Sri Lanka
Country Report
Dr.Jayasundara M.C.UdugamaMBBS, Ph,D
Nuclear Medicine Unit, Faculty of Medicine.
Peradeniya, Sri - Lanka
Sri Lanka
• Official name:Democratic socialist republic of Sri Lanka
Size : 65,606 sq km (25,300 sq miles)
Location : Island off the south eastern shores off
India, 800 km north of equator
Population : (1999) 19.04 million
Population density : 304 people kmsq
Sri Lanka
Languages : Sinhala,Tamil and English
English is widely spoken throughout
Sri Lanka with the exception of
remote vilages
Ethnic Mix : Sinhalese 74%
Tamils 18.1%
Muslims 7.1%
Other 0.8%
Sri Lanka
Religions : Buddhism 69.3%
Hinduism 15.6%
Christianity 7.6%
Islam 7.5%
Literacy rate : 92.1%
NUCLEAR MEDICINE UNITS IN SRI - LANKA
• Nuclear Medicine Unit. Peradeniya
NUCLEAR MEDICINE UNITS IN SRI - LANKA
• Nuclear Medicine Unit. Peradeniya
• Imaging Unit, Dept. of Radiology. Colombo
NUCLEAR MEDICINE UNITS IN SRI - LANKA
• Nuclear Medicine Unit. Peradeniya
• Imaging Unit, Dept. of Radiology. Colombo
• Imaging Unit, Lady Ridgeway Hospital for Children
NUCLEAR MEDICINE UNITS IN SRI - LANKA
• Nuclear Medicine Unit. Peradeniya
• Imaging Unit, Dept. of Radiology. Colombo
• Imaging Unit, Lady Ridgeway Hospital for Children
• Nuclear Medicine Unit, Galle
NUCLEAR MEDICINE UNITS IN SRI - LANKA
Private sector:
Apollo Hospital, Colombo
Nuclear Medicine Unit Peradeniya
• First unit established in Sri - Lanka in 1972
Nuclear Medicine Unit Peradeniya
• First unit established in Sri - Lanka in 1972– radio immuno assay of thyroid and pituitary
hormones
Nuclear Medicine Unit Peradeniya
• First unit established in Sri - Lanka in 1972– Radio immuno assay of thyroid and pituitary
hormones– Imaging section in
• 1976 for thyroid scanning
Nuclear Medicine Unit Peradeniya
• First unit established in Sri - Lanka in 1972– radio immuno assay of thyroid and pituitary
hormones– Imaging section in
• 1976 for thyroid scanning
• 1984 for other scans- renograms
Nuclear Medicine Unit Peradeniya
• First unit established in Sri - Lanka in 1972– radio immuno assay of thyroid and pituitary
hormones– Imaging section in
• 1976 for thyroid scanning
• 1984 for other scans- renograms
• 1990 for planar imaging
Nuclear Medicine Unit Peradeniya
• First unit established in Sri - Lanka in 1972– radio immuno assay of thyroid and pituitary
hormones– Imaging section in
• 1976 for thyroid scanning
• 1984 for other scans- renograms
• 1990 for planar imaging
• 1994 for 131I therapy unit
Nuclear Medicine Unit Peradeniya
• Isotopes– 125I for RIA
Nuclear Medicine Unit Peradeniya
• Isotopes– 125I for RIA– 131I for thyroid uptake, whole body scan and
some thyroid scans
Nuclear Medicine Unit Peradeniya
• Isotopes– 125I for RIA– 131I for thyroid uptake, whole body scan and
some thyroid scans– 99mTc for other scans
Nuclear Medicine Unit Peradeniya
• Work load (per year)
Nuclear Medicine Unit Peradeniya
• Work load (per year)• Over 10,000 blood samples for RIA
Nuclear Medicine Unit Peradeniya
• Work load (per year)• Over 10,000 blood samples for RIA
• 800 renal scans
Nuclear Medicine Unit Peradeniya
• Work load (per year)• Over 10,000 blood samples for RIA
• 800 renal scans
• 500 renograms
Nuclear Medicine Unit Peradeniya
• Work load (per year)• Over 10,000 blood samples for RIA
• 800 renal scans
• 500 renograms
• 500 thyroid scans
Nuclear Medicine Unit Peradeniya
• Work load (per year)• Over 10,000 blood samples for RIA
• 800 renal scans
• 500 renograms
• 500 thyroid scans
• 300 bone scans
Nuclear Medicine Unit Peradeniya
• Work load (per year)• Over 10,000 blood samples for RIA
• 800 renal scans
• 500 renograms
• 500 thyroid scans
• 300 bone scans
• 150 whole body scans
Nuclear Medicine Unit Peradeniya
• Work load (per year)• Over 10,000 blood samples for RIA
• 800 renal scans
• 500 renograms
• 500 thyroid scans
• 300 bone scans
• 150 whole body scans
• 200 other scans
Nuclear Medicine Unit Peradeniya
• Radio isotope supply
Nuclear Medicine Unit Peradeniya
• Radio isotope supply– 131I 100 mCi - liquid
Nuclear Medicine Unit Peradeniya
• Radio isotope supply– 131I 100 mCi - liquid– 99mTc 256 mCi - generator
Nuclear Medicine Unit Peradeniya
• Radio isotope supply– 131I 100 mCi - liquid– 99mTc 256 mCi - generator– 125I tracer 200 uCi / month
Nuclear Medicine Unit Peradeniya
• Work force
Nuclear Medicine Unit Peradeniya
• Work force– 3 Nuclear Medicine Physicians
Nuclear Medicine Unit Peradeniya
• Work force– 3 Nuclear Medicine Physicians– 1 Medical Physicist
Nuclear Medicine Unit Peradeniya
• Work force– 3 Nuclear Medicine Physicians– 1 Medical Physicist– 5 Nuclear Medicine Technologists
Nuclear Medicine Unit Peradeniya
• Work force– 3 Nuclear Medicine Physicians– 1 Medical Physicist– 5 Nuclear Medicine Technologists– 1 Maintenance Technologist
Nuclear Medicine Unit Peradeniya
• Work force– 3 Nuclear Medicine Physicians– 1 Medical Physicist– 5 Nuclear Medicine Technologists– 1 Maintenance Technologist– 4 Minor staff
Nuclear Medicine Unit Peradeniya
• Work force– 3 Nuclear Medicine Physicians– 1 Medical Physicist– 5 Nuclear Medicine Technologists– 1 Maintenance Technologist– 4 Minor staff– 1 Secretary
Nuclear Medicine Unit Peradeniya
• Distribution of work
Nuclear Medicine Unit Peradeniya
• Distribution of work– In rotation
Nuclear Medicine Unit Peradeniya
• Functions of the NMU– 1. Clinical– 2. Imaging– 3. Teaching– 4. Research
Nuclear Medicine Unit Peradeniya
• Major research projects carried out by this unit - 1. Iodination of cooking salt following
establishment of iodine deficient goiters in
Sri Lanka- 2. Neonatal screening for thyroxin deficiency- 3. Establishment of level of obstruction in lower limb lymph edema
Nuclear Medicine Unit Peradeniya
• Urgent problems to be solved– Replacement of an old gamma camera – Establishment
Regulatory Body
• Atomic Energy Authority of Sri - Lanka (AEA)
• Under Regulation on Ionizing Radiation Protection of the Atomic Energy Safety Regulations No. 1 of 1969
• AEA Act No. 19 of 1969
Regulatory Body
• Under this act it is mandatory to obtain Authorization
• Registration and Licensing
Authorization for Medical Practices
• For working with any radiation sources(s) for medical applications
• Human diagnosis and /or radiotherapy– Medical doctors
– Health Physicists
– Technologists
Authorization for Medical Practices
• Medical Exposure Protection– Patient Exposure
Authorization for Medical Practices
• Medical Exposure Protection– Patient Exposure– Justification of Medical Exposure
Authorization for Medical Practices
• Medical Exposure Protection– Patient Exposure– Justification of Medical Exposure– Optimization of Protection for Medical
Exposures
Authorization for Medical Practices
• Medical Exposure Protection– Patient Exposure– Justification of Medical Exposure– Optimization of Protection for Medical
Exposures– Guidance levels for Diagnostic Medical
Exposure
Authorization for Medical Practices
• Medical Exposure Protection– Patient Exposure– Justification of Medical Exposure– Optimization of Protection for Medical
Exposures– Guidance levels for Diagnostic Medical
Exposure– Medical Incidents
Authorization for Medical Practices
• Medical Exposure Protection– Patient Exposure– Justification of Medical Exposure– Optimization of Protection for Medical
Exposures– Guidance Levels for Diagnostic Medical
Exposure– Medical Incidents– Records