Nuclear Medicine

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Introduction

Nuclear Medicine is a super-specialty branch of Medicine that deals with Theranostics (Therapy and diagnosis) using unsealed radio-active tracers to provide information about the functions of specific organ at molecular level (Diagnostic Nuclear Medicine) and treatment of various disease (Targeted Radio-nuclide therapy) like Hyperthyroidism and thyroid cancers using Radio-iodine (I-131), Metastatic Neuroendocrine tumors using Lu-177 DOTATATE (Peptide Receptor Radionuclide Therapy - PRRT), metastatic castration resistant prostatic cancers using Lu-177/Ac-225 PSMA, neural crest tumors like neuroblastoma using I-131 MIBG, HCC with Y-90 microshere, Targeted Alfa therapies with Ac-225, Metastatic bone pain palliation (P-32, Sm-153 EDTMP etc.), radiation synovectomy etc. The nuclear endocrinology unit (thyroid clinics, NET clinic etc.), nuclear cardiology unit (Myocardial perfusion imaging MPI, myocardial viability study), nuclear GFR lab, dedicated radio-pharmacy lab, PET-CT, SPECT-CT, Medical Cyclotron, Radio-immuno assay (RIA) lab and dedicated radio-nuclide therapy wards etc. are different sections of the department to provide services to the patients.

AIIMS Patna has expanded its flying color wing by introducing the most awaited advanced medical service branch in 2021 by inauguration of Department of Nuclear Medicine on 3rd December 2021

Dr. Pankaj Kumar joined as an Assistant Professor and established the department being the first faculty and Head. After joining of the Faculty, the department is undergoing a comprehensive transformation fulfilling the norms and rules of Atomic Energy Regulatory Board (AERB), Mumbai to provide almost all state-of-art Theranostic services to patients with utmost care by adding Ga-68 radio-pharmacy lab in addition to routine FDG PET procedures to manage patients with Neuroendocrine tumors (NET) and metastatic castration resistant prostate cancers (mCRPC). In coming months, AIIMS Patna is going to provide services through SPECT-CT scanner & PET-CT scanner.

The Department of Nuclear Medicine started Thyroid Clinic (Nuclear Medicine) to provide best patient care with utmost dedication to patients with thyroid disorders and post-operated cases of differentiated thyroid cancers - 1st of this kind in Bihar.

The department is located in basement of OPD building.

  • SPECT-CT (16 slice) scanner - 1st in the Govt. set up in Bihar
  • Radio-active Dose Administration room
  • Fume Hood
  • Active Patient waiting room with attached Active Toilet
  • Dedicated Radio-Pharmacy Lab
  • Radio-active source and waste storage room
  • 1 room for Nuclear Medicine Physician
  • 1 room for Nuclear Medicine Technologist

Clinical:
Clinical services are given at out-patient setting through dedicated specialized clinics:
Thyroid Clinic (Nuclear Medicine) -
For patients having thyroid disorders -

  • Management of Hypothyroidism with Thyroid hormone Replacement therapy
  • Management of Hyperthyroidism - Opinion for Radio-iodine Treatment as an OPD basis for - Graves' disease, Toxic Multi-nodular Goitre, AFTN
For post thyroidectomy cases of Differentiated thyroid cancers -
  • Opinion for Radio-iodine ablation & treatment
  • Management/Follow up with Thyroid hormone suppression therapy

NET Clinic - Patients with metastatic Neuroendocrine Tumours can get opinion for THERNOSTICS (Scanning with Somatostatin Receptor Imaging using Ga-68 DOTATATE/DOTANOC/DOTATOC PET-CT & Management with Lu-177 DOTATATE - Peptide Receptor Radio-nuclide Therapy - PRRT)

Prostate Clinic - Patients having metastatic castration Resistant Prostatic cancer can get opinion regarding THERNOSTICS (Scanning with Ga-68 PSMA PET-CT/F-18 PSMA PET-CT and radio-ligand therapy)

Metastatic Bone Pain Palliation Clinic - Patients harbouring extensive bone metastases can get pain palliation using Radio-active Samarium-153 EDTMP as an OPD basis in the Dept. of Nuclear Medicine

Community Outreach Thyroid Awareness programme organized by Department of Nuclear Medicine:

  • Medullary thyroid cancer Awareness & Awareness about Thyroid disorders at Savarchuck Panchayat, Naubatpur, Patna on 11th March 2022
  • Thyroid cancer Awareness Programme at Referral Hospital, Naubatpur, Patna on 27th September 2022
  • Thyroid Awareness programme at Rajkiy Madhya Vidyalaya, Parsa Gaon, Naubatpur, Patna on 20th January 2023
  • Thyroid Awareness programme at Rajkiy Mahila Mahavidyalaya, Danapur, Patna on 23rd January 2023
  • Thyroid Awareness programme at Maulana Azad College of Engineering and Technology, Neura, Patna on 25th January 2023
Thyroid Awareness through organizing -
  • WalkATHON on 2nd January 2023
  • Nukkad-Natak (by Nursing Students of AIIMS Patna) at OPD foyer, AIIMS Patna on 24th January 2023
  • Poster Making competition and Exhibition of Posters on Thyroid disorders on 30th January 2023
Teaching & Training:
  • Periodical Radiation Safety training to radiation workers
  • Involvement of Faculty in teaching classes of JR and SR of other departments and Nursing students
  • Clinical teaching of PET-CT scans reading of SR and JR of other departments

Organized CME on "Thyroid disorders and thyroid cancers" on 25th May 2022 at Auditorium, AIIMS Patna.

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The Department is running OPD on every Wednesday