SRMU Lucknow is live!

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[00:00:05]Too much protein.

[00:00:31]to sift media.

[00:00:35]My role is to aware you and aware you that level Mada generation beach.

[00:01:24]So with all these little submissions I'm finishing you but someday I will interact you personally with each person. Thanks.

[00:01:38]>> Thank you so much Shanamika ma'am for your thoughtprovoking and eyeopening address. Thank you ma'am.

[00:01:54]Dr. Professor Nuclear medicine role of nuclear science in making healthy India but before I invite you sir let me introduce Dr. Dr. Aryas is an eminent Indian physician and a pioneering leader in the field of nuclear medicine. Currently serving as a professor in the department of nuclear medicine at the prestigious Sanjay Gandhi post-graduate institute of medical sciences in Lucknau. He holds the historic distinction of being the first Indian and the first Asian to be conferred the title of fellow of the Asian nuclear medicine board. I have been selected for the highly competitive ARCCM international fellowship. With over two decades of clinical research and administrative experience, Sir has introduced diagnostic techniques across various regional cancer centers.

[00:03:10]selectively shapes the global landscape of his specialtity as the secretary general of the Asian regional council for nuclear medicine and serves as an academic expert and examiner for premier national and international medical boards. In recognition of his exemplary contribution to patient care and medicine medical execution, sir has been honored with prestigious achievements including Chipkitan award by the Indian medical association and the saban from the honorable government of Uttar Pradesh. Sir, we feel truly fortunate to have you amongst us today and I invite I request and invite you to brace the stage and address.

[00:04:10]So it's over here.

[00:04:46]Thank you for the very kind words and a very good lecture from Diwali and madam madam important points is wealth. So you cannot buy health and if you If you earn 20 lakh per month but you have you having 20 medic I think that is best he's more wealthy than So what is it exactly?

[00:05:46]I never already what is nuclear medicine?

[00:05:59]Uh it is a peaceful use of isotope in the diagnostic and erotic purposes in various diseases. It is very unique because it helps doctors view how your body is functioning. This type of imaging uses very small amounts of pharmaceuticals to be injected IV intravenous and follows their path and progress throughout your body. X-ray CT scan shows something in your body how it looks but nuclear will show how your body works.

[00:06:27]Nuclear is a type of molecular imaging where radioactive pharmaceutical pharmaceuticals are used to evaluate the body's function and processes. Nuclear medicine imaging procedures look at the bodily functions while the therapy can actually used to treat the body.

[00:06:45]Now we come to the history. This great man Dimitri Evanovich Mandle Russian chemist known for foundation of periodic law and creating a version of the periodic table of elements and he was nominated for Nobel Prize peace prize a Nobel prize in chemistry 196.

[00:07:01]Another person Nobel prize he got in 1904 in chemistry William Ramsey.

[00:07:07]So these are the stalwards we are in nuclear medicine. We have so much of progress today. In 1890 William Ramsey discovered an entirely new and unpredicted set of noble gases which we read in class 10 in our periodic table.

[00:07:24]After uncovering the two elements argon and gases argon and helium he quickly discovered three more elements after using the periodic table to predict their atomic weights. The noble gases have unusual characteristics. They are largely inert and resistant to combining with other substances but are entirely set fits easily in the system. and physicists working together again began to understand the structure of atom and were soon able to explain how the system worked on the atomic level. A rather atomic rate atomic number the number of protons in the nucleus of atom determined the capacity of an element.

[00:07:59]So this is the modern periodic table known, loved and feared by so many students today. But favorite organic chemistry to whenever there was a benzene structure I I always love the subject in organic chemistry tough it was tough for me but organic chemistry still I love. So the the first is the thorium containing in candid basin mantle was invented in 1884 by KL or van wbback an Austrian chemist and it is sometimes told as wback mantle or lick and in 1885 Wbback discovered an isolated neodymium and podium after from a mixture called dynamium. The invention resulted in the first commercial use of element thorium. Today these mantras are generally used as portable lantern for carrying an outdoor light fixture and Sabah used indoor especially in vacation cables. So he's the uh scientist nomed for the prize in chemistry on several occasion 1922 23 25 he could not one it but he is a luminary in this field the material becoming airborne includes approximately 50% of balarium and many of the radioactive decay products of the thorium sometimes around 1990 the corman company replace the thorium in the mantle with utrium these are all radioactive materials the mantle produces about 20% less rate to last longer. This was the this was the exact uh product used and this was on the west back hall or uh this is the first user.

[00:09:36]So nuclear medicine has evolved over a century profoundly enhancing diagnostic and treatment in healthcare and it's a fascinating and evolving field that intertwines technology, chemistry, physics and medicine to diagnose and treat diseases.

[00:09:50]Henry Beckurel discovered natural radio activity in 1896 which was a landmark moment investigating phosphor phosphorusence and uranium salts. He unexpectedly found that these salts emitted rays that would penetrate solid objects and for photoraphic plates similar to recently discovered X-ray by William Conrad Ranjen. The revelation of natural reactive emissions set the stage for a new field of scientific inquiry.

[00:10:15]Henry Beckwell won the Nobel Prize in 1993.

[00:10:20]Ex was discovered by Roger a German on 8th November 1895 and is still he observed at a chloride screen near the cathode tube glowed when the tube was energized even when the shielded it was shielded with the black paper. This led to discovery of new type of radiation which he got x-rayed due to unknown nature.

[00:10:40]So this is the first human x-ray of his wife's hand wedding ring wife in 1895 and he got the nobel prize of physics in 1993.

[00:10:52]Now another stalart mari along with her husband p extended's work discovering new redactive materials elements that is radium and ponium.

[00:11:01]These cury discoveries are monumental as cury isolated and characterized these elements demonstrating the unique properties. Now Mary Cury and Puri in 1983 Cury won the Nobel Prize in physics for the research of radiation phenomena.

[00:11:15]She shared it with her husband Puri. She was the first woman in France to attain a PhD in physics and the first woman to teach at the storeborn when women were not allowed to study.

[00:11:29]schools underground universities where ladies were not allowed to and and she in 1911 she won the second Nobel Prize in chemistry for discovery of polium and radium. She is the only only human being on earth who has won two Nobel prizes as the replicate.

[00:11:50]These elements extracted from pitch blende a uranium or and named colonium in honor of Mary Curi's native country Poland. The work significantly advanced the starting radioactivity that a term they coined picur and maricuri and laid the foundation of various application in medicine and research. Maruri's primary research helped establish the fundamental principle of radioactivity.

[00:12:14]Her work led to the realization that radioactive substance could be used to study and treat disease especially with the noble notable intensity and energy of imped by radium.

[00:12:25]The first recorded use of radiocides in medicine was in 1913 by George Deep known as the father of nuclear medicine. He used lead 212 a radioactive isotope to investigate the absorption of transllocation of lead in plant systems. He was a noble he won Nobel prize in chemistry in 1943.

[00:12:44]While he's experiment was primarily botanical.

[00:12:48]It demonstrated the potential of using radioactive isotope as traces. This concept would become central to nuclear medicine allowing doctors to track the movement of concentration of radioactive substance within the body. Another great pioneer. Lawrence invention of sacchron invented by him in 1930 was this device as charged particle to high energy enabling the bombardment of material to produce artificial radial nucleides. He also won a Nobel prize in physics 1939.

[00:13:21]He has won a Nobel prize. Those who have worked in nuclear medicine, we have a whole list of it. The impact of raduclide production before the cyclone researchers relied on naturally occurring raduclides which were scarce and limited in variety created a broader range of nucleides which are essential for expanding capability of increments especially in diagnostics in the late 30s Dr. Saul herds along with his colleagues at Massachusetts General Hospital USA conducted ping ping research using radioactive RD and exploring the brain sites into thyroid physiology. This is sir soluts and this is the paper published in America. This say that local researches researchers discovers cure for water through atomic bomb byproduct.

[00:14:10]This research led to the first therapeutic use of nuclear medicine and by the early 1940s radioactive iodine was being used to treat thyroid hypothyroidism and later thyroid cancer.

[00:14:18]This represented a major milestone in the application of nucleads for disease treatment and today also it is used in our department for goer gigar guer thyroid cancer ki we have a 10 word we use adding 131 still in 1940 the development of nuclear technology during world war II through the manhattan project dramatically accelerated the understanding and capability of surrounding nuclear reaction and nucleides production while the primary goal of the effort was to development of nuclear weapons The advancement had significant peace time application. Post war the technology and knowledge gained was redirect to peaceful use including material research medical research and this led to increased availability of denes and further innovation in nuclear medicine techniques. Nuclear medicine is the peaceful use of isotopes unlike the destructive effect of atomic bombing on 6th and 9th August 1945 when USA bombs over two cities Hiroshima and Narasi with devastating effects.

[00:15:17]In the 1950s and60s marked a transformative era in nuclear medicine characterized by significant advancement in diagnostic imaging technologies and introduction of new nucleides that enhanced imaging capabilities. In the 1950s the first diagnostic scan using radio marking a pateral movement in medical imaging and these scans utilized radioactive isotope to visualize internal organ and structures. The camera angel in 1957 was a revolutionary invention the field of nuclear medicine and unlike detectors the gamma camera could produce detailed images of the distribution of radiator in the body. This is how the first gamma camera evolution we have evolution. This is the first images of a patient.

[00:16:08]Now this technology enabled more precise and comprehensive imaging facilitating the diagnosis of various condition. Its ability to create images from gamma rays emitted by radar injected within the body open new possibility diagnosis from cancer detection to cardiac imaging. Now this is a new gamma camera. This is the difference we have and this is the role of nuclear medicine. Midal scan, bone scan, brain scan, arthrit scan, literally every part of the body can be imaged by this. And this is a simple diagram of the function of dharma camera. You inject IV injection that makes uh the the rays come they go in the electromatic energy gamma energy then light energy convert to electrical energy and that is converted to the images which we report contra indication pregnancy breast spinning ladies may allow because we are using isotopes the scamming should not performed immediately after or during radiotherapy chemotherapy or endoscopy examination operation biopsy exploring individual cases as prescribed by doctor. Now there are three types.

[00:17:14]Planet imaging is normal 2D imaging of the body. Now spect is 3D imaging of the body and now with the gamma camera we have CT scan like in our department we have uh we have four gamma camera with with four slice CT and a new gamma camera with 16 slice city. So suppose you have any any doubt of a region you can do a CT scan on that area. So we have now combined gamma camera with CD.

[00:17:38]Now we come to the most important discovery that is 99 technician which is still used and this is the cornerstone of imaging which is still used 99 technician. The scientist who extracted the metastable isotope technicium was segre in collaboration Glenn Seog in 1938 who isolated it from Molly Bumstrip after Ernest Laurens cyoton bombarding the dutrons.

[00:18:04]Now again they also won Nobel prize. I se in physics and Glen Bog in chemistry in 1951.

[00:18:13]Technesium has a half drivers image 140 KB of gamma energy and we use it every different parts of the body and we can do image every part of the body. It's widespread adoption underscored the growing importance of nuclear medicine.

[00:18:29]Overall these advancement in the mid 20th century enhanced nuclear medicine diagnostic accuracy scope contributing to its establishment as an indispensable tool in modern healthcare in the latter part of 20th and 21st century marked achievements and advancement in influence in chem.

[00:18:47]Now we come to the pet city because now pet revolution and nuclear medicine in the 1970s and 80s two major imaging technologies came PET inspect both offered not just structural imaging they provide functional metabolic imaging.

[00:19:03]PET scans are particularly effective in detecting metabolic activity tissue.

[00:19:07]Highly valuable in oncology, neurology, cardiology while offering slightly lower resolution than PET spec was more widely available and is less expensive making valuable for various applications. Now another technological change was in 1990s 2000 saw radiotherapy coming up with targeted treatment of patients.

[00:19:28]Here we attach radioactive particle to antibbody and molecule to target cancer cells and this is particularly effective in treating cancer like prostate cancer which we do in a department in SPJ.

[00:19:41]Now these people Erin Krening and his team Dick Quong Marion Jong they made great contribution 1990s in peptide receptor therapy with graduates.

[00:19:54]Then there was considerable work done on radi 31 grem and these therapies might not have achieved commercial success but and they're costly also that's why commercial is not there so but they represent a highly specific treatment for cancer now we come to theosphere which we use in our department for treating liver cancer involutere developed by scientist at misi university research reactor in USA used for radium ization and we directly treat liver tumors. This technique has proved to be innovative successful and we are treating liver cancer in our center.

[00:20:36]Morris Gerling and other pioneer in gland therapy like Richard Bong Rodick Max Saka and others have made monumental contribution to the field of theostic a blend of therapy and diagnostic. This work especially in actm 225 has paved the way for significant treatment in cancer.

[00:20:53]Morid's clering has been the notal figure in field of nucle medicine especially in actinium 225 based therapies which is alpha light and has shown great potential targeted alpha therapy a form of radian therapy. This approach uses molecules that target cancer cell neighbor with radioactive material like actinium to deliver an highly localized dose of radiation that kills cancer and minimizes damage to healthy tissue. Garling's work has been instrumented in optimizing production application of active 225 and has focused entirely in stable supply of this wrote throughout the world. He Dr. Richard Bomb I keep on meeting him. uh he is a pioneer from Germany and his work in lutation therapy which we do in the department for treating cancer of prostate and his groundbreaking achievement in atm 2 to5 Richard bomb's research focused on using rad label peptide to target specific receptors expressed by tumor cells and for treating somatic receptor in neurogan tumor which you do in a department in lanoj professor rod hicks from Australia has been instrumental integrating diagnostic using with therapy and his work has emphasized the PET and safety planning and monitoring therapy. Now what is PET?

[00:22:06]When posetron meets electron at rest they emulate and create two gamma rate at the opposite direction at five g which the detectors of the gamma camera take by the coincident circuitry and this is for the computer and imagin was invented by Philips Michael Phelps and Edward Hoffman they developed the first human princ at Washington University in St. do in in USA Edward Hoffman, Michael Phelps and now uh initially we had those uh only PET scanner now we have PE with CT scan so we have fusion imaging and this is a technology time of light imaging I'll not go into the detail of this advantage non-invasive use in case of biopsy or low rate tumors can be used to indicate effective ineffective chemotherapy cost effective scan for metastasis that medicine mostly used Oncology also useful inology to diagnose psychiatric pharmaceuticals oxygen 15 nit 13 carbon 11 here FDG is most widely used because the half is 110 minutes so it is more used because you can buy from the vendor in IPJ we have a 18 MV cyotron in house from Summa Japan we make all these isotope in our center it is the only center in the country which makes all these in-house You have almost eight centers now in Lacano who have gamma camera in city and they buy FDG from local vendor local private vendors because half life is only 10 minutes. Just example in oncology uh you do a PET treat you can see the disease has spread and after three months of treatment the disease is free for a PET scan again a PET infection you can localize the site inflammation you can see the site and we come to the therapy part of nuclection 31 we use it for grave disease solid thyroid nodule autonomous functioning thyroid nodule thyroid cancer samarium therapy phosy therapy stium for bone palation which we do. Then you GTM 90 in arthritis and arthritis which we are doing in a center. Then luteia 177 labored with dot treat it is all in house we are treating in neuron tumors.

[00:24:24]Then theospheres we are using to treat in liver mats radotherapy in refractory in lymphoma this we are not doing because it is very costly. It is in lax we are not doing it. Then alpha therapy we are not using in India because radium 223 is very costly. Pure alpha it ionizes the cancer. So this another level but due to the cost we are not using it anywhere.

[00:24:50]So what is spelled is invisible information about metabol functionality you come to functional MRI anatomical information with a better soft tissue and contrast CT and does not apply additional radiation dose. invivo information about neuron activity, blood oxygen level, contrast product, very sensitive MR marker. Now this is a complimentary nature of MRI PET. So MRI is very good for anatomical detail, spatial resolution, excellent for clinical penetration.

[00:25:18]Sensitivity is very poor. Molecular imaging is limited but PET poor anomal detail special resolution compromised.

[00:25:26]Clinical PE limited but sensitivity and molecular imaging excellent the sum of petal MR is MRI plus PET is much better than MR minus PE integration from 2000 to present now we have come to hybrid imaging the integration of nuclear technology with now we have PET MRI also in six centers in India so you have fision imaging then you have functional imaging with fusion of the MRI CT and future directions it is shaped by several exciting trends and advancements particularly in the area of personalized medicine advanced pharmaceutical integration of nanotechnology. These development are poised to significantly enhance the precision and effectiveness of nuclear medicine and both diagnostic and therapy. Now we are coming to personalized medicine patient to patient. So we tailor the treatment according to the needs of the patient as for the genetic makeup molecular analysis individual health history impact on healthare personalized nuclear medicine can lead to more effective treatment with fewer side effects. and therapies are specifically designed to target the patient's unique disease process. This is promising in oncology.

[00:26:33]Now newagents coming up more effective pharmaceuticals are there. Now drugs are there which are tagged with radioactive material so that they target and treat the disease. The goal of these advancement is to improve the efficacy of diagnostic imaging and therapeutic procedures. New pharmaceuticals could offer better localization of disease, more imaging, precise imaging and targeted therapy. Now we are coming to nanotechnology nuclear medicine integration nanotechnology is working at a high level at big and molecular level and we having enhanced targeted disease treatment where we treat the dis cellular level and molecular level revolutionizing healthcare. These advancement are expected to revolutionize the field of nuclear medicine have a broad impact on healthcare. They promise to improve the accuracy of diagnosis and effectiveness of treatment and ultimately lead to better patient outcome.

[00:27:25]So last slide the future of nuclear medicine is bright and dynamic with personalized medicine advanced pharmaceutical integration of nanotech technology leading the way. These advancement hold the promise of transforming the way diabet diseases are diagnosed and treated often hope for more effective efficient and personal personalized healthcare solutions. Thank you.

[00:27:57]treatment.

[00:28:00]So once cancer is diagnosed thyroid cancer is very common.

[00:28:26]branch.

[00:28:34]It is rampant every city.

[00:28:45]Then we do a whole body scan and failure cancer, leptton failure, brain falia that we have treated with 100% accuracy, 100% results to directly we treat ovarian cancer cancer.

[00:29:33]Chemotherapy surgery plus chemotherapy depending on the dis.

[00:29:44]What about lung cancer after the surgery? It's radio.

[00:29:53]Okay. Thank you. Thank you so much. Any more questions?

[00:30:10]Treat bone structure in whole body problems.

[00:30:23]Body problems problems.

[00:30:49]This a pure betas cancer prostate cancer he's on so many drugs pain lesser mortality PST cancer.

[00:31:51]We have not started but we'll have a better option.

[00:32:14]spondilitis.ctomy pure betitis.

[00:32:42]Sir do these uh PET uh these scans PET and FDG PET scan affect or in any way influence the growth of cancer cells?

[00:32:52]>> PET scan is diagnostic.

[00:32:55]We just do the diagnosis.

[00:32:56]>> FDG as it is deoxyucose. No, it goes inflammation infection but it will not infect the cancer cells.

[00:33:19]>> So how often a patient can get scanned?

[00:33:24]Once you diagnosed you can uh come to a department and get you the repeat after one month to month >> like some of the doctors say that you should get in a year depends on the diseases.

[00:33:53]Yeah, I'll just rush through if you have time.

[00:34:05]If you want to this is important because we owe it to this mana and he built that atmic energy establishment a in 1954 reactor 1967 first resource reactor in India Asia became critical critical is when he starts producing the isotope in 1956 still is working. Second the Cyrus became operational in a campus of 80 in 196 and astro division of started production and supply in 196 institutions radial cell with the objective of biomedical research using isotope and medicalation was created in 1956. Field of radiation cell was in Sabang hospital Delhi still working in 1958.

[00:35:06]Is medical 1963 Noble Lawrence he gave the first camera to us liquidation counter up to start it retal scanner first hospital RMC radian medical center procured deter and great lady even she was the head of department and she developed the first real labor in 1967 she headed the department of nucleation RMC till she died. instrumentation RMC 1969 spread in 1984 October 23rd India first cyotron and pet RMC then first pet city scanner and moing started in T hospital is opposite it is opposite RMC you can just walk in December 2004 late Majunar from DRD he started the one year postgrad diploma called DRM course in collaboration of science and medical faculty In 1962, RMC perfected to run one year DRM after a bombing nurses has been explained to two years as per the medical community recommendation.

[00:36:47]Now, national examination stepped in in 1982. Post nuclear medicine broad speciality.

[00:36:55]RMC was accredited in 1982 as the first institution in the country for clear for clinical training postdm diploma radian medicine leading onto the award of M&MS that is member of national academy of medical science and it is called the known as department of national board in 1989 professor biker student he started nuclear inp first time in the world And this was the first resistance program in Asia and SGPI PGI Chandigard have postd doctor fellowship in various sub specialties in nuclear medicine PDC nuclear heart cardology am started DM in therapeutic implement in 2015 we are going to start a DM nuclear medicine this year November we are going to start board of studies approved it the president of university the chief had approved it we'll start it in no this year RMC started training on nuclear technologies in 1973 one year postgraduate department medical techniques variety so far more than 300 science graduate and postgraduate and qualified variety from RMC in last 50 years currently there are 18 institutions and hospital in India which are offering nuclear technology having 56 bachelor's degree DMIT DFIT and M's degree program private sector Dr. Adle started the first nuclear medicine just from Bombay with dual head scan in 1974 sequential vision gamma camera 782 spec camera first triple detector camera in Asia he's no more in betram he's he's now running it and private Apollo clinical pet center hyderabad was the first to commission metric cyclron and a pet city in private in 2005 first pet came in a poor hospital in Delhi 2013 India's more nuclear medicine established in the private sector 86% than government sector because government is not investing in it so private may now we come to the very basic thing isotope program 1960 started by the astro division of BRC supplying medically desired isotope and pharmaceutical from the upsar reactor as kit the cheapest kit and we use it most of the institutions use it Dr. James Quick 3 brought the era of shortlived radio carrying tin and tin and this generator Indian generator positive of Chicago in 1969 to generator and division of BRC indigenously designed molly technician generator loaded with low activity from reactor and device action method using MEK for product but now we have those 1 Now Brit is technology construed in 39 as an independent unit of department AD at Energy. Brit took over responsibility from isro group DRC for production supply nucleides. Currently Brit has a wide spectrum of product from collagenator about 19 ready to use cold kits for labing with technium for therapy capsule MIPG treatment lab everything we have and we buy from them only therapy of isotope for the management of hyperism way back in 1959 and he treated first time 10 patient as hospital Delhi with ID 131 RMC became the first institution in the country to use radio for the man of thyroid cancer in 64. It started as a two to three bed facility on the third floor. Now it has 16 bed facility. India has witnessed relatively slow headway in terms of high dose more than 30 mury of therapy facility because of logistic and other factor like we have we we have a delay tank septic tank is separate and all. So people don't want to do it like we have around 10 better word and we have a delay radiator delay the first word came in RMC up to 100 100 therapy ward has come up to 200 B in entire country are there with advent of liesium based therapy India is currently rapidly developing centers providing this therapy in prostate cancer patients currently India supported nuclear medicine centers Proing gamma camera press divers facility we are producing 50 MD and 25 DNB annually India is producing 4D in nuclear machine doctor annually and this is the category wise 2018 power gamma 163 city 222 3 92 sac is 19 and this is the empty program we have like 16 seats in Delhi one college in Totra one college 12, Mahastra 2, UP 6, Rajasthan 6, Picherry 3, Kerala and DNB we have so many uh seats in Bombay just hospital indujaram km foris Telangana Dr. Dr. Roy Institute also has it. Indrome cancer institute hospital Bombay. Now we come to I come to my institute. This is the logo we have and the logo says yoga to three pillars of patient care uh teaching and training research. The span represent the flight of the seagull and the snake represent the snake hija which is the uh or the padri of the Hindus and the over overall shape show the bodhi visha the last is a tree of knowledge this is a logo it established it was SPJ established in 1983 named after Sanjay Gandhi grand jalu first prime minister of India created by the state of Uttar Pradesh center of excellence for providing healthcare education research It has 550 acre area with its own campus. Tertiary care referral aspatas.

[00:43:10]We have DM, MCH, MD program, PhD program. We also have MSE nuclear medicine in a center. I forgot to tell this. Initially we were collaborating with Dr. Amed University. Now we have our own three course. We have a college of medical technology also. We have DCMs nursing college also.

[00:43:28]And this is this is how it started 1988.

[00:43:30]Now things have changed. So many new buildings have come. This is a new building we have now.

[00:43:36]And we have a proper uh uh this is a group made by the bird watchers. I'm also one of them. And these are the sightings which they put like how many cuckoo, how many birds and all. And it's a bird watchers paradise. And this is uh the the animals we have in the campus.

[00:43:56]Actually this is the land given by the forest department on a 90ear lease to us.

[00:44:07]joining states, Nepal, Bangladesh we have four spec now we have five one city one 10 bedroom hospital w and six MD 6 MD seats every year 8 MSC nucleot so uh how many studies we have done 12,000 gamma study this is 4 years back 4,000 pet 500 lodos therapy, high dose therapy, nutrition therapy. We are using all these agents. One of the largest cancer cancer opdated ward and dedicated emergency department and uh actually this lecture I gave in Jordan. So this they say kat. So thank you.

[00:44:58]>> Any questions?

[00:45:06]I thought people don't know courses I mean because we have MSE course PDC MD so and lot of our students MSE they are all very good centers in private and they're running very well so any questions But we are we are using actually this RNR general Army hospitalist.

[00:46:11]It's a hell of a process. We make it.

[00:46:15]This is theational standard.

[00:46:27]Halfife or nitrogen oxygenatorium generator.

[00:46:50]This also you can use but this is for neuron tumor imaging FDG onology neurology solutions.

[00:47:45]So we have to read all these things.

[00:48:02]Huh?

[00:48:06]But nuclear medicine.

[00:48:27]He can become a nuclear medicine physicist.

[00:48:32]safety officiology.

[00:48:51]We have a long biotechology.

[00:49:11]biochemistry chemistry.

[00:49:18]what to tag and what to we are more because we are students memor antigen prostate Lab procedure radio students they trained for Nuclear reactor compound that we are taking that we are making daily.

[00:51:08]99 technician that we are using for imaging in gamma camera liver scan, brain scan, thyroid scan, everything you can depending on the disease.

[00:51:38]Exactly.

[00:51:49]Physics, nuclear physics, nuclear chemistry, clinical medicine, traditional safety, radial cancer.

[00:52:46]I'm award safety disposal of the urine feces. is radiation monitoring survey not easy everything is accounted already we have a letter from the board which is the government of India that now you are trained and you can use on human beings We are under board.

[00:54:18]You are using we are using live with live.

[00:54:39]You have to report to you cannot say you have to report guy then they will investigate.

[00:54:47]safety department.

[00:54:58]It is that's why they don't even have a camera. They just put a 30 40,000 only FDG they doing.

[00:55:21]Thank you so much sir for making a survey of nuclear medicine and its role in making India healthy. Thank you so much sir.

[00:55:37]As we draw this wonderful event to a close, I stand before you with a heart full of gratitude. On behalf of Sri Ram Saru Memorial University, I would like to express profound gratitude to our esteemed chief guest Dr. Vitab S for his expert talk and for taking time out of his busy schedule to be with us today.

[00:56:00]Thank you sir. I also extend my sincere thanks to Ashish sir and Anamika ma'am for their valuable presence and wonderful collaboration with us. A special note of thanks to all directors, deans and faculty members for their active participation. Thank you so much Jahin Jehan.