1. UPDATE NUCLEAR MEDICINE in THAILAND
Yuthana saengsuda
Society of nuclear medicine of Thailand ( TSNM)

2. Thailand Populations of 67 millions 21 nuclear medicine sites
Khon khaen
Populations of 67 millions
21 nuclear medicine sites
Active members
Physicians 75

3. Nuclear Medicine Site 5 Cancer center hospitals
Chulabhorn institute
National cancer center
Lopburi cancer center
Lampang cancer center
Thanyaburi cancer center
4 Non-university based hospitals
Sappasitthiprasong Hospital
Korat Hospital
Klang hospital
Surasthanee hospital
2 Private hospitals
Bumrungrad hospital
Wattanosod hospital
10 University hospitals
Chulalongkorn university hospital
Siriraj hospital
Ramathibodi hospital
Chiang Mai university hospital
Khon Kaen university hospital
Rajavithi hospital
Pramongkut hospital
Prince of Songkla university hospital
Vachira hospital
Burapa university hospital

4. PET CENTER AND CYCLOTRON SITES
8 PET CENTERS:
6 centers in BKK ( 4 public, 2 private)
2 centers outside BKK (one in Chiengmai and one in Khonkaen )
1 PEM CENTER
Rajavithi hospital
3 Cyclotrons:
Chulaporn
Chiengmai university hospital
Private hospital : BGH
Upcoming : Two university hospitals
Siriraj
Khon Khaen

5. STATUS OF THERAPEUTIC NUCLEAR MEDICINE
I-131 Hyperthyroid outpatient Rx
I-131 Well-differentiated thyroid cancer in/outpatient Rx
Sm-153 EDTMP Bone pain in/outpatient Rx
I131-MIBG Rx
Y-90 Microsphere for liver metastasis
I-131 Rituximab in patient Rx for low grade lymphoma

6. Radionuclide therapy 2013 Hyperthyroidism 5760 cases
Thyroid cancer RAI treatment 1936 cases
MIBG treatment 34 cases
Bone pain palliation 21 cases

7. Radiopharmaceuticals
Two major sources
Thailand Institute of Nuclear Technology (TINT) ( commercial part of office of atomic energy for peace in Thailand)
daily supply for unit dose Tc-mm labeled , I-131, I-131 MIBG, Sm-153 EDTMP
Ga 68 dotatate research , Tc-99m octeotride
Global Medical Solution (GMS) : daily supply for unit dose Tc-99m lableled and I131
Clinical trials , IAEA projects
Y-90 microsphere (SIRTEX), GMS
Pharmaceutical companies: Sanofi for Thyrogen , upcoming Radium 223 from Bayer

8. National Guidelines for Thyroid Cancer Management ( upcoming 2014)
Host : National cancer institute
Scopes: Guidelines for screening, diagnosis and treatment of thyroid cancer by clinicians and NM team.

9. Residence Training in NM of Thailand Diploma of Thai board of NM
Starting ,3 yrs training program
Basic physics: Basic radiation physics , physics of NM, radiobiology
NM knowledge: scintigraphy, nonimaging studies, RIA , radiopharmaceuticals , BMD , radionuclide therapy
Skills and attitude in NM
Knowledge of diagnostic radiology and radiation therapy
Lecture, practice, conference, seminar , literature review, journal club, self learning , interesting case study, research

10. Resident Training Exam
Research paper , defend for thesis
Preliminary exam: radiation physics and radiation biology
MCQ basic science and NM
Short assay questions
Oral examination

11. Thank You