FNCA - Forum for Nuclear Cooperation in Asia

FNCA 2006 Workshop on Cyclotron and Positron Emission Tomography (PET) in Medicine
Venue: Seri Pacific Hotel , Kuala Lumpur, Malaysia
Date: 14 - 16th August 2006

Background:
　The first FNCA Workshop on Cyclotron and PET in Medicine was held from August 14 to 16, 2006, at Kuala Lumpur that is the capital city of Lead Country of this project, Malaysia . The workshop was attended by delegates from 8 FNCA countries namely People's Republic of China, Indonesia , Japan , Republic of Korea , Malaysia , the Philippines , Thailand and Vietnam . The participants of workshop and seminar amounted to 70 persons.

Opening ceremony
　A joint opening ceremony was held for the FNCA Workshop in Cyclotron and PET in Medicine and the IAEA/RCA Regional Training Course on Internal Auditing for Quality Assurance and Quality Control of Nuclear Analytical Techniques. The FNCA Workshop was held from the 14 th -16 th August 2006 in Kuala Lumpur . It was jointly organised by The Malaysian Institute for Nuclear Technology Research (MINT), Ministry of Science, Technology and Innovation, Malaysia (MOSTI) and Ministry of Education, Culture, Sports, Science & Technology of Japan (MEXT). The welcoming address was delivered by Mr. Adnan Hj. Khalid, the Deputy Director General (Corporate) of the Malaysian Institute for Nuclear Technology research (MINT) on behalf of the Director General, followed by the representative of MEXT, Mr Kenichi Miyazawa and the IAEA representative, Dr. Pete Bode. Both events were officially opened by the Hon. Prof. Dato' Dr. Mohamad Ruddin Abdul Ghani, Parliamentary Secretary of MOSTI, representing the Hon. Dato' Sri Dr. Jamaluddin Mohd Jarjis, Minister of Science, Technology & Innovation, Malaysia.

Workshop:
The objectives of this project are
- Improvement of diagnostic technique for nuclear medicine in Asian countries.
- Early detection with advanced technology contributes to human health in Asia .

PET and PET/CT that appeared on medical scene lately are very available for the diagnosis of several cancers. However, because PET radiopharmaceuticals are very short half-life, medical center has to produce it by itself with the huge equipment "Cyclotron". The themes of three areas namely "Imaging instrumentation", "Radiation safety and PET radiopharmaceuticals" and "Clinical diagnosis" were discussed in the workshop.

The theme of "Imaging instrumentation" is radiation safety, quality assurance (QA) and quality control (QC) for PET imaging. It is hoped that through the discussion, the group can come up with a guideline for the performance measurement of PET. The following matters were discussed. Performance testing and routine QC of PET/CT will be based on NEMA standards and the experiences of established centers like Japan and China . The guideline for radiation protection will be focused on patients, workers and the public related to PET/CT services in the hospitals.

The theme of "Radiation safety and PET radiopharmaceuticals" is the QA/QC for PET radiopharmaceuticals, radiation safety for cyclotron and production of PET radiopharmaceuticals. The establishment of guidance for cyclotron performance, PET radionuclides and QA/QC for PET pharmaceuticals. The group decided that the best way to proceed is by complimenting the existing guidelines and providing a reference point for FNCA member states.

The theme of "Clinical diagnosis" is publication of case review in clinical PET and the group hopes to introduce the FNCA case review system for clinical PET. "Atlas of Clinical PET in CD form" was suggested and the format and contents of the atlas was discussed.

Conclusions The meeting has agreed on the following.

To appoint sectional leader from each country.
To implement proposed national Workplan(WP)
To form a working committee in each country for national WP
To get financial support from national authority for implementation of national WP
To submit a progress report for the mid term Plan for the regional activities for mid-term review meeting to be held tentatively in Malaysia in August 2007.

Technical tour:
　Participants conducted a Technical Tour to the Putrajaya Hospital on Wednesday 16 th of August. There were advanced technical equipments, "Cyclotron" and "PET/CT".

Open Seminar:
　Open Seminar was held from August 17 to 18, 2006. The authorities from Malaysia , China , and Japan made medical presentations and shared several information with the audience. The programs were as below. " Introduction to the Programmatic Activities of FNCA in Nuclear Medicine" "An overview of the Current Situation of Nuclear Medicine in Malaysia" "PET Technology, Radioisotopes Production and Application of Cyclotron Technology; Radiopharmaceuticals & Radiochemistry" " PET Technology, Radioisotopes Production and Application of Cyclotron Technology; Regulatory Aspects" "Application of PET in Clinical Practice"

Minutes of the 2006 FNCA Workshop on Cyclotron and PET in Medicine
August 14 E16, 2006
Kuala Lumpur, Malaysia

1. Opening session
A joint opening ceremony was held for the FNCA Workshop in Cyclotron and PET in Medicine and the IAEA/RCA Regional Training Course on Internal Auditing for Quality Assurance and Quality Control of Nuclear Analytical Techniques. The FNCA Workshop was held from the 14 th -16 th August 2006 in Kuala Lumpur . It was jointly organised by The Malaysian Institute for Nuclear Technology Research (MINT), Ministry of Science, Technology and Innovation, Malaysia (MOSTI) and Ministry of Education, Culture, Sports, Science & Technology of Japan (MEXT). The welcoming address was delivered by Mr. Adnan Hj. Khalid, the Deputy Director General (Corporate) of the Malaysian Institute for Nuclear Technology research (MINT) on behalf of the Director General, followed by the representative of MEXT, Mr Kenichi Miyazawa and the IAEA representative, Dr. Pete Bode. Both events were officially opened by the Hon. Prof. Dato' Dr. Mohamad Ruddin Abdul Ghani, Parliamentary Secretary of MOSTI, representing the Hon. Dato' Sri Dr. Jamaluddin Mohd Jarjis, Minister of Science, Technology & Innovation, Malaysia.

The workshop was attended by delegates from 8 FNCA countries namely People's Republic of China, Indonesia, Japan, Republic of Korea, Malaysia, the Philippines, Thailand and Vietnam (see Attachment 1) and the program of the workshop as in Attachment 2.

2. Country presentation
This session was chaired by the Dato' Dr. Rehir Dahalan, the Director of the Medical Technology Division, MINT. As an introduction, Mr. Adnan Hj Khalid, who is also the FNCA coordinator of Malaysia introduced the FNCA framework and activities. The Malaysian Project Leader, Dato' Dr. Mohamed Ali Abdul Khader gave an Overview on the Current Situation of Nuclear Medicine Malaysia and then continued to brief the participants on the objectives and the expected outcome from this workshop.

The next session was chaired by Prof. Rujaporn Chanachai ( Thailand ) and Dr.. A. Hussein S. Kartamihardja ( Indonesia ) respectively. The session entailed country presentation from the 8 participating countries on their respective activities in the field of nuclear medicine, cyclotron and PET.

3. Group discussion
The participants were divided into three groups.

Group 1 EImaging instrumentation
Chairperson: Prof. Ahmad Zakaria ( Malaysia )
Participants: Prof. Shengzu Chen ( China )
Dr. Noriah Jamal ( Malaysia )
Dr. Hideo Murayama ( Japan )
Ng Yen ( Malaysia )
Munira Shaikh Nasir ( Malaysia )

The theme for Group 1 is radiation safety, quality assurance (QA) and quality control (QC) for PET imaging. It is hoped that from the discourse, the group can come up with a guideline for the performance measurement of PET.
Group 2 ERadiation safety and PET radiopharmaceuticals
Chairperson: Dr. Kazutoshi Suzuki ( Japan ) and Dr. Zulkifli M. Hashim ( Malaysia )
Participants: Dr. Gi Jeong Cheon ( Korea )
Prof. Rujaporn Chanachai ( Thailand )
Mr. Nathaniel de Vera ( Philippines )
Dato' Dr. Rehir Dahalan ( Malaysia )
Abd. Jalil Abd. Hamid ( Malaysia )
Wan Anuar Wan Awang ( Malaysia )
Mohd. Borhanuddin Mohd. Hassan ( Malaysia )
Azahari Kasbollah ( Malaysia )
Dr. Sulaikha Vk. Mohideen ( Malaysia )
Siti Najila Mohd Janib ( Malaysia )
Suzilawati Muhd Sarowi ( Malaysia )

The theme for Group 2 is the QA/QC for PET radiopharmaceuticals, radiation safety for cyclotron and production of PET radionuclides. The activity and target outcome that is expected through group discussions are the establishment of guidance for cyclotron performance, PET radionuclides and QA/QC for PET pharmaceuticals
Group 3 EClinical diagnosis
Chairperson: Dato' Dr. Mohamed Ali Khader ( Malaysia )
Participants: Dr. Keigo Endo ( Japan )
Dr. Pham Thi Minh Bao ( Vietnam )
Dr. Nubukazu Takahashi( Japan )
Dr. A. Hussein S. Kartamihardja ( Indonesia )
Dr. Lee Boon Nang ( Malaysia )

Group 3 has the theme, publication of case review in clinical PET and thus the group hopes to introduce the FNCA case review system for clinical PET.

4. Group presentation

Group 1 EImaging instrumentation
QA/QC of PET/CT and radiation protection aspects were discussed. Performance testing and routine QC of PET/CT will be based on NEMA standards and the experiences of established centres like Japan and China . The guideline for radiation protection will be focused on patients, workers and the public related to PET/CT services in the hospitals. To achieve the goals of this meeting, a work plan has been agreed upon, as shown in Attachment 4.
Group 2: PET radiopharmaceuticals
The discussion was split into 3 different areas namely cyclotron performance, radiation safety, radiopharmaceutical production and QA/QC of PET radiopharmaceuticals. It was decided by the group that perhaps establishing a guideline would be too great an undertaking, besides there are numerous other guidelines that are already available. The group decided that the best way to proceed is by complimenting the existing guidelines and providing a reference point for FNCA member states.
Group 3: Clinical diagnosis
Atlas of Clinical PET in CD form. The format and contents of the atlas was discussed amongst the group and presented for comments. A target was set and agreed upon by the group members of when to achieve certain

5. Conclusions

To appoint sectional leader from each country and to submit their names to Lead Country Project Leader ( Malaysia )
To implement proposed national Workplan (WP) as seen in attachment 6, with discussion with sub leader of component of project in respective countries
To form a working committee in a respective FNCA members country to ensure successful implementation of national WP
To get financial support from relevant national authority of the respective FNCA members country for implementation of the workplan
To submit a progress report for the mid term Plan for the regional activities for mid-term review meeting to be held tentatively in Malaysia in August 2007.

FNCA 2006 Workshop on Cyclotron and Positron Emission Tomography (PET) in Medicine
Venue: Seri Pacific Hotel , Kuala Lumpur, Malaysia
Date: 14 - 16th August 2006

DAY 1 : 14th August 2006

8:30 - 09:00		Arrival and Registration of Participants
9:00-10:00	Welcoming Address by Director General, Malaysian Institute for Nuclear Technology Research (MINT) Remarks by the MEXT Representative Remarks by the IAEA Representative Speech by The Honourable Dato' Sri Dr. Jamaluddin Mohd Jarjis Minister of Science, Technology and Innovation	Mr Abdul Jalil Abdul Bar
10:00-10:30	Tea Break
Chairperson: Dato' Dr. Rehir Dahalan
10:30-11:00	Introduction to FNCA Activities in Nuclear Medicine	Adnan Hj. Khalid, MINT
11:00-11:30	An overview of the current situation of Nuclear Medicine in Malaysia	Dato' Dr Mohamed Ali Abdul Khader, MOH
11:30-12:00	Overview of FNCA Project of Application of Cyclotron and Positron Emission Tomography (PET) in Medicine a. Overall Objective b. Specific Objectives c. Expected outcome d. Expected outputs e. Activities f. Resource & Input g. Workplan 2006-2008	Dato' Dr Mohamed Ali Abdul Khader, MOH
Chairperson: Prof Dr. Rujaporn Chanachai
12:00-12:45	Presentation of country activities in the field of Nuclear Medicine, Cyclotron and PET. a. China b. Indonesia c. Japan d. Korea	All participants
12:45-14:00	Lunch
Chairperson: Dr. A. Hussein S. Kartamihardja
14:00-14:45	Presentation of country activities in the field of Nuclear Medicine, Cyclotron and PET e. Malaysia f. Philippines g. Thailand h. Viet Nam	All participants
Chairperson: Dr. Pham Thi Minh Bao
14:45-15: 30	Project Section 1: Imaging Instrumentation QA and QC Aspects of PET Instrumentation The need for Guidelines for performances measurement of PET-CT instrumentation	Dr. Hideo Murayama Dr. Ahmad Zakaria
15:30-15:45	Tea Break
Chairperson: Mr. Nathaniel de Vera
15:45-16:15	Project Section 2: PET Pharmaceuticals QA and QC Aspects of PET Pharmaceuticals The need for Guidelines for Radiation Safety in Cyclotron Operation & Guidelines for PET Radionuclide Production	Dr. Kazutoshi Suzuki Dr. Zulkifli M Hashim
16:15-16:45	Project Section 3: Clinical Diagnosis Introduction of the FNCA case review system for clinical PET o Format o Database system	Dr. Keigo Endo Dato' Dr. Mohamed Ali Abdul Khader Dr. Lee Boon Nang
Chairperson: Dato' Dr. Mohamed Ali Abdul Khader
16:45-17:30	Discussion on regional Project Outcome Performance indicators Regional Activities of work-plan for 2007-2008 (scope, meeting venue, target achievements) Conclusion and recommendation	All participants (parallel sessions)
17:30	End of Day 1

DAY 2: 15th August 2006
Chairperson: Dato' Dr. Mohamed Ali Abdul Khader

9:00-10:30	Preparation of National Work-plan in line with achieving the goal of this FNCA project	All participants (parallel sessions)
10:30-10:45	Tea Break
10:45-12:00	Preparation of National Work-plan in line with achieving the goal of this FNCA project	All participants (parallel sessions)
Chairperson: Prof. Shengzu Chen
12:00-12:45	Presentation by Group Project Representative: Project Section 1 Project Section 2 Project Section 3	All participants
12:45-14:00	Lunch
14:00-15:30	Finalisation of Regional and National Work-plan. Report writing	All participants
15:30-15:45	Tea Break
16:00-17:00	Finalisation of Regional and National Work-plan. Report writing	All participants
17:00	End of Day 2

Day 3: 16th August 2006
Chairperson: Dr. Zulkifli Mohamed Hashim

9:00-10:00	Finalisation of Regional and National Work-plan Report writing	All participants
10:00-12:00	Conclusion, Recommendations and Adoption	Dato' Dr Mohamed Ali Abdul Khader
12:00-12:15	Closing Ceremony	Tn. Hj. Adnan Hj. Khalid FNCA Coordinator (Malaysia)
12:15-13:00	Lunch
14:45-16:30	Visit to Ministry of Health Cyclotron & PET CT Facilities

Title / Organization