Medical Staff The Department has full time Consultant Nuclear Physician, Fellow, Resident Doctors, Medical Physicists, Cyclotron Engineers, Radio Pharmacists, NM nursing staffs, Transcriptionist, Technologists and Unit Coordinator.
Facilities & ServicesDepartment of Nuclear Medicine has two Dual Head Gamma Cameras, Nuclear Medicine Hot Lab for Gamma Imaging Radiopharmaceuticals, Cyclotron, PET Hot Lab, Philips Gemini ToF16 slice PET-CT Scanner and Heli-Probe for Diagnostic purposes.
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Around 7000 procedures are performed per annum. The annual turnover of
Thyroid Cancer Outpatient Clinic is 850patients/year. Radioablative
Iodine Therapy is offered as an inpatient service to about 60 patients
per year. More than 100 patients are given Radioactive Iodine Therapy
for Hyperthyroidism yearly. The Nuclear Medicines Studies available are: Cardiology
Myocardial Perfusion Studies (MIBI Stress & MIBI Rest)
MUGA for Ventricular Function
Urinary System
Dynamic Renal Studies (DTPA & MAG3)
DMSA Renal Scan
Hepatobiliary System
Cholescintigraphy (HIDA)
RBC labeled Liver Scintigraphy (Hemangioma)
Liver-Spleen Scan
Spleen Scintigraphy
Gastrointestinal System
Urea Breath Test
Gastrointestinal Bleeding Scan
Meckel’s Diverticulum
Esophageal & Gastric Motility Studies
Salivary Scan
Central Nervous System
Cerebral Perfusion Imaging
Endocrinology
Thyroid Scans (Tc0499m & I-131 post therapy scan)
Parathyroid Scan
Adrenal Scan
Infection and Inflammation
Gallium Scan (Sarcoidosis & Infection)
Labeled White Cell Scan
Three Phase Bone Scan
Pulmonary System
Lung Perfusion Scan
Ventilation Scintigram
Quantitative Lung Scan
Molecular Imaging
MIBG Scan
Octreotide Scan (Neuroendocrine tumors)
F18-FDG PET-CT Scan*
Oncology
Gallium 67 Whole Body Scan
Bone Scan
I-131 Whole body Scan
Scintimammography
MIBI for Non-Specific Tumor Imaging
Lymphatic System
Sentinel Lymph Node Scintigraphy for Breast Cancer
Lymphoscintigraphy
Therapies
Radioactive Iodine Therapy for Hyperthyroidism and Thyroid Cancer.
Strontium-89 Palliative Pain Therapy
(* F18-FDG PET-CT Scanner will be functional shortly)
Training The department of Nuclear Medicine offers full four years of FCPS II training for resident doctors, post FCPS one year fellowship in Nuclear Oncology/ Nuclear Medicine, training and research facilities to M.Sc. (Nuclear Medicine and Medical Physics) fellows from the Pakistan Institute of Engineering and Applied Sciences (PIEAS University) and to M.Sc. (Physics) students from the University of Punjab (PU), Lahore. Department is also actively involved in teaching and training of BSc in Medical Imaging from Bradford University. Department also offers 4 or 8 weeks elective rotation for Medical College students. Students from College of Pharmacy PU come to the department for observing and attending lecture on radiopharmaceuticals preparation and handling. Clinical rotation of nursing for Diploma in Oncology/Cancer Nursing is also entertained.
ResearchThree research projects of trainees are underway apart from the other miscellaneous research activities. Every year abstracts are sent for poster and oral presentations to renowned nuclear medicine societies and research work is presented internationally.
Published Papers
“Pleomorphic Liposarcoma Metastatic to the Thyroid Gland”
Clin Nucl Med 2002; 27:9-10.
“Differentiated thyroid carcinoma in a juvenile patient”
Clin Nucl Med 2008; 33:319-20.
“Abdominal Tuberculosis Diagnosed on Gallium Scintigraphy in a child with Pyrexia of Unknown Origin” Ann King Edward Med Col 2005; 11: 575-6.
Poster and Oral Presentations
“Managing Juvenile differentiated thyroid carcinoma: Our Experience from 1994-2008”
Accepted at the 56th SNM Annual meeting to be held from 13th to 17th June 2009 in Toronto, Canada.
“Oncological Imaging with Ga-68 PET: The story so far…”
Accepted at the 56th SNM Annual meeting to be held from 13th to 17th June 2009 in Toronto, Canada.
“Recombinant TSH (rhTSH) use in pediatric differentiated thyroid carcinoma (DTC) patients”
37th Annual Scientific meeting of the BNMS to be held in Manchester, April 2009.
“Preoperative cardiac risk stratification with Gated myocardial perfusion scintigraphy (G-MPS) for non-cardiac surgery in cancer patients”
37th Annual Scientific meeting of the BNMS to be held in Manchester, April 2009.
“Clinical utility of I-131 MIBG in patients with neuroblastoma: 8 years experience”
39th Annual Scientific Meeting of ANZSNM to be held in April 2009, Sydney Australia.
“Judicious Use of Recombinant TSH in Management of Differentiated Thyroid Carcinoma in a Developing Country and Charity-based Hospital Setting”
8th INCTR meeting held at Anatalya, Turkey from March 22nd to 24th 2009.
“Sentinel lymph node biopsy in the treatment of early breast cancer: Experience in 300 cases”
J Pak Med Assoc 2008; 58 No: 12S: S25.
“Correlation between serum thyroglobulin levels done prior to baseline I-131 whole body pre-therapy scan and frequency of radioactive iodine therapy in juvenile differentiated thyroid carcinoma”
J Pak Med Assoc 2008; 58 No: 12S: S23
“Low dose Gallium Scintigraphy in the diagnosis of Sarcoidosis”
94th Scientific Assembly and Annual Meeting of RSNA 2008.
“Recombinant TSH in management of differentiated thyroid carcinoma: Five year experience 2003-2008”
9th Asia Oceania Congress of Nuclear Medicine & Biology, at New Delhi, India held from 31st October to 4th November 2008.
“Sentinel lymph node detection in bilateral early breast cancer patients”
9th Asia Oceania Congress of Nuclear Medicine & Biology, at New Delhi, India held from 31st October to 4th November 2008.
Clinical usefulness of low dose Gallium scintigraphy in the diagnosis of Sarcoidosis.
9th Asia Oceania Congress of Nuclear Medicine & Biology, at New Delhi, India held from 31st October to 4th November 2008.
“Correlation between serum Thyroglobulin levels prior to baseline I-131 whole body pre-therapy scan and frequency of radioactive iodine therapy in juvenile differentiated thyroid carcinoma”
Joint International Conference of the CPSP and Bangladesh College of Physicians held at Dhaka, Bangladesh from 21st October to 23rd October 2008.
“Sentinel lymph node detection in early breast carcinoma patients: A single center preliminary experience”
Eur J Nucl Med Mol Imaging 2008; 35 (Suppl 2): S289
“Clinical significance of Somatostatin Receptor Scintigraphy in follow up of Medullary carcinoma thyroid patients with hypercalcitoninaemia”
Eur J Nucl Med Mol Imaging 2008; 35 (Suppl 2): S265
“Clinical usefulness of rhTSH aided Radioactive Iodine (RAI) treatment of patients with differentiated thyroid carcinoma”
Eur J Nucl Med Mol Imaging 2007
“Assessment of pulse rate as initial predictor of final outcome of Radioactive Iodine (RAI) therapy in patients with hyperthyroidism”
Eur J Nucl Med Mol Imaging 2007
“High dose radioactive iodine I-131 therapy for treatment of hyperthyroidism in Pakistani patients: A single center experience”
Proceeding of 9th World Congress of Nuclear Medicine & Biology, Seoul, Korea 2006.
“Differentiated Thyroid Cancer (DTC: A Single Center Experience in Pakistan)”
Eur J Nucl Med Mol Imaging 2004; 31: ppS436.
“Recombinant human thyrotropin for Iodine-131 therapy in management of differentiated thyroid carcinoma: A single center case series from Pakistan”
Eur J Nucl Med Mol Imaging 2005; 32: ppS197.
“Patients with Differentiated Thyroid Carcinoma: A 10-year experience from Pakistan”
Eur J Nucl Med Mol Imaging 2005; 32: ppS222.
“Attenuation of Ionizing Radiation by Water and its Impact on Image”
Pakistan Journal of Science 2003; 55: 4-9.
“Verification of Thyroid Uptake Calculations and Calculation of Radiation Absorbed Dose to the Thyroid Gland from Tc-99m thyroid uptake scans”
Pakistan Journal of Scientific Research 2002; 54: 3-4.
“Impact of Pixel Size on Resolution of Gamma Camera”
Pakistan Journal of Scientific Research 2003; 55: 1-4.
“Correlative Study of Gallium-67 Uptake in Histological Variants of Non Hodgkin’s Lymphoma”
Eur J Nucl Med and Mol Imaging 2007.
Awards, Certifications & AffiliationsThe department of Nuclear Medicine is recognized by the College of Physicians and Surgeons of Pakistan for the full four years of FCPS II training. FCPS-II final examination (April 2009) was held at SKMCH & RC. Trainees are encouraged during their due course for research awards and fellowship grants.
INCTR Poster Award, Abstract selected for 3rd Scientific Writing Workshop of INCTR to be held in fall 2009.
CYP-APPNA & YPPRC Award for poster presentations December 2008.
ARCCNM Award for oral and poster presentations The 9th Asia Oceania Congress of Nuclear Medicine & Biology, at New Delhi, India held from 31st October to 4th November 2008.
PET-CT training fellowship with EANM Marie-Curie Training Grant at Clinical PET Center, St. Thomas’ Hospital, London, United Kingdom, 2007.
ARCCNM Award for oral presentation at the 9th World Congress of Nuclear Medicine and Biology, Seoul, Korea 2006.
UICC ICRETT Fellowship Award in Nuclear Oncology at Royal Free Hospital London, United Kingdom for project “Radioimmunotherapy in Non-Hodgkin’s Lymphoma” 2006
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