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Current Status of Nuclear MedicineIn Vietnam
Mai Trong Khoa, M.D.
Department of Nuclear Medicine,Hanoi Medical University,
Bach Mai University Hospital, Hanoi, Vietnam
History (1)
In 1970 the first isotopes were used for diagnosing
patients with thyroid diseases in the two nuclear
medicine unites (in Hanoi).
In 1976, the section of nuclear medicine was combined
with Vietnam Society of Radiology and this society
has become Vietnam Society of Radiology and
Nuclear Medicine (VSRNM).
The general assembly of VSRNM is held every 4 years.
.
History (2) History (2)
In 1978 the first patients with hyperthyroidism were
treated by I-131 in nuclear medicine department of
Bach Mai Hospital- (Hanoi Capital).
In 1987 the first RIA laboratory was established in N.M.
Dept. of Bach Mai Hosp.- Hanoi,
and the first N.M. Dept. in Hanoi Medical University
was established for teaching medical students and for
post-graduate on nuclear medicine.
History (3)
In 1993, the first gamma camera was installed in
N.M. Dept. of Cho Ray Hospital- (Ho Chi Minh city).
In 1994, the first patients with thyroid cancer were
treated by I-131 in N.M. Dept. of Cho Ray Hospital-
(Ho Chi Minh city).
Up to this time ( 2003), there are 18 departments and
centers of nuclear medicine..
Members
1. The organization:
Vietnam Society of Radiology and Nuclear Medicine
(VSRNM) includes Radiology and Nuclear Medicine sections.
- President:
- 2 Vice Presidents:
- 1 Secretory General:
2. Total members of nuclear medicine division in the VSRNM: 89
Main Objectives of VSRNM (1)
To work out scientific activities by way of conferences, seminars and educational programs on nuclear medicine (N.M).
To establish communication with the
Departments and Centers of N.M. in Vietnam
To work out national training programs on N. M.
Main Objectives of VSRNM (2)
To foster international cooperation for
promoting N.M. in Vietnam.
To communicate with international
organizations on N.M.
To publish national journal of N.M. in near future
Number of Hospitals - having NM Department
0
5
10
15
20
70 75 80 85 90 95 96 97 98
Years
Number of N.M. Dept.
03
Equipment ( in vivo and in vitro)
Number
In vivo:• Gamma Camera 10
• SPECT(single head) 14
• SPECT (dual head) 0
In vitro:• Gamma counter 20• Beta counter 3
Total number of gamma camera and SPECT
0
5
10
15
20
25
93 96 97 98 99
Years
Total number
030100 02
Reagents and Radiopharmaceuticals
Totally Partially imported imported
• RIA kits • Tc-99m generators • I-131 • P-32 • Tl-201 • Re-188 • First generation Tc-99m labelled radiopharmaceuticals (DTPA...) • Other 2nd and 3rd generation labelled compounds (sistamibi, HMPAO...)
Distribution of Radioisotopes in Therapy
0
20
40
60
80
100
Thyroid disease Bone palliation Liver cancer
%
I-131
P-32Sm-153
Re-188
Distribution of RIA & IRMA
0
10
20
30
40
50
Thyroid Hepatitisseries
Endocrine Tum orMarker
Other
%
Current problem of nuclear medicine in VSRNM
• Vietnam is developing country, so we have difficulties to buy
new nuclear medicine equipments as well as
radiophamaceuticals from foreign countries.
• For improving the level of nuclear medicine in Vietnam in future,
we have needed wider to use SPECT for neurological,
cadiovascular, renal... disoders, and to promote PET as well as to
measure tumor markers by RIA and IRMA...
• Too few Physicians and technologist
Solution• Increase number of training programs for
Physicians and technologists • Dicrease the cost of N.M examinations for poor
patiens To foster international cooperation for• promoting N.M. in Vietnam. To communicate with international • organizations on N.M.
Education & Training of N.M.
1). Physician:a). Hanoi Medical University and Army Academy of Medicine (in nuclear medicine departments) have offered:
• Under-graduate education in N.M. (for medical students of fourth year class)
• Post-graduate education in N.M. (for degree of Master and Ph.D of N.M.).b). Sending them abroad. 2). Technologist, Medical physicist, Radiopharmacist:• There is no formal training program for nuclear medicine technologists, medical physicists, Radiopharmacist in Vietnam• Sending them abroad or by just providing them informal local training within Vietnam
Hoan Kiem Lake - Hanoi