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Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

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  • 1. Sri Lanka
  • 2. Country Report Dr.Jayasundara M.C.Udugama MBBS, Ph,D Nuclear Medicine Unit, Faculty of Medicine. Peradeniya, Sri - Lanka
  • 3. 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
  • 4. 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%
  • 5. Sri Lanka Religions : Buddhism 69.3% Hinduism 15.6% Christianity 7.6% Islam 7.5% Literacy rate : 92.1%
  • 6. NUCLEAR MEDICINE UNITS IN SRI - LANKA • Nuclear Medicine Unit. Peradeniya
  • 7. NUCLEAR MEDICINE UNITS IN SRI - LANKA • Nuclear Medicine Unit. Peradeniya • Imaging Unit, Dept. of Radiology. Colombo
  • 8. NUCLEAR MEDICINE UNITS IN SRI - LANKA • Nuclear Medicine Unit. Peradeniya • Imaging Unit, Dept. of Radiology. Colombo • Imaging Unit, Lady Ridgeway Hospital for Children
  • 9. 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
  • 10. NUCLEAR MEDICINE UNITS IN SRI - LANKA Private sector: Apollo Hospital, Colombo
  • 11. Nuclear Medicine Unit Peradeniya • First unit established in Sri - Lanka in 1972
  • 12. Nuclear Medicine Unit Peradeniya • First unit established in Sri - Lanka in 1972 – radio immuno assay of thyroid and pituitary hormones
  • 13. 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
  • 14. 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
  • 15. 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
  • 16. 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 131 I therapy unit
  • 17. Nuclear Medicine Unit Peradeniya • Isotopes – 125 I for RIA
  • 18. Nuclear Medicine Unit Peradeniya • Isotopes – 125 I for RIA – 131 I for thyroid uptake, whole body scan and some thyroid scans
  • 19. Nuclear Medicine Unit Peradeniya • Isotopes – 125 I for RIA – 131 I for thyroid uptake, whole body scan and some thyroid scans – 99m Tc for other scans
  • 20. Nuclear Medicine Unit Peradeniya • Work load (per year)
  • 21. Nuclear Medicine Unit Peradeniya • Work load (per year) • Over 10,000 blood samples for RIA
  • 22. Nuclear Medicine Unit Peradeniya • Work load (per year) • Over 10,000 blood samples for RIA • 800 renal scans
  • 23. Nuclear Medicine Unit Peradeniya • Work load (per year) • Over 10,000 blood samples for RIA • 800 renal scans • 500 renograms
  • 24. Nuclear Medicine Unit Peradeniya • Work load (per year) • Over 10,000 blood samples for RIA • 800 renal scans • 500 renograms • 500 thyroid scans
  • 25. 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
  • 26. 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
  • 27. 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
  • 28. Nuclear Medicine Unit Peradeniya • Radio isotope supply
  • 29. Nuclear Medicine Unit Peradeniya • Radio isotope supply – 131 I 100 mCi - liquid
  • 30. Nuclear Medicine Unit Peradeniya • Radio isotope supply – 131 I 100 mCi - liquid – 99m Tc 256 mCi - generator
  • 31. Nuclear Medicine Unit Peradeniya • Radio isotope supply – 131 I 100 mCi - liquid – 99m Tc 256 mCi - generator – 125 I tracer 200 uCi / month
  • 32. Nuclear Medicine Unit Peradeniya • Work force
  • 33. Nuclear Medicine Unit Peradeniya • Work force – 3 Nuclear Medicine Physicians
  • 34. Nuclear Medicine Unit Peradeniya • Work force – 3 Nuclear Medicine Physicians – 1 Medical Physicist
  • 35. Nuclear Medicine Unit Peradeniya • Work force – 3 Nuclear Medicine Physicians – 1 Medical Physicist – 5 Nuclear Medicine Technologists
  • 36. Nuclear Medicine Unit Peradeniya • Work force – 3 Nuclear Medicine Physicians – 1 Medical Physicist – 5 Nuclear Medicine Technologists – 1 Maintenance Technologist
  • 37. Nuclear Medicine Unit Peradeniya • Work force – 3 Nuclear Medicine Physicians – 1 Medical Physicist – 5 Nuclear Medicine Technologists – 1 Maintenance Technologist – 4 Minor staff
  • 38. 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
  • 39. Nuclear Medicine Unit Peradeniya • Distribution of work
  • 40. Nuclear Medicine Unit Peradeniya • Distribution of work – In rotation
  • 41. Nuclear Medicine Unit Peradeniya • Functions of the NMU – 1. Clinical – 2. Imaging – 3. Teaching – 4. Research
  • 42. 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
  • 43. Nuclear Medicine Unit Peradeniya • Urgent problems to be solved – Replacement of an old gamma camera – Establishment
  • 44. 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
  • 45. Regulatory Body • Under this act it is mandatory to obtain Authorization • Registration and Licensing
  • 46. Authorization for Medical Practices • For working with any radiation sources(s) for medical applications • Human diagnosis and /or radiotherapy – Medical doctors – Health Physicists – Technologists
  • 47. Authorization for Medical Practices • Medical Exposure Protection – Patient Exposure
  • 48. Authorization for Medical Practices • Medical Exposure Protection – Patient Exposure – Justification of Medical Exposure
  • 49. Authorization for Medical Practices • Medical Exposure Protection – Patient Exposure – Justification of Medical Exposure – Optimization of Protection for Medical Exposures
  • 50. 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
  • 51. 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
  • 52. 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