BPKMCH | ANNUAL REPORT - 2018
DEPARTMENT OF RADIODIAGNOSIS, IMAGING
AND NUCLEAR MEDICINE
Introduction:
Department of Radio Diagnosis and Imaging of B. P. Koirala Memorial Cancer Hospital (BPKMCH) were
established with the limited modalit es but a promising and important wing. The hospital is Nat onal cancer
referral center and provides a full range of services of various imaging modalit es. The Department of Radiology
provides comprehensive imaging services in support of the clinical pract ces of the medical and surgical
care and has part cular strengths in advanced diagnosis and therapy. The department provides services in
diagnost c radiography, mammography, computed tomography, magnet c resonance imaging, ultrasound,
and Nuclear medicine, and innovat ve intervent onal radiology. While commited to excellence in pat ent
care and service, we also are commited to our core academic missions of educat on and research in years
to come. We cont nually strive to improve both our modalit es and pat ent services along with envisioned
academic program in years to come. We cordially welcome personnel interest in our department and would
be happy to serve in any way we can and adapt your valuable suggest ons in improving our qualit es and
technical skill. Department is also ant cipat ng various expanding services in diagnost c and therapeut c arena
in near future. Department is well equipped with MRI, USG, X-ray with CR system, some other special services
under x-ray, Gamma Camera (SPECT), BMD unit and RIA unit etc.
Radiology Technology and Services: Routine Activities (Services) :
We strive to be an internat onally compet t ve department undertaking innovat ve research in medical
imaging. We have a team of dedicated radiologist, technologists, Physicist and Biomedical Engineer with vast
clinical and working experiences.
1.
1.5T Magnetic Resonance Imaging (MRI) scan service :
We are rich of the modality named 1.5 Tesla MRI from Philips Healthcare, Netherland with all sort of Coils
and addit onal workstat on services. We are planning to perform rout ne and special procedures such as
MRI, Spectroscopy, Perfusion and Diffusion Imaging. We are expect ng to have some research support
from Philips and other inst tut ons. All body parts, organs and whole body MRI with all special tests related
to it are done on daily basis. Service Started from 2071/07/21 (19th October 2014) .
2.
Ultrasonography Service:
We are having Doppler Ultra sonogram with 3 standards Convex, Linear and Trans-Vaginal or rectal probes.
We perform 45-50 USG Abdomen / Pelvis, superficial body parts a days on regular basis along with USG
guided FNAC, trans-vaginal USG and breast. Besides, Color Doppler is a also performed as requested by
treat ng doctors.
3.
X-ray Services :
We are having one 500 mA general X-ray machines upgraded to computerized radiography (CR) X-ray
system. Rout ne X-ray services are done in all week days. Emergency service is provided 24 hours a day.
Other X-rays: IVU /IVP, some other special procedures are performed as per request by doctor.
4.
Computed Tomography (CT) Service:
We are rich of the modality named 64 slice CT Scan machine from Neosof, China with all sort of automat c
contrast injector and addit onal workstat on services. This machine is donated by China Government.
CT scan of whole body with plain and contrast enhancement is done in daily basis. High resolut on CT,
CT guided biopsy / FNAC are done whenever requested. CT scan for 3D (Three dimensional) conformal
radiotherapy planning.
5.
Digital Mammography Service:
Rout ne and screening mammography are performed in daily basis by high resolut on Digital Mammography
machine of Neosof Company donated by China Government. Extra addit onal supplementary views, spot
compression and magnificat on views are also performed on request.
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BPKMCH | ANNUAL REPORT - 2018
Table 1 : Different Services in 2018
USG Guided
CT Scan
MRI
Nuclear Medicine
X-ray
Month
USG Service
Mammo
FNAC
Service
Service
Service
Service
January
980
90
601
49
86
22
894
February
1085
92
577
47
86
24
879
March
1093
95
655
59
94
0
972
April
1283
95
639
50
82
38
1030
May
1155
113
617
78
125
39
992
June
1451
136
831
92
161
52
1200
July
1205
111
722
78
137
21
1056
August
1355
130
745
74
124
33
1197
September
1039
94
631
72
123
27
828
October
1102
115
648
63
100
42
878
November
1044
106
578
68
112
34
915
December
1210
127
663
91
140
40
983
Total Case
14002
1304
7907
821
1370
372
11824
6. Nuclear Medicine Unit:
Nuclear medicine unit of BPKMCH was established by the support of Internat onal Atomic Energy Agency
(IAEA). Nuclear medicine unit is providing highly specialized services to our pat ents. IAEA has also
supported to develop skilled manpower in nuclear medicine by providing required training for proposed
team of doctors, technologists, physicist, biomedical engineer and nursing staff. The training has made the
staff competent and efficient in running the service with internat onal standards. At present the unit is
equipped with the following nuclear medicine devices provided by the IAEA:
1. Mediso Anyscan S, dual head SPECT gamma camera unit
2. Comecer laminar flow automated fumehood/ hot lab unit with an inbuilt Dose calibrator
3. Stratos DR, whole body DEXA (Bone Densitometry) unit
4. Perkin Elmer Wizard- 5 Detector Gamma Well Counter for Radioimmunoassay (undergoing acceptance
test ng)
5. Quinton TM 65 Treadmill unit
6. Gamma Probe unit
7. Accessories for radiat on protect on and monitoring like Radiat on survey meter, Radioact ve material
carriers, Radioact ve waste disposal sets, Lead Shields etc.
8. Radiat on protect on equipment for inpat ent therapy ward and isolat on rooms.
General Nuclear Medicine Services
Currently the BPKMCH nuclear medicine unit is offering diagnost c as well clinical consultat on and
therapeut c services. Diagnost c services include general nuclear medicine imaging modalit es like gamma
camera and DEXA scans. The radioimmunoassay service will start immediately afer the installat on of the
acquired gamma counter unit.
A. Diagnost c Services:
I.
Nuclear Medicine Imaging
Nuclear Medicine imaging is a physiological imaging technique used to carry out funct onal scans of
the brain, thyroid, heart, lungs, liver, gallbladder, kidneys, skeleton, lymphat c system, etc. Gamma
cameras image the low amounts of radiat on from a tracer introduced into the pat ent’s body. Currently
the unit is offering diagnost c services like single and three phase whole body bone scans, thyroid scans,
parathyroid scans, I-131 whole body scans for thyroid cancer pat ents, DTPA, MAG-3 diuret c renal scans,
DMSA scans, Meckel’s scan, Lymphoscint graphy, etc. The cancer pat ents of BPKMCH and general pat ents
from all over Nepal are truly benefit ng from the services provided here.
II.
Sent nel LN Mapping
Nuclear Medicine unit is equipped with a state of the art gamma probe donated by the IAEA. The
device is used for sent nel lymph node detect on and mapping for proper localizat on of sent nel lymph
node in different type of cancers cancers such as breast cancer, melanoma etc.
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BPKMCH | ANNUAL REPORT - 2018
III.
Bone Densitometry (DEXA)
Internat onal Atomic Energy Agency (IAEA) has provided a DEXA Bone Mineral Densitometry (BMD)
unit. IAEA has also afforded and assisted for required training program for proposed team of doctor,
technologists for the efficient use of latest technology and standards for pat ent care.
IV.
Radioimmunoassay (RIA)
First Radioimmunoassay (RIA) unit in Nepal Perkin Elmer Wizard- 5 detector gamma well counter has
already been received from the IAEA. The unit has been installat on and is await ng acceptance test ng.
It will be used in the pat ent care to perform all sorts of hormone assay in the hospital and will also
cater the service to pat ents all over the country. IAEA has also afforded and assisted required training
program for proposed team consist of laboratory technologists to run the service according to the
internat onal standards and pract ce.
B. Therapeut c Services
At present the nuclear medicine unit is running Thyroid Clinic for the consultat on service for general
thyroid pat ents and Thyroid cancer pat ents. Consultat on, pat ent educat on regarding therapeut c
process for thyroid cancer is provided by specialist nuclear medicine and thyroid physician. Radioact ve
iodine therapy for benign thyroid disease and thyroid cancer is also provided. Outpat ent and inpat ent
services are being started in the near future which include specialist consultat on service for general
thyroid cases and care for thyroid cancer pat ents will begin in the near future.
Expansion of therapeut c services with addit on of radionuclide bone pain palliat on and
radiosynovectomy are also planned with the support of the upcoming projects.
Academic Activities:
Dr. Gyan Bahadur Shrestha (HOD and Consultant Radiologist) atended six months cert fied training in
“Diagnost c & Intervent onal Radiology “ dated 2th September 2013 to 28th February 2014 in Tata
Memorial Centre Mumbai, India.
Dr. Padma Raj Sigdel (Junior Consultant) has completed three months MRI training 13th October 2014 to
30th December 2014 in Chest hospital Hebei, Republic of China
Dr. Madhu Neupane (Registrar, Nuclear Medicine Physician) atended a cert fied “IAEA/RCA Regional
Training Course on Theranost cs and Dement as “ held in Osaka University, Osaka, Japan December
2017.
Atended the project design meet ng for a new IAEA project (2020-21) held in IAEA headquarters Vienna,
Austria in March 2019.
Mr. Ajay Kumar Yadav (Senior Radiological Technologist) has completed three months Nuclear Medicine
training Dated 1st June 2018 to 28th August 2018 in St. Luke’s Medical Center, Manila, Philippines.
Mr. Jay Narayan Jha (Senior Radiological Technologist) has completed three months Nuclear Medicine
training Dated 1st January 2015 to 31 March 2015 in Nat onal Inst tute of Nuclear Medicine & Allied
sciences, Dhaka Bangladesh.
Mr. Ashok Kumar Shah (Senior Radiological Technologist) has completed MRI training 13th October 2014
to 30th December 2014 in Chest hospital Hebei Republic of China.
Dr. Gyan Bahadur Shrestha - Consultant has completed two weeks MRI training in Dr. Gulat Imaging
Centre in New Delhi India.
Dr. Padma Raj Sigdel - Junior Consultant and Mr. Anil Pandit - Senior Radiological technologist, have
completed 3 weeks MRI training in Dr. Gulat Imaging Centre in New Delhi India.
Mr. Anil Pandit - Senior Radiological technologist, have completed Enhancing Safety and Effect veness in
Diagnost c Radiology Through Training of Medical Imaging Professionals in Quality Pract ces , NORI,
Islamabad, Pakistan
Human Resources:
We provide all available services with abroad graduated qualified and experienced team members consist of
Senior Consultant Radiologist - 1 , Consultant- 1, Junior Consultant - 1, Registrar- 5, Chinese Radiologist- 1
Technical: Senior Radiological Technologists-
5, Radiological Technologists-
3, Senior Radiographers-1,
Radiographer-1, Radiological Technician-1
Nursing : Staff Nurse- 1,
Administrat on : Administrat ve staffs- 3, Atendants - 5
Nuclear Medicine Human Resource:
Doctors: Dr. L N Singh, PhD (Sr. Consultant), Dr. Madhu Neupane, MD (Nuclear Medicine- Registrar)
Senior Technologists: Mr. Anil Pandit, Mr. Jay Narayan Jha, Mr. Ajay Kr. Yadav, Mr. Raj Narayan Ray
Nurse : Ms. Goma Kandel (Senior Nursing Officer)
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