1.  Acceleration for the Promotion of SPECT/PET-CT Emerita A. Barrenechea, MD Philippines

2.  UNDP-RCA report PHILIPPINES-Jan-June 2013 Prepared by Emerita A. Barrenechea MD, FPCP, FPSNM

3. RCA/UNDP Project ImplementationProject Results: National Activities D Participants: -NPC/NPT -Trainers -Trainee -Transfer gained Technology/Knowled ge Skills/Information -Human Resource Development -Laws, Guidelines, Protocols Participants Training, Workshops, Education, etc -Doctors -Specialists (nuclear/non- nuclear) - Fellows, Residents, Students -Regional Communities Patients Application of gained new technologies, skills and knowledge in diagnosing and treating patients Dissemination of gained new technologies, skills, knowledge Capacity Development

4. Workshop/Training Course Activity NameNo. Of Female No. Of MaleTotal Kick-off-Phuket11 Training course-Seoul- Aug 2011 112 Seoul-Aug 2012 Seoul-June 2013 1111 1111 2222 Annual meet- Kota Kinabalu 11 Total538

5. Duration of the course preferred  One week training and two weeks practical exposure  More on updated and advanced topics  Radionuclide therapy, neuroimaging

6. Thoughts on the course  Quite comprehensive  It was some sort of a review on the basics of NM  New aspects on molecular imaging/neuroimaging  I am impressed by the roster of lecturers from all over Korea, very young group so that my conclusion is the there is a vibrant camarederie among the nuclear medicine society in Korea  Koreans are so generous and hospitable in sharing their expertise, the most beautiful persons in Asia in terms of leading in technology esp in the medical field

7. Meetings/activities held ParticipantsNo. Of FemaleNo. Of MaleTotal PSNM Annual Convention-New World Hotel 10580185 Philippine Thyroid Assn –Crowne Plaza 15075225 Save the Nation Forum-UP Diliman 220160380 TV and radio guesting 200015003500 Cagayan de Oro Lecture 165

8. Meetings held Number of femalesNumber of malesTotal Sum total-Philippines247518154290 Asia305191496

9. Other activities in Asia ParticipantsNo. Of FemaleNo. Of MaleTotal Bali lecture-Asia Oceania Thyroid Assn 9020110 Singapore Nuclear medicine Update 135108243 Myanmar Radionuclide Therapy congress 8063143

10. Procedures done-May to Dec 2011 as compared to Jan –Dec 2012  RADIOIMMUNOASSAYS-8, 127  Nuclear Medicine procedures: 3742  Radionuclide therapy: 232  Consultations: 5996  SPECT-185  PET/CT-1044 201120122013 RIA812737, 57731, 243 scans374247093985 PET/CT104410651063 SPECT185395245 Therapy232637292 Consultations599630 76531, 285

11. Patient treated by attendees of courses- Jan to June 2013 No. Of treated patients by participants No. Of Female No. Of MaleChildren Total=2921818922

12. Patients diagnosed & treated by participants No. Of treated patients by Participants No. Of Female No. Of Male Children Total=22,40313, 4418856106

13. PHILIPPINE THYROID ASSN –JANUARY 26, 2013

14. PTA convention 2013

15. AUDIENCE OF 185 FOR PTA

16. PSNM Annual Convention-Feb 1-2 2013, 2013

17. Audience for PSNM

18. Lay forum/TV/Radio-April 20, 2013

21. Cagayan de Oro-Dr Camomot

22. AOTA IN BALI-UPDATE ON NM IMAGING

23. SINGAPORE-NUCLEAR MEDICINE UPDATE 2013

24. Yangon, Myanmar-Radionuclide therapy, MARCH 2013

25. Impact of the project The greatest impact is when the patient is diagnosed thru SPECT/PET procedures after undergoing several diagnostic procedures; once diagnosis is established, management of the disease is started at once  When disease recurrence and additional findings that are not visible with other diagnostic modalities are noted, consequently revising and improving the course of mana-gement

26. Impact of the project  The said technology has helped clinicians and nuclear medicine physicians in determining the stage of different malignancies, thereby allowing the proper treatment regimen to be started.  leads to decreased patient mortality  leads to decreased costs in health care delivery

27. Future activities-2013 Activity nameObjectivesWhenWhereContext Lectures for Central Luzon Promotion and update of Nuclear Medicine-in PET- CT/SPECT imaging July 2013 La UnionNuclear medicine and PET/CT updates for General Practitioners Radio and TV guesting ICRT in Manila! To inform public and lay persons that such technology exists-PET/CT & SPECT International congress on Radionuclide therapy Quarterly basis- March/June/Sept/D ec 2013 November 2013 Channel 4/13 Layman terms for diseases th-at will be helped and the importance of early diagnosis and response to treatment All about therapy

28. Recommendations to resolve the limits Still the high cost of the procedures are primary deterrent for more referrals; also the facilities for PET/SPECT are only in Manila. Nuclear medicine is usually the last resort in terms of therapies for a lot of malignancies. partially resolved by lowering prices) The government support does not prioritize Nuclear Medicine in their agenda but more on the common ails that afflict the majority of our people. Decreasing the cost of these procedures would help in increasing the referrals. Hopefully, more hospital administrators and owners will be informed and be convinced to acquire these machines. This will make the said technology more accessible

29. Conclusion and Recommendation  Information dissemination regarding PET and SPECT and even therapeutic applications of Nuclear Medicine should be continued. Lectures should be delivered to different parts of the country and to different medical specialties and layman as well. The PSNM and PNRI must be proactive in promoting Nuclear Medicine most specially to the areas outside Manila.  Continue the lectures for information dissemination; appearanc on n radio and TV, fliers in the department  Strengthen work force in Nuclear Medicine

30. Thank you for your attention!