rate that could contribute to public exposure in a radioiodine ward delay tank facility of Radiotherapy, Oncology and Nuclear Medicine, Department, Hospital Universiti Sains Malaysia (HUSM). The exposure rate at several locations including the delay tank room, doorway and at the public walking route was measured using Victoreen 415P-RYR survey meter. The radioactive level of the {sup 131}I waste was measured using Captus 3000 well counting system. The results showed that exposure rate and total count of the delay tank sample increased when the radioiodine ward was fully occupied with patient and reduced when the ward was vacant. Occupancy of radioiodine ward for two consecutive weeks had dramatically increased the exposure rate around the delay tank and radioactive level of {sup 131}I waste. The highest exposure rate and radioactive level was recorded when the ward was occupied for two consecutive weeks with 177.00 µR/h and 58.36 kcpm respectively. The exposure rate decreased 15.76 % when the door of the delay tank room was closed. The exposure rate at public walking route decreased between 15.58 % and 36.92 % as the distance increased between 1 and 3 m.

Working towards implementation of a nuclear medicine accreditation program in a South African teaching hospital

International Nuclear Information System (INIS)

Eiselen, T.; Ellmann, A.

2004-01-01

Full text: Introduction: Quality assurance in Nuclear Medicine is of utmost importance in order to ensure optimal scintigraphic results and correct patient management and care. The implementation of a good quality assurance program should address all factors that playa role in the optimal functioning of a department. It should be developed by scientific findings as well as national and international guidelines. Aim: To develop a tailor made program that can be managed according to the individual needs and requirements of a Nuclear Medicine department in a teaching hospital. This program is aimed at international accreditation of the department. Materials and methods: Auditing of the following aspects was conducted: organizational, clinical and technical, personnel satisfaction, patient experience and satisfaction, referring physicians experience and satisfaction. Information was collected by means of questionnaires to groups and individuals for opinion polls; one-to-one interviews with personnel and patients; technical evaluation of equipment according to manufacturer's specifications and international standards; laboratory equipment evaluation according to precompiled guidelines and investigation of laboratory procedures for standardization and radiation safety. Existing procedure protocols were measured against international guidelines and evaluated for possible shortcomings of technical as well as cosmetic details, and data storage facilities were evaluated in terms of user friendliness, viability and cost effectiveness. A number of international accreditation experts were also visited to establish the validity of our results. Results: Patient questionnaires indicated overall satisfaction with personal service providing, but provision of written and understandable information, long waiting periods and equipment must receive attention. Staff questionnaires indicated a general lack of communication between different professional groups and the need for

Patient absorbed dose and radiation risk in nuclear medicine

International Nuclear Information System (INIS)

Hetherington, E.; Cochrane, P.

1992-01-01

Since the introduction of technetium-99m labelled radiopharmaceuticals used as imaging agents in the nuclear medicine departments of Australian hospitals, patients have voiced concern about the effect of having radioactive materials injected into their bodies. The danger of X-ray exposure is widely known and well accepted, as is exposure to ultrasound, computed tomography scans and other imaging techniques. However, radioactivity is an unknown, and fear of the unknown can occasionally lead to patients refusing to undergo a nuclear medicine procedure. The authors emphasised that the radiation dose to a patient from a typical procedure would depend on the patient's medical history and treatment; the average dose being approximately 50 times the exposure received from the natural environmental background radiation. Furthermore, over an extended period the body can repair most minor damage caused by radiation, just as the body can repair the damage caused by sunburn resulting from too much exposure to sunlight. The risk of genetic effects as a result of a medical radiation dose is than very small

Procedures, activities and doses in nuclear medicine cycle in Brazil

International Nuclear Information System (INIS)

Oliveira, Silvia Maria Velasques de

2005-01-01

With the aim of characterizing nuclear medicine procedures performed in Brazil, activities of radiopharmaceuticals used and effective doses to patients, data was collected from nuclear medicine institutions in three regions of the country, namely the Southeast, the Northeast and the South regions, representing public hospitals, university hospitals, private and philanthropic institutions with low, medium and high levels of consumption of radiopharmaceuticals. The three chosen regions are responsible for 92% of radiopharmaceutical consumption and imaging equipment in the country. Accordingly, it was requested of some participating institutions to fulfill manually from individual patients data, to record gender, age, weight, height and activities used, for each type of exam as well as the equipment used. In others, the researcher collected data personally. Per institution, nuclear medicine diagnostic procedures ranged from 700 to 13,000 per year, most of which are myocardial and bone imaging procedures, and imaging equipment ranged, from 1 to 8 machines, one or two head SPECT's (hybrid or not). 26.782 patients protocols were analysed, 24.371 adults and 2.411 children and teenagers. For adult patients, differences were observed in the amount of activities used in diagnostic procedures between public and private institutions, with lower average activities used in public institutions. Activities administered to children and their effective doses were difficult to evaluate due to the incompleteness of individual records. Appropriate individual patient records could be adopted without affecting hospitals routine and contributing for a comprehensive evaluation of the radiation protection of nuclear medicine patients. Data from 8.881 workers were analysed, 346 working at nuclear medicine institutions. For monitored workers and measurably exposed workers in nuclear medicine, the values 2.3 mSv and 5.4 mSv, respectively, for effective annual doses are greater than data

Nuclear medicine training and practice in the Czech Republic

International Nuclear Information System (INIS)

Kaminek, Milan; Koranda, Pavel

2014-01-01

Nuclear medicine in the Czech Republic is a full specialty with an exclusive practice. Since the training program was organized and structured in recent years, residents have had access to the specialty of nuclear medicine, starting with a two-year general internship (in internal medicine or radiology). At present, nuclear medicine services are provided in 45 departments. In total, 119 nuclear medicine specialists are currently registered. In order to obtain the title of Nuclear Medicine Specialist, five years of training are necessary; the first two years consist of a general internship in internal medicine or radiology. The remaining three years consist of training in the nuclear medicine specialty itself, but includes three months of practice in radiology. Twenty-one physicians are currently in nuclear medicine training and a mean of three specialists pass the final exam per year. The syllabus is very similar to that of the European Union of Medical Specialists (UEMS), namely concerning the minimum recommended numbers for diagnostic and therapeutic procedures. In principle, the Czech law requires continuous medical education for all practicing doctors. The Czech Medical Chamber has provided a continuing medical education (CME) system. Other national CMEs are not accepted in Czech Republic. (orig.)

Nuclear medicine training and practice in the Czech Republic

Energy Technology Data Exchange (ETDEWEB)

Kaminek, Milan; Koranda, Pavel [University Hospital Olomouc, Department of Nuclear Medicine, Olomouc (Czech Republic)

2014-08-15

Nuclear medicine in the Czech Republic is a full specialty with an exclusive practice. Since the training program was organized and structured in recent years, residents have had access to the specialty of nuclear medicine, starting with a two-year general internship (in internal medicine or radiology). At present, nuclear medicine services are provided in 45 departments. In total, 119 nuclear medicine specialists are currently registered. In order to obtain the title of Nuclear Medicine Specialist, five years of training are necessary; the first two years consist of a general internship in internal medicine or radiology. The remaining three years consist of training in the nuclear medicine specialty itself, but includes three months of practice in radiology. Twenty-one physicians are currently in nuclear medicine training and a mean of three specialists pass the final exam per year. The syllabus is very similar to that of the European Union of Medical Specialists (UEMS), namely concerning the minimum recommended numbers for diagnostic and therapeutic procedures. In principle, the Czech law requires continuous medical education for all practicing doctors. The Czech Medical Chamber has provided a continuing medical education (CME) system. Other national CMEs are not accepted in Czech Republic. (orig.)

Nuclear Medicine on the net

International Nuclear Information System (INIS)

Graney, K.; Lin, P.C.; Chu, J.; Sathiakumur, C.

2003-01-01

Full text: To gain insight into Internet usage as a potential means of communicating with clinicians. Method: 200 clinicians within the South Western Sydney Health Area were surveyed by mail. Questionnaire details included Internet access, frequency of access, interest in department web site, suitability of content and interest in electronic bookings. The total response rate was 37% (74/200). General Practitioners comprised 46% of the respondents, and specialists 54%. All respondents had access to the Internet (44% from home only, 8% from work, 48% from both locations), with 57% accessing the Web daily. There was a high overall interest by respondents in accessing a Nuclear medicine web site, particularly for information and results, but a relative reluctance to consider electronic bookings. The following table outlines the respondents in detail. Our results indicate that a Nuclear Medicine web site has the potential to be an effective means of communicating with clinicians. Copyright (2003) The Australian and New Zealand Society of Nuclear Medicine Inc

Radiation protection in nuclear medicine

International Nuclear Information System (INIS)

Seeburrun, V.

2013-04-01

Radiation protection in nuclear medicine in this project is concerned with the reduction of doses to workers, patients and members of the public. Protection of workers is achieved by adopting good personal habits, good housekeeping, proper use of personal protective devices and equipment, attend training and have continuous education. Exposure to radiation of workers and the members of the public are minimised by proper management of radioactive waste and safe transport of radioactive material. The design and shielding of a nuclear medicine department shall further provide for the protection of the worker, the patient and the general public. Protection of patient is achieved by justifying the procedure, delivering the minimum radiation dose possible to the patient while obtaining the best image quality and applying guidance levels. Special considerations shall be given to pregnant and breast-feeding patients. Quality assurance programme through image quality, radiopharmaceutical quality and patient records on nuclear medicine procedures shall provide assurance to the patient. (au)

On a Work Expected to the Department of Emergency and Critical Care Medicine and the Emergency Unit of the Niigata University Hospital

OpenAIRE

小山, 真; Koyama, Shin

2001-01-01

The author would like to celebrate the start of the Department of emergency and critical care medicine and the Emergency unit of the Niigata University Hospital. The author also wishes to express his opinion, which is mentioned below, on preparing the Department and the Emergency unit for their future activity. 1 . The stuff members of the Department are expected to instruct undergraduate students in the knowledge and technique of Triage and the first aid in emergency exactly. 2 . The Emergen...

Radiological impact of diagnostic nuclear medicine technology on the Quebec population (patients and workers) in 1989

International Nuclear Information System (INIS)

Renaud, L.; Blanchette, J.

1992-01-01

Using the results of a six month survey on the doses received by non-monitored hospital workers from diagnostic nuclear medicine patients (DNMP) in three hospitals and published statistics on Quebec's workers and hospitals, an evaluation of the radiological impact of DNMP has been calculated on the Quebec's population. In 1989, diagnostic nuclear medicine gave an average of 6.4 mSv/act or a total of 2,800 sv-man. The diagnostic nuclear medicine technologists' community received 0.4 Sv-man and the non-monitored hospital workers 1.7 Sv-man from the DNMP in the same year. (author)

Children's (Pediatric) Nuclear Medicine

Science.gov (United States)

... Professions Site Index A-Z Children's (Pediatric) Nuclear Medicine Children’s (pediatric) nuclear medicine imaging uses small amounts ... Children's Nuclear Medicine? What is Children's (Pediatric) Nuclear Medicine? Nuclear medicine is a branch of medical imaging ...

Children's (Pediatric) Nuclear Medicine

Medline Plus

Full Text Available ... Professions Site Index A-Z Children's (Pediatric) Nuclear Medicine Children’s (pediatric) nuclear medicine imaging uses small amounts ... Children's Nuclear Medicine? What is Children's (Pediatric) Nuclear Medicine? Nuclear medicine is a branch of medical imaging ...

Children's (Pediatric) Nuclear Medicine

Medline Plus

Full Text Available ... Physician Resources Professions Site Index A-Z Children's (Pediatric) Nuclear Medicine Children’s (pediatric) nuclear medicine imaging uses ... limitations of Children's Nuclear Medicine? What is Children's (Pediatric) Nuclear Medicine? Nuclear medicine is a branch of ...

Children's (Pediatric) Nuclear Medicine

Medline Plus

Full Text Available ... News Physician Resources Professions Site Index A-Z Children's (Pediatric) Nuclear Medicine Children’s (pediatric) nuclear medicine imaging ... the limitations of Children's Nuclear Medicine? What is Children's (Pediatric) Nuclear Medicine? Nuclear medicine is a branch ...

Children's (Pediatric) Nuclear Medicine

Medline Plus

Full Text Available ... Resources Professions Site Index A-Z Children's (Pediatric) Nuclear Medicine Children’s (pediatric) nuclear medicine imaging uses small ... of Children's Nuclear Medicine? What is Children's (Pediatric) Nuclear Medicine? Nuclear medicine is a branch of medical ...

A DICOM based PACS for nuclear medicine; Ein DICOM-basiertes PACS fuer die Nuklearmedizin

Energy Technology Data Exchange (ETDEWEB)

Lassmann, M.; Reiners, C. [Wuerzburg Univ. (Germany). Klinik und Poliklinik fuer Nuklearmedizin

2002-02-01

The installation of a radiology information system (RIS) connected to a hospital information system (HIS) and a picture archiving and communications system (PACS) seems mandatory for a nuclear medicine department in order to guarantee a high patient throughput. With these systems a fast transmission of reports, images to the in- and out-patients' wards and private practitioners is realized. Therefore, since April 2000, at the department of nuclear medicine of the university of Wuerzburg a completely DICOM based PACS has been implemented in addition to the RIS. With this system a DICOM based workflow is realized throughout the department of nuclear medicine for reporting and archiving. The PACS is connected to six gamma-cameras, a PET scanner, a bone densitometry system and an ultrasound device. The volume of image data archived per month is 4 GByte. Patient demographics are provided to the modalities via DICOM-Worklist. With these PACS components a department specific archive purely based on DICOM can be realized. During the installation process problems occurred mainly because of the complex DICOM standard for nuclear medicine. Related to that is the problem that most of the software implementations still contain bugs or are not adapted to the needs of a nuclear medicine department (particularly for PET). A communication software for the distribution of nuclear medicine reports and images based on techniques used for the worldwide web is currently tested. (orig.) [German] Fuer eine nuklearmedizinische Klinik ist ein Klinikinformationssystem (KIS) gekoppelt mit einem Radiologieinformationssystem (RIS) sowie einem Bildarchivierungs- und Verteilungssystem (PACS) unabdingbar, um einen schnellen Patientendurchsatz sowie die zeitnahe Uebermittlung von Befunden inklusive nuklearmedizinischen Bildern an zuweisende Stationen, Ambulanzen und externe Zuweiser zu gewaehrleisten. Daher wurde im April 2000 an der Klinik und Poliklinik fuer Nuklearmedizin der Universitaet

Occupational radiation exposure in nuclear medicine department in Kuwait

Science.gov (United States)

Alnaaimi, M.; Alkhorayef, M.; Omar, M.; Abughaith, N.; Alduaij, M.; Salahudin, T.; Alkandri, F.; Sulieman, A.; Bradley, D. A.

2017-11-01

Ionizing radiation exposure is associated with eye lens opacities and cataracts. Radiation workers with heavy workloads and poor protection measures are at risk for vision impairment or cataracts if suitable protection measures are not implemented. The aim of this study was to measure and evaluate the occupational radiation exposure in a nuclear medicine (NM) department. The annual average effective doses (Hp[10] and Hp[0.07]) were measured using calibrated thermos-luminescent dosimeters (TLDs; MCP-N [LiF:Mg,Cu,P]). Five categories of staff (hot lab staff, PET physicians, NM physicians, technologists, and nurses) were included. The average annual eye dose (Hp[3]) for NM staff, based on measurements for a typical yearly workload of >7000 patients, was 4.5 mSv. The annual whole body radiation (Hp[10]) and skin doses (Hp[0.07]) were 4.0 and 120 mSv, respectively. The measured Hp(3), Hp(10), and Hp(0.07) doses for all NM staff categories were below the dose limits described in ICRP 2014 in light of the current practice. The results provide baseline data for staff exposure in NM in Kuwait. Radiation dose optimization measures are recommended to reduce NM staff exposure to its minimal value.

Variation in Emergency Department vs Internal Medicine Excess Charges in the United States.

Science.gov (United States)

Xu, Tim; Park, Angela; Bai, Ge; Joo, Sarah; Hutfless, Susan M; Mehta, Ambar; Anderson, Gerard F; Makary, Martin A

2017-08-01

Uninsured and insured but out-of-network emergency department (ED) patients are often billed hospital chargemaster prices, which exceed amounts typically paid by insurers. To examine the variation in excess charges for services provided by emergency medicine and internal medicine physicians. Retrospective analysis was conducted of professional fee payment claims made by the Centers for Medicare & Medicaid Services for all services provided to Medicare Part B fee-for-service beneficiaries in calendar year 2013. Data analysis was conducted from January 1 to July 31, 2016. Markup ratios for ED and internal medicine professional services, defined as the charges submitted by the hospital divided by the Medicare allowable amount. Our analysis included 12 337 emergency medicine physicians from 2707 hospitals and 57 607 internal medicine physicians from 3669 hospitals in all 50 states. Services provided by emergency medicine physicians had an overall markup ratio of 4.4 (340% excess charges), which was greater than the markup ratio of 2.1 (110% excess charges) for all services performed by internal medicine physicians. Markup ratios for all ED services ranged by hospital from 1.0 to 12.6 (median, 4.2; interquartile range [IQR], 3.3-5.8); markup ratios for all internal medicine services ranged by hospital from 1.0 to 14.1 (median, 2.0; IQR, 1.7-2.5). The median markup ratio by hospital for ED evaluation and management procedure codes varied between 4.0 and 5.0. Among the most common ED services, laceration repair had the highest median markup ratio (7.0); emergency medicine physician review of a head computed tomographic scan had the greatest interhospital variation (range, 1.6-27.7). Across hospitals, markups in the ED were often substantially higher than those in the internal medicine department for the same services. Higher ED markup ratios were associated with hospital for-profit ownership (median, 5.7; IQR, 4.0-7.1), a greater percentage of uninsured patients seen

Assessment of OEP health's risk in nuclear medicine

International Nuclear Information System (INIS)

Santacruz-Gomez, K.; Manzano, C.; Melendrez, R.; Castaneda, B.; Barboza-Flores, M.; Pedroza-Montero, M.

2012-01-01

The use of ionizing radiation has been increased in recent years within medical applications. Nuclear Medicine Department offers both treatment and diagnosis of diseases using radioisotopes to controlled doses. Despite the great benefits to the patient, there is an inherent risk to workers which remains in contact with radiation sources for long periods. These personnel must be monitored to avoid deterministic effects. In this work, we retrospectively evaluated occupationally exposed personnel (OEP) to ionizing radiation in nuclear medicine during the last five years. We assessed both area and personal dosimetry of this department in a known Clinic in Sonora. Our results show an annual equivalent dose average of 4.49 ± 0.70 mSv in OEP without showing alarming changes in clinical parameters analyzed. These results allow us to conclude that health of OEP in nuclear medicine of this clinic has not been at risk during the evaluated period. However, we may suggest the use of individual profiles based on specific radiosensitivity markers.

SARIS: a tool for occupational radiation protection improvement in a Nuclear Medicine Department

International Nuclear Information System (INIS)

Lopez Diaz, A.

2015-01-01

Self-assessment is an organization's internal process to review its current status. The IAEA has developed the SARIS system (Self-Assessment of the Regulatory Infrastructure for Safety) with the objective to improve and encourage the compliment of safety requirements and recommendations of the international safety standards. With the purpose to improve the effectiveness and efficiency of the occupational radiation protection structure in the Nuclear Medicine Department (from 'Hermanos Ameijeiras' Hospital), we applied 3 questionnaires of the Occupational Radiation Protection Module of SARIS. During the answering phase we provided factual responses to questions, appended all necessary documentary evidence and avoided opinion that cannot be objectively supported by evidence. In the analysis phase we identified the strengths and weaknesses, the opportunities for improvement and the risks if action is not taken. We look the expert's opinion and made recommendations to prepare an action plan for improvement. The Cuban regulations have more strengths than weakness. The major weakness founded was: the documental evidence of the knowledge about the legislative safety responsibility of the management structure and workers could be improved. Upon completion of the self-assessment analysis phase, was developed an action plan, trying to cover all the discovered weakness, making emphasis in the improvement of all documental issue related to radiation safety responsibilities. Were defined the responsibilities and activities in the short, medium and long terms. The SARIS self-assessment tools let us to learn more about our organization and provided us the key elements for the organization's continuous development and improvement. (Author)

The 8th questionnaire survey report of safety control in nuclear medicine

International Nuclear Information System (INIS)

2008-01-01

A questionnaire survey on safety of nuclear medicine studies was conducted under the subcommittee for radionuclide imaging and nuclear medicine technology of Japan Radioisotope Association to promote patient safety. Questionnaires were sent to 1300 hospitals and 21 clinical laboratories in Japan with 1034 facilities responded (78.3%). Sixty percents of the workers in the facilities were nuclear medicine technologists. Medical doctors comprised 20% of the workers, but 32% in the university hospitals. The number of laboratory technologists decreased in all categories of the facilities. Composite PET/CT scanners increased sharply, whereas 2-detector and 3-detector imaging systems decreased. Regular maintenance was performed in approximately 80% of the SPECT imaging systems, while the single head imaging systems were maintained less frequently. Filmless systems were employed in 25.3% of all of the facilities responded, with the higher rate in the university hospitals. The number of accidents and incidents in the facilities decreased. Falls on floor and fall from an examination bed were reported. The nuclear medicine technologists were concerned about safety mechanism of imaging systems, and dimension and height of examination beds. They also wanted prompt supply of safety information and easy interconnectivity among different data of various vendors' systems. The results of this survey may be a valuable source of information on safety of nuclear medicine procedures. (author)

Nuclear medicine in Uzbekistan: Past, present and future

International Nuclear Information System (INIS)

Rasulova, N.; Khodjibekova, M.; Myasnik, B.; Pirnazarov, M.; Atadjanova, M.

2007-01-01

Full text: Uzbekistan is one of the biggest countries in Middle Asia with a population of about 26.5 million. Nuclear Medicine in Uzbekistan has a long history. The first Nuclear Medicine Departments were organized in the 1950s and spread quickly in the 1960's when the number grew to 22 nuclear medicine centres in whole country. They were equipped with probe renogram, scanners, multiprobes and anger gamma cameras. As far as the Nuclear Medicine Department of Republic Specialized Center of Surgery is concerned, it was organized in 1976 and the first equipment of the institution was the anger gamma camera, ''Nuclear Chicago,'' as well as the probe renogram and multiple probes. At that time, the spectre of Nuclear Medicine examinations included: renoscintigraphy with I-131 hippuran, thyroid scintigraphy with I-131, MUGA, hepatic scintigraphy with sulphur colloid and HIDA, lung perfusion and ventilation, lymphoscintigraphy of low extremities, radiography (investigation of central hemodynamic), dynamic brain perfusion, bone scintigraphy of bone transplant, selective radionuclide angiography (examination of peripheral microcirculation) and phleboscintigraphy of low extremities. Unfortunately, the situation changed during the first years of Uzbekistan independence (1991) due to the economic situation. The number of Nuclear Medicine Departments decreased to 10. However, the NM Department of Republic Specialised Center of Surgery never stopped its clinical and research work. Nonetheless, the number of examinations performed significantly dropped. A new era of Nuclear Medicine in Uzbekistan was started in 2000 when the IAEA approved the TC project ''Introduction of SPECT in Uzbekistan''. With the great help of IAEA, the Republic Specialised Center of Surgery received a single head SPECT gamma camera (E-CAM Siemens). Furthermore, under the next TC project ''Implementation of NM in Uzbekistan,'' the same Center received a second SPECT dual head gamma camera (Nucline Spirit

Nuclear medicine in South Africa : current status

International Nuclear Information System (INIS)

Vangu, M.D.T.H.W.

2004-01-01

Full text: Nuclear medicine in South Africa has been a full specialty on its own since 1987. It is practiced in almost all teaching hospitals and within the private sector in larger cities. Most of the routine radiopharmaceuticals are domestically manufactured and the main isotope can be obtained from locally produced technetium generators. All the radionuclide imaging devices used in the country are imported. The main vendors are GE, Siemens and Phillips. The majority of radionuclide imaging comprises work from nuclear cardiology and nuclear oncology. Almost all the routine clinical nuclear medicine procedures are performed and some in vitro work is also done, however. Principal therapeutic agents used in the country include radioactive iodine, radioactive iodine MIBG and yttrium. The country still lacks experience in receptors imaging and radioimmunology work and no PET scanner has been purchased yet. The academic institutions are active with participation in national and international congresses and also with publications. Although much remains to be done, the future of nuclear medicine in South Africa does not appear gloomy. (author)

Nuclear medicine physics

CERN Document Server

De Lima, Joao Jose

2011-01-01

Edited by a renowned international expert in the field, Nuclear Medicine Physics offers an up-to-date, state-of-the-art account of the physics behind the theoretical foundation and applications of nuclear medicine. It covers important physical aspects of the methods and instruments involved in modern nuclear medicine, along with related biological topics. The book first discusses the physics of and machines for producing radioisotopes suitable for use in conventional nuclear medicine and PET. After focusing on positron physics and the applications of positrons in medicine and biology, it descr

Recommendations to reduce hand exposure for standard nuclear medicine procedures

International Nuclear Information System (INIS)

Sans-Merce, M.; Ruiz, N.; Barth, I.; Carnicer, A.; Donadille, L.; Ferrari, P.; Fulop, M.; Ginjaume, M.; Gualdrini, G.; Krim, S.; Mariotti, F.; Ortega, X.; Rimpler, A.; Vanhavere, F.; Baechler, S.

2011-01-01

The optimization of the extremity dosimetry of medical staff in nuclear medicine was the aim of the Work Package 4 (WP4) of the ORAMED project, a Collaborative Project (2008–2011) supported by the European Commission within its 7th Framework Programme. Hand doses and dose distributions across the hands of medical staff working in nuclear medicine departments were evaluated through an extensive measurement program involving 32 hospitals in Europe and 139 monitored workers. The study included the most frequently used radionuclides, 99m Tc- and 18 F-labelled radiopharmaceuticals for diagnostic and 90 Y-labelled Zevalin ® and DOTATOC for therapy. Furthermore, Monte Carlo simulations were performed in different predefined scenarios to evaluate separately the efficacy of different radiation protection measures by comparing hand dose distributions according to various parameters. The present work gives recommendations based on results obtained with both measurements and simulations. This results in nine practical recommendations regarding the positioning of the dosemeters for an appropriate skin dose monitoring and the best protection means to reduce the personnel exposure.

Computer applications in nuclear medicine

International Nuclear Information System (INIS)

Lancaster, J.L.; Lasher, J.C.; Blumhardt, R.

1987-01-01

Digital computers were introduced to nuclear medicine research as an imaging modality in the mid-1960s. Widespread use of imaging computers (scintigraphic computers) was not seen in nuclear medicine clinics until the mid-1970s. For the user, the ability to acquire scintigraphic images into the computer for quantitative purposes, with accurate selection of regions of interest (ROIs), promised almost endless computational capabilities. Investigators quickly developed many new methods for quantitating the distribution patterns of radiopharmaceuticals within the body both spatially and temporally. The computer was used to acquire data on practically every organ that could be imaged by means of gamma cameras or rectilinear scanners. Methods of image processing borrowed from other disciplines were applied to scintigraphic computer images in an attempt to improve image quality. Image processing in nuclear medicine has evolved into a relatively extensive set of tasks that can be called on by the user to provide additional clinical information rather than to improve image quality. Digital computers are utilized in nuclear medicine departments for nonimaging applications also, Patient scheduling, archiving, radiopharmaceutical inventory, radioimmunoassay (RIA), and health physics are just a few of the areas in which the digital computer has proven helpful. The computer is useful in any area in which a large quantity of data needs to be accurately managed, especially over a long period of time

Pulmonary explorations in nuclear medicine

International Nuclear Information System (INIS)

Beck, C.

1987-01-01

Ten years ago specialists in Nuclear Medicine from the South of France formed an Association called ACOMEN. The objectives were to create a permanent exchange of ideas between members and a close collaboration with physicians. The group objectives have led to a combination of efforts on the behalf of each one to clarify our techniques for physicians having recourse to this speciality as well as the various categories of students passing through the Nuclear Medicine Departments. Different groups within the ACOMEN were assigned to specific subjects. Each group was in charge of building the framework of a certain topic, which was then illustrated by selected documents contributed by all members. A slide collection, complete with an explanatory booklet is the final result of this collaboration. Thus anyone concerned in any way, with nuclear medicine, is able to quickly become familiar with the techniques of the speciality, to be aware of its possibilities and its limitations and to update his hnowledge. One realizes that the first theme selected was not the easiest; pulmonary radionuclide explorations are, as everyone knows, variable and even personalized. However, the choice was deliberate. The difficulty should stimulate those responsible for the other themes as well as the people working with them. There is already a slide collection available to anyone who wishes to learn about the use of nuclear medicine in the diagnosis of respiratory diseases [fr

The Frederic Joliot hospital department

International Nuclear Information System (INIS)

1999-02-01

The Service Hospitalier Frederic Joliot (SHFJ) of the CEA, has got a scientific and a medical mission: to develop techniques allowing the functional study of human organs. The paper presents the main activities of this department: the positron emission tomography to visualize in real time markers in the organism in neurology and cardiology, researches on epilepsy to localize the epileptic centre, the nuclear medicine in cardiology with the use of the gamma photon emission tomography and the radiopharmacology to visualize the drugs effects in the organism. (A.L.B.)

Overview of radiation protection programme in nuclear medicine facility for diagnostic procedures

International Nuclear Information System (INIS)

Ahmed, Ezzeldein Mohammed Nour Mohammed

2015-02-01

This project was conducted to review Radiation Protection Program in Nuclear Medicine facility for diagnostic procedures which will provide guide for meeting the standard and regulatory requirements in diagnostic nuclear medicine. The main objective of this project is to keep dose to staff, patient and public as low as reasonably achievable (ALARA). The specific objectives were to review the Radiation Protection Program (RPP) in diagnostic nuclear medicine and to make some recommendation for improving the level of radiation protection in diagnostic nuclear medicine that will help to control normal exposure and prevent or mitigate potential exposure. The methodology used is review of various documents. The review showed that if the Radiation Protection Program is inadequate it leads to unjustified exposure to radiation. Finally, this study stated some recommendations that if implemented could improve the level of radiation protection in nuclear medicine department. One of the most important recommendations is that a qualified Radiation Protection Officer (RPO) should be appointed to lay down and oversee a radiation protection in the nuclear medicine department. The RPO must be given the full authority and the adequate time to enable him to perform his duties effectively. (au)

[The department of interdisciplinary emergency medicine: organization, structure and process optimization].

Science.gov (United States)

Bernhard, Michael; Pietsch, Christian; Gries, André

2009-06-01

The essential tasks of a department of interdisciplinary emergency medicine are the initial triage and assessment of vital function as well as the subsequent organization und initiation of emergency treatment. A previously defined set of diagnostic and therapeutic measures is carried out before the patient is allocated to an in-hospital clinical service and is admitted to a ward. Moreover, diagnosis and treatment for outpatients are performed. "Time" is a critical factor to be considered for all organizational and structural aspects of a department of interdisciplinary emergency medicine.

Current status of the nuclear medicine in Japan

International Nuclear Information System (INIS)

Torizuka, K.

1974-01-01

A brief survey of the current status of Japan nuclear medicine is given. The following data are described (from the material of the 11th Japan Conference of Radioisotopes): 1. the increase of the number of nuclear instruments between 1971 and 1973; 2. the total amount of the cobalt radiation apparatur (inclusive of the cesium apparatus) in the hospitals in 1971- and 1972; 3. the radioactive medicines and nuclids used in Japan; 4. the radioactive isotopes used generally in the therapeutics in 1971 and 1972; 5. the question of labour. (K.A.)

Hospital-Level Factors Associated with Pediatric Emergency Department Return Visits.

Science.gov (United States)

Pittsenbarger, Zachary; Thurm, Cary; Neuman, Mark; Spencer, Sandra; Simon, Harold; Gosdin, Craig; Shah, Samir; McClead, Richard; Stack, Anne; Alpern, Elizabeth

2017-07-01

Return visits (RVs) and RVs with admission (RVAs) are commonly used emergency department quality measures. Visit- and patient-level factors, including several social determinants of health, have been associated with RV rates, but hospital-specific factors have not been studied. To identify what hospital-level factors correspond with high RV and RVA rates. Multicenter mixed-methods study of hospital characteristics associated with RV and RVA rates. Pediatric Health Information System with survey of emergency department directors. Adjusted return rates were calculated with generalized linear mixed-effects models. Hospitals were categorized by adjusted RV and RVA rates for analysis. Twenty-four hospitals accounted for 1,456,377 patient visits with an overall adjusted RV rate of 3.7% and RVA rate of 0.7%. Hospitals with the highest RV rates served populations that were more likely to have government insurance and lower median household incomes and less likely to carry commercial insurance. Hospitals in the highest RV rate outlier group had lower pediatric emergency medicine specialist staffing, calculated as full-time equivalents per 10,000 patient visits: median (interquartile range) of 1.9 (1.5-2.1) versus 2.9 (2.2-3.6). There were no differences in hospital population characteristics or staffing by RVA groups. RV rates were associated with population social determinants of health and inversely related to staffing. Hospital-level variation may indicate population-level economic factors outside the control of the hospital and unrelated to quality of care. © 2017 Society of Hospital Medicine

Nuclear medicine and the pregnant patient

International Nuclear Information System (INIS)

Collins, L.

1988-01-01

Estimates of the risks of exposing an embryo or fetus to radiation are discussed. Recommendations are made about the policies a nuclear medicine department should develop for handling cases of accidental irradiation of an embryo or fetus. The choices available where a known pregnancy is involved and diagnostic radiology is required are outlined. Only necessary examinations should be performed and care taken to avoid or minimise irradiation of the fetus. The nuclear medicine physician must be prepared to make (and defend if necessary) an informed decision on whether to proceed with an examination and must also be in a position to discuss the risks with anxious parents

Scientific publications from departments of clinical physiology and nuclear medicine in Denmark. A bibliometric analysis of "impact' in the years 1989-1994

DEFF Research Database (Denmark)

Hansen, HB; Brinch, K; Henriksen, Jens Henrik Sahl

1996-01-01

This study reports a bibliometric analysis of scientific publications emanating from departments of clinical physiology and nuclear medicine, Denmark, during the years 1989-1994. The total number of publications during this period was 860 (763 scientific journal papers, 71 book/book chapters and 26...... a collaboration between two or more departments of clinical physiology and nuclear medicine, but the collaboration with other medical specialities and institutions was much greater (85%). The 763 papers were published in 239 different scientific journals, 80% in journals with an official 'impact factor......', a bibliometric measure of quality (the average number of times a paper is cited in a journal in the publishing year and the subsequent year). Twenty per cent (20%) and 8.4% were printed in journals with an impact factor, respectively, of above 2.1 (the 500 journals most cited) and 3.7 (the 200 most cited), which...

Frontiers in nuclear medicine symposium: Nuclear medicine & molecular biology

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-04-01

This document contains the abstracts from the American College of Nuclear Physicians 1993 Fall Meeting entitled, `Frontiers in Nuclear Medicine Symposium: Nuclear Medicine and Molecular Biology`. This meeting was sponsored by the US DOE, Office of Health and Environmental Research, Office of Energy Research. The program chairman was Richard C. Reba, M.D.

A glance at the history of nuclear medicine

International Nuclear Information System (INIS)

Carlsson, S.

1995-01-01

The development of nuclear medicine has resulted in several effective routine methods in diagnosis and therapy. There is an ongoing discussion about the future of the activity based on the fast development of ultrasound, CT and MR. In such discussions, it is often forgotten that nuclear medicine is also a dynamic diagnostic tool under continuous progress. As seen from this historical review, nuclear medicine has grown from quite simple in vitro tests to very advanced methods to image organ function. This is the result of the development of radiopharmaceuticals and instrumentation. Today, development is moving towards what is called receptor scintigraphy, i.e., the use of radiopharmaceuticals which are very specific to certain diseases, for instance, tumours. Even at present there is no other method to determine the regional myocardial blood flow both at stress and at rest, than myocardial scintigraphy. Nuclear medicine will remain an important diagnostic tool as long as it employs people with engagement and interest. Such people will also guarantee that the hospital management will supply the activity with funds for the necessary investments. (orig.)

Medicine and ionizing rays: a help sheet in analysing risks in nuclear medicine

International Nuclear Information System (INIS)

Gauron, C.

2006-01-01

This document first proposes the various applicable legal and regulatory texts concerning radioprotection in the medical sector (European directives, institutions in charge of radioprotection, general arrangements, regulatory texts concerning worker protection against ionizing radiations, personnel specialized in medical radio-physics, electro-radiology operators, quality control of medical devices, and nuclear medicine and radiology). The second part proposes a synthesis of useful knowledge for radioprotection in the case of nuclear medicine when performing in vivo diagnosis, positron emission tomography or PET being excluded. Several aspects are considered: the concerned personnel, the course of treatment procedures, the hazards, the identification of the risk associated with ionizing radiation, the risk assessment and the determination of exposure levels, the strategy to control the risks (reduction of risks, technical measures concerning the installation or the personnel, teaching and information, prevention and medical monitoring), and risk control assessment. The next parts present the same kind of information but for positron emission tomography or PET with Fluorine 18, for therapeutic practice without hospitalization (activity of iodine 137 less than 740 MBq), for therapeutic practice in case of hospitalization (iodine 137 activity greater than 740 MBq), and when taking patients into care after treatment in a nuclear medicine (in this last case, legal and regulatory information focus on patients)

Converting energy to medical progress [nuclear medicine

Energy Technology Data Exchange (ETDEWEB)

NONE

2001-04-01

For over 50 years the Office of Biological and Environmental Research (BER) of the United States Department of Energy (DOE) has been investing to advance environmental and biomedical knowledge connected to energy. The BER Medical Sciences program fosters research to develop beneficial applications of nuclear technologies for medical diagnosis and treatment of many diseases. Today, nuclear medicine helps millions of patients annually in the United States. Nearly every nuclear medicine scan or test used today was made possible by past BER-funded research on radiotracers, radiation detection devices, gamma cameras, PET and SPECT scanners, and computer science. The heart of biological research within BER has always been the pursuit of improved human health. The nuclear medicine of tomorrow will depend greatly on today's BER-supported research, particularly in the discovery of radiopharmaceuticals that seek specific molecular and genetic targets, the design of advanced scanners needed to create meaningful images with these future radiotracers, and the promise of new radiopharmaceutical treatments for cancers and genetic diseases.

Converting energy to medical progress [nuclear medicine

International Nuclear Information System (INIS)

2001-01-01

For over 50 years the Office of Biological and Environmental Research (BER) of the United States Department of Energy (DOE) has been investing to advance environmental and biomedical knowledge connected to energy. The BER Medical Sciences program fosters research to develop beneficial applications of nuclear technologies for medical diagnosis and treatment of many diseases. Today, nuclear medicine helps millions of patients annually in the United States. Nearly every nuclear medicine scan or test used today was made possible by past BER-funded research on radiotracers, radiation detection devices, gamma cameras, PET and SPECT scanners, and computer science. The heart of biological research within BER has always been the pursuit of improved human health. The nuclear medicine of tomorrow will depend greatly on today's BER-supported research, particularly in the discovery of radiopharmaceuticals that seek specific molecular and genetic targets, the design of advanced scanners needed to create meaningful images with these future radiotracers, and the promise of new radiopharmaceutical treatments for cancers and genetic diseases

Nuclear medicine training and practice in Poland

International Nuclear Information System (INIS)

Teresinska, Anna; Birkenfeld, Bozena; Krolicki, Leszek; Dziuk, Miroslaw

2014-01-01

In Poland, nuclear medicine (NM) has been an independent specialty since 1988. At the end of 2013, the syllabus for postgraduate specialization in NM has been modified to be in close accordance with the syllabus approved by the European Union of Medical Specialists and is expected to be enforced before the end of 2014. The National Consultant in Nuclear Medicine is responsible for the specialization program in NM. The Medical Center of Postgraduate Training is the administrative body which accepts the specialization programs, supervises the training, organizes the examinations, and awards the specialist title. Specialization in NM for physicians lasts for five years. It consists of 36 months of training in a native nuclear medicine department, 12 months of internship in radiology, 3 months in cardiology, 3 months in endocrinology, 3 months in oncology, and 3 months in two other departments of NM. If a NM trainee is a specialist of a clinical discipline and/or is after a long residency in NM departments, the specialization in NM can be shortened to three years. During the training, there are obligatory courses to be attended which include the elements of anatomy imaging in USG, CT, and MR. Currently, there are about 170 active NM specialists working for 38.5 million inhabitants in Poland. For other professionals working in NM departments, it is possible to get the title of a medical physics specialist after completing 3.5 years of training (for those with a master's in physics, technical physics or biomedical engineering) or the title of a radiopharmacy specialist after completing 3 years of training (for those with a master's in chemistry or biology). At present, the specialization program in NM for nurses is being developed by the Medical Centre of Postgraduate Education. Continuing education and professional development are obligatory for all physicians and governed by the Polish Medical Chamber. The Polish Society of Nuclear Medicine (PTMN) organizes regular

Nuclear medicine training and practice in Poland

Energy Technology Data Exchange (ETDEWEB)

Teresinska, Anna [Institute of Cardiology, Department of Nuclear Medicine, Warsaw (Poland); Birkenfeld, Bozena [Pomeranian Medical University, Department of Nuclear Medicine, Szczecin (Poland); Krolicki, Leszek [Warsaw Medical University, Department of Nuclear Medicine, Warsaw (Poland); Dziuk, Miroslaw [Military Institute of Medicine, Department of Nuclear Medicine, Warsaw (Poland)

2014-10-15

In Poland, nuclear medicine (NM) has been an independent specialty since 1988. At the end of 2013, the syllabus for postgraduate specialization in NM has been modified to be in close accordance with the syllabus approved by the European Union of Medical Specialists and is expected to be enforced before the end of 2014. The National Consultant in Nuclear Medicine is responsible for the specialization program in NM. The Medical Center of Postgraduate Training is the administrative body which accepts the specialization programs, supervises the training, organizes the examinations, and awards the specialist title. Specialization in NM for physicians lasts for five years. It consists of 36 months of training in a native nuclear medicine department, 12 months of internship in radiology, 3 months in cardiology, 3 months in endocrinology, 3 months in oncology, and 3 months in two other departments of NM. If a NM trainee is a specialist of a clinical discipline and/or is after a long residency in NM departments, the specialization in NM can be shortened to three years. During the training, there are obligatory courses to be attended which include the elements of anatomy imaging in USG, CT, and MR. Currently, there are about 170 active NM specialists working for 38.5 million inhabitants in Poland. For other professionals working in NM departments, it is possible to get the title of a medical physics specialist after completing 3.5 years of training (for those with a master's in physics, technical physics or biomedical engineering) or the title of a radiopharmacy specialist after completing 3 years of training (for those with a master's in chemistry or biology). At present, the specialization program in NM for nurses is being developed by the Medical Centre of Postgraduate Education. Continuing education and professional development are obligatory for all physicians and governed by the Polish Medical Chamber. The Polish Society of Nuclear Medicine (PTMN) organizes

Control of the individual exposure in the practice of a nuclear medicine department

International Nuclear Information System (INIS)

Hernandez, J.M.; Castro Crespo, D.; Naranjo Cardentey, O.

1996-01-01

In Cuba, since the beginning of the 50 s radioisotopes and radiopharmaceutical have been used for medical purposes to diagnose different diseases. At present about 21 modules of Nuclear Medicine are available for this type of medical assistance service. Use of these substances has increased notably as years passed by, being it an important source of exposure to ionizing radiation. Therefore we were interested in knowing the behaviour of the distribution of equivalent doses during the procedures that are performed in one of such typical modules of nuclear medicine

Contribution of radio-iodine 131 in the treatment of Grave's Basedow disease in the department of nuclear medicine of Ibn Sina Hospital in Rabat

International Nuclear Information System (INIS)

Mbodj, M.; Amjad, I.; Guerrouj, H.; Ben Rais, N.A.

2009-01-01

One hundred and twenty-nine Grave's Basedow diseases in any gender and variable age patients, coming from several cities of Morocco, were randomized in a study of radio-iodine treatment who took place at the nuclear medicine department of Ibn Sina Hospital (Rabat, Morocco) during the period (from January 2001 to December 2008). The radio-iodine treatment was a first, second or third option and radio-iodine activities delivered varied (from 222 to 555 MBq 6 to 15 mCi) according to the age, the thyroid volume, the degree of hyperthyroidism and socio-economical situation. The high amounts of 131 I were reserved especially to the patients who live far and whose socio-economic level is low with an aim of quickly obtaining an easily controllable state of hypothyroidism by a substitute treatment. The results showed that: (1) 57.36% of patients reverted to euthyroidism (n = 74) with a patient having received two 131 I cures. The second cure was justified by recurrence of hyperthyroidism after the first cure; (2) 34.88% passed in hypothyroidism (n = 45) with three patients having received two cures of 131 I, the second cure was justified by recurrence of hyperthyroidism after the first cure in two patients and by the persistence of the hyperthyroidism after the first cure for the third patient. The average time of passage in hypothyroidism was 4.5 months; (3) 7.76% had remained in hyperthyroidism after the radioactive iodine treatment. Finally, 92.24% of our patients treated by radioactive iodine had passed in euthyroidism or hypothyroidism against 7.76% whose hyperthyroidism had persisted or occurred. (authors)

Automated system of control of radioactive liquid effluents of patients submitted to therapy in hospitals of nuclear medicine (SACEL)

International Nuclear Information System (INIS)

Ruiz C, M.A.; Rivero G, T.; Celis del Angel, L.; Sainz M, E.; Molina, G.

2006-01-01

Different hospitals of nuclear medicine require of the technical attendance for the design, construction and instrumentation of an effluents retention system coming from the room dedicated to the medical application of iodine 131, with the one object of giving execution to the normative requirements of radiological protection, settled down in the General Regulation of Radiological Safety (RGSR) emitted by the CNSNS in November, 1988 and in the corresponding official standards. An automatic system of flow measurement, the activity concentration of the effluents to the drainage, the discharges control and the automated report it will allow the execution of the national regulations, also the elimination of unhealthy activities as the taking of samples, analysis of those same and the corresponding paperwork, its will allow that the SACEL is capable of to carry out registrations that are to consult in an automated way. The changes in the demands of the National Commission of Nuclear Safety and Safeguards in relation to the liberation of radioactive material in hospitals by medical treatments, it has created the necessity to develop a system that quantifies and dose the liquid effluents of people under thyroid treatment with iodine-131 to the drainage. The Automated System of Control of radioactive liquids effluents generated in Hospitals of Nuclear Medicine (SACEL) developed in the National Institute of Nuclear Research, it fulfills this regulation, besides improving the work conditions for the medical and technical personnel of the hospital in that are installed, since this system has the advantage of to be totally automated and to require of a minimum of attendance. The SACEL is an electro-hydraulic system of effluents control, based in the alternate operation of two decay deposits of the activity of the material contaminated with iodine-131. The system allows to take a registration of those volumes and liberated dose, besides being able to be monitoring in remote

Hospital Medicine Resident Training Tracks: Developing the Hospital Medicine Pipeline.

Science.gov (United States)

Sweigart, Joseph R; Tad-Y, Darlene; Kneeland, Patrick; Williams, Mark V; Glasheen, Jeffrey J

2017-03-01

Hospital medicine (HM) is rapidly evolving into new clinical and nonclinical roles. Traditional internal medicine (IM) residency training likely does not optimally prepare residents for success in HM. Hospital medicine residency training tracks may offer a preferred method for specialized HM education. Internet searches and professional networks were used to identify HM training tracks. Information was gathered from program websites and discussions with track directors. The 11 HM tracks at academic medical centers across the United States focus mostly on senior residents. Track structure and curricular content are determined largely by the structure and curricula of the IM residency programs in which they exist. Almost all tracks feature experiential quality improvement projects. Content on healthcare economics and value is common, and numerous track leaders report this content is expanding from HM tracks into entire residency programs. Tracks also provide opportunities for scholarship and professional development, such as workshops on abstract creation and job procurement skills. Almost all tracks include HM preceptorships as well as rotations within various disciplines of HM. HM residency training tracks focus largely on quality improvement, health care economics, and professional development. The structures and curricula of these tracks are tightly linked to opportunities within IM residency programs. As HM continues to evolve, these tracks likely will expand to bridge clinical and extra-clinical gaps between traditional IM training and contemporary HM practice. Journal of Hospital Medicine 2017;12:173-176. © 2017 Society of Hospital Medicine

[Assessing research productivity in Department of Internal Medicine, University of Zagreb, School of Medicine and University Hospital Centre Zagreb].

Science.gov (United States)

Petrak, Jelka; Sember, Marijan; Granić, Davorka

2012-01-01

Bibliometric analysis may give an objective information about publishing activity, citation rate and collaboration patterns of individuals, groups and institutions. The publication productivity of the present medical staff (79 with specialist degree and 22 residents) in Department of Internal Medicine, University of Zagreb School of Medicine in University Hospital Centre Zagreb was measured by the number of papers indexed by Medline, their impact was measured by the number of times these papers had subsequently been cited in the medical literature, while the collaboration pattern was estimated by the authors' addresses listed in the papers. PubMed database was a source for verifying the bibliographic data, and the citation data were searched via Thomson Web of Scence (WoS) platform. There were a total of 1182 papers, published from 1974 to date. The number of papers per author ranged from 0 to 252. Sixty of papers were published in English, and 39% in Croatian language. The roughly equal share was published in local and foreign journals. The RCT studies and practice guidelines were among the most cited papers and were at the same time published by the highly ranked journals. The collaboration analysis confirmed the extensive involment in the international multicentric clinical trials as well as in the development of international/local practice guidelines.

Image fusion in open-architecture quality-oriented nuclear medicine and radiology departments

Energy Technology Data Exchange (ETDEWEB)

Pohjonen, H

1997-12-31

Imaging examinations of patients belong to the most widely used diagnostic procedures in hospitals. Multimodal digital imaging is becoming increasingly common in many fields of diagnosis and therapy planning. Patients are frequently examined with magnetic resonance imaging (MRI), X-ray computed tomography (CT) or ultrasound imaging (US) in addition to single photon (SPET) or positron emission tomography (PET). The aim of the study was to provide means for improving the quality of the whole imaging and viewing chain in nuclear medicine and radiology. The specific aims were: (1) to construct and test a model for a quality assurance system in radiology based on ISO standards, (2) to plan a Dicom based image network for fusion purposes using ATM and Ethernet technologies, (3) to test different segmentation methods in quantitative SPET, (4) to study and implement a registration and visualisation method for multimodal imaging, (5) to apply the developed method in selected clinical brain and abdominal images, and (6) to investigate the accuracy of the registration procedure for brain SPET and MRI 90 refs. The thesis includes also six previous publications by author

Image fusion in open-architecture quality-oriented nuclear medicine and radiology departments

Energy Technology Data Exchange (ETDEWEB)

Pohjonen, H

1998-12-31

Imaging examinations of patients belong to the most widely used diagnostic procedures in hospitals. Multimodal digital imaging is becoming increasingly common in many fields of diagnosis and therapy planning. Patients are frequently examined with magnetic resonance imaging (MRI), X-ray computed tomography (CT) or ultrasound imaging (US) in addition to single photon (SPET) or positron emission tomography (PET). The aim of the study was to provide means for improving the quality of the whole imaging and viewing chain in nuclear medicine and radiology. The specific aims were: (1) to construct and test a model for a quality assurance system in radiology based on ISO standards, (2) to plan a Dicom based image network for fusion purposes using ATM and Ethernet technologies, (3) to test different segmentation methods in quantitative SPET, (4) to study and implement a registration and visualisation method for multimodal imaging, (5) to apply the developed method in selected clinical brain and abdominal images, and (6) to investigate the accuracy of the registration procedure for brain SPET and MRI 90 refs. The thesis includes also six previous publications by author

Image fusion in open-architecture quality-oriented nuclear medicine and radiology departments

International Nuclear Information System (INIS)

Pohjonen, H.

1997-01-01

Imaging examinations of patients belong to the most widely used diagnostic procedures in hospitals. Multimodal digital imaging is becoming increasingly common in many fields of diagnosis and therapy planning. Patients are frequently examined with magnetic resonance imaging (MRI), X-ray computed tomography (CT) or ultrasound imaging (US) in addition to single photon (SPET) or positron emission tomography (PET). The aim of the study was to provide means for improving the quality of the whole imaging and viewing chain in nuclear medicine and radiology. The specific aims were: (1) to construct and test a model for a quality assurance system in radiology based on ISO standards, (2) to plan a Dicom based image network for fusion purposes using ATM and Ethernet technologies, (3) to test different segmentation methods in quantitative SPET, (4) to study and implement a registration and visualisation method for multimodal imaging, (5) to apply the developed method in selected clinical brain and abdominal images, and (6) to investigate the accuracy of the registration procedure for brain SPET and MRI

Staff radiation doses associated with nuclear medicine procedures - a review of some recent measurements

International Nuclear Information System (INIS)

Harding, L.K.; Mostafa, A.B.; Thomson, W.H.

1990-01-01

Despite publication of the Approved Code of Practice and the Notes for Guidance, implementation of the UK Ionising Radiation Regulations has required local interpretation by nuclear medicine departments. One problem has been the lack of data upon which decisions can be based. In the last five years we and others have made a number of measurements of radiation doses to staff relating to nuclear medicine practice. This paper collates, summarizes and comments on this information. Where possible, results have been expressed in relation to the workload of an average nuclear medicine department. (author)

Role of nuclear medicine in imaging companion animals

International Nuclear Information System (INIS)

Currie, Geoffrey M.; Wheat, Janelle M.

2005-01-01

The role of equine nuclear medicine in Australia has been previously described in this journal and more recently, Lyall et al. provided a general overview of demographics of veterinary nuclear medicine departments in Australia. Lyall et al. discuss the main clinical applications of nuclear medicine scintigraphy in companion animals; dogs and cats. The aim of this article is to discuss in brief the applications of commonly performed nuclear medicine procedures in humans with respect to veterinary applications. More detailed discussion will also be offered for investigation of pathologies unique to veterinary nuclear medicine or which are more common in animals than humans. Companion animals are living longer today due to advances in both veterinary and human medicine. The problem is, like humans, longevity brings higher incidence of old age morbidity. As a pet owner, one might be initially motivated to extend life expectancy which is followed by the realisation that one also demands quality of life for pets. Early detection through advanced diagnostic tools, like nuclear medicine scintigraphy, allows greater efficacy in veterinary disease. There are limited veterinary nuclear medicine facilities in Australia due to cost and demand. Not surprisingly then, the growth of veterinary nuclear medicine in Australia, and overseas, has been integrally coupled to evaluation of race horses. While these facilities are generally specifically designed for race horses, racing greyhounds, lame family horses and companion animals are being investigated more frequently. In the USA, the American College of Veterinary Radiology (ACVC) is very active clinically and in research. The ACVC journal, Journal of Veterinary Radiology and Ultrasound, is published quarterly and includes a Nuclear Medicine section. Within the ACVR is the Society of Veterinary Nuclear Medicine. Proliferation of veterinary nuclear medicine centres in the USA has been associated with insurance and lifestyle changes

The nature and causes of unintended events reported at 10 internal medicine departments.

NARCIS (Netherlands)

Lubberding, S.; Zwaan, L.; Timmermans, D.R.M.; Wagner, C.

2011-01-01

Objective: This study aimed to examine the nature and causes of unintended events (UEs) at internal medicine departments (IMD). Methods: An observational study was conducted at 10 IMDs in 8 Dutch hospitals. The study period per participating department was 5 to 14 weeks. During this period, staff

[Highlights of hospital-based internal medicine in 2010: chief residents' perspective].

Science.gov (United States)

Uhlmann, Marc; Burnard, Jérôme; Cosma Rochat, Monica; Gabus, Vincent; Micheloud, Valérie Geiser; Gobin, Niels; Laurent, Jean-Christophe; Marino, Laura; Méan, Marie; Merz, Laurent; Regamey, Julien; Stadelmann, Raphaël

2011-02-02

Applying knowledge acquired from recent medical studies to patient care poses a daily challenge to physicians. Chief residents from the Department of Internal Medicine at the University Hospital of Lausanne carried out a review of some of the issues they considered important. The conclusions of these various publications may have a significant impact on the daily practice of hospital-based internal medicine. Modern medicine based on scientific studies is a reminder that in spite of the essential importance of clinical experience, it is crucial to confront it with the results of relevant publications from the medical literature.

The Present Status of Nuclear Medicine in Korea

International Nuclear Information System (INIS)

Lee, Mun Ho

1968-01-01

It is my privilege to give you a brief history on the status of nuclear medicine in Korea. There is nothing much to mention, as the history of the peaceful use of atomic energy is rather short and the RI facilities are limited in the number. It is my sincere hope, however, that you may understand what steps nuclear medicine in the developing countries did take and how it has been developed, seeing the present status of nuclear medicine in Korea, as one of the models. In our country, the peaceful use of atomic energy was actualized since the Law of Atomic Energy had been enacted in March 1959, and the Office of Atomic Energy and the Atomic Energy Research Institute had been established. The Korea Society of Nuclear Medicine was organized in 1961, which i think is one of the older in the Far East area. The Society now held about 170 members and the annual meetings in addition to the quarterly meeting have been held. The 6th general scientific meeting for 1967 is scheduled to be held in 25 November. The society publishes the Korean Journal of Nuclear Medicine twice a year, and the second issue appeared Oct. 1967. The instruments used in nuclear medicine are mostly expensive, therefore, the hospitals equipped with such instruments are inevitably limited in number and the after-service or repair of such instruments are technically not easy. Some of these difficulties, i hope, shall be overcome in the near future.

Is hybridic positron emission tomography/computerized tomography the only option? The future of nuclear medicine and molecular imaging.

Science.gov (United States)

Grammaticos, Philip; Zerva, Cherry; Asteriadis, Ioannis; Trontzos, Christos; Hatziioannou, Kostas

2007-01-01

As we all know, Nuclear Medicine is the medical science using nuclear radiation for diagnosis, treatment and research. Nuclear Medicine, in contrast to Radiology, makes use of unsealed sources of radiation. Nuclear Medicine a few years ago has partly offered Nuclear Cardiology, the most lucrative of all Nuclear Medicine "children" at that time, to Cardiology. Radiology, has succeeded in being recognized by the European Union Authorities as Clinical Radiology. The word "clinical" offers greater independence to Clinical Radiology and makes it difficult for such a specialty to relinquish any of its equipment i.e. the diagnostic CT scan or the newly developed fast angiography CT, to other specialties. Contrary to Clinical Radiology, Nuclear Medicine being a laboratory specialty in most countries seems to have no right to deny offering, after some period of "proper certified education", its PET camera to Clinical Radiologists. Nuclear Medicine by virtue of its unique diagnostic techniques and treatments, is and should be recognized as a "Clinical Specialty" The interference of other specialties in the fields of Nuclear Medicine is also indicated by the fact that in vitro techniques of Nuclear Medicine are often used by Endocrinologists and Oncologists in their own laboratories. Also in some hospitals the Director of the Radiology Department acts as the Director of Nuclear Medicine Laboratory. Finally at present, Radiologists wish after "proper certified education", to be on equal terms in charge of the new hybridic equipment, the PET/CT scanner. If that is followed to happen, Nuclear Medicine will be in a difficult position losing at least part of PET and consequently should ask for help from its "Overlords and Protectors" i.e. the National and the European Societies of Nuclear Medicine and the Society of Nuclear Medicine of the United States of America. Radiology as a specialty participating om equal terms with the PET camera will then include the study of: a) "open

Spatial map dose of nuclear medicine service of the Clinical Hospital of Botucatu, SP, Brazil; Mapa espacial de dose do servico de medicina nuclear do Hospital das Clinicas de Botucatu

Energy Technology Data Exchange (ETDEWEB)

Oliveira, Caio V.; Mendonca, Caroline; Silva, Eduardo T.; Moriguchi, Sonia M.; Koga, Katia H., E-mail: caiov_oliveira@yahoo.com.br [Universidade Estadual Paulista Julio de Mesquita Filho (UNESP), Botucatu, SP (Brazil). Faculdade de Medicina

2013-12-15

This study was conducted to describe levels of occupational and environmental exposure of the Nuclear Medicine Service of the Clinical Hospital of Botucatu. To this end, measurements were made of the radiometric levels of points strategically defined, in all the environments, for a period of six months, sampling different days and times, during operation normal routine of the sector. The results allow to estimate the expected dose for each environment, comparing them to the dose limitation established by the National Commission of Nuclear Energy (CNEN), allowing better targeting of occupationally exposed individuals, indicating the points where the occupation should be the minimum required, enabling the reduction of risks to potential exposures. (author)

Nuclear medicine

Energy Technology Data Exchange (ETDEWEB)

Sharma, S M [Bhabha Atomic Research Centre, Bombay (India). Radiation Medicine Centre

1967-01-01

The article deals with the growth of nuclear medicine in India. Radiopharmaceuticals both in elemental form and radiolabelled compounds became commercially available in India in 1961. Objectives and educational efforts of the Radiation Medicine Centre setup in Bombay are mentioned. In vivo tests of nuclear medicine such as imaging procedures, dynamic studies, dilution studies, thyroid function studies, renal function studies, linear function studies, blood flow, and absorption studies are reported. Techniques of radioimmunoassay are also mentioned.

The applications of nuclear techniques in nuclear medicine

International Nuclear Information System (INIS)

Zhao Huiyang

1986-01-01

There are a great deal of advanced techniques in nuclear medicine imaging, because many recent achivements of nuclear techniques have been applied to medicine in recent years. This paper presents the effects of nuclear techniques in development of nuclear medicine imaging. The first part describes radiopharmaceuticals and nuclear medicine imaging including commonly used 99m Tc labeled agents and cyclotron produced radionuclides for organ imaging. The second part describes nuclear medicine instrucments, including PECT, SPECT, MRI ect.; and discussions on the advantages, disadvantages and present status

Medical application of nuclear science: nuclear medicine and production of radiopharmaceuticals

International Nuclear Information System (INIS)

Cornet, L.

1997-01-01

Nuclear science in attendance on medicine or from Radium to Radiopharmaceuticals. By a brief historical reminder of the evolution of the radioactivity and development of nuclear science, we could see a very early interest and application of the radioactivity in the medical field. Main steps: Detection of natural radioactivity/Discovery of artificial radioactivity/First treatment of leukaemia and thyroid/First nuclear reactor/First radioisotope laboratory in hospital/First scintigraphy/First radiopharmaceutical/First cyclotron and cyclotron products/First immunoscintigraphy/Biotechnology and radioisotope/Evolution of technics [equipment for diagnosis (imaging, scintigraphy) and therapy]/Evolution of production technics and concept of products (generators of Technetium) and machines, reactor, cyclotron/Evolution of importance and interest of nuclear medicine/Creation of international association of nuclear medicine and producers (example ARPR)/Evolution of safety and pharmaceuticals regulation. After the sixties, period extremely rich in invention of products, characterized by a high fertility specially due to a non-restrictive regulation in terms of safety and pharmaceutical consideration, the evolution of technics, the importance of costs (investment, research, healthcare and the evolution of the regulations) have smoothly but continuously transformed the contexts and different actors. Consequences and facts: Rationalization and standardization of the catalogues, total integration of radiopharmaceuticals into the pharmaceutical laws, stop of nuclear research reactors, increase of number of cyclotrons, transformation of size and role of the producers and nuclear centers, risk in supply of some raw materials like Molybdenum, medical nuclear application as a worldwide business

Evaluation of radiation shielding rate of lead aprons in nuclear medicine

Energy Technology Data Exchange (ETDEWEB)

Han, Sang Hyun; Han, Beom Heui; Lee, Sang Ho [Dept. of Radiological Science, Seonam University, Asan (Korea, Republic of); Hong, Dong Heui [Dept. of Radiological Science, Far East University, Eumseong (Korea, Republic of); Kim, Gi Jin [Dept. of Nuclear Medicine, Konyang University Hospital, Daejeon (Korea, Republic of)

2017-03-15

Considering that the X-ray apron used in the department of radiology is also used in the department of nuclear medicine, the study aimed to analyze the shielding rate of the apron according to types of radioisotopes, thus γ ray energy, to investigate the protective effects. The radioisotopes used in the experiment were the top 5 nuclides in usage statistics {sup 99m}Tc, {sup 18}F, {sup 131}I, {sup 123}I, and {sup 201}Tl, and the aprons were lead equivalent 0.35 mmPb aprons currently under use in the department of nuclear medicine. As a result of experiments, average shielding rates of aprons were {sup 99m}Tc 31.59%, {sup 201}Tl 68.42%, and {sup 123}I 76.63%. When using an apron, the shielding rate of {sup 13}'1I actually resulted in average dose rate increase of 33.72%, and {sup 18}F showed an average shielding rate of –0.315%, showing there was almost no shielding effect. As a result, the radioisotopes with higher shielding rate of apron was in the descending order of {sup 123}I, {sup 201}Tl, {sup 99m}Tc, {sup 18}F, {sup 131}I. Currently, aprons used in the nuclear medicine laboratory are general X-ray aprons, and it is thought that it is not appropriate for nuclear medicine environment that utilizes γ rays. Therefore, development of nuclear medicine exclusive aprons suitable for the characteristics of radioisotopes is required in consideration of effective radiation protection and work efficiency of radiation workers.

Use of dual-head gamma camera in radionuclide internal contamination monitoring on radiation workers from a nuclear medicine department

International Nuclear Information System (INIS)

Rodriguez-Laguna, A.; Brandan, M.E.

2008-01-01

As a part of an internal dosimetry program that is performed at the Mexican National Institute of Cancerology - Nuclear Medicine Department, in the present work we suggest a procedure for the routinely monitoring of internal contamination on radiation workers and nuclear medicine staff. The procedure is based on the identification and quantification of contaminating radionuclides in human body by using a dual-head whole-body gamma camera. The results have shown that the procedures described in this study can be used to implement a method to quantify minimal accumulated activity in the main human organs to evaluate internal contamination with radionuclides. The high sensitivity of the uncollimated gamma camera is advantageous for the routinely detection and identification of small activities of internal contamination. But, the null spatial resolution makes impossible the definition of contaminated region of interest. Then, the use of collimators is necessary to the quantification of incorporated radionuclides activities in the main human organs and for the internal doses assessment. (author)

Assessment of radiation safety awareness among nuclear medicine nurses: a pilot study

International Nuclear Information System (INIS)

Yunus, N A; Abdullah, M H R O; Said, M A; Ch'ng, P E

2014-01-01

All nuclear medicine nurses need to have some knowledge and awareness on radiation safety. At present, there is no study to address this issue in Malaysia. The aims of this study were (1) to determine the level of knowledge and awareness on radiation safety among nuclear medicine nurses at Putrajaya Hospital in Malaysia and (2) to assess the effectiveness of a training program provided by the hospital to increase the knowledge and awareness of the nuclear medicine nurses. A total of 27 respondents attending a training program on radiation safety were asked to complete a questionnaire. The questionnaire consists 16 items and were categorized into two main areas, namely general radiation knowledge and radiation safety. Survey data were collected before and after the training and were analyzed using descriptive statistics and paired sample t-test. Respondents were scored out of a total of 16 marks with 8 marks for each area. The findings showed that the range of total scores obtained by the nuclear medicine nurses before and after the training were 6-14 (with a mean score of 11.19) and 13-16 marks (with a mean score of 14.85), respectively. Findings also revealed that the mean score for the area of general radiation knowledge (7.59) was higher than that of the radiation safety (7.26). Currently, the knowledge and awareness on radiation safety among the nuclear medicine nurses are at the moderate level. It is recommended that a national study be conducted to assess and increase the level of knowledge and awareness among all nuclear medicine nurses in Malaysia

Assessment of radiation safety awareness among nuclear medicine nurses: a pilot study

Science.gov (United States)

Yunus, N. A.; Abdullah, M. H. R. O.; Said, M. A.; Ch'ng, P. E.

2014-11-01

All nuclear medicine nurses need to have some knowledge and awareness on radiation safety. At present, there is no study to address this issue in Malaysia. The aims of this study were (1) to determine the level of knowledge and awareness on radiation safety among nuclear medicine nurses at Putrajaya Hospital in Malaysia and (2) to assess the effectiveness of a training program provided by the hospital to increase the knowledge and awareness of the nuclear medicine nurses. A total of 27 respondents attending a training program on radiation safety were asked to complete a questionnaire. The questionnaire consists 16 items and were categorized into two main areas, namely general radiation knowledge and radiation safety. Survey data were collected before and after the training and were analyzed using descriptive statistics and paired sample t-test. Respondents were scored out of a total of 16 marks with 8 marks for each area. The findings showed that the range of total scores obtained by the nuclear medicine nurses before and after the training were 6-14 (with a mean score of 11.19) and 13-16 marks (with a mean score of 14.85), respectively. Findings also revealed that the mean score for the area of general radiation knowledge (7.59) was higher than that of the radiation safety (7.26). Currently, the knowledge and awareness on radiation safety among the nuclear medicine nurses are at the moderate level. It is recommended that a national study be conducted to assess and increase the level of knowledge and awareness among all nuclear medicine nurses in Malaysia.

Radiation Monitoring in a Newly Established Nuclear Medicine Facility

International Nuclear Information System (INIS)

Afroj, Kamila; Anwar-Ul-Azim, Md.; Nath, Khokon Kumar; Khan, Md. Rezaul Karim

2010-05-01

A study of area monitoring in a nuclear medicine department's new physical facility was performed for 3 months to ascertain the level of radiation protection of the staff working in nuclear medicine and that of the patients and patient's attendants. Exposure to nuclear medicine personnel is considered as occupational exposure, while exposure to patients is considered medical exposure and exposure to patients' attendants is considered public exposure. The areas for the sources of radiation considered were the hot laboratory, where unsealed isotopes, radionuclides, generators are stored and dosages are prepared, the patients' waiting room, where the radioactive nuclides are administered orally and intravenously for diagnosis and treatment and the SPECT rooms, where the patients' acquisition are taken. The monitoring process was performed using the TLD supplied and measured by the Health Physics Division of Bangladesh Atomic Energy Commission. The result shows no over-exposure of radiation from any of the working areas. The environment of the department is safe for work and free from unnecessary radiation exposure risk. (author)

Radiotherapy and Nuclear Medicine Project for an Integral Oncology Center at the Oaxaca High Specialization Regional Hospital

International Nuclear Information System (INIS)

De Jesus, M.; Trujillo-Zamudio, F. E.

2010-01-01

A building project of Radiotherapy and Nuclear Medicine services (diagnostic and therapy), within an Integral Oncology Center (IOC), requires interdisciplinary participation of architects, biomedical engineers, radiation oncologists and medical physicists. This report focus on the medical physicist role in designing, building and commissioning stages, for the final clinical use of an IOC at the Oaxaca High Specialization Regional Hospital (HRAEO). As a first step, during design stage, the medical physicist participates in discussions about radiation safety and regulatory requirements for the National Regulatory Agency (called CNSNS in Mexico). Medical physicists propose solutions to clinical needs and take decisions about installing medical equipment, in order to fulfill technical and medical requirements. As a second step, during the construction stage, medical physicists keep an eye on building materials and structural specifications. Meanwhile, regulatory documentation must be sent to CNSNS. This documentation compiles information about medical equipment, radioactivity facility, radiation workers and nuclear material data, in order to obtain the license for the linear accelerator, brachytherapy and nuclear medicine facilities. As a final step, after equipment installation, the commissioning stage takes place. As the conclusion, we show that medical physicists are essentials in order to fulfill with Mexican regulatory requirements in medical facilities.

Radiation protection problems by diagnostic procedures of pediatric nuclear medicine

International Nuclear Information System (INIS)

Kletter, K.

1994-01-01

Special dosimetry considerations are necessary in the application of radiopharmaceuticals in pediatric nuclear medicine. The influence of differences in irradiation geometry and biokinetic parameters on the radiation dose in children and adults is discussed. Assuming an equal activity concentration, both factors lead rather to a reduced radiation dose than an increased radiation burden in children compared to adults. However, the same radiation dose in children and adults may lead to a different detriment. This is explained by differences in life expectancy and radiation sensitivity for both groups. From special formulas an age dependent reduction factor can be calculated for the application of radiopharmaceuticals in pediatric nuclear medicine. Radiation exposure to hospital staff and parents from children, undergoing nuclear medicine diagnostic or therapeutic procedures, is low. (author)

Assessment of OEP health's risk in nuclear medicine

Energy Technology Data Exchange (ETDEWEB)

Santacruz-Gomez, K.; Manzano, C.; Melendrez, R.; Castaneda, B.; Barboza-Flores, M.; Pedroza-Montero, M. [Departamento de Fisica, Universidad de Sonora. A.P. 1626 Hermosillo, Sonora, Mexico and Centro de Investigacion en Materiales Avanzados CIMAV, A.C. Chihuahua, Chihuahua (Mexico); Centro de Diagnostico Integral del Noroeste, Luis Donaldo Colosio 23 83000 Centro Hermosillo, Sonora (Mexico); Departamento de Investigacion en Fisica, Universidad de Sonora. A. P. 5-088 Hermosillo, Sonora (Mexico); Departamento de Fisica, Universidad de Sonora. A.P. 1626 Hermosillo, Sonora (Mexico); Departamento de Investigacion en Fisica, Universidad de Sonora. A. P. 5-088 Hermosillo, Sonora (Mexico)

2012-10-23

The use of ionizing radiation has been increased in recent years within medical applications. Nuclear Medicine Department offers both treatment and diagnosis of diseases using radioisotopes to controlled doses. Despite the great benefits to the patient, there is an inherent risk to workers which remains in contact with radiation sources for long periods. These personnel must be monitored to avoid deterministic effects. In this work, we retrospectively evaluated occupationally exposed personnel (OEP) to ionizing radiation in nuclear medicine during the last five years. We assessed both area and personal dosimetry of this department in a known Clinic in Sonora. Our results show an annual equivalent dose average of 4.49 {+-} 0.70 mSv in OEP without showing alarming changes in clinical parameters analyzed. These results allow us to conclude that health of OEP in nuclear medicine of this clinic has not been at risk during the evaluated period. However, we may suggest the use of individual profiles based on specific radiosensitivity markers.

Measurements Of Fingers Doses Of Staff Members In Nuclear Medicine Department

International Nuclear Information System (INIS)

AL LEHYANI, S.H.; SHOUSHA, H.A.; HASSAN, R.A.

2009-01-01

For some occupationally radiation exposed groups, the hands are more heavily exposed to ionizing radiation than the rest of the body. The Egyptian Atomic Energy Authority runs an extensive personal dosimetry service in Egypt, but finger doses have not been measured to a wide extent. In this study, the finger doses were measured for five different nuclear medicine staff occupational groups for which heavy irradiation of the hands was suspected. Finger doses were measured for nuclear medicine physicians, technologists, nurses and physicists. The nuclear medicine staff working with the radioactive materials wears two TLD dosimeters during the whole period, which lasted from 1 to 4 weeks. The staff performs their work on a regular basis throughout the month, and means annual doses were calculated for these groups. The doses to the fingers for the 99m Tc technologists and nurses of groups (2) and (3) were observed to be 30.24 ± 14.5 μSv/GBq (mean ± SD) and 30.37 ± 17.5 μSv/GBq, respectively. Similarly, the dose to the fingers for the 131 I technologists in group (5) was estimated to be 126.13 ± 38.2μSv/GBq. Finger doses for the physicians could not be calculated per unit of activity because they did not handle the radiopharmaceuticals directly but their doses were reported in millisieverts that accumulated in 1 week. The doses to the fingers of the physicist were 16.3±7.7 μSv/GBq. The maximum average finger dose in this study was found to be 2.8 mSv for the technologists handled therapeutic 131 I (group 5). It could be concluded that the maximum expected annual dose to the extremities appeared to be less than the annual limit (500 mSv/y).

[Analises of the mortality in aged in an Internal Medicine Department].

Science.gov (United States)

Cinza Sanjurjo, S; Cabarcos Ortiz de Barrón, A; Nieto Pol, E; Torre Carballada, J A

2007-02-01

To establish the characteristics of the deceased and the death causes. Transversal study descriptive, with intake patients elder than 65 years old in an Internal Medicine Department. The variables analized were: age, sex, intake date, discharge date, days of hospital stay, chronic disease previous, admission cause, deceased, diagnoses. The statistical analysis was performed with measures of central tendency and of standard deviation, Chi-cuadrado, Mann-Whitney-Wilcoxon and Kruskal-Wallis. During the revised year, there are 770 patients intaked in Internal Medicine Department and 128 exitus (16.6%). The global average death age was 78.3 +/- 1.3 years: 53.1% (0.44-0.62; p = 0.48) were men and 46.9% were women. The average death intake days was 13.3 +/- 1.7 days (p < 0.001), 3.9% died in less than forty-eight hours after hospitalization. The most frequent admission cause was: dyspnea (46.1%). The most frequent chronic diseases were: ischemic and hypertensive heart disease (18.8%) and chronic obstructive pulmonary disease. The most frequent death cause was respiratory tract infection (43.8%). The prevalence cardiac and pulmonary disease prevalence is high, these diseases are the of the most frequent causes hospital mortality.

Evaluation of radiation shielding rate of lead aprons in nuclear medicine

International Nuclear Information System (INIS)

Han, Sang Hyun; Han, Beom Heui; Lee, Sang Ho; Hong, Dong Heui; Kim, Gi Jin

2017-01-01

Considering that the X-ray apron used in the department of radiology is also used in the department of nuclear medicine, the study aimed to analyze the shielding rate of the apron according to types of radioisotopes, thus γ ray energy, to investigate the protective effects. The radioisotopes used in the experiment were the top 5 nuclides in usage statistics "9"9"mTc, "1"8F, "1"3"1I, "1"2"3I, and "2"0"1Tl, and the aprons were lead equivalent 0.35 mmPb aprons currently under use in the department of nuclear medicine. As a result of experiments, average shielding rates of aprons were "9"9"mTc 31.59%, "2"0"1Tl 68.42%, and "1"2"3I 76.63%. When using an apron, the shielding rate of "1"3'1I actually resulted in average dose rate increase of 33.72%, and "1"8F showed an average shielding rate of –0.315%, showing there was almost no shielding effect. As a result, the radioisotopes with higher shielding rate of apron was in the descending order of "1"2"3I, "2"0"1Tl, "9"9"mTc, "1"8F, "1"3"1I. Currently, aprons used in the nuclear medicine laboratory are general X-ray aprons, and it is thought that it is not appropriate for nuclear medicine environment that utilizes γ rays. Therefore, development of nuclear medicine exclusive aprons suitable for the characteristics of radioisotopes is required in consideration of effective radiation protection and work efficiency of radiation workers

Directory of computer users in nuclear medicine

Energy Technology Data Exchange (ETDEWEB)

Erickson, J.J.; Gurney, J.; McClain, W.J. (eds.)

1979-09-01

The Directory of Computer Users in Nuclear Medicine consists primarily of detailed descriptions and indexes to these descriptions. A typical Installation Description contains the name, address, type, and size of the institution and the names of persons within the institution who can be contacted for further information. If the department has access to a central computer facility for data analysis or timesharing, the type of equipment available and the method of access to that central computer is included. The dedicated data processing equipment used by the department in its nuclear medicine studies is described, including the peripherals, languages used, modes of data collection, and other pertinent information. Following the hardware descriptions are listed the types of studies for which the data processing equipment is used, including the language(s) used, the method of output, and an estimate of the frequency of the particular study. An Installation Index and an Organ Studies Index are also included. (PCS)

Directory of computer users in nuclear medicine

International Nuclear Information System (INIS)

Erickson, J.J.; Gurney, J.; McClain, W.J.

1979-09-01

The Directory of Computer Users in Nuclear Medicine consists primarily of detailed descriptions and indexes to these descriptions. A typical Installation Description contains the name, address, type, and size of the institution and the names of persons within the institution who can be contacted for further information. If the department has access to a central computer facility for data analysis or timesharing, the type of equipment available and the method of access to that central computer is included. The dedicated data processing equipment used by the department in its nuclear medicine studies is described, including the peripherals, languages used, modes of data collection, and other pertinent information. Following the hardware descriptions are listed the types of studies for which the data processing equipment is used, including the language(s) used, the method of output, and an estimate of the frequency of the particular study. An Installation Index and an Organ Studies Index are also included

Nuclear medicine and mathematics

Energy Technology Data Exchange (ETDEWEB)

Pedroso de Lima, J.J. [Dept. de Biofisica e Proc. de Imagem, IBILI - Faculdade de Medicina, Coimbra (Portugal)

1996-06-01

The purpose of this review is not to present a comprehensive description of all the mathematical tools used in nuclear medicine, but to emphasize the importance of the mathematical method in nuclear medicine and to elucidate some of the mathematical concepts currently used. We can distinguish three different areas in which mathematical support has been offered to nuclear medicine: Physiology, methodology and data processing. Nevertheless, the boundaries between these areas can be indistinct. It is impossible in a single article to give even an idea of the extent and complexity of the procedures currently usede in nuclear medicine, such as image processing, reconstruction from projections and artificial intelligence. These disciplines do not belong to nuclear medicine: They are already branches of engineering, and my interest will reside simply in revealing a little of the elegance and the fantastic potential of these new `allies` of nuclear medicine. In this review the mathematics of physiological interpretation and methodology are considered together in the same section. General aspects of data-processing methods, including image processing and artificial intelligence, are briefly analysed. The mathematical tools that are most often used to assist the interpretation of biological phenomena in nuclear medicine are considered; these include convolution and deconvolution methods, Fourier analysis, factorial analysis and neural networking. (orig.)

Nuclear medicine and mathematics

International Nuclear Information System (INIS)

Pedroso de Lima, J.J.

1996-01-01

The purpose of this review is not to present a comprehensive description of all the mathematical tools used in nuclear medicine, but to emphasize the importance of the mathematical method in nuclear medicine and to elucidate some of the mathematical concepts currently used. We can distinguish three different areas in which mathematical support has been offered to nuclear medicine: Physiology, methodology and data processing. Nevertheless, the boundaries between these areas can be indistinct. It is impossible in a single article to give even an idea of the extent and complexity of the procedures currently usede in nuclear medicine, such as image processing, reconstruction from projections and artificial intelligence. These disciplines do not belong to nuclear medicine: They are already branches of engineering, and my interest will reside simply in revealing a little of the elegance and the fantastic potential of these new 'allies' of nuclear medicine. In this review the mathematics of physiological interpretation and methodology are considered together in the same section. General aspects of data-processing methods, including image processing and artificial intelligence, are briefly analysed. The mathematical tools that are most often used to assist the interpretation of biological phenomena in nuclear medicine are considered; these include convolution and deconvolution methods, Fourier analysis, factorial analysis and neural networking. (orig.)

Integrating cardiology for nuclear medicine physicians. A guide to nuclear medicine physicians

International Nuclear Information System (INIS)

Movahed, Assad; Gnanasegaran, Gopinath; Buscombe, John R.; Hall, Margaret

2009-01-01

Nuclear cardiology is no longer a medical discipline residing solely in nuclear medicine. This is the first book to recognize this fact by integrating in-depth information from both the clinical cardiology and nuclear cardiology literature, and acknowledging cardiovascular medicine as the fundamental knowledge base needed for the practice of nuclear cardiology. The book is designed to increase the practitioner's knowledge of cardiovascular medicine, thereby enhancing the quality of interpretations through improved accuracy and clinical relevance.The text is divided into four sections covering all major topics in cardiology and nuclear cardiology: -Basic Sciences and Cardiovascular Diseases; -Conventional Diagnostic Modalities; -Nuclear Cardiology; -Management of Cardiovascular Diseases. (orig.)

Advanced Bayesian processing of clinical data in nuclear medicine

International Nuclear Information System (INIS)

Jirsa, L.

1999-11-01

The Bayesian methodology was applied with a view to improving the quality of thyroid gland disease treatment at a nuclear medicine department. The specific tasks included: formulation of the estimation tasks from the theoretical point of view; elaborating algorithms to estimate various physical, medical and dosimetric quantities used in radiodiagnosis and radiotherapy of thyroid gland diseases; testing their numerical precision; testing their numerical stability on a large set of clinical data; implementation of the algorithms at a level applicable in routine conditions of the nuclear medicine department and replace by them the data processing methods used there so far; exploring and testing the quality improvement of the estimates; and in dependence on the results, proposing hints where improvement of the data measurement methodology is necessary

[Day hospital in internal medicine: A chance for ambulatory care].

Science.gov (United States)

Grasland, A; Mortier, E

2018-04-16

Internal medicine is an in-hospital speciality. Along with its expertise in rare diseases, it shares with general medicine the global care of patients but its place in the ambulatory shift has yet to be defined. The objective of our work was to evaluate the benefits of an internal medicine day-hospital devoted to general medicine. Named "Centre Vi'TAL" to underline the link between the city and the hospital, this novel activity was implemented in order to respond quickly to general practitioners having difficulties to synthesize their complex patients or facing diagnostic or therapeutic problems. Using preferentially email for communication, the general practitioners can contact an internist who is committed to respond on the same day and take over the patient within 7 days if day-hospital is appropriate for his condition. The other patients are directed either to the emergency department, consultation or full hospitalization. In 14 months, the center has received 213 (144 women, 69 men) patients, mean age 53.6, addressed by 88 general practitioners for 282 day-hospital sessions. Requests included problem diagnoses (n=105), synthesis reviews for complex patients (n=65), and treatment (n=43). In the ambulatory shift advocated by the authorities, this experience shows that internal medicine should engage in the recognition of day-hospital as a place for diagnosis and synthesis reviews connected with the city while leaving the general practitioners coordinator of their patient care. This activity of synthesis in day-hospital is useful for the patients and efficient for our healthcare system. Copyright © 2018 Société Nationale Française de Médecine Interne (SNFMI). Published by Elsevier SAS. All rights reserved.

Overview. Department of Nuclear Physical Chemistry. Section 9

Energy Technology Data Exchange (ETDEWEB)

Szeglowski, Z. [Institute of Nuclear Physics, Cracow (Poland)

1995-12-31

In the papers presented bellow the activities of the Department of Nuclear Physical Chemistry in 1994 are presented. A further effort was made towards routine production of neutron-deficient isotopes for nuclear medicine - and namely {sup 67} Ga and {sup 139} Ce. Small activities of {sup 111} In were produced by the {alpha} bombardment of Ag target. In order to improve the {sup 111} In production the deuterons reaction with cadmium target was studied. The other field of the Department research is studying of the physicochemical properties of transactinoid elements (104,105, 106). The Department is also engaged in works of the National Network of Early Detection of Radioactive Contamination in Air. In this section, apart of the detail descriptions of mentioned activities, the information about personnel employed in the Department, papers and reports published in 1994, contribution to conferences and grants are also given.

Overview. Department of Nuclear Physical Chemistry. Section 9

Energy Technology Data Exchange (ETDEWEB)

Szeglowski, Z [Institute of Nuclear Physics, Cracow (Poland)

1996-12-31

In the papers presented bellow the activities of the Department of Nuclear Physical Chemistry in 1994 are presented. A further effort was made towards routine production of neutron-deficient isotopes for nuclear medicine - and namely {sup 67} Ga and {sup 139} Ce. Small activities of {sup 111} In were produced by the {alpha} bombardment of Ag target. In order to improve the {sup 111} In production the deuterons reaction with cadmium target was studied. The other field of the Department research is studying of the physicochemical properties of transactinoid elements (104,105, 106). The Department is also engaged in works of the National Network of Early Detection of Radioactive Contamination in Air. In this section, apart of the detail descriptions of mentioned activities, the information about personnel employed in the Department, papers and reports published in 1994, contribution to conferences and grants are also given.

Nuclear medicine and AIDS

International Nuclear Information System (INIS)

O'Doherty, M.J.; Kent and Canterbury Hospital, Canterbury; Nunan, T.O.

1993-01-01

The human immunodeficiency virus (HIV) infection and its associated illnesses in a relatively young population of patients provides an expanding role for nuclear medicine. The disease enforces a review of each department's infection control procedures. It has also resulted in an increase in the number of patients presenting with diseases such as Pneumocystis carinii pneumonia, Kaposi's sarcoma etc. which prior to the HIV epidemic were extremely rare. Thus in high risk patients the interpretation of abnormalities in nuclear medicine scans needs to include the spectrum of opportunistic infections and unusual tumours. The presence of opportunistic infections in the severely immunocompromised patient has led to the development of techniques not normally used, i.e. lung 99 Tc m -diethylenetriamine pentaacetate (DTPA) transfer/clearance, donor leukocyte scanning to allow rapid diagnosis of an abnormality. Radionuclide techniques are also used to monitor the effect of therapy directed at the HIV itself or against opportunistic infections. This review covers aspects of infection control as well as the use of radionuclides to investigate specific problems related to HIV infection and therapy of the associated disease processes. (author)

Practical nuclear medicine

CERN Document Server

Gemmell, Howard G; Sharp, Peter F

2006-01-01

Nuclear medicine plays a crucial role in patient care, and this book is an essential guide for all practitioners to the many techniques that inform clinical management. The first part covers the scientific basis of nuclear medicine, the rest of the book deals with clinical applications. Diagnostic imaging has an increasingly important role in patient management and, despite advances in other modalities (functional MRI and spiral CT), nuclear medicine continues to make its unique contribution by its ability to demonstrate physiological function. This book is also expanded by covering areas of d

Physics and radiobiology of nuclear medicine

CERN Document Server

Saha, Gopal B

2013-01-01

The Fourth Edition of Dr. Gopal B. Saha’s Physics and Radiobiology of Nuclear Medicine was prompted by the need to provide up-to-date information to keep pace with the perpetual growth and improvement in the instrumentation and techniques employed in nuclear medicine since the last edition published in 2006. Like previous editions, the book is intended for radiology and nuclear medicine residents to prepare for the American Board of Nuclear Medicine, American Board of Radiology, and American Board of Science in Nuclear Medicine examinations, all of which require a strong physics background. Additionally, the book will serve as a textbook on nuclear medicine physics for nuclear medicine technologists taking the Nuclear Medicine Technology Certification Board examination.

Mongolia and nuclear medicine development

International Nuclear Information System (INIS)

Onkhuudai, P.; Gonchigsuren, D.

2007-01-01

-188, Member of ARCCNM, The IAEA has assisted Mongolia upgrading the Nuclear Medicine Diagnostic , Laboratory at the First State Central Hospital through the TC projects , (MON/6/004, MON/6/005, MON/6/006, MON/6/009). In the future, to be have updated and advanced technology of Nuclear Medicine we aim to introduce Molecular Based Diagnostics and PET-CT scanner in Mongolia. (author)

Procedures, activities and doses in nuclear medicine cycle in Brazil; Procedimentos, atividades e doses no ciclo da medicina nuclear no Brasil

Energy Technology Data Exchange (ETDEWEB)

Oliveira, Silvia Maria Velasques de

2005-07-01

With the aim of characterizing nuclear medicine procedures performed in Brazil, activities of radiopharmaceuticals used and effective doses to patients, data was collected from nuclear medicine institutions in three regions of the country, namely the Southeast, the Northeast and the South regions, representing public hospitals, university hospitals, private and philanthropic institutions with low, medium and high levels of consumption of radiopharmaceuticals. The three chosen regions are responsible for 92% of radiopharmaceutical consumption and imaging equipment in the country. Accordingly, it was requested of some participating institutions to fulfill manually from individual patients data, to record gender, age, weight, height and activities used, for each type of exam as well as the equipment used. In others, the researcher collected data personally. Per institution, nuclear medicine diagnostic procedures ranged from 700 to 13,000 per year, most of which are myocardial and bone imaging procedures, and imaging equipment ranged, from 1 to 8 machines, one or two head SPECT's (hybrid or not). 26.782 patients protocols were analysed, 24.371 adults and 2.411 children and teenagers. For adult patients, differences were observed in the amount of activities used in diagnostic procedures between public and private institutions, with lower average activities used in public institutions. Activities administered to children and their effective doses were difficult to evaluate due to the incompleteness of individual records. Appropriate individual patient records could be adopted without affecting hospitals routine and contributing for a comprehensive evaluation of the radiation protection of nuclear medicine patients. Data from 8.881 workers were analysed, 346 working at nuclear medicine institutions. For monitored workers and measurably exposed workers in nuclear medicine, the values 2.3 mSv and 5.4 mSv, respectively, for effective annual doses are greater than data

Radiopharmacy contamination in nuclear medicine - a survey report

International Nuclear Information System (INIS)

Ghai, Anchal; Mardi, Somnath; Kumar, Pradeep; Sarika; Mittal, B.R.; Singh, B.

2011-01-01

To conduct the radiation survey of the category IV Nuclear Medicine department and to further measure and compare the level of loose contamination in areas with high levels of exposure at two different time points (morning and evening) using wipe test

Prognostic importance of glycaemic variability on hospital mortality in patients hospitalised in Internal Medicine Departments.

Science.gov (United States)

Sáenz-Abad, D; Gimeno-Orna, J A; Pérez-Calvo, J I

2015-12-01

The objective was to assess the prognostic importance of various glycaemic control measures on hospital mortality. Retrospective, analytical cohort study that included patients hospitalised in internal medicine departments with a diagnosis related to diabetes mellitus (DM), excluding acute decompensations. The clinical endpoint was hospital mortality. We recorded clinical, analytical and glycaemic control-related variables (scheduled insulin administration, plasma glycaemia at admission, HbA1c, mean glycaemia (MG) and in-hospital glycaemic variability and hypoglycaemia). The measurement of hospital mortality predictors was performed using univariate and multivariate logistic regression. A total of 384 patients (50.3% men) were included. The mean age was 78.5 (SD, 10.3) years. The DM-related diagnoses were type 2 diabetes (83.6%) and stress hyperglycaemia (6.8%). Thirty-one (8.1%) patients died while in hospital. In the multivariate analysis, the best model for predicting mortality (R(2)=0.326; P<.0001) consisted, in order of importance, of age (χ(2)=8.19; OR=1.094; 95% CI 1.020-1.174; P=.004), Charlson index (χ(2)=7.28; OR=1.48; 95% CI 1.11-1.99; P=.007), initial glycaemia (χ(2)=6.05; OR=1.007; 95% CI 1.001-1.014; P=.014), HbA1c (χ(2)=5.76; OR=0.59; 95% CI 0.33-1; P=.016), glycaemic variability (χ(2)=4.41; OR=1.031; 95% CI 1-1.062; P=.036), need for corticosteroid treatment (χ(2)=4.03; OR=3.1; 95% CI 1-9.64; P=.045), administration of scheduled insulin (χ(2)=3.98; OR=0.26; 95% CI 0.066-1; P=.046) and systolic blood pressure (χ(2)=2.92; OR=0.985; 95% CI 0.97-1.003; P=.088). An increase in initial glycaemia and in-hospital glycaemic variability predict the risk of mortality for hospitalised patients with DM. Copyright © 2015 Elsevier España, S.L.U. y Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Past, current and future aspects of nuclear medicine in Malaysia

International Nuclear Information System (INIS)

Dharmalingam, S.K.

1980-01-01

Nuclear Medicine in Malaysia began initially with the use of radioiodine and radiophosphorous for the investigation and treatment of thyroid and blood disorders around 1960. Following this we went through a phase of organ imaging using radioiodine and radiogold using an early generation Phillips Scanner. In terms of Medical usefulness this proved a big step forward in Malaysian Medicine, basic though the techniques were. The third phase of this speciality came on in the 1970s with the availability of generator scanners. A tremendous spurt in Nuclear Imaging and thyroid function studies took place. We have now together with the University Hospital Gamma Cameras which have considerably widened the scope of Nuclear Medicine especially in the field of cardiovascular studies. Further advances are expected in the future with the availability of medical cyclotrons, positron cameras and emission tomography. However yesterdays problems have not disappeared completely and the training of personnel and provision of up to date Nuclear Medicine laboratories with the latest equipment should be given top priority so as to assure progress in this speciality. (author)

50th Year Anniversary of Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University.

Science.gov (United States)

Lertakyamanee, Jariya

2016-05-01

Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, has started to be a formal anesthesia division, divided from division of Surgery in 1965; hence our 50th year anniversary in 2015. Research is now a priority and mandatory mission, according to the vision of Mahidol University. Second mission is to teach and train, and we produce the highest number of states-of-the-art anesthesiologists and anesthetic nurses each year Curriculum and training are being continuously improved. From a small unit, now it is one of the largest departments and extends the service, our third mission, to more than only in the operating theaters. We look after pre-anesthesia assessment, inside and outside operating room anesthesia, post-operative pain relief Intensive Care Unit, and chronic pain management. The number of patients and their diseases increase; so do the complexities of surgeries. There are tremendous changes in drugs and equipment. There is the fourth mission on administration, IT and resource management. And the fifth mission which is corporate social responsibility. However, we still believe that compassion, responsibility and integrity are most important. We have taught and tried to live by the teaching of HRH the King's Father. And these will contribute to our progress and shine in the next 50 years.

Children's (Pediatric) Nuclear Medicine

Medline Plus

Full Text Available ... interventions. Children's (pediatric) nuclear medicine refers to imaging examinations done in babies, young children and teenagers. Nuclear ... nuclear medicine procedure work? With ordinary x-ray examinations, an image is made by passing x-rays ...

Level of training and experience in physicians performing interhospital transfers of adult patients in the internal medicine department

DEFF Research Database (Denmark)

Hallas, P; Folkestad, L; Brabrand, M

2009-01-01

AIM: To establish the level of training doctors who participate in interhospital transfers in Denmark. METHODS: A questionnaire was sent to every hospital department in Denmark with acute internal medicine admissions. RESULTS: Eighty-nine internal medicine departments were contacted and 84...... responded (response rate 94.4%). Of the 84 hospitals, 75 (89.3%) indicated that they perform interhospital transfers. Most transfers were performed by interns (61.3%) or senior house officers (10.7%) with only a few months' experience in their current speciality. Training in interhospital transfer...

Java-based PACS and reporting system for nuclear medicine

Science.gov (United States)

Slomka, Piotr J.; Elliott, Edward; Driedger, Albert A.

2000-05-01

In medical imaging practice, images and reports often need be reviewed and edited from many locations. We have designed and implemented a Java-based Remote Viewing and Reporting System (JaRRViS) for a nuclear medicine department, which is deployed as a web service, at the fraction of the cost dedicated PACS systems. The system can be extended to other imaging modalities. JaRRViS interfaces to the clinical patient databases of imaging workstations. Specialized nuclear medicine applets support interactive displays of data such as 3-D gated SPECT with all the necessary options such as cine, filtering, dynamic lookup tables, and reorientation. The reporting module is implemented as a separate applet using Java Foundation Classes (JFC) Swing Editor Kit and allows composition of multimedia reports after selection and annotation of appropriate images. The reports are stored on the server in the HTML format. JaRRViS uses Java Servlets for the preparation and storage of final reports. The http links to the reports or to the patient's raw images with applets can be obtained from JaRRViS by any Hospital Information System (HIS) via standard queries. Such links can be sent via e-mail or included as text fields in any HIS database, providing direct access to the patient reports and images via standard web browsers.

The hospital educational environment and performance of residents in the General Medicine In-Training Examination: a multicenter study in Japan

Directory of Open Access Journals (Sweden)

Shimizu T

2013-07-01

Full Text Available Taro Shimizu,1 Yusuke Tsugawa,2,3 Yusuke Tanoue,4 Ryota Konishi,5 Yuji Nishizaki,6 Mitsumasa Kishimoto,7 Toshiaki Shiojiri,8 Yasuharu Tokuda9 1Hospitalist Division, Department of Medicine, Nerima Hikarigaoka Hospital, Tokyo, Japan; 2Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA; 3Center for Clinical Epidemiology, St Luke's Life Science Institute, 4Department of Vascular and Oncological Surgery, Hospital of Tokyo University, 5Department of General Internal Medicine, Kanto Rousai Hospital, 6Department of Cardiology, Juntendo University School of Medicine, 7Division of Rheumatology, St Luke's International Hospital, Tokyo, Japan; 8Asahi Chuo Hospital, Chiba, Japan; 9Department of Medicine, Tsukuba University Mito Kyodo General Hospital, Mito City, Ibaraki, Japan Background: It is believed that the type of educational environment in teaching hospitals may affect the performance of medical knowledge base among residents, but this has not yet been proven. Objective: We aimed to investigate the association between the hospital educational environment and the performance of the medical knowledge base among resident physicians in Japanese teaching hospitals. Methods: To assess the knowledge base of medicine, we conducted the General Medicine In-Training Examination (GM-ITE for second-year residents in the last month of their residency. The items of the exam were developed based on the outcomes designated by the Japanese Ministry of Health, Labor, and Welfare. The educational environment was evaluated using the Postgraduate Hospital Educational Environment Measure (PHEEM score, which was assessed by a mailed survey 2 years prior to the exam. A mixed-effects linear regression model was employed for the analysis of variables associated with a higher score. Results: Twenty-one teaching hospitals participated in the study and a total of 206 residents (67 women participated and

Nuclear Medicine Engineering

International Nuclear Information System (INIS)

Mateescu, Gheorghe; Craciunescu, Teddy

2000-01-01

'An image is more valuable than a thousand words' - this is the thought that underlies the authors' vision about the field of nuclear medicine. The monograph starts with a review of some theoretical and engineering notions that grounds the field of nuclear medicine: nuclear radiation, interaction of radiation with matter, radiation detection and measurement, numerical analysis. Products and methods needed for the implementation of diagnostic and research procedures in nuclear medicine are presented: radioisotopes and radiopharmaceuticals, equipment for in-vitro (radioimmunoassay, liquid scintillation counting) and in-vivo investigations (thyroid uptake, renography, dynamic studies, imaging). A special attention is focused on medical imaging theory and practice as a source of clinical information (morphological and functional). The large variety of parameters, components, biological structures and specific properties of live matter determines the practical use of three-dimensional tomographic techniques based on diverse physical principles: single-photon emission, positron emission, X-rays transmission, nuclear magnetic resonance, ultrasounds transmission and reflection, electrical impedance measurement. The fundamental reconstruction algorithms i.e., algorithms based on the projection theorem and Fourier filtering, algebraic reconstruction techniques and the algorithms based on statistical principles: maximum entropy, maximum likelihood, Monte Carlo algorithms, are depicted in details. A method based on the use of the measured point spread function is suggested. Some classical but often used techniques like linear scintigraphy and Anger gamma camera imaging are also presented together with some image enhancement techniques like Wiener filtering and blind deconvolution. The topic of the book is illustrated with some clinical samples obtained with nuclear medicine devices developed in the Nuclear Medicine Laboratory of the National Institute of Nuclear Physics and

Your Radiologist Explains Nuclear Medicine

Medline Plus

Full Text Available ... by Image/Video Gallery Your Radiologist Explains Nuclear Medicine Transcript Welcome to Radiology Info dot org Hello! ... d like to talk to you about nuclear medicine. Nuclear medicine offers the potential to identify disease ...

Your Radiologist Explains Nuclear Medicine

Medline Plus

Full Text Available ... Sponsored by Image/Video Gallery Your Radiologist Explains Nuclear Medicine Transcript Welcome to Radiology Info dot org ... I’d like to talk to you about nuclear medicine. Nuclear medicine offers the potential to identify ...

Nuclear power in human medicine

International Nuclear Information System (INIS)

Kuczera, Bernhard

2012-01-01

The public widely associate nuclear power with the megawatt dimensions of nuclear power plants in which nuclear power is released and used for electricity production. While this use of nuclear power for electricity generation is rejected by part of the population adopting the polemic attitude of ''opting out of nuclear,'' the application of nuclear power in medicine is generally accepted. The appreciative, positive term used in this case is nuclear medicine. Both areas, nuclear medicine and environmentally friendly nuclear electricity production, can be traced back to one common origin, i.e. the ''Atoms for Peace'' speech by U.S. President Eisenhower to the U.N. Plenary Assembly on December 8, 1953. The methods of examination and treatment in nuclear medicine are illustrated in a few examples from the perspective of a nuclear engineer. Nuclear medicine is a medical discipline dealing with the use of radionuclides in humans for medical purposes. This is based on 2 principles, namely that the human organism is unable to distinguish among different isotopes in metabolic processes, and the radioactive substances are employed in amounts so small that metabolic processes will not be influenced. As in classical medicine, the application of these principles serves two complementary purposes: diagnosis and therapy. (orig.)

Preliminary results of the analysis of the administered activities in diagnostic studies of nuclear medicine

International Nuclear Information System (INIS)

Lopez Bejerano, G.; Sed, L.J.

2001-01-01

The worldwide use of Nuclear Medicine diagnostic procedures and the tendency to its increment, infers an important exposure of the population to ionising radiation; it has motivated that the IAEA in the International Basic Safety Standards (BSS), emits recommendations for the establishment of guidance levels of activities administered to the patients in diagnostic procedures. Taking into account the above-mentioned and that in Cuba there exist 20 departments of Nuclear Medicine that in the majority possess equipment with more than 20 years of operation, which influences directly the medical exposure. A survey was designed and applied in 10 of these departments. The survey evaluates the compliance with the BSS requirements, and specifically, the activities administered to the patients in Nuclear Medicine diagnostic procedures are analysed. In the present work the obtained preliminary results of the statistical analysis carried out on the activity values used in Nuclear Medicine departments are presented, and comparisons made for a proposal of guidance levels for the national practice, which is compared with those recommended internationally. (author)

Nuclear medicine

International Nuclear Information System (INIS)

Blanquet, Paul; Blanc, Daniel.

1976-01-01

The applications of radioisotopes in medical diagnostics are briefly reviewed. Each organ system is considered and the Nuclear medicine procedures pertinent to that system are discussed. This includes, the principle of the test, the detector and the radiopharmaceutical used, the procedure followed and the clinical results obtained. The various types of radiation detectors presently employed in Nuclear Medicine are surveyed, including scanners, gamma cameras, positron cameras and procedures for obtaining tomographic presentation of radionuclide distributions [fr

Radiation safety in nuclear medicine procedures

International Nuclear Information System (INIS)

Cho, Sang Geon; Kim, Ja Hae; Song, Ho Chun

2017-01-01

Since the nuclear disaster at the Fukushima Daiichi Nuclear Power Plant in 2011, radiation safety has become an important issue in nuclear medicine. Many structured guidelines or recommendations of various academic societies or international campaigns demonstrate important issues of radiation safety in nuclear medicine procedures. There are ongoing efforts to fulfill the basic principles of radiation protection in daily nuclear medicine practice. This article reviews important principles of radiation protection in nuclear medicine procedures. Useful references, important issues, future perspectives of the optimization of nuclear medicine procedures, and diagnostic reference level are also discussed

Radiation safety in nuclear medicine procedures

Energy Technology Data Exchange (ETDEWEB)

Cho, Sang Geon; Kim, Ja Hae; Song, Ho Chun [Dept. of Nuclear Medicine, Medical Radiation Safety Research Center, Chonnam National University Hospital, Gwangju (Korea, Republic of)

2017-03-15

Since the nuclear disaster at the Fukushima Daiichi Nuclear Power Plant in 2011, radiation safety has become an important issue in nuclear medicine. Many structured guidelines or recommendations of various academic societies or international campaigns demonstrate important issues of radiation safety in nuclear medicine procedures. There are ongoing efforts to fulfill the basic principles of radiation protection in daily nuclear medicine practice. This article reviews important principles of radiation protection in nuclear medicine procedures. Useful references, important issues, future perspectives of the optimization of nuclear medicine procedures, and diagnostic reference level are also discussed.

Evaluation of maximum absorbed dose for accompanying patients in nuclear medicine establishments; Avaliacao da dose maxima absorvida por acompanhantes de pacientes em servicos de medicina nuclear

Energy Technology Data Exchange (ETDEWEB)

Cabral, Geovanna; Amaral, Ademir; Hazin, Clivis A. [Pernambuco Univ., Recife, PE (Brazil). Dept. de Energia Nuclear; Lima, Ricardo A.; Nogueira, Maria S. [Centro Regional de Ciencias Nucleares (CRCN), Recife, PE (Brazil); Lopes, Ferdinand [Centro de Medicina Nuclear de Pernambuco (CEMUPE), Recife, PE (Brazil); Guimaraes, Maria Ines C.C. [Sao Paulo Univ., SP (Brazil). Centro de Medicina Nuclear

2001-07-01

In nuclear medicine, radioisotopes are bound to various pharmaceuticals for use in diagnostic and therapeutic applications. These unsealed sources are administered in various forms to patients, who remain radioactive for hours or days, and represent a source of potential radiation exposure for others. Thus, in nuclear medicine departments, radiation protection of workers and members of the public (especially persons accompanying patients) must consider this exposure. In this study, thermoluminescent dosimeters were given to various persons who were accompanying patients in two nuclear medicine departments in Recife, Pernambuco State, Brazil. Exposure results are given, and issues regarding exposure conditions and times for members of the public in these departments are discussed. (author)

Prevalence of delirium in hospitalized internal medicine and surgical adult patients in Shohadaye ashayer hospital of Khoram abad

Directory of Open Access Journals (Sweden)

raheleh Asaee

2008-10-01

Full Text Available Asaee R1, Nasari H2,Hoseini S3 1. Assistant professor, Department of Physiology, Faculty of Medicine, Lorestanl University of Medical Sciences, Khorramabad, Iran 1. Assistant professor, Department of Psychiatry, Faculty of Medicine, Lorestanl University of Medical Sciences, Khorramabad, Iran 2. G.P, Khorramabad, Iran Abstract Background: Delirium is common in elderly persons and in hospitalized patients especially after surgical procedures. But many of them are undetected and don’t receive treatment so they involve with increased mortality and morbidity, adverse outcomes, length of hospital stay and mental disability sequels. Unfortunetly , despite the importance of this syndrom , physicians and staff are able to diagnose only one thirth of the patients. Material and methods: In this cross sectional study, 240 inpatiants (120 from surgery ward and 120 from miernal medicine ward from Shohadaye Ashayer hospital of Khorramabad were selected randomly. The diagnostic criteria for delirium were Mini-Mental state examination (MMSE questionnaire, and patients daily examination for 4 days by MMSE. Results: Delirium was observed in 37 (30.8% of the patients of internal medicine ward and 25 (20.8% of the patients of surgery ward. 27 (22.5% of the patients of internal medicine ward and 37 (30.8% of the patients of surgery ward were suspicious for delirium. In age group of 58-77 years in surgery ward and patients over 77 years in internal medicine ward had the most frequency of delirium. There was significant relationship (p=0.01 between two sex in surgery ward. But there was not significant difference (p=0.92 between two sex in internal medicine ward for delirium. Conclusion: Reading the results of this study and frequency of delirum in surgery and internal medicine wards, presence of a psychiatrist in mentioned wards is necessary of early diagnosis and control of delirium.

Hospitalisation in an emergency department short-stay unit compared to an internal medicine department is associated with fewer complications in older patients - an observational study

DEFF Research Database (Denmark)

Strøm, Camilla; Mollerup, Talie Khadem; Kromberg, Laurits Schou

2017-01-01

Medicine Department (IMD). METHODS: Observational study evaluating adverse events during hospitalisation in non-emergent, age-matched, internal medicine patients ≥75 years, acutely admitted to either the SSU or the IMD at Holbaek Hospital, Denmark, from January to August, 2014. Medical records were......, unplanned readmission, and nosocomial infection. CONCLUSIONS: Adverse events of hospitalisation were significantly less common in older patients acutely admitted to an Emergency Department Short-stay Unit as compared to admission to an Internal Medicine Department.......BACKGROUND: Older patients are at particular risk of experiencing adverse events during hospitalisation. OBJECTIVE: To compare the frequencies and types of adverse events during hospitalisation in older persons acutely admitted to either an Emergency Department Short-stay Unit (SSU) or an Internal...

Quality control in nuclear medicine

International Nuclear Information System (INIS)

Leme, P.R.

1983-01-01

The following topics are discussed: objectives of the quality control in nuclear medicine; the necessity of the quality control in nuclear medicine; guidelines and recommendations. An appendix is given concerning the guidelines for the quality control and instrumentation in nuclear medicine. (M.A.) [pt

Children's (Pediatric) Nuclear Medicine

Medline Plus

Full Text Available ... that are congenital (present at birth) or that develop during childhood. Physicians use nuclear medicine imaging to evaluate organ ... Nuclear medicine scans are typically used to ...

Nuclear Medicine Practice in Kenya

International Nuclear Information System (INIS)

Ndirangu, T.D.

2017-01-01

Nuclear medicine is a medical specialty that relies on the use of nuclear technology in the diagnosis and treatment (therapy) of diseases. Nuclear medicine uses the principle that a certain radiopharmaceutical (tracer) will at a certain point in time have a preferential uptake by a particular body, tissue or cell. This uptake is then imaged by the use of detectors mounted in gamma cameras or PET (positron emission tomography) devices.. Unlike other radiation applications for medical use, nuclear medicine uses open (unsealed) sources of radiation. In a country with an estimated population of 48 million in 2017, Kenya has only two (2) nuclear medicine facilities (units). Being a relatively new medical discipline in Kenya, several measures have been taken by the clinical nuclear medicine team to create awareness at various levels

Proceedings of the forty third annual conference of Society of Nuclear Medicine India: empowering modern medicine with molecular nuclear medicine

International Nuclear Information System (INIS)

2011-01-01

Theme of the 43rd Annual Conference of the Society of Nuclear Medicine India is 'empowering modem medicine with molecular nuclear medicine'. Keeping the theme in mind, the scientific committee has arranged an attractive and comprehensive program for both physicians and scientists reflecting the multimodality background of Nuclear Medicine and Metabolic Imaging. During this meeting the present status and future prospects of Nuclear medicine are discussed at length by esteemed faculty in dedicated symposia and interesting featured sessions which are immensely facilitate in educating the participants. Nuclear Medicine has come a long way since the first applications of radioiodine in the diagnosis of thyroid disease. The specialty of nuclear medicine in India is growing very rapidly. Technology continues to push the field in new directions and open new pathways for providing optimal care to patients. It is indeed an exciting time in the world of imaging and in the field of nuclear medicine. Innovative techniques in hardware and software offer advantages for enhanced accuracy. New imaging agents, equipment, and software will provide us with new opportunities to improve current practices and to introduce new technology into the clinical protocols. Papers relevant to INIS are indexed separately

THE STRUCTURE AND FUNCTION OF DEPARTMENTS OF MEDICINE.

Science.gov (United States)

Landefeld, C Seth

2016-01-01

The structure and function of departments of medicine are important for several reasons. First, departments of medicine are the biggest departments in virtually every medical school and in most universities with a medical school, and they are the largest professional units in most academic medical centers. In fact, Petersdorf described them as "the linchpins of medical schools" (1). Departments of medicine account for one-fourth or more of the academic medical enterprise: they include about one-fourth of the faculty of medical school, account for roughly one-fourth of the patient care and clinical revenue of academic medical centers, and their faculty perform a disproportionate share of teaching and research, accounting for up to 45% of National Institutes of Health (NIH) - funded research in some medical schools. Second, the department's ability to fulfill its role and advance its mission depends on its structure and function. Finally, lessons learned from examining the structure and function of departments of medicine may guide other departments and schools of medicine themselves in improving their structure and function. This paper describes the issues that face departments of medicine in 2016. I begin by providing the context for these issues with a definition of a department of medicine, describing briefly the history of departments, and stating their mission.

Nuclear medicine technology study guide

CERN Document Server

Patel, Dee

2011-01-01

Nuclear Medicine Technology Study Guide presents a comprehensive review of nuclear medicine principles and concepts necessary for technologists to pass board examinations. The practice questions and content follow the guidelines of the Nuclear Medicine Technology Certification Board (NMTCB) and American Registry of Radiological Technologists (ARRT), allowing test takers to maximize their success in passing the examinations. The book is organized by sections of increasing difficulty, with over 600 multiple-choice questions covering all areas of nuclear medicine, including radiation safety; radi

Children's (Pediatric) Nuclear Medicine

Medline Plus

Full Text Available ... Children's (Pediatric) Nuclear Medicine? What are some common uses of the procedure? How does the nuclear medicine procedure work? What does the equipment look like? How is ...

A concise guide to nuclear medicine

CERN Document Server

Elgazzar, Abdelhamid H

2011-01-01

Nuclear medicine is an important component of modern medicine. This easy-to-use book is designed to acquaint readers with the basic principles of nuclear medicine, the instrumentation used, the gamut of procedures available, and the basis for selecting specific diagnostic or therapeutic procedures and interpreting results. After an introductory chapter on the history, technical basis, and scope of nuclear medicine, a series of chapters are devoted to the application of nuclear medicine techniques in the different body systems. In addition, the use of nuclear medicine methods within oncology is

White paper of nuclear medicine

International Nuclear Information System (INIS)

2012-10-01

This document aims at proposing a synthetic presentation of nuclear medicine in France (definition, strengths and weaknesses, key figures about practices and the profession, stakes for years to come), a description of the corresponding education (speciality definition, abilities and responsibilities, diploma content, proposition by the European Society of Radiology and by the CNIPI, demography of the profession), and an overview of characteristics of nuclear medicine (radio-pharmacy, medical physics, paramedical personnel in nuclear medicine, hybrid imagery, therapy, relationships with industries of nuclear medicine, relationships with health authorities)

Asian School of Nuclear Medicine

International Nuclear Information System (INIS)

Sundram, F.X.

2007-01-01

A number of organisations are involved in the field of nuclear medicine education. These include International Atomic Energy Agency (IAEA), World Federation of Nuclear Medicine and Biology (WFNMB), Asia-Oceania Federation of Nuclear Medicine and Biology (AOFNMB), Society of Nuclear Medicine (SNM in USA), European Association of Nuclear Medicine (EANM). Some Universities also have M.Sc courses in Nuclear Medicine. In the Asian Region, an Asian Regional Cooperative Council for Nuclear Medicine (ARCCNM) was formed in 2000, initiated by China, Japan and Korea, with the main aim of fostering the spread of Nuclear Medicine in Asia. The Asian School of Nuclear Medicine (ASNM) was formed in February 2003, with the ARCCNM as the parent body. The Aims of ASNM are: to foster Education in Nuclear Medicine among the Asian countries, particularly the less developed regions; to promote training of Nuclear Medicine Physicians in cooperation with government agencies, IAEA and universities and societies; to assist in national and regional training courses, award continuing medical education (CME) points and provide regional experts for advanced educational programmes; and to work towards awarding of diplomas or degrees in association with recognised universities by distance learning and practical attachments, with examinations. There are 10 to 12 teaching faculty members from each country comprising of physicists, radio pharmacists as well as nuclear medicine physicians. From this list of potential teaching experts, the Vice-Deans and Dean of ASNM would then decide on the 2 appropriate teaching faculty member for a given assignment or a course in a specific country. The educational scheme could be in conjunction with the ARCCNM or with the local participating countries and their nuclear medicine organisations, or it could be a one-off training course in a given country. This teaching faculty is purely voluntary with no major expenses paid by the ASNM; a token contribution could be

Children's (Pediatric) Nuclear Medicine

Medline Plus

Full Text Available ... are small, diagnostic nuclear medicine procedures result in low radiation exposure, acceptable for diagnostic exams. Thus, the radiation risk is very low compared with the potential benefits. Nuclear medicine diagnostic ...

Nuclear medicine resources manual

International Nuclear Information System (INIS)

2006-02-01

Over the past decade many IAEA programmes have significantly enhanced the capabilities of numerous Member States in the field of nuclear medicine. Functional imaging using nuclear medicine procedures has become an indispensable tool for the diagnosis, treatment planning and management of patients. However, due to the heterogeneous growth and development of nuclear medicine in the IAEA's Member States, the operating standards of practice vary considerably from country to country and region to region. This publication is the result of the work of over 30 international professionals who have assisted the IAEA in the process of standardization and harmonization. This manual sets out the prerequisites for the establishment of a nuclear medicine service, including basic infrastructure, suitable premises, reliable supply of electricity, maintenance of a steady temperature, dust exclusion for gamma cameras and radiopharmacy dispensaries. It offers clear guidance on human resources and training needs for medical doctors, technologists, radiopharmaceutical scientists, physicists and specialist nurses in the practice of nuclear medicine. The manual describes the requirements for safe preparation and quality control of radiopharmaceuticals. In addition, it contains essential requirements for maintenance of facilities and instruments, for radiation hygiene and for optimization of nuclear medicine operational performance with the use of working clinical protocols. The result is a comprehensive guide at an international level that contains practical suggestions based on the experience of professionals around the globe. This publication will be of interest to nuclear medicine physicians, radiologists, medical educationalists, diagnostic centre managers, medical physicists, medical technologists, radiopharmacists, specialist nurses, clinical scientists and those engaged in quality assurance and control systems in public health in both developed and developing countries

Fundamentals of nuclear medicine

Energy Technology Data Exchange (ETDEWEB)

Alazraki, N.P.; Mishkin, F.S.

1988-01-01

The book begins with basic science and statistics relevant to nuclear medicine, and specific organ systems are addressed in separate chapters. A section of the text also covers imaging of groups of disease processes (eg, trauma, cancer). The authors present a comparison between nuclear medicine techniques and other diagnostic imaging studies. A table is given which comments on sensitivities and specificities of common nuclear medicine studies. The sensitivities and specificities are categorized as very high, high, moderate, and so forth.

Fundamentals of nuclear medicine

International Nuclear Information System (INIS)

Alazraki, N.P.; Mishkin, F.S.

1988-01-01

The book begins with basic science and statistics relevant to nuclear medicine, and specific organ systems are addressed in separate chapters. A section of the text also covers imaging of groups of disease processes (eg, trauma, cancer). The authors present a comparison between nuclear medicine techniques and other diagnostic imaging studies. A table is given which comments on sensitivities and specificities of common nuclear medicine studies. The sensitivities and specificities are categorized as very high, high, moderate, and so forth

Experiences of the Nuclear Medicine Service at the University Hospital Surgical Clinic Dr. Salvador Allende 2013-2015

International Nuclear Information System (INIS)

Suárez Iznaga, Rodolfo; Pozo Almaguer, Armando del; Gil Valdés, Doris; Fleitas Anaya, Ricardo

2016-01-01

The Nuclear Medicine Service of the University Hospital Surgical Clinic D r. Salvador Allende , located in the municipality of Cerro, began the provision of scintigraphic services in May 2013. A retrospective descriptive and analytical study was carried out from May 2013 to December 2015 from the archived scintigraphic reports. The objective of the study was to present the results of the Nuclear Medicine Service during this period. The data were reflected in percentages, using tables and graphs. To determine the existence of a statistically significant relationship between the variables were used: Chi square test with a level of significance α = 0.05 being positive if p <0.05. Until December 2015, 798 cases had been reported, which included Bone scans (88.34%), renal (10.65%) and thyroid scans for follow-up of cancer patients (1%); (76.82%) and the female sex was the most attended with 446 (55.89%) patients, there were no statistically significant differences between the scintigraphic studies and the sex of the patients. There were statistically significant differences between the scintigraphic studies and the age of the patients. The most frequent diagnoses were: bone scintigraphy, metastasis in 86.52% of patients, renal cyst scintigraphy (48.78%) and dynamic scintigraphy of the kidneys with obstructive functional involvement (63.64%) It was recommended to create the necessary technical and human resources conditions to be able to introduce other scintigraphy studies in the Nuclear Medicine Service such as: breast scintigraphy and lymph node scans, high demand in the medical center. In addition, to use scientifically the criteria of approval of patients in the consultation of classification of the service, with the aim of achieving a better selection of the applicants for scintigraphic studies, which would favor a more rational and efficient use of these studies.

UK nuclear medicine survey, 1989/90

International Nuclear Information System (INIS)

Elliott, A.T.; Shields, R.A.

1993-01-01

A postal survey of UK nuclear medicine departments was carried out to obtain information on activity during the year 1989/90. A rise of 14% in the number of administrations of radiopharmaceuticals was found compared to 1982: a rise of 22% in imaging studies was offset by a 30% decrease in the number of nonimaging investigations. The estimated total number of administrations in the UK was 430 000. (author)

Quality approach in in vivo nuclear medicine - Certification V2010 - Methodological guide

International Nuclear Information System (INIS)

Abdelmoumene, Nafissa; Ferreol, Dominique; Blondet, Emmanuelle; Bonardel, Gerald; Bourrel, Francois; Broglia, Jean Marc; Guilabert, Nadine; Israel, Jean-Marc; Machacek, Catherine; Martineau, Antoine; Remy, Herve; Rousseliere, Francis; Abelmann, Caroline

2013-01-01

This document first presents the different components of the activity in in-vivo nuclear medicine: techniques (functional imagery, vectorized internal radiotherapy, cases outside the nuclear medicine department), team composition and missions, radiation protection regulations, benefits and risks. Then, it addresses the quality approach: quality management system defined according to a process-oriented approach, documentation. It proposes a sheet to assess the implementation of the quality approach. This sheet contains 129 criteria which are related to management (strategy, activity steering and coordination), to support functions (management of human resources and abilities, management of radioactive sources and wastes, radio-pharmacy within the nuclear medicine department, management of medical devices, information system), to patient taking on (management of appointments and patient identification, imagery examination justification, patient reception, patients presenting risks and peculiar situations, checking before radio-pharmaceutical drug administering, taking on for diagnosis purpose, taking for therapeutic purposes), and to assessment, analysis and improvement (management of undesirable events associated with cares, quality follow-up for continuous improvement)

Extremity exposure in nuclear medicine: Preliminary results of a European study

International Nuclear Information System (INIS)

Merce, M. S.; Ruiz, N.; Barth, I.; Carnicer, A.; Donadille, L.; Ferrari, P.; Fulop, M.; Ginjaume, M.; Gualdrini, G.; Krim, S.; Mariotti, F.; Ortega, X.; Rimpler, A.; Vanhavere, F.; Baechler, S.

2011-01-01

The Work Package 4 of the ORAMED project, a collaborative project (2008-11) supported by the European Commission within its seventh Framework Programme, is concerned with the optimisation of the extremity dosimetry of medical staff in nuclear medicine. To evaluate the extremity doses and dose distributions across the hands of medical staff working in nuclear medicine departments, an extensive measurement programme has been started in 32 nuclear medicine departments in Europe. This was done using a standard protocol recording all relevant information for radiation exposure, i.e. radiation protection devices and tools. This study shows the preliminary results obtained for this measurement campaign. For diagnostic purposes, the two most-used radionuclides were considered: 99m Tc) and 18 F. For therapeutic treatments, Zevalin R and DOTATOC (both labelled with 90 Y) were chosen. Large variations of doses were observed across the hands depending on different parameters. Furthermore, this study highlights the importance of the positioning of the extremity dosemeter for a correct estimate of the maximum skin doses. (authors)

Present status of nuclear medicine - Situation in France

International Nuclear Information System (INIS)

Swiniarski, R. de

2002-01-01

Contrary to the general belief the nuclear medicine (NM) is a rather old science; actually, Henry Becquerel, the discoverer of the natural radioactivity in 1896, is deemed often as the initiator of this science and that would be the first stage. Discovery of artificial radioactivity by Irene and Frederic Joliot-Curie in 1934 marks the second essential stage and as such the initiation of NM. Nuclear medicine recorded significant progress since its inception, essentially after the WW1 due mainly to the advance of nuclear physics, nuclear electronics and the associated information techniques. But, the development of general physics boosted also other new methods of medical imaging as MRI (Magnetic Resonance Imaging), ultrasonic imaging, X-ray scanner, magnetic encephalography (MEG), etc. Several services of nuclear medicine currently functioning in France, in public or private hospitals, are all equipped at least with one Anger chamber, possibly two, what allows making the scintigraphy of most of human organs, or else, planar gamma-scintigraphy or tomo-scintigraphy. Unfortunately, regarding the positron chambers (positron computed tomography-PCT) the situation in France is not satisfactory. For the time being only three centres, particularly designed for research, are equipped with cyclotrons plus PCT technology, namely SHFJ at Orsay, Cyceron at Caen and SERMEP at Lyon (especially devoted to cardiologic investigation). Other two installations will be soon available at Toulouse and at Tenon (Paris). Officials, responsible of health services and medical schools and hospitals have defined a national index for PCT in France. Thus, starting from 2001, a machine for every million of inhabitants is provided, i.e. about 60 PCTs are planned to be installed till 2003 in Lille, Grenoble, Nantes, Rennes and other large French cities. France is committed not to miss the European bus of nuclear oncology of installing this equipment absolutely necessary in cancer detection and

The Market for Hospital Medicine in Denmark

DEFF Research Database (Denmark)

Hostenkamp, Gisela

2012-01-01

Pharmaceutical expenditure growth has outpaced GDP and healthcare expenditure growth rates in Denmark as in most OECD countries for the last decade. A major part of this increase was due to high growth rates in specialist areas that are typically located in hospital settings. Yet the market...... for hospital medicines and their procurement are still poorly understood. The present paper characterises the market for hospital medicines in Denmark in terms of its organisation and developments between 2005 and 2009. In Denmark hospital medicines are publicly financed and procurement is centrally organised....... 98% of all medicines administered at Danish public hospitals are purchased through a public procurement agency by means of public tenders. Using data on actual contract prices we decompose pharmaceutical expenditure growth into the contributions from newly introduced medicines, price and volume...

Digital Nuclear Medicine

International Nuclear Information System (INIS)

Erickson, J.J.; Rollo, F.D.

1982-01-01

This book is meant ''to provide the most comprehensive presentation of the technical as well as clincial aspects of computerized nuclear medicine''. It covers basic applications, and advice on acquisition and quality control of nuclear medicine computer systems. The book evolved from a series of lectures given by the contributors during the computer preceptorship program at their institution, Vanderbilt University in Nashville

Children's (Pediatric) Nuclear Medicine

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Full Text Available ... Because nuclear medicine procedures are able to pinpoint molecular activity within the body, they offer the potential ... or imaging device that produces pictures and provides molecular information. In many centers, nuclear medicine images can ...

Children's (Pediatric) Nuclear Medicine

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Full Text Available ... child is taking as well as vitamins and herbal supplements and if he or she has any ... What are the limitations of Children's (Pediatric) Nuclear Medicine? Nuclear medicine procedures can be time consuming. It ...

Children's (Pediatric) Nuclear Medicine

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Full Text Available ... MRI. top of page What are some common uses of the procedure? Children's (pediatric) nuclear medicine imaging ... at birth) or that develop during childhood. Physicians use nuclear medicine imaging to evaluate organ systems, including ...

The market for hospital medicine in Denmark

Directory of Open Access Journals (Sweden)

Gisela Hostenkamp

2011-11-01

Full Text Available Pharmaceutical expenditure growth has outpaced GDP and healthcare expenditure growth rates in Denmark as in most OECD countries for the last decade. A major part of this increase was due to high growth rates in specialist areas that are typically located in hospital settings. Yet the market for hospital medicines and their procurement are still poorly understood. The present paper characterises the market for hospital medicines in Denmark in terms of its organisation and developments between 2005 and 2009. In Denmark hospital medicines are publicly financed and procurement is centrally organised. 98% of all medicines administered at Danish public hospitals are purchased through a public procurement agency by means of public tenders. Using data on actual contract prices we decompose pharmaceutical expenditure growth into the contributions from newly introduced medicines, price and volume increases and use summary statistics to compare market performance in both sectors. The market for hospital medicine is more concentrated than the pharmaceutical retail sector and the share of generics and parallel imported products is significantly lower. Between 2005 and 2009 expenditures for hospital medicines more than doubled -accounting for almost 40% of the total Danish pharmaceutical market in 2009. Price increases however - although positive and higher than in the pharmaceutical retail sector - were only moderate. The majority of the expenditure growth was due to an increase in utilisation and the introduction of new medicines in the hospital sector. Centralised tendering may therefore have important implications for competition and industry structure in the long run.

Postgraduate Course 'Physics Aspects of Nuclear Medicine'. Theoretical and practical intensive version. Preliminary results

International Nuclear Information System (INIS)

Lopez Diaz, A.; Gonzalez, G.J.; Torres, A.L.; Fraxedas, M.R.

2007-01-01

Full text: Using national and international recommendations about human resource in Nuclear Medicine, a group of experts organized a National Course for the education and training of physicist who work in Cuban hospitals, adapted to national condition and practice of Nuclear Medicine. The program was approved for National Authorities in Nuclear Security and University Schools in Medicine. The program contains two intensive theoretic and practical courses, to be completed over a period of 15 days of full time engagement, complemented with 4 month full attachment to a Nuclear Medicine Service monitored by accredited expert. The theoretical/practical intensive courses have final evaluation: combining practical exercise and a final test. When all docent activities finish the students should clear a final theoretical/practical evaluation by an examination board comprising of at least three accredited experts. The theoretical/practical courses were attended by 19 physicists working in hospitals in Cuba. The contents of the first course included, Introduction to Nuclear Medicine, Principle of NM equipment, Quality assurance and quality control of NM equipment, Radiation Protection and Licence Topics of NM Services. The second course had the following topics: Acquisition and Processing methods in Nuclear Medicine, Nuclear Medicine Techniques and Clinical Dosimetry for radiopharmaceutical therapy. With 100 point of maximum score and 60 point minimum to pass, the final test of this first course comprised of 2 types of questions: 1 Multiple choice questions and 2. long essay type questions. The average scores obtained by the participants was 87.02 points/ students (range 65- 100 points). The students pass the test with very good degree of comprehension: 10-Excellent (90-100 points), 5- Very good (80-89 points), 2-Good (70-79 point) and 2- satisfactory standard (60-69 point). The students evaluated 'satisfactory' the quality of the course (in anonymous poll), reporting like

Handbooks in radiology: Nuclear medicine

International Nuclear Information System (INIS)

Datz, F.L.

1988-01-01

This series of handbooks covers the basic facts, major concepts and highlights in seven radiological subspecialties. ''Nuclear Medicine'' is a review of the principles, procedures and clinical applications that every radiology resident and practicing general radiologist should know about nuclear medicine. Presented in an outline format it covers all of the organ systems that are imaged by nuclear medicine

Physical aspects of quality assurance in nuclear medicine and radiotherapy, regulatory approach of the National Nuclear Safety Center

International Nuclear Information System (INIS)

Gonzalez C, D.; Fuente P, A. de la; Quevedo G, J.R.; Lopez F, Y.; Varela C, C.

2006-01-01

The physical aspects of the quality guarantee in Nuclear Medicine and Radiotherapy its are of cardinal importance to guarantee the quality of the diagnoses and treatments that are carried out to the patients in this type of services. The OIEA, the OMS and other scientific and professional organizations have contributed significantly to the elaboration of recommendations, Protocols, etc. applicable in the quality control programs and safety of the Nuclear Medicine and Radiotherapy departments. In spite of the great effort developed in this sense the Installation of the programs of quality control and safety of the Nuclear Medicine and Radiotherapy departments can fail if the same ones are not based in three decisive elements that are: the existence of national regulations, the existence of the infrastructure required for it and the existence of enough qualified personnel to develop this programs. The present work shows the regulatory focus that on this topic, it has followed the National Center of Nuclear Safety of Cuba (CNSN). The same left of strengthen all the existent Synergies in the different organizations of the country and it went in two fundamental directions: installation of the regulatory requirements that govern this activity and the Authorization of a Cuban Entity, specialized in carrying out audits to the quality control and safety programs of the Nuclear Medicine and Radiotherapy departments. After 4 work years in this direction, the results confirm the validity of the experience developed by the CNSN, at the moment all the services of Nuclear Medicine and Radiotherapy of Cuba possess quality control and safety programs, these programs are annually Auditing by an Authorized entity by the CNSN and the Inspectors of the Regulatory Authority, control, during the inspections, the one execution of the established requirements in the national regulations. The work developed so far can serve, modestly, of reference to others countries of Latin America that

Children's (Pediatric) Nuclear Medicine

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Full Text Available ... Tell your doctor about your child’s recent illnesses, medical conditions, medications and allergies. Depending on the type ... Nuclear Medicine? Nuclear medicine is a branch of medical imaging that uses small amounts of radioactive material ...

Children's (Pediatric) Nuclear Medicine

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Full Text Available ... Nuclear Medicine Children’s (pediatric) nuclear medicine imaging uses small amounts of radioactive materials called radiotracers, a special ... is a branch of medical imaging that uses small amounts of radioactive material to diagnose and determine ...

Nuclear Medicine Annual, 1989

International Nuclear Information System (INIS)

Freeman, L.M.; Weissmann, H.S.

1989-01-01

Among the highlights of Nuclear Medicine Annual, 1989 are a status report on the thyroid scan in clinical practice, a review of functional and structural brain imaging in dementia, an update on radionuclide renal imaging in children, and an article outlining a quality assurance program for SPECT instrumentation. Also included are discussions on current concepts in osseous sports and stress injury scintigraphy and on correlative magnetic resonance and radionuclide imaging of bone. Other contributors assess the role of nuclear medicine in clinical decision making and examine medicolegal and regulatory aspects of nuclear medicine

Children's (Pediatric) Nuclear Medicine

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Full Text Available ... Nuclear Medicine? Nuclear medicine is a branch of medical imaging that uses small amounts of radioactive material to ... a radiologist or other physician. To locate a medical imaging or radiation oncology provider in your community, you ...

Nuclear medicine. 1 part. Manual

International Nuclear Information System (INIS)

Shlygina, O.E.; Borisenko, A.R.

2006-01-01

Current manual is urged to give wide-scale readers a submission on a key principles and methods of nuclear medicine, and it opportunities and restrictions in diagnostics and treatment of different diseases. Nuclear medicine is differing first of all by combination of diverse knowledge fields: special knowledge of a doctor, knowledge of physical processes bases, related with radiation, grounds of radiopharmaceutics, dosimetry. In the base of the book the 5th edition of 'Nuclear medicine' manual in 2 parts of German authors - Schicha, G.; Schober, O. is applied. In the book publishing the stuff of the Institute of Nuclear Physics of the National Nuclear Center of Republic of Kazakhstan has been worked. Modifications undergo practically all chapters: especially the second one, forth and sixth was enlarged. The 1 part of the book was published due to support of IAEA within the Technical cooperation project 'Implementation of Nuclear Medicine and Biophysics Center' (KAZ/6/007). The manual second part - devoted to applications of nuclear medicine methods for diagnostics and treatment - will be published in 2007

Veterinary nuclear medicine

International Nuclear Information System (INIS)

Kallfelz, F.A.; Comar, C.L.; Wentworth, R.A.

1974-01-01

A brief review is presented of the expanding horizons of nuclear medicine, the equipment necessary for a nuclear medicine laboratory is listed, and the value of this relatively new field to the veterinary clinician is indicated. Although clinical applications to veterinary medicine have not kept pace with those of human medicine, many advances have been made, particularly in the use of in vitro techniques. Areas for expanded applications should include competitive protein binding and other in vitro procedures, particularly in connection with metabolic profile studies. Indicated also is more intensive application by the veterinarian of imaging procedures, which have been found to be of such great value to the physician. (U.S.)

Radiation protection in nuclear medicine

International Nuclear Information System (INIS)

Corstens, F.

1989-01-01

Aspects of radiation protection in nuclear medicine and the role of the Dutch Society for Nuclear Medicine in these are discussed. With an effective dose-equivalence of averaged 3 mSv per year per nuclear medical examination and about 200.000 examinations per year in the Netherlands, nuclear medicine contributes only to a small degree to the total averaged radiation dose by medical treating. Nevertheless from the beginning, besides to protection of environment and personnel, much attention has been spent by nuclear physicians to dose reduction with patients. Replacing of relatively long living radionuclides like 131 I by short living radionuclides like 99m Tc is an example. In her education and acknowledgement policy the Dutch Society for Nuclear Medicine spends much attention to aspects of radiation reduction. (author). 3 tabs

Optimization of radiation protection (OPR) of workers in nuclear medicine department occupationally to ionizing radiation

International Nuclear Information System (INIS)

Ugrinska, Ana; Crcareva, Biljana; Andonovski, Boris

2010-01-01

Occupational radiation exposure of nuclear medicine personnel arise either from external irradiation during the handling or from the entry of radioactive substances in the body; the major source of external irradiation is the patient that has received a radiopharmaceutical for diagnostic or therapeutic purposes. In this study we present the dosimetry monitoring of the personnel at the Institute of Pathophysiology and Nuclear Medicine in Skopje (IPNM) before and after the implementation the methods of ORP. Twenty-seven employees were optimized with standard TLD card, monthly, expressed as whole body personal dose in the period of use of dosimeter. Annual Effective Doses (AED) are presented for years: 2001, 2004, 2005, 2006, 2007, 2008. In the year 2005, after measurement from Technical Service Organization, IPNM Radiation Protection Officer (RPO) designed and implemented new recommendation and modality such as: designation of areas, introducing ambiental dose measurements, classification of employees, personnel rotation, risk assessment, occupational dose constraints, education of personnel, compliance with written procedures and establishing the Programme for Radiation Protection (RP). ORP measures were applied during the year of 2006, so the results of 2001, 2004 and 2005 correspond to unopimized RP. We were evaluated three groups: radiopharmacy laboratory (RPL), nuclear medicine technologist (NMT) and medical doctors. The third group was further divided according to the AED in group with AED bellow 1.6 mSv (MD1), and group with AED above this level (MD2). The average AED in the NMT group for 2005 was 3.59 mSv, while in 2008 it was 1.8 mSv; for MD1 group in 2005 was 1.5 mSv and in MD2 was 3.0 mSv. The average AED in 2008 for MD1 was 1.1 mSv, while MD2 group comprised of only one subject with annual effective dose of 1.76 mSv. The most exposed groups were nuclear medicine technologists (NMT) and medical doctors routinely involved in everyday nuclear medicine

Children's (Pediatric) Nuclear Medicine

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Full Text Available ... What are some common uses of the procedure? Children's (pediatric) nuclear medicine imaging is performed to help diagnose childhood disorders that are congenital (present at birth) or that develop during childhood. Physicians use nuclear medicine imaging to ...

Nuclear energy and medicine

International Nuclear Information System (INIS)

1988-01-01

The applications of nuclear energy on medicine, as well as the basic principles of these applications, are presented. The radiological diagnosis, the radiotherapy, the nuclear medicine, the radiological protection and the production of radioisotopes are studied. (M.A.C.) [pt

Children's (Pediatric) Nuclear Medicine

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Full Text Available ... referring physician. top of page What are the benefits vs. risks? Benefits The information provided by nuclear medicine examinations is ... risk is very low compared with the potential benefits. Nuclear medicine diagnostic procedures have been used for ...

Exposure of ionizing radiation to non-radiation workers from nuclear medicine patients

International Nuclear Information System (INIS)

Janssen, J.; Smart, R.C.; McKay, E.

1999-01-01

Full text: Occasionally, patients are required to have several tests in one day. They may be injected with radio-isotopes in the morning, have other investigations during the absorption period and then return to nuclear medicine for imaging later in the day. Recently, the NSW Department of Health issued a circular concerning exposure to sonographers from ionizing radiation emitted from nuclear medicine patients. The object of this study is to establish a model of emissions from nuclear medicine patients and to measure the exposure to other health workers who may be in close contact with these patients. Dose rate measurements were acquired for patients injected with 99 Tc m and 67 Ga for the following studies: heart, thyroid, lung, bone, biliary and lymphoma. Measurements were taken at 10 cm increments to 1 m and at time intervals of 0,1,2 and 24 h post-injection. In addition, 5 sonographers were issued with TLDs to be worn on the waist and fingers for a period of 3 months. The dose limit for a non-radiation worker is 1000 μSv (ICRP 60). The external dose rate measurements indicate that, assuming a sonographer is seated approximately 30 cm from a patient injected with 800 MBq 99 Tc m -HDP for a bone scan, 1 h post-injection, the sonographer would receive a dose of 11 μSv for a 30 min ultrasound scan. In practice, only 4 nuclear medicine patients were scanned in the ultrasound department during the 5 week monitoring period and the sonographers' TLDs recorded no radiation dose. In conclusion, the average exposure to sonographers from nuclear medicine patients is well within the limits recommended by the ICRP. However, in accordance with the ALARA principle where practicable, any ultrasound examination should be performed prior to nuclear medicine studies

Technetium{sup 99m} shortage: Practical solutions to manage lack of the radio-isotope in nuclear medicine departments; Penurie de technetium{sup 99m}: des pistes pratiques pour gerer les periodes de crise dans les services de medecine nucleaire

Energy Technology Data Exchange (ETDEWEB)

Biechlin-Chassel, M.L. [Radiopharmacie, service de pharmacie, centre hospitalier de Chambery, 73 - Chambery (France); Francois-Joubert, A. [Service de medecine nucleaire, centre hospitalier de Chambery, 73 - Chambery (France); Bolot, C. [Service de radiopharmacie, service pharmaceutique, centre de medecine nucleaire, groupement hospitalier Est, 69 - Bron (France); Desruet, M.D. [Radiopharmacie, service de medecine nucleaire, CHU de Grenoble, 38 - Grenoble (France); Bourrel, F. [Services de pharmacie et medecine nucleaire, centre hospitalier d' Avignon, 84 - Avignon (France); Pelegrin, M. [Institut de recherche en cancerologie (IRCM), 34 - Montpellier (France); Inserm U896, universite Montpellier 1, 34 - Montpellier (France); CRLC Val d' Aurelle Paul-Lamarque, 34 - Montpellier (France); Couret, I. [Service de medecine nucleaire, hopital Lapeyronie, 34 - Montpellier (France); Lao, S. [Service de medecine nucleaire, CHU Hopital de l' Archet, 06 - Nice (France); Quelven, I. [Faculte de medecine, 87 - Limoges (France)

2010-11-15

Technetium{sup 99m} ({sup 99m}Tc) shortage crisis regularly affect nuclear medicine activity and oblige the community to find solutions in order to perform most of the prescribed exams and avoid systematic substitutions by other non-nuclear medicine techniques. Firstly, some practical solutions can be set up in radiopharmacy departments such as using more than two generators together, realizing fractionated elutions, preparing radiopharmaceuticals with elutions providing from different generators.. Then, it could be interesting to have a reflexion in nuclear medicine departments to convene patients the days when {sup 99m}Tc supply is sufficient, to pool some exams or to make substitutions with more available isotopes. (authors)

Results of the evaluation of the radiation protection in several nuclear medicine departments and recommendations for its optimization

International Nuclear Information System (INIS)

Bejerano, Gladys Lopez; Jova Sed, Luis; Diaz, Efren; jova@cphr.edu.cu

2001-01-01

For the evaluation of the radiological safety in several Nuclear Medicine departments a survey was processed and applied that gathers the related mainly to: aspect of the licensing and fulfillment of the establish in this, the program of individual radiologic monitoring and his evaluation, functions that serve to the radiologic protection system, program of qualification and training of the personnel, equipment and mean of radiation protection, program of monitoring of the area of work, characteristic of the premises, management of remainder radioactive, program of quality control, aspect related to the radiation protection in the procedure of diagnosis with the investigation; as well as to pregnant patients and those related to the investigation to accidental medical exhibitions. In the work a systematization of the main results had been done, insisting on the evaluation of the doses received by the workers occupational exposed. A comparison of the activities administered to the patients by different departments and the internationally recommended ones, explaining the found differences. In addition the main recommendations were exposed to obtain in these departments an optimization of the radiological safety

Trauma in elderly patients evaluated in a hospital emergency department in Konya, Turkey: a retrospective study

Directory of Open Access Journals (Sweden)

Kara H

2013-12-01

Full Text Available Hasan Kara,1 Aysegul Bayir,1 Ahmet Ak,1 Murat Akinci,1 Necmettin Tufekci,1 Selim Degirmenci,1 Melih Azap21Department of Emergency Medicine, Selçuk University, Konya, Turkey; 2Department of Emergency Medicine, Konya Numune Hospital, Konya, TurkeyPurpose: Trauma is a common cause of admission to the hospital emergency department. The purpose of this study was to evaluate the cause of admission, clinical characteristics, and outcomes of patients aged ≥65 years admitted to an emergency department in Turkey because of blunt trauma.Materials and methods: Medical records were retrospectively reviewed for 568 patients (314 women and 254 men aged ≥65 years who were admitted to an emergency department of a tertiary care hospital.Results: Trauma was caused by low-energy fall in 379 patients (67%, traffic accident in 79 patients (14%, high-energy fall in 69 patients (12%, and other causes in 41 patients (7%. The most frequent sites of injury were the lower extremity, thorax, upper extremity, and head. The femur was the most frequent fracture site. After evaluation in the emergency department, 377 patients (66% were hospitalized. There were 31 patients (5% who died. Risk of hospitalization after trauma was significantly associated with trauma to the lower extremity, thorax, and spine; fractures of the femur and rib; and intracranial injury.Conclusion: Emergency department admission after trauma in patients aged $65 years is common after low-energy falls, and most injuries occur to the extremities. It is important to focus on prevention of falls to decrease the frequency of trauma in the elderly.Keywords: fall, femur, fracture, injury

On the History of Hospital and Department of Infectious Diseases in Lviv

Directory of Open Access Journals (Sweden)

A.N. Zinchuk

2016-09-01

Full Text Available Hospital of infectious diseases in Lviv was founded on December 29, 1912 and became a clinical basis of the faculty of medicine at Lviv University. At that time, hospital of infectious diseases was a leading medical establishment with European level. Throughout years, the hospital was headed by corresponding member of Polish Academy of Medical Sciences Wincenty Arnold (1912–1926, professor Witold Lipinski (1926–1941, 1944–1946. In 1939, after union of the Western Ukraine and Ukrainian Soviet Socialist Republic, Lviv state medical institute was founded on the basis of the faculty of medicine of Lviv university, and hospital of infectious diseases in Pekarska street, 54 became its clinical center. In 1940, the department of infectious diseases was founded in Lviv medical institute, in different years it was headed by professor W. Lipinski (1940–1941, 1944–1946, professor H.H. Homenko (1946–1951, associate professor B.M. Kotliarenko (1951–1969, professor M.B. Titov (1951–1997, professor L. Yu. Shevchenko (1997–2005, professor O.M. Zinchuk (since 2005 till present. A number of novel diagnostic and therapeutic techniques have been suggested, 30 theses for candidate degree and 6 theses for doctor degree have been defended at the department of infectious diseases.

Multiple uses for an old ibm-pc 486 in nuclear medicine using open source software

International Nuclear Information System (INIS)

Anselmi, C.E.; Anselmi, O.E.

2002-01-01

Multiple uses for an old ibm-pc 486 in nuclear medicine using open source software. Aim: To use a low budget platform to: 1 - send patient's images from processing workstation to the nuclear medicine information system; 2 - backup data files from acquisition in DICOM format in cd-rom; 3 - move data across different hospitals allowing remote processing and reading of studies. Both nuclear medicine systems in the two hospitals are Siemens Icon workstations. Material and methods: The computer used is an ibm-pc 486, which sells for about US dollar 70. The operating system installed is Red Hat Linux 6.2. The sending of the patient's images to the information system is performed through AppleTalk and Samba. The backup of acquisition files is performed by the communication from the workstation through DICOM to the Storage Class Provider (Office Dicom Toolkit) running in the 486, and the files are later burned on cd-rom. A similar configuration is present in another hospital, with minor differences in processor type. Data from any of the hospitals can be sent to the other one through the remote synchronization performed by Rsync. The connection between both Linux computers is encrypted through Secure Shell (open SSH). All software installed in the 486 was downloaded from the internet at no cost. No software was installed in the workstations. Results: The whole system is recognized transparently by the workstation's system as a local storage disk, such as the acquisition cameras or the other workstations. The transfer of images from the workstation to the information system or to a remote hospital is done the same way as copying data from the acquisition cameras in the vendor's software. When transferring large files across hospitals, the synchronization may take 1 to 3 minutes through broad band internet. The backup in DICOM format in cd-rom allows review of patient data in any computer equipped with a DICOM viewing software, as well as the re-processing of that

Pediatric radiation exposure from diagnostic nuclear medicine examinations in Tehran

International Nuclear Information System (INIS)

Neshandar Asli, I.; Tabeie, F.

2005-01-01

As a part of a nationwide survey to estimate population exposure to radiation from diagnostic nuclear medicine in Iran, this paper presents the pediatric population radiation exposure due to nuclear medicine examinations in Tehran. Patients and methods: the effective dose equivalent, H E , was used to calculate the collective effective dose in pediatric patients undergoing nuclear medicine procedures, and the corresponding data were obtained from thirty out of thirty seven active nuclear medicine departments in Tehran. Results: annually about 5.26% of nuclear medicine examinations were performed on patients under 15 years of age in Tehran. The most frequent was renal examinations (38.2%), followed y thyroid (27.4%) and bone (26.7%). The annual collective H E for patients under 15 was 19.03 human-Sv, which contributed 3.96% to the collective H E for all patients. The contribution of renal, bone and thyroid examinations to the pediatric collective H E were 24.6% 48.8% and 13.5% respectively. The mean effective dose equivalent per pediatric patient was 3.75 mSv.Conclusion: Among the three most frequent examinations, the bone with a relative frequency of 27.4% constituted 48.8% of the collective H E , which was the highest absorbed dose per examination. The mean effective dose per examination for patients younger than 15 years was 67.9% of the adults

Radioisotopes in nuclear medicine

International Nuclear Information System (INIS)

Samuel, A.M.

2002-01-01

Full text: A number of advances in diverse fields of science and technology and the fruitful synchronization of many a new development to address the issues related to health care in terms of prognosis and diagnosis resulted in the availability of host of modern diagnostic tools in medicine. Nuclear medicine, a unique discipline in medicine is one such development, which during the last four decades has seen exponential growth. The unique contribution of this specialty is the ability to examine the dynamic state of every organ of the body with the help of radioactive tracers. This tracer application in nuclear medicine to monitor the biological molecules that participate in the dynamic state of body constituents has led to a whole new approach to biology and medicine. No other technique has the same level of sensitivity and specificity as obtained in radiotracer technique in the study of in-situ chemistry of body organs. As modem medicine becomes oriented towards molecules rather than organs, nuclear medicine will be in the forefront and will become an integral part of a curative process for regular and routine application. Advances in nuclear medicine will proceed along two principal lines: (i) the development of improved sensitive detectors of radiation, powerful and interpretable data processing, image analysis and display techniques, and (ii) the production of exotic and new but useful radiopharmaceuticals. All these aspects are dealt with in detail in this talk

The integral formation of the university technologists in nuclear medicine

International Nuclear Information System (INIS)

Tossi, Mirta H.; Chwojnik, Abraham; Otero, Dino

2003-01-01

Full text: Nuclear medicine has contributed to notable benefits to the human health from the very beginning. The Radioisotopes techniques, as well as the ionizing radiation used, have evolved providing functional and anatomical information of the patient, through non-invasive methods. With reference to Radiological Protection, the justification of each one of these practices and its perfect execution is intimately related to the benefit provided to the patients. The National Atomic Energy Commission apart from favouring the scientific and technological development, considers indispensable to work thoroughly on the professional training of the prospective technologists. Our over twenty-year experience in organizing and delivering courses of Technologists in Nuclear Medicine, although based on a much simpler program, have allowed the Institute of Nuclear Studies of the Ezeiza Atomic Center to acquire the capacity of developing a program to train highly qualified Technologists in that field. This project represents a step forward of great importance to the graduates qualification, since they will have the endorsement of CNEA and of the Faculty of Medicine of the Maimonides University. These are the three outstanding characteristics agreed on: 1.- General Education, carried out by subjects closely related to the optimisation of the relation Technologist - Patient - Environment and represented by: Radiological Protection and Hospital Security, Psychology, Ethics and Professional Medical Ethics, Nursing, English, Hygiene and Hospital Security and Management of the Quality in Services of Health. 2.- Diagnostic Procedures: planned according to organs, apparatuses or systems which are horizontally crossed by the anatomy, physiology and physiopathology Preparation of the patient, indications, main counter indications, radiopharmaceuticals, mechanisms of incorporation, pathologies, clinical protocols, instrumentation, post radiopharmaceuticals administration imaging

Children's (Pediatric) Nuclear Medicine

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Full Text Available ... resume his/her normal activities after the nuclear medicine scan. If the child has been sedated, you will receive specific instructions ... usually mild. Nevertheless, you should inform the nuclear medicine personnel of any allergies your child may have or other problems that may have ...

Hand exposure to ionising radiation of nuclear medicine workers

International Nuclear Information System (INIS)

Wrzesien, M.; Olszewski, J.; Jankowski, J.

2008-01-01

The specific nature of work in nuclear medicine departments involves the use of isotopes and handling procedures, which contribute to the considerable value of an equivalent dose received, in particular, by the fingertips. Standard nuclear medicine department uses ring dosemeters placed usually at the base of the middle finger. The main aim of the study was to find out whether a relationship exists between the doses recorded by thermoluminescent detectors placed at various locations on the radio-pharmacists' hands and the doses recorded by the ring detectors, and to determine the character of that relationship. The correction factor represents a correction value to be used to calculate the doses which might be received by locations on the hand from the dose recorded by the ring dosemeter. The dose recorded by the ring dosemeter is on the average five times lower than that received by the fingertips of thumb, index and middle fingers. (authors)

Management of the pediatric nuclear medicine patient (or children are not small adults)

International Nuclear Information System (INIS)

Kieffer, C.T.; Suto, P.A.

1983-01-01

The first of a four-part continuing education series on pediatric nuclear medicine is presented. Included are: (1) clinical indications for performing nuclear medicine studies in children; (2) comparison of nuclear medicine procedures for adult and pedicatric patients; (3) appropriate radiopharmaceuticals for performing pediatric studies; (4) radiation protection techniques (5) the principles of pediatric radiopharmaceutical dose calculation and common calculation methods; (6) possible injection sites and administration methods (7) radiopharmaceutical clearance times and imaging times in adults and children; (8) the collimators of choice for most procedures performed in children; (9) certain behaviors exhibited by children according to their stage of emotional development and children's response to the hospital setting; and (10) patient immobilization techniques and advantages of physical restraint over sedation

Radionuclides for nuclear medicine: a nuclear physicists' view

Czech Academy of Sciences Publication Activity Database

Cantone, M.; Haddad, F.; Harissopoulos, S.; Jensen, M.; Jokinen, A.; Koster, U.; Lebeda, Ondřej; Ponsard, B.; Ratzinger, U.; Stora, T.; Tarkanyi, F.; Van Duppen, P.

2013-01-01

Roč. 40, 2 Supplement (2013), S257-S257 ISSN 1619-7070. [Annual Congress of the European Association of Nuclear Medicine (EANM). 19.10.2013-23.10.2013, Lyon] Institutional support: RVO:61389005 Keywords : nuclear physics for medicine * EANM * medical radionuclides Subject RIV: BG - Nuclear, Atomic and Molecular Physics, Colliders

The application of nuclear-medicine methods in veterinary medicine

International Nuclear Information System (INIS)

Simpraga, M.; Kraljevic, P.; Dodig, D.

1996-01-01

X-radiography and ultrasound imaging are well established and widely used in veterinary practice, but it is not the same situation with radioisotope imaging. In veterinary practice the above mentioned methods of nuclear medicine are developed only in two countries in Europe. That is not doubt due, so bar, to the difficulties in obtaining satisfactory supply of radioisotopes and to the relatively high cost of scanning equipment. However, in collaboration with the Department of Radiation Protection and Nuclear Medicine of the Medical Faculty in Zagreb, Croatia, we have chance to develop the use of those methods in clinical veterinary practice in Zagreb. That is way in this paper an overview of the application of radioisotopes imaging in veterinary medicine is given. In small animals skeletal changes, lung perusions, brain lesions, space occupying lesions in the liver and its function and hearth function can be usefully searched by a gamma camera and its associated computer. In equine practice scintigraphy of bones, liver, hearth, pulmonary circulation and ventilation is described. The largest amount of radioactive material is used during gamma camera scanning of the skeletons of horses. In this cases the radiation dose 1-2 m from the animal is approximately 3 μSv/h. That is why the protection of personal involved in radioisotope scanning in veterinary medicine must be also regulated by low of radiation protection. Also, the animals should be confined to a controlled area for 2-3 days after scanning before being returned to their owners. After this period the area must be cleaned. (author)

Radiation exposure to staff involved in diagnostic and therapeutic nuclear medicine procedures in some hospitals in Sudan

International Nuclear Information System (INIS)

Salih, Lamia Hamza Bashir

2015-05-01

Study was performed to evaluate radiation dose to staff involved in nuclear medicine procedures in some hospitals in Sudan. 15 radiation workers were studied in three hospitals. Radiation dose was measured using personal dose equivalent Hp (10), using calibrated electronic personal dosimeters (EPDs) worn on the chest and read at the end of the day. Staff doses were monitored in each hospital for a period of four weeks, The measured monthly Hp(10) values to staff ranged between 82.96-83.94μSv (to nurses), 38.81-53.97 μSv (to pharmacists), 16.87-70.21μSv (to technologists), 40.22-76.56μSv (to medical physicists). These mean monthly radiation doses were projected to the annual radiation doses received by the staff. The mean monthly radiation doses were projected to the annual radiation doses were found to be between ranges (185.57-923.34μSv/y). Results found showed that there was no dose that exceeded the limits of annual dose recommended for workers by International Commission on Radiology Protection (ICRP) (20 mSv/year). This study is expected to increase the awareness of staff about the radiation hazards and protection.(Author)

Nuclear medicine in New Zealand: a social history

International Nuclear Information System (INIS)

McArthur, A.W.

1989-01-01

Nuclear medicine in New Zealand began in 1948 at Christchurch Hospital. Hosted initially by Medical Physics Services, the radioisotope clinic in each hospital has charted its own course through disease metabolism and structure, resulting in the development of wide spectrum of clinical interest in New Zealand. Nine clinics have been established, some being more robust than others. Geographically, these clinics are widely dispersed from Auckland in North Island to Invercargill in the far south. A brief overview of their activities is given. The period under review refers mainly to the decades from 1950 to 1970. 15 refs., ills

Developments in nuclear medicine

International Nuclear Information System (INIS)

Elias, H.

1977-01-01

The article reports on the first international meeting about radiopharmaceutical chemistry in the Brookhaven National Laboratory, Long Island/USA, from 21st to 24th September, 1976. The meeting report is preceded by the explanation of the terms 'radiopharmaceutical chemistry' and 'nuclear medicine' and a brief survey of the history. The interdisciplinary connection of the spheres of nuclear physics, nuclear chemistry, biochemistry, nuclear medicine, and data processing is also briefly shown. This is necessary before radiodiagnosis can be made for a patient. (RB) [de

Nuclear medicine in developing nations

International Nuclear Information System (INIS)

Nofal, M.M.

1985-01-01

Agency activities in nuclear medicine are directed towards effectively applying techniques to the diagnosis and management of patients attending nuclear medicine units in about 60 developing countries. A corollary purpose is to use these techniques in investigations related to control of parasitic diseases distinctive to some of these countries. Through such efforts, the aim is to improve health standards through better diagnosis, and to achieve a better understanding of disease processes as well as their prevention and management. Among general trends observed for the region: Clinical nuclear medicine; Radiopharmaceuticals; Monoclonal antibodies; Radioimmunoassay (RIA); Nuclear imaging

Radiation protection in nuclear medicine

International Nuclear Information System (INIS)

Chougule, Arun

2014-01-01

The branch of medical science that utilizes the nuclear properties of the radioactivity and stable nuclides to make diagnostic evaluation of anatomical and/or physiological conditions of the body and provide therapy with unsealed radioactive sources is called Nuclear Medicine (NM). The use of unsealed radionuclides in medicine is increasing throughout the world for diagnosis and treatment. As per UNSCEAR report more than 6 million nuclear medicine procedures are conducted in a year. However we know that radiation is double edged sword and if not used carefully will be harmful to patient as well as staff and therefore a nuclear medicine procedure should be undertaken only after proper justification and optimization. Nuclear medicine procedures are different than the X-ray diagnostic procedures as in NM, radioisotope is administered to patient and patient becomes radioactive. The NM staff is involved in unpacking radioactive material, activity measurements, storage of sources, internal transports of sources, preparation of radiopharmaceuticals, administration of radiopharmaceutical, examination of the patient, care of the radioactive patient, handling of radioactive waste and therefore receives radiation dose. This talk will discuss the various steps for radiation safety of patient, staff and public during Nuclear Medicine procedures so as to implementing the ALARA concept. (author)

Quality control of nuclear medicine instrumentation

International Nuclear Information System (INIS)

Mould, R.F.

1983-09-01

The proceedings of a conference held by the Hospital Physicists' Association in London 1983 on the quality control of nuclear medicine instrumentation are presented. Section I deals with the performance of the Anger gamma camera including assessment during manufacture, acceptance testing, routine testing and long-term assessment of results. Section II covers interfaces, computers, the quality control problems of emission tomography and the quality of software. Section III deals with radionuclide measurement and impurity assessment and Section IV the presentation of images and the control of image quality. (U.K.)

Nuclear medicine

International Nuclear Information System (INIS)

Reichelt, H.G.

1980-01-01

Nuclear medicine as a complex diagnostical method is used mainly to detect functional organic disorders, to locate disorders and for radioimmunologic assays (RIA) in vitro. In surgery, its indication range comprises the thyroid (in vivo and in vitro), liver and bile ducts, skeletal and joint diseases, disorders of the cerebro-spinal liquor system and the urologic disorders. In the early detection of tumors, the search for metastases and tumor after-care, scintiscanning and the tumor marcher method (CEA) can be of great practical advantage, but the value of myocardial sciritiscanning in cardiac respectively coronary disorders is restricted. The paper is also concerned with the radiation doses in nuclear medicine. (orig.) [de

Complex decision making in patients with dementia in an internal medicine department.

Science.gov (United States)

Kabelka, Ladislav

2017-10-01

With the increase of polymorbidity, extending life expectancy and improving treatment options for chronic diseases, the care for dementia is moving into other areas of medicine. The length and quality of life with advanced dementia is directly dependent on the quality of medical and nursing care, early detection and treatment of complications, nutritional support and palliative care plan. Significant is also the support for family carers. The key coordinators of care for patients with dementia are general practitioners (GPs), geriatricians, psychiatrists, and an increasingly important role play internists. Case reports of patients admitted to an internal medicine department. Description of clinical experiences with caring on patients with dementia. In the internal departments of regional hospitals, there is a room for adjustment of the care plan, for comprehensive assessment of the patient and for making crucial decisions regarding nutrition, treatment of chronic diseases, consideration of previously expressed wishes in the context of the patient condition, and potential prognostic indicators. This assessment must result in a comprehensive documentation and communication with patients, and in the case of advanced dementia with their family members. The general internal medicine is very often the first place where the patient has a chance to hear about indication for palliative care. Without the availability of a multidisciplinary assessment, good communication and documentation, it is unrealistic to expect that the hospital would provide comprehensive care for patients with dementia.

Intercomparison of 131I activity measurements in nuclear medicine

International Nuclear Information System (INIS)

Kim, G. Y.; Yang, H. K.; Lim, C. I.; Lee, H. K.; Jeong, H. K.

2004-01-01

Activity measurements in nuclear medicine using a dose calibrator have been performed for several decades and their reliability has varied. To minimise the radiation dose to patients with radionuclides, it is necessary to ensure that the sample administered is accurately assayed. Recognizing the importance of intercomparison in nuclear medicine and the need to make access to activity standards traceable to the international measurement system, the KFDA, as a national secondary standard dosimetry laboratory (SSDL), started an intercomparison program in 2002. This program was initiated by survey to all nuclear medicine centres regarding general information about their dose calibrators, radioisotopes etc. 71 nuclear medicine centres (79 dose calibrators) participated in the intercomparison program with 131 I isotope. To assess the accuracy of clinical measurements of the activity of 131 I solutions and to determine the reason for the disagreement, an intercomparison was conducted using 4 ml aliquots in 10 ml P6 vial with a total activity in the region of 10 -20 MBq. The reference time of decay for all solutions was 0:00 on 25 September 2002. The half-life used was 8.04 days. For the evaluation of solution in KFDA, a sealed, high pressure and re-entrant ionisation chamber, NPL-CRC radionuclide calibrators were used. The verification of our calibration quality was by means of a comparison with the Korea Primary Standard Laboratory (KRISS). The activity ratio of KFDA to KRISS for the 131 I solutions is 1.011. The difference between the value quoted by the clinic, A hospital and the value obtained by the KFDA, A KFDA , is expressed as a percent deviation, i.e. DEV(%) 100x(A hospital -A KFDA )/A KFDA . From the data obtained it was found that 61% of the calibrators showed a deviation within +/-5%; 23% had a deviation in the range 5% 131 I solution activity measurements, using dose calibrators in Koreas, and also to provide the participants with a traceable standard to

Nigerian Quarterly Journal of Hospital Medicine: Submissions

African Journals Online (AJOL)

Nigerian Quarterly Journal of Hospital Medicine: Submissions. Journal Home > About the Journal > Nigerian Quarterly Journal of Hospital Medicine: Submissions. Log in or Register to get access to full text downloads.

Nuclear Medicine at Charles Sturt University

International Nuclear Information System (INIS)

Swan, H.; Sinclair, P.; Scollard, D.

1998-01-01

Full text: A distance educational programme for upgrading of Certificate, Associate Diploma and Diploma to a Bachelor of Applied Science degree commenced in second semester of 1997 with approximately 15 Australian students and 15 Canadian students. The first graduation will occur in 1998. Formal links with the Michener Institute in Toronto have allowed Canadian students access to study resources during the course. All students entering the course are accredited or registered with their respective professional societies. The short conversion programme for those with three year diplomas includes Nuclear Medicine Physics and Instrumentation, Imaging Pathology, Clinical Neuroscience and Research Method subjects. An inaugural undergraduate degree programme in Nuclear Medicine Technology commences in first semester of 1998 on the Riverina Campus at Wagga Wagga. An intake of 15 students is anticipated. This small group of rural based students will have the benefits of international expertise. The programme has a strong clinical practice component including time on campus to supplement the practicum in departments. Physiology studies continue through to third year to complement the professional subjects. Active participation is solicited from those departments involved with aspects of the practicum well before students are placed. A fully functional teaching laboratory has been constructed containing a well equipped radiopharmacy, gamma camera room and computer laboratory using modern applications software to provide the students with a solid background in their chosen field

Knowledge Management in Nuclear Medicine

International Nuclear Information System (INIS)

Abaza, A.

2017-01-01

The last two decades have seen a significant increase in the demand for medical radiation services following the introduction of new techniques and technologies that has led to major improvements in the diagnosis and treatment of human diseases. The diagnostic and therapeutic applications of nuclear medicine techniques play a pivotal role in the management of these diseases, improving the quality of life of patients by means of an early diagnosis allowing opportune and proper therapy. On the other hand, inappropriate or unskilled use of these technologies can result in potential health hazards for patients and staff. So, there is a need to control and minimize these health risks and to maximize the benefits of radiation in medicine. The present study aims to discuss the role of nuclear medicine technology knowledge and scales in improving the management of patients, and raising the awareness and knowledge of nuclear medicine staff regarding the use of nuclear medicine facilities. The practical experience knowledge of nuclear medicine staff in 50 medical centers was reviewed through normal visiting and compared with the IAEA Published documents information. This review shows that the nuclear medicine staff has good technology knowledge and scales during managing patients as compared to IAEA Published information regarding the radiation protection measures and regulation. The outcome of the study reveals that competent authority can improve radiation safety in medical settings by developing and facilitating the implementation of scientific evidence-based policies and recommendations covering nuclear medicine technology focusing in the public health aspects and considering the risks and benefits of the use of radiation in health care. It could be concluded that concerted and coordinated efforts are required to improve radiation safety, quality and sustain ability of health systems

Safety assessment of nuclear medicine practice using the Risk Matrix Method

International Nuclear Information System (INIS)

Cruz, Dumenigo; Cruz, Yoanis; Soler, Karen; Guerrero, Mayka

2013-01-01

This paper presents the main results from the application of the methodology of Risk Matrices in a hypothetical service / department of the Nuclear medicine that realize metabolic radiotherapy treatment and diagnostic studies with 131 I and 99 m Tc and 18 F. We could identify major equipment failures and human errors that could potentially lead to a accident in practice. For each analyzed initiating events evaluated the frequency of occurrence, identified key existing defenses to avoid the accident and assessed the potential consequences of an accident if this comes to fruition. With this methodology we could identify which accident sequences increased risk and to propose means to reduce the risk in such cases. As a result of this work was developed the 'RMA Nuclear Medicine' computer tools that will apply this methodology in nuclear medicine services that need to do similar risk assessments

Nuclear medicine resources in the internet

International Nuclear Information System (INIS)

Obaldo, J.M.

1996-01-01

The internet is a global collection of networked computers linked by a set of protocols which allows the otherwise disperate computer systems to communicate with each other. In contrast to text-only data available previously, the World Wide Web allows multimedia content to be available on the internet. Graphics can now likewise be used as links. The development of World Wide Web client software such as Mosaic, or the currently more popular Netscape Navigator, makes linking from one document to another (colloquially referred to as 'surfing the Net') fast and simple. While these software are commonly called Web browsers their function extends to the other internet services such as e-mail, file transfer protocol, remote login, Gopher and WAIS. A prototype application being developed as a case-based teaching file which could include clinical data and case discussion, aside of course from the nuclear medicine and related images. Contributions from various institutions can be made available on their own servers and linked together through hypertext. Examples of these are websites of the Mallinckrodt Institute of Radiology and the Joint Program in Nuclear Medicine of the Harvard Medical School. The university of Iowa also has its Virtual Hospital, a collection of clinical cases with radiologic images. Most major universities and medical centers have websites where information on on-going research, facilities and personnel are made available. Links to various special interest discussion groups (e.g. those developing the common image file format) are also accessible and the documents often contain further links to related fields in nuclear technology. The very nature of the hypertext transfer protocol of the World Wide Web makes it a relatively simple matter for a developer of a teaching system to include links to necessary resources. It is envisioned that an internet-based teaching module will be incorporated in some nuclear medicine training programs in the United States

Radiopharmaceutical activities administered for paediatric nuclear medicine procedures in Australia

International Nuclear Information System (INIS)

Towson, J.E.; Smart, R.C.; Rossleigh, M.A.

2001-01-01

A survey of radiopharmaceutical activities used at the eight hospital centres specialising in paediatric nuclear medicine in Australia was conducted in 1999-2000 by the Australian and New Zealand Society of Nuclear Medicine and the Australasian Radiation Protection Society. Data on the maximum and minimum administered activities (A max and A min ) as obtained for 43 paediatric imaging procedures are presented. The results are also available on the ANZSNM and ARPS websites at: http://www.anzsnm.org.au and http://www.arps.org.au. The A max values were significantly less than the corresponding Reference Activities for adults determined in a previous study. Activities for individual patients are calculated using surface area scaling at five centres and body weight scaling at three centres. The median values of A max and A min are recommended as Paediatric Reference Activities. The effective dose to patients of various sizes for the Paediatric Reference Activities and both methods of scaling was calculated for each procedure. Copyright (2000) The Australian and New Zealand Society of Nuclear Medicine Inc

Doses from nuclear medicine examinations: A 25-year follow-up study

International Nuclear Information System (INIS)

Kairemo, K.J.A.; Korpela, H.

2001-01-01

New radiopharmaceuticals have been introduced in nuclear medicine examinations, and on the other hand, the amount of many routine nuclear medicine procedures have been replaced with clinical methods utilising non-ionisating radiation (ultrasonography, MRI). To clarify the situation in Finland, a country wide survey on the use of radiopharmaceuticals in diagnostics and therapy was made in 1975, 1982, 1989, 1994, 1997 and will be made in 2000. A questionnaire was sent to all hospitals and institutes using unsealed sources in both diagnostic and therapeutic nuclear medicine procedures. For each procedure, the pharmaceutical used, the number of procedures and the typical administered activities were recorded. The collective effective doses from nuclear medicine examinations were calculated according to the ICRP formulae similarly for each survey. In Finland, in each of these years, more than 50,000 procedures in more than 30 different laboratories were performed. Significant changes in collective doses were observed: for example, the collective dose from I-131 was 350 manSv in 1975, and 20 manSv in 1997. In 1975, 68% (n=23967) of collective dose originated from I-131, whereas in 1997 the percentage of I-131 in collective dose was 10 % (n=1118). In 1994 and 1997, the use of the three radionuclides (Tc-99m, I-131 and Tl-201) accounted for 96% and 95% of the collective effective dose. Our results indicate that the collective effective dose from nuclear medicine examinations has decreased in last 25 years. National surveys form the basis when setting reference levels for typical nuclear medicine examinations. By introducing reference levels based on national practice it is possible to even decrease the collective effective dose. (author)

Evolution of nuclear medicine: a historical perspective

International Nuclear Information System (INIS)

Ahmed, A.; Kamal, S.

1996-01-01

The field Nuclear Medicine has Completed its 100 yeas in 1996. Nuclear medicine began with physics, expanded into chemistry and instrumentation, and then greatly influenced various fields of medicine. The chronology of the events that formulated the present status of nuclear medicine involves some of the great pioneers of yesterday like Becquerel, Curie, Joliot, Hevesy, Anger, Berson and Yallow. The field of nuclear medicine has been regarded as the bridge builder between various aspects of health care and within next 20 years, nuclear medicine enters a new age of certainty, in which surgery, radiation and chemotherapy will only be used when a benefit in certain to result from the treatment. (author)

Pediatric nuclear medicine

International Nuclear Information System (INIS)

1986-01-01

This symposium presented the latest techniques and approaches to the proper medical application of radionuclides in pediatrics. An expert faculty, comprised of specialists in the field of pediatric nuclear medicine, discussed the major indications as well as the advantages and potential hazards of nuclear medicine procedures compared to other diagnostic modalities. In recent years, newer radiopharmaceuticals labeled with technetium-99m and other short-lived radionuclides with relatively favorable radiation characteristics have permitted a variety of diagnostic studies that are very useful clinically and carry a substantially lower radiation burden then many comparable X-ray studies. This new battery of nuclear medicine procedures is now widely available for diagnosis and management of pediatric patients. Many recent research studies in children have yielded data concerning the effacacy of these procedures, and current recommendations will be presented by those involved in conducting such studies. Individual papers are processed separately for the Energy Data Base

Pediatric nuclear medicine

Energy Technology Data Exchange (ETDEWEB)

1986-01-01

This symposium presented the latest techniques and approaches to the proper medical application of radionuclides in pediatrics. An expert faculty, comprised of specialists in the field of pediatric nuclear medicine, discussed the major indications as well as the advantages and potential hazards of nuclear medicine procedures compared to other diagnostic modalities. In recent years, newer radiopharmaceuticals labeled with technetium-99m and other short-lived radionuclides with relatively favorable radiation characteristics have permitted a variety of diagnostic studies that are very useful clinically and carry a substantially lower radiation burden then many comparable X-ray studies. This new battery of nuclear medicine procedures is now widely available for diagnosis and management of pediatric patients. Many recent research studies in children have yielded data concerning the effacacy of these procedures, and current recommendations will be presented by those involved in conducting such studies. Individual papers are processed separately for the Energy Data Base.

Nuclear medicine tomorrow

International Nuclear Information System (INIS)

Marko, A.M.

1986-04-01

The purpose of this Workshop was to discuss and promote future nuclear medicine applications. Atomic Energy of Canada Limited (AECL) is determined to assist in this role. A major aim of this gathering was to form an interface that was meaningful, representative of the two entities, and above all, on-going. In the opening address, given by Mr. J. Donnelly, President of AECL, this strong commitment was emphasized. In the individual sessions, AECL participants outlined R and D programs and unique expertise that promised to be of interest to members of the nuclear medicine community. The latter group, in turn, described what they saw as some problems and needs of nuclear medicine, especially in the near future. These Proceedings comprise the record of the formal presentations. Additionally, a system of reporting by rapporteurs insured a summary of informal discussions at the sessions and brought to focus pertinent conclusions of the workshop attendees

Current role of the radiographers in imaging diagnostics, nuclear medicine and radiotherapy in modern departments

International Nuclear Information System (INIS)

Karidova, S.; Velkova, K.; Panamska, K.; Petkova, K.

2006-01-01

Full text: In the communication we set out to focus the attention of the medical staff and the public on the place and the constantly growing role (relative burden) of the radiographers in imaging diagnostics, nuclear medicine and radiotherapy in the field of modern medicine. The advanced radiographers level and rapid development of the contemporary equipment and apparatuses used in imaging diagnostics, nuclear medicine and radiotherapy, as well as the methods of their utilization, presuppose very good and constantly improving theoretical and practical training of the imaging technician. The radiographer fulfills responsible tasks under the guidance of the physician or independently and bears specific responsibilities. Having mastered the fundamentals of radiation protection, the imaging technician protects both himself and the patient from the impact of ionizing radiation. To be able to fulfill his/her constantly increasing duties and obligations, the imaging radiographer has acquired wide knowledge of general education subjects, subjects of general medicine and special subjects. The radiographer has a good knowledge of Latin and a modern foreign language, and he is also computer literate so as to be able to cope with the widely spread visualizing methods. The radiographer acquires additional post-graduate training to work in narrowly specialized fields as well as to improve his/her qualifications

Introductory physics of nuclear medicine. Third edition

International Nuclear Information System (INIS)

Chandra, R.

1987-01-01

The new third edition includes essential details and many examples and problems taken from the routine practice of nuclear medicine. Basic principles and underlying concepts are explained, although it is assumed that the reader has some current use as a bone densitometer. For resident physicians in nuclear medicine, residents in pathology, radiology, and internal medicine, and students of nuclear medicine technology, the third edition offers a simplified and reliable approach to the physics and basic sciences of nuclear medicine

Technetium in chemistry and nuclear medicine

International Nuclear Information System (INIS)

Deutsch, E.; Nicolini, M.; Wagner, H.N.

1983-01-01

This volume explores the potential of technetium radiopharmaceuticals in clinical nuclear medicine. The authors examine the capabilities of synthetic inorganic chemists to synthesize technetium radiopharmaceuticals and the specific requirements of the nuclear medicine practitioner. Sections cover the chemistry of technetium, the production of radiopharmaceuticals labeled with technetium, and the use of technetium radiopharmaceuticals in nuclear medicine

Recent history of nuclear medicine

International Nuclear Information System (INIS)

Potchen, E.J.; Gift, D.A.

1988-01-01

Diagnostic nuclear medicine's recent history is characterized both by significant change and by growing participation in efforts to quantify the impact of nuclear medicine procedures on clinical judgment and patient management, as well as to develop methods for studying the efficacy of diagnostic procedures in general. The replacement of many nuclear medicine procedures that at one time were considered essential standards of clinical care by newer, more efficient and effective modalities has been complimented by the continued development of increasingly sophisticated applications of scintigraphic tracer methods

Clinical audit of emergency unit before and after establishment of the emergency medicine department.

Science.gov (United States)

Amini, Afshin; Dindoost, Payam; Moghimi, Mehrdad; Kariman, Hamid; Shahrami, Ali; Dolatabadi, Ali Arhami; Ali-Mohammadi, Hossein; Alavai-Moghaddam, Mostafa; Derakhshanfar, Hojjat; Hatamabadi, HamidReza; Heidari, Kamran; Alamdari, Shahram; Meibodi, Mohammad Kalantar; Shojaee, Majid; Foroozanfar, Mohammad Mehdi; Hashemi, Behrooz; Sabzeghaba, Anita; Kabir, Ali

2012-02-01

To assess the deficiencies and potential areas through a medical audit of the emergency departments, in six general hospitals affiliated to Shahid Beheshti University of Medical Sciences at Tehran, Iran, after preparing specific wards-based international standards. A checklist was completed for all hospitals which met our eligibility criteria mainly observation and interviews with head nurses and managers of the emergency medicine unit of the hospitals before (2003) and after (2008) the establishment of emergency departments there. Domains studied included staffing, education and continuing professional development (CPD), facility (design), equipment, ancillary services, medical records, manuals and references, research, administration, pre-hospital care, information systems, disaster planning, bench-marking and hospital accreditation. Education and CPD (p = 0.042), design and facility (p = 0.027), equipment (p = 0.028), and disaster (p = 0.026) had significantly improved after the establishment of emergency departments. Nearly all domains showed a positive change though it was non-significant in a few. In terms of observation, better improvement was seen in disaster, security, design, and research. According to the score for each domain compared to what it was in the earlier phase, better improvement was observed in hospital accreditation, information systems, security, disaster planning, and research. Security, disaster planning, research, design and facility had improved in hospitals that wave studied, while equipment, records, ancillary services, administration and bench-marking had the lowest improvement even after the establishment of emergency department, and, hence, needed specific attention.

Your Radiologist Explains Nuclear Medicine

Medline Plus

Full Text Available ... you about nuclear medicine. Nuclear medicine offers the potential to identify disease in its earliest stage, often ... may be asked to wear a gown as well. Tell your doctor if there is any possibility ...

Your Radiologist Explains Nuclear Medicine

Medline Plus

Full Text Available ... Nuclear Medicine Transcript Welcome to Radiology Info dot org Hello! I’m Dr. Ramji Rajendran, a radiation ... more about nuclear medicine, visit Radiology Info dot org. Thank you for your time! Spotlight Recently posted: ...

Your Radiologist Explains Nuclear Medicine

Medline Plus

Full Text Available ... stage, often before symptoms occur or before abnormalities can be detected with other diagnostic tests. Nuclear medicine ... nuclear medicine exam, there are several things you can do to prepare. First, you may be asked ...

Accuracy determination of dose calibrators in Nuclear Medicine Centers using Tl-201

International Nuclear Information System (INIS)