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Sri Lanka

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

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Page 1: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Sri Lanka

Page 2: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Country Report

Dr.Jayasundara M.C.UdugamaMBBS, Ph,D

Nuclear Medicine Unit, Faculty of Medicine.

Peradeniya, Sri - Lanka

Page 3: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

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

Page 4: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

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%

Page 5: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Sri Lanka

Religions : Buddhism 69.3%

Hinduism 15.6%

Christianity 7.6%

Islam 7.5%

Literacy rate : 92.1%

Page 6: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

NUCLEAR MEDICINE UNITS IN SRI - LANKA

• Nuclear Medicine Unit. Peradeniya

Page 7: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

NUCLEAR MEDICINE UNITS IN SRI - LANKA

• Nuclear Medicine Unit. Peradeniya

• Imaging Unit, Dept. of Radiology. Colombo

Page 8: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

NUCLEAR MEDICINE UNITS IN SRI - LANKA

• Nuclear Medicine Unit. Peradeniya

• Imaging Unit, Dept. of Radiology. Colombo

• Imaging Unit, Lady Ridgeway Hospital for Children

Page 9: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

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

Page 10: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

NUCLEAR MEDICINE UNITS IN SRI - LANKA

Private sector:

Apollo Hospital, Colombo

Page 11: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Nuclear Medicine Unit Peradeniya

• First unit established in Sri - Lanka in 1972

Page 12: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Nuclear Medicine Unit Peradeniya

• First unit established in Sri - Lanka in 1972– radio immuno assay of thyroid and pituitary

hormones

Page 13: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

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

Page 14: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

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

Page 15: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

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

Page 16: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

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

Page 17: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Nuclear Medicine Unit Peradeniya

• Isotopes– 125I for RIA

Page 18: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Nuclear Medicine Unit Peradeniya

• Isotopes– 125I for RIA– 131I for thyroid uptake, whole body scan and

some thyroid scans

Page 19: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Nuclear Medicine Unit Peradeniya

• Isotopes– 125I for RIA– 131I for thyroid uptake, whole body scan and

some thyroid scans– 99mTc for other scans

Page 20: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Nuclear Medicine Unit Peradeniya

• Work load (per year)

Page 21: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Nuclear Medicine Unit Peradeniya

• Work load (per year)• Over 10,000 blood samples for RIA

Page 22: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Nuclear Medicine Unit Peradeniya

• Work load (per year)• Over 10,000 blood samples for RIA

• 800 renal scans

Page 23: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Nuclear Medicine Unit Peradeniya

• Work load (per year)• Over 10,000 blood samples for RIA

• 800 renal scans

• 500 renograms

Page 24: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Nuclear Medicine Unit Peradeniya

• Work load (per year)• Over 10,000 blood samples for RIA

• 800 renal scans

• 500 renograms

• 500 thyroid scans

Page 25: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

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

Page 26: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

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

Page 27: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

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

Page 28: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Nuclear Medicine Unit Peradeniya

• Radio isotope supply

Page 29: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Nuclear Medicine Unit Peradeniya

• Radio isotope supply– 131I 100 mCi - liquid

Page 30: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Nuclear Medicine Unit Peradeniya

• Radio isotope supply– 131I 100 mCi - liquid– 99mTc 256 mCi - generator

Page 31: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Nuclear Medicine Unit Peradeniya

• Radio isotope supply– 131I 100 mCi - liquid– 99mTc 256 mCi - generator– 125I tracer 200 uCi / month

Page 32: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Nuclear Medicine Unit Peradeniya

• Work force

Page 33: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Nuclear Medicine Unit Peradeniya

• Work force– 3 Nuclear Medicine Physicians

Page 34: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Nuclear Medicine Unit Peradeniya

• Work force– 3 Nuclear Medicine Physicians– 1 Medical Physicist

Page 35: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Nuclear Medicine Unit Peradeniya

• Work force– 3 Nuclear Medicine Physicians– 1 Medical Physicist– 5 Nuclear Medicine Technologists

Page 36: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Nuclear Medicine Unit Peradeniya

• Work force– 3 Nuclear Medicine Physicians– 1 Medical Physicist– 5 Nuclear Medicine Technologists– 1 Maintenance Technologist

Page 37: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Nuclear Medicine Unit Peradeniya

• Work force– 3 Nuclear Medicine Physicians– 1 Medical Physicist– 5 Nuclear Medicine Technologists– 1 Maintenance Technologist– 4 Minor staff

Page 38: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

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

Page 39: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Nuclear Medicine Unit Peradeniya

• Distribution of work

Page 40: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Nuclear Medicine Unit Peradeniya

• Distribution of work– In rotation

Page 41: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Nuclear Medicine Unit Peradeniya

• Functions of the NMU– 1. Clinical– 2. Imaging– 3. Teaching– 4. Research

Page 42: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

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

Page 43: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Nuclear Medicine Unit Peradeniya

• Urgent problems to be solved– Replacement of an old gamma camera – Establishment

Page 44: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

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

Page 45: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Regulatory Body

• Under this act it is mandatory to obtain Authorization

• Registration and Licensing

Page 46: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Authorization for Medical Practices

• For working with any radiation sources(s) for medical applications

• Human diagnosis and /or radiotherapy– Medical doctors

– Health Physicists

– Technologists

Page 47: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Authorization for Medical Practices

• Medical Exposure Protection– Patient Exposure

Page 48: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Authorization for Medical Practices

• Medical Exposure Protection– Patient Exposure– Justification of Medical Exposure

Page 49: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

Authorization for Medical Practices

• Medical Exposure Protection– Patient Exposure– Justification of Medical Exposure– Optimization of Protection for Medical

Exposures

Page 50: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

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

Page 51: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

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

Page 52: Sri Lanka Country Report Dr.Jayasundara M.C.Udugama

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