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Theranostics in Bangladesh: Current Status, Challenges, and Future Perspective.
Shamim Momtaz Ferdousi Begum1, Lutfun Nisa2, Azmal K Sarker3
11PET-CT Division, National Institute of Nuclear Medicine and Allied Sciences (NINMAS), Bangladesh Atomic Energy Commission (BAEC), Dhaka, Bangladesh.
Nuclear Medicine and Molecular Imaging
|May 7, 2019
Summary
Nuclear medicine in Bangladesh has advanced significantly since the 1980s, primarily using radioactive iodine for thyroid conditions. Further expansion for other cancers faces challenges, requiring strategic solutions for future development.
Area of Science:
- Nuclear Medicine
- Theranostics
- Oncology
Background:
- Nuclear medicine (NM) in Bangladesh initiated in the 1980s, focusing on radioactive iodine for thyroid cancer and hyperthyroidism.
- NM practice has evolved with advancements in instrumentation, radiopharmacy, and IT, including government-funded PET-CT and cyclotron centers.
- Currently, NM provides significant health services for oncology patients, with over 20 centers nationwide, though radioactive iodine remains the primary theranostic application.
Purpose of the Study:
- To present an overview of the history and current status of nuclear medicine in Bangladesh.
- To examine the factors limiting the expansion of therapeutic NM for cancers beyond thyroid conditions.
- To discuss future perspectives and strategies for overcoming existing challenges in therapeutic NM development.
Main Methods:
- Historical review of nuclear medicine development in Bangladesh.
- Analysis of current infrastructure, including PET-CT and cyclotron facilities.
- Examination of challenges and limitations in adopting new therapeutic technologies.
Main Results:
- Significant growth in NM infrastructure and services, particularly for oncology.
- Radioactive iodine remains the predominant theranostic agent.
- Limited expansion of therapeutic NM for other cancers due to various obstacles.
Conclusions:
- Nuclear medicine in Bangladesh has a strong foundation, especially in theranostics for thyroid conditions.
- Addressing challenges is crucial for broadening the application of advanced therapeutic NM technologies.
- Future development requires strategic planning to mitigate obstacles and enhance patient care for a wider range of cancers.
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