Current Status of Nuclear Medicine in the Philippines

CC urrent urrent SS tatus of tatus of NN uclear uclear

MM edicine in the edicine in the

PP hil ippineshil ippines

Dr. Jose Eduardo S. RondainDr. Jose Eduardo S. RondainDepartment of Nuclear MedicineDepartment of Nuclear Medicine

Makati Medical CenterMakati Medical CenterPhilippinesPhilippines

Current Status of Nuclear Current Status of Nuclear Medicine in the Phil ippinesMedicine in the Phil ippines

March 2003:March 2003:Total # of NM Doctors: 30Total # of NM Doctors: 30NM Technologists: 85NM Technologists: 85Radiation Physicist: 4Radiation Physicist: 4Radiation Pharmacist: 2Radiation Pharmacist: 2


March 2003:March 2003:In Vitro Laboratories: 14In Vitro Laboratories: 14In Vivo Laboratories: 4In Vivo Laboratories: 4Both In Vivo & Vitro: 16Both In Vivo & Vitro: 16


March 2003:March 2003:

Gamma Probes: 2Gamma Probes: 2Gamma Cameras: Gamma Cameras: Total of 24



Gamma Probes: 2Gamma Probes: 2Gamma Cameras: Gamma Cameras: Total of 24

14 single head 10 double heads



PET Camera : 1PET Camera : 1Cyclotron :Cyclotron : 11Uptake machines : 9Uptake machines : 9Bone Densitometers: 6 Bone Densitometers: 6


Total Imaging Studies 2002: 30,017Total Imaging Studies 2002: 30,017 Total PET Imaging year-to-date: 385Total PET Imaging year-to-date: 385 In-Vitro Studies 2002: 127,993In-Vitro Studies 2002: 127,993 RAI Therapy: 1,963RAI Therapy: 1,963

Philippine Population: 80 MPhilippine Population: 80 M

Current Status of Nuclear Current Status of Nuclear Medicine in theMedicine in the

02468

101214161820

1980 1990 1996 1998 2001

NM Facilit ies in t hePhilippines


Total number of NM Centers in the Total number of NM Centers in the Philippines is 20Philippines is 20


Total number of NM Centers in the Total number of NM Centers in the Philippines is 20 16 Metro ManilaPhilippines is 20 16 Metro Manila



3 Visayas3 Visayas



3 Visayas3 Visayas 1 Mindanao1 Mindanao


Total Imaging Studies 2002: 30,017Total Imaging Studies 2002: 30,017 Total PET Imaging year-to-date: 385Total PET Imaging year-to-date: 385 In-Vitro Studies 2002: 127,993In-Vitro Studies 2002: 127,993 RAI Therapy: 1,963RAI Therapy: 1,963


Endocrinologists & radiologists started NM in the Endocrinologists & radiologists started NM in the PhilippinesPhilippines

1956 first NM Center was established: rectilinear 1956 first NM Center was established: rectilinear scanner & basic radiation detection devicesscanner & basic radiation detection devices

1960’s first gamma camera was available in the country1960’s first gamma camera was available in the country 1966- PSNM was formed1966- PSNM was formed 1976 – First thallium scan1976 – First thallium scan 1980 – hosted Asia and Oceania Congress of Nuclear 1980 – hosted Asia and Oceania Congress of Nuclear

Medicine and BiologyMedicine and Biology 1980: first national society of NM established1980: first national society of NM established 1986 – First SPECT machine1986 – First SPECT machine 2002 PET imaging available in Manila2002 PET imaging available in Manila

Historical Background:


national certifying board examinations national certifying board examinations for NM since 1981for NM since 1981

NM residency: 3 years straight NM residency: 3 years straight residencyresidency

Or 2 years of fellowship if board-Or 2 years of fellowship if board-certified in Radiology, Internal certified in Radiology, Internal Medicine, Pediatrics or PathologyMedicine, Pediatrics or Pathology

Training:


Consortium Training Program?Consortium Training Program? Residents are made to rotate in the Residents are made to rotate in the

different Metro Manila hospitalsdifferent Metro Manila hospitals– Makati Medical CenterMakati Medical Center– St. Lukes Medical CenterSt. Lukes Medical Center– Philippine Heart CenterPhilippine Heart Center……other hospitalsother hospitals


Goals of the PSNM:Goals of the PSNM: Promoting quality patient carePromoting quality patient care Public education through mass media Public education through mass media

exposureexposure Accreditation of hospitals for training and/or Accreditation of hospitals for training and/or

serviceservice Conduct certifying board examinationsConduct certifying board examinations Continuing medical education for membersContinuing medical education for members Coordinate multicenter research projectsCoordinate multicenter research projects


PSNM daughter societies:PSNM daughter societies:April 1994 Philippine Association of Nuclear April 1994 Philippine Association of Nuclear

Cardiology CardiologyDec. 1994 Section of Nuclear TechnologistsDec. 1994 Section of Nuclear Technologists


PSNM born sometime in the 1980’sPSNM born sometime in the 1980’s Presently 100 members: Presently 100 members: NM doctorsNM doctors

residentsresidents fellowsfellows NM technologistsNM technologists


PSNM born sometime in the 1980’sPSNM born sometime in the 1980’s Presently 100 members: Presently 100 members: NM doctorsNM doctors

residentsresidents fellowsfellows NM technologistsNM technologists

Scientific meetings held regularly:Scientific meetings held regularly:– Annual conventionAnnual convention– Mid-year conventionMid-year convention– Bimonthly scientific meetingsBimonthly scientific meetings– Monthly board meetingsMonthly board meetings


Current Problems of the society:Current Problems of the society:

Brain drain: Brain drain: NM technologists are leaving NM technologists are leaving the country! the country!

Very few trainees/doctors, with Very few trainees/doctors, with only about 30 NM doctors in only about 30 NM doctors in active practice active practice

Under-utilization of NM procedures/studiesUnder-utilization of NM procedures/studies

Expense of raw materials….expensive studies! Expense of raw materials….expensive studies! ex: Sr89ex: Sr89


Current Problems of the society…Current Problems of the society…

No university degree courses for NM TechnologistsNo university degree courses for NM TechnologistsNo formal training for NM technologists; DAT? No formal training for NM technologists; DAT? No national examination for NM Technologists No national examination for NM Technologists No domestic production of any single-photon radionuclides or No domestic production of any single-photon radionuclides or

radiopharmaceuticalsradiopharmaceuticalsOnly recently were positron-emitting radionuclides produced in Only recently were positron-emitting radionuclides produced in

the countrythe countryMost of the NM departments are clustered in Metro Manila Most of the NM departments are clustered in Metro Manila



No university degree courses for NM TechnologistsNo university degree courses for NM TechnologistsNo formal training for NM technologists; DAT? No formal training for NM technologists; DAT? No national examination for NM Technologists No national examination for NM Technologists No domestic production of any single-photon radionuclides No domestic production of any single-photon radionuclides or radiopharmaceuticalsor radiopharmaceuticalsOnly recently were positron-emitting radionuclides produced in Only recently were positron-emitting radionuclides produced in

the countrythe countryMost of the NM departments are clustered in Metro Manila Most of the NM departments are clustered in Metro Manila



No university degree courses for NM TechnologistsNo university degree courses for NM TechnologistsNo formal training for NM technologists; DAT? No formal training for NM technologists; DAT? No national examination for NM Technologists No national examination for NM Technologists No domestic production of any single-photon radionuclides No domestic production of any single-photon radionuclides or radiopharmaceuticalsor radiopharmaceuticalsOnly recently were positron-emitting radionuclides produced Only recently were positron-emitting radionuclides produced in the countryin the countryMost of the NM departments are clustered in Metro Manila Most of the NM departments are clustered in Metro Manila


Plans of the PSNM:Plans of the PSNM:


Plans of the PSNM:Plans of the PSNM: Continue with the outreach programsContinue with the outreach programs


Plans of the PSNM:Plans of the PSNM: Continue with the outreach programsContinue with the outreach programs Schedule more scientific sessions, esp. with other Schedule more scientific sessions, esp. with other

specialistsspecialists



specialistsspecialists Continue to promote nuclear medicine studiesContinue to promote nuclear medicine studies



specialistsspecialists Continue to promote nuclear medicine studiesContinue to promote nuclear medicine studies Hold more conferencesHold more conferences



specialistsspecialists Continue to promote nuclear medicine studiesContinue to promote nuclear medicine studies Hold more conferencesHold more conferences Look for more sources of less expensive Look for more sources of less expensive

radiopharmaceuticalsradiopharmaceuticals




radiopharmaceuticalsradiopharmaceuticals Promote use of less expensive alternatives such as Promote use of less expensive alternatives such as

samarium!samarium!




radiopharmaceuticalsradiopharmaceuticals Promote use of less expensive alternatives such as Promote use of less expensive alternatives such as

samarium!samarium! Already, we started publication of the Journal of Already, we started publication of the Journal of

Nuclear MedicineNuclear Medicine Invite more foreign experts/speakers to train Invite more foreign experts/speakers to train

residents, fellows and consultants!residents, fellows and consultants!

TThank hank YYouou

from thefrom the

PPhilippines!hilippines!

Current Status of Nuclear Medicine in the Philippines

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