Avoidable challenges of a nuclear medicine facility in a developing nation

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Abstract

The role of nuclear medicine in disease management in a developing nation is as impactful as it is in other regions of the world. However, in the developing world, the practice of nuclear medicine is faced with a myriad of challenges, which can be easily avoided. In this review, we examine the many avoidable challenges to the practice of nuclear medicine in a developing nation. The review is largely based on personal experiences of the authors who are the pioneers and current practitioners of nuclear medicine in a typical developing nation. If the challenges examined in this review are avoided, the practice of nuclear medicine in such a nation will be more effective and practitioners will be more efficient in service delivery. Hence, the huge benefits of nuclear medicine will be made available to patients in such a developing nation.

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Most cited references 20

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Breast cancer in Nigeria.

C A Adebamowo, O O Ajayi (2015)

Breast cancer is now the commonest malignancy affecting women in Nigeria. It is likely to become an important public health issue in the next millennium. Recent years have witnessed an explosion in knowledge about the basic sciences of the disease, including the genetic basis and the pathology. These changes are leading to revisions in the management of the disease with a positive impact on prognosis. In this review, the recent developments in the various aspects of breast cancer are reviewed with reference to how they affect the disease in this environment.

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Increased incidence of prostate cancer in Nigerians.

A O Shittu, Olufemi J Ogunbiyi (1999)

An increased incidence of prostate cancer among African-American men (now the second most common cause of cancer death) has been attributed mainly to the introduction of screening techniques, which have enabled earlier diagnosis of patients. This study reviewed male cancer patients recorded in a Nigerian cancer registry to assess the current trends in prostate cancer in Nigeria. For comparison, data were broken into two groups: 1980-1988 and 1989-1996. Only the top 10 cancers occurring in both periods were considered initially in this report. For emphasis, an analysis of adult male cancers was done per decade since 1960. Results show that prostate cancer has become the number one cancer in Nigerian men and constitutes 11% of all male cancers. The median age of patients was 67.5 years (variance 5.6), and the mean age was 71.4 years (variance 14.3). These results indicate that despite the absence of screening programs in Nigeria, the number of prostate cancer cases has increased. The known risk factors probably contribute to a varying degree among Nigerians, who are generally of average build or in the low-normal range for body mass index. Moreover, the role of genetics cannot be underplayed. Given its biological characteristics, more cases of prostate cancer probably would be recorded among this population if screening were undertaken.

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Trends in nuclear medicine in developing countries.

John Zaknun, Diana Paez, Maurizio Dondi … (2011)

This article describes trends in nuclear medicine in the developing world as noted by nuclear medicine professionals at the International Atomic Energy Agency (IAEA). The trends identified are based on data gathered from several sources, including information gathered through a database maintained by the IAEA; evaluation of country program frameworks of various IAEA Member States; personal interactions with representatives in the nuclear medicine field from different regions of the world; official proceedings and meeting reports of the IAEA; participation in numerous national, regional, and international conferences; discussions with the leadership of major professional societies; and relevant literature. The information presented in this article relied on both objective and subjective observations. The aims of this article were to reflect on recent developments in the specialty of nuclear medicine and to envision the directions in which it is progressing. These issues are examined in terms of dimensions of practice, growth, and educational and training needs in the field of nuclear medicine. This article will enable readers to gain perspective on the status of nuclear medicine practice, with a specific focus on the developing world, and to examine needs and trends arising from the observations.

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Author and article information

Journal

Journal ID (nlm-ta): Indian J Nucl Med

Journal ID (iso-abbrev): Indian J Nucl Med

Journal ID (publisher-id): IJNM

Title: Indian Journal of Nuclear Medicine : IJNM : The Official Journal of the Society of Nuclear Medicine, India

Publisher: Medknow Publications & Media Pvt Ltd (India )

ISSN (Print): 0972-3919

ISSN (Electronic): 0974-0244

Publication date (Print): Oct-Dec 2013

Volume: 28

Issue: 4

Pages: 195-199

Affiliations

[1 ]Department of Nuclear Medicine, University College Hospital, Ibadan, Oyo State, Nigeria

[2 ]Department of Chemical Pathology, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria

[3 ]Department of Radiotherapy, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria

Author notes

Address for correspondence: Mr. John Enyi Ejeh, Department of Nuclear Medicine, University College Hospital, P.M.B. 5116, Dugbe Post Office, Ibadan, Oyo State, Nigeria. E-mail: Jenyiejeh@ 123456yahoo.co.uk

Article

Publisher ID: IJNM-28-195

DOI: 10.4103/0972-3919.121962

PMC ID: 3866662

PubMed ID: 24379527

SO-VID: a3058cff-9103-4138-8d97-97d4ad5cac23

License:

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Avoidable challenges of a nuclear medicine facility in a developing nation

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Abstract

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Pakistan Journal of Nuclear Medicine (PJNM)

Most cited references 20

Breast cancer in Nigeria.

Increased incidence of prostate cancer in Nigerians.

Trends in nuclear medicine in developing countries.

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