1. Multipartite “College Nuclear Medicine” (Founded in October 2004) A) General aim: “Role of Nuclear Medicine (Molecular) Imaging in Evidence Based Medicine” B) Specific targets: Quality assurance Technical (FANC) Clinical Clinical integration Radioprotection PET Therapy Education Structure of “working groups” Wednesday 24/11/2004

2. Members of the College Dr Jean-Paul Léonard Dr Luc Mortelmans Dr Stanislas Pauwels Dr Luc Kiebooms

3. NUCLEAR IMAGING in EVIDENCE BASED MEDICINE Guidelines – Standardisation – Quality Ass. (technical) Evidence based medicine (clinical) Clinical pathways Care programmes Cost-benefit

4. Why working groups  Aim: bringing people together with:  The same interest  Experience or young enthousiasm  Focussed topic  Focussed time frame  Communicate with the “nuclear community”, “clinicians” and “radiologists”.

5. Quality control and quality assurances  Guidelines: Standardisation –Technical (how to do) –Clinical (when to do)  Data collection –Litterature – CEBAM –Experience –Clinical database  Peer review  Visitation  ISO certification –Workgroup –2 centers already recognised

6. Clinical guidelines! (2005) “Interaction of working groups” with “clinicians”  Each group defines its own clinical indications.  Discussions with clinicians via “colleges”.

7. PET  Clinical guidelines (cfr. report L. Mortelmans PET onco group)  PET databank (started 01/09/2003)  Clinical PET research in Belgium  Reimbursement: FDG Hospital fee PET center  Belgian strategy PET Centers

8. “Radionuclide therapy” –Actual applications:  Iodide  Pain palliation  MIBG  … –New applications:  Peptides  Monoclonal antibodies  …

9. Education in Nuclear Medicine  Medical students  Residents in training: interuniversity course  Postgraduate courses  Training technologists  Education in medical physics and radiopharmacy  Belgian Society of Nuclear Medicine –4 meetings per year –Bi-annual congress –Dedicated meetings