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[...]... INTRODUCTION Strategy to Address the Study Charge, 14 Report Roadmap, 15 10 2 NUCLEARMEDICINE Significant Discoveries, 22 Frontiers in Nuclear Medicine, 23 Complexities of NuclearMedicine Practice and Research, 38 Conclusion, 42 17 3 NUCLEARMEDICINE IMAGING IN DIAGNOSIS AND TREATMENT Background, 43 Current State of NuclearMedicine Imaging and Emerging Priorities, 44 Impediments to Progress and Current... radiopharmaceuticals (Sidebar 2.3) may be used to deposit lethal radiation at tumor sites Nuclearmedicine has been developed over the past 50 years through a Stage refers to a method of classifying patients by how far a disease has progressed 17 18 ADVANCINGNUCLEARMEDICINETHROUGHINNOVATION SIDEBAR 2.1 Radionuclides Used in NuclearMedicine Radionuclides (also called radioisotopes) are chemical elements that... radiochemists—was expanded to include examination of shortages of highly trained nuclearmedicine scientists 14 ADVANCINGNUCLEARMEDICINETHROUGHINNOVATION 25,000 Thousands ($) 20,000 15,000 NCI (FY'06) NIBIB (FY'06) 10,000 5,000 0 1 2 3 4 5 6 Research Area FIGURE 1.3 Breakdown of funding expended by NCI and NIBIB on nuclearmedicine research by research area: 1 = Basic instrumentation development, 2... (Chapter 5); radiopharmaceutical development (Chapter 6); computational and instrument development (Chapter 7); and 16 ADVANCINGNUCLEARMEDICINETHROUGHINNOVATION • training of nuclearmedicine scientists and clinical investigators (Chapter 8) Chapter 2 provides an overview of nuclearmedicine as a discipline, which may be helpful to non-experts It briefly summarizes important discoveries, challenges,... patients; (5) the use of nuclearmedicine imaging as a tool in the discovery and development of new drugs; and (6) the translation of research from bench to bedside, including investment in training of clinician scientists in nuclearmedicine techniques Specific research opportunities are discussed in Chapters 3, 4, 6, and 7 of the report Achieving ADVANCINGNUCLEARMEDICINETHROUGHINNOVATION these research... in medical specialties from cardiology to oncology to neurology and psychiatry and is a $1.7 billion industry The Society of NuclearMedicine estimates that 20 million nuclearNUCLEARMEDICINE SIDEBAR 2.2 Nuclear Medicine Imaging Positron emission tomography (PET) is a nuclear medicine imaging technique that exploits the unique decay physics of positron-emitting radionuclides (Sidebar 2.9) and produces... critical for advancingnuclearmedicine Historically, federally funded research and development has driven the development of instrumentation and radiotracers that form the backbone of nuclearmedicine practice worldwide These discoveries have largely been due to the proximity of scientific disciplines in nuclear science and technology Capitalizing on this multi-disciplinary mix has served nuclear medicine. .. to be used in biology and medicine, particularly in imaging sciences, photo-optics and biosensors The program directly supported nuclearmedicine research through radiopharmaceutical and instrument development and the development of 12 ADVANCINGNUCLEARMEDICINETHROUGHINNOVATION radionuclides for diagnosis and targeted therapy (Chapter 4). It also supported dedicated cyclotrons for the production... that is called “personalized medicine. ” The growth of personalized medicine will be aided by research that provides a better understanding of normal and pathological processes; greater knowledge of the mechanisms Proteomics is the study of the structure and function of proteins, including the way they interact with each other in cells ADVANCINGNUCLEARMEDICINETHROUGHINNOVATION by which individual... take into account the unique properties of these agents); (2) lack of specific guidelines ADVANCINGNUCLEARMEDICINETHROUGHINNOVATION from the FDA for good manufacturing practice for PET radiodiagnostics and other radiopharmaceuticals; and (3) lack of a consensus for standardized image acquisition in nuclear medicine imaging procedures and harmonization of protocols appropriate for multi-institutional . 14
Report Roadmap, 15
2 NUCLEAR MEDICINE 17
Significant Discoveries, 22
Frontiers in Nuclear Medicine, 23
Complexities of Nuclear Medicine Practice and Research,. including the way they
interact with each other in cells.
2 ADVANCING NUCLEAR MEDICINE THROUGH INNOVATION
by which individual diseases arise; superior identification