Department of Radiology, Fujita Health University, Toyoake, Japan Annual Conference of Asian School of Nuclear Medicine (ASNM) regional principal, Shanghai, China （2014.12.13） Nagoya Self-introduction and briefing of Nuclear Medicine development in Japan Hiroshi Toyama, MD, PhD Professor & Chairman Department of Radiology, Fujita Health University, Toyoake, Japan

New hospital building will open in May, 2015.

Nuclear Medicine SPECT/CT1 （Siemens Symbia T16 ） SPECT （Toshiba, E-cam） SPECT/CT2 (Siemens Symbia T6 ） Nuclear Medicine このスライドは、シングルフォトン検査および受付の写真です。 シングルフォトン検査での被ばくの要因は、医師は注射や採血となります。 看護師は、注射や患者の介助などです。 診療放射線技師は、放射性医薬品の準備、患者の撮像介助などです。 受付は、検査後の患者対応が要因となります。 Triple head SPECT (Toshiba, GCA-9300R) PET/CT (Siemens mCT) 4

Nuclear medicine practice in Japan: a report of the 7th nationwide survey in 2012 Seigo Kinuya Kanazawa University, Kanazawa, Japan Yasuo Kuwabara Fukuoka University Hospital, Fukuoka, Japan This study was supported by the Japan Radioisotope Association

Objectives : The Subcommittee on the Survey of Nuclear Medical Practice in Japan, the Japan Radioisotope Association Nationwide survey of nuclear medicine practice Every 5 years since 1982 Methods : Questionnaires Number and category of examinations Kind and dose of the radiopharmaceuticals Practice in June 2012 Annual numbers were then estimated.

Objective facilities and recovery of survey Examination Laboratory Facility All types Single photon PET In vitro exam Radionuclide therapy N Recovery University Hospital 124 96.8% 121 96.7% 61 95.1% 1 100.0% National Center 132 91.7% 17 94.1% Public hospital 349 94.0% 344 94.2% 49 93.9% 2 Private hospital 658 89.4% 573 89.7% 168 86.9% - Examination Laboratory 11 90.9% Sum 1,274 91.6% 1,170 92.0% 295 90.2% 15 93.3%

Number of facilities

Number of Gamma Camera installed in each facility Total number 1688 1699 1569 1425 Number of facility Number of facilities installed with multiple gamma cameras Number of Camera

Type of gamma cameras Dual head camera

Triple Head SPECT Scanner for Brain and Heart (Toshiba, Japan) Toshiba GCA-9300R Fan-HR(N2) collimator Scatter correction :TEW mainEW=20% sub EW=7% Acquisition: continuous rot. 90projection/6minuts/rotation X5 Iterative non uniform attenuation correction CT -AC 123I Striatum SPECT phantom 評価には藤田保健衛生大学病院で稼働中の　東芝GCA-9300Rを使用しました。またHRファンビームコリメータ、散乱線とダウンスキャッタの補正にはTEW法、減弱補正法としてCT画像を用いました。

3D striatun phantom SPECT: GCA-9300R SHR fanbeam collimator 1rep TEW + CTAC BW0.10 2rep 3rep BW0.12 5rep BW0.15 4rep BW0.14 SC(-), AC(-) SC(-), AC(-) SC(-), AC(-) BW0.10 TEW + CTAC SC(-), AC(-) SC(-), AC(-) 167MBq x 30 min N1_Male_noOS_noSM

Image fusion between DAT SPECT and MRI

Single photon examinations（monthｌｙ）

SPECT acquisition in each examination ％

Number of PET facility

Number of 18F-FDG examination (monthly)

Positron tracers (yearly)

Radionuclide therapy (yearly) Outpatients (30ｍCi) 764 RAI in Isolation room 2880

Facility/isolation bed for radionuclide therapy

In vitro examinations (yearly)

PET and radionuclide therapy are getting more important. Clinical demand for SPECT/CT acquisition is getting bigger. PET Single Photon Studies Facilities FDG delivery C-11 methionine C-11 PIB Facilities Gamma camera Multiple gamma camera Brain perfusion SPECT acquisition Radionuclide therapy Therapies Out-patient ablation Isolation beds In vitro exam