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

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