Nuclear Medicine and Endocrinology

Our Team      Photogallery

A brief overview of Nuclear Medicine and Endocrinology Specialized Center

In the Specialized Center of Nuclear Medicine and Endocrinology we treat patients from the whole of the Czech Republic. In the department, we focus mainly on the diagnosis and treatment of patients with differentiated carcinoma of the thyroid gland and severe forms of thyroid orbitopathy using the 131 I-MIBG therapy.  In addition, we carry out standard radio isotopic diagnostics.

We have already attended to the needs of more than 20.000 patients. In 2014, 1.000 patients were hospitalized, and 4.000 outpatients underwent treatment that   included various types of examinations and therapeutic applications of radioactive pharmaceuticals.

In the case of the radiation-navigated surgery for breast cancer, or melanoma of the vulva and cervix carcinoma, our specialists cooperate closely with surgical departments. 

How will your detailed schedule look like? What type of procedures, methods or treatment can you observe? Check what can you see by shadowing every member of the mentoring team.

Is this specialty placement ideal for you?

  • Nuclear Medicine and Endocrinology are a perfect choice for those of you, who are interested in medicine as well as in physics or science. Why? You will see the application of the thyroid gland oncology treatment, as well as other types of treatment that require the most advanced radiation equipment. That is why is important to respect the instructions of your mentoring team. The gamma cameras and other special devices are maintained daily to provide 100% precise results of patients´ examinations. Caution, passion for physics and couriosity need to be your key streaks here.
  • Future doctors and engineers focused on healthcare are the right people who should choose this placement. It is great opportunity to witness the scientific progress and how it is applied in daily treatment and particular cases. You will definitely appreciate the sophisticated devices the center possess.

Let's take a closer look at the specialties…

Our center comprises two departments – Nuclear Medicine and Endocrinology. Administering a small amount of radioactive substance into the body in order to diagnose, determine and treat a disease - typically cancer is the purpose of Nuclear Medicine. These radiopharmaceuticals target a specific organ or the cellular receptors. External detectors are then able to turn the radioactivity emitted from the radiopharmaceuticals into images. Sections of the thyroid, heart, liver, bones, lungs or the gallbladder can be the imaged the most easily. Nuclear Medicine is valuable when our colleagues from various departments need to make a quick diagnosis. 

The department of Endocrinology is concerned with diseases that are caused by changes in blood hormone imbalances that occur when there is a disruption to the glands and organs involved in the endocrinal system. The aim of the treatment is to restore the body's normal hormonal balance.

Our workplace, which is the only one of its kind in the Czech Republic, is a center for the treatment of TAO (Thyroid-Associated Orbiopathy) inhibitors of growth hormone, for the diagnosis and therapy of advanced forms and differentiated thyroid cancer using recombinant human TSH (Thyrogen) and for the treatment of neuroendocrine tumors using the 131I-MIBG radiopharmaceutical.  For each patient, the correct power of dosage administered needs to be carefully monitored. But the patients are not the only ones who are constantly evaluated. Our gamma cameras are checked daily to ensure that  we provide the highest quality of examination and treatment of our patients.

In terms of our unique technological equipment we are proud to mention that in the outpatient department  of Nuclear Medicine we have a SPECT / CT camera Symbio Inteva Excel and in our ward a two-headed camera with crystal 5/8 “Symbio S.

Also, we have modernized our radiopharmaceutical laboratory reaching the level of C grade.

Our center consists of the following specialized outpatient facilities:

  • Endocrinology and diagnosis of differentiated carcinoma of thyroid gland (DTC); the dispensary has over 13.800 patients (this is one of the largest cohorts in the world)
  • Cystic fibrosis
  • Consulting on Medullary Thyroid Carcinoma (MTC)
  • Thyroid-Associated Ophthalmopathy (TAO)
  • Nuclear Medicine Department

Who do we take care of?

Our team focuses on the diagnosis, treatment and preventive treatment for patients with tumors of the thyroid gland, as well as for patients diagnosed with more serious forms of thyroidal orbitopathy. We provide assistance throughout the entire range of our specialization in the field of nuclear medicine diagnosis. Also, we ensure consulting services in the field of endocrinology and offer super-consulting services (specialized in thyreology) for individual endocrinologists within the University Hospital in Motol.

In the ward, we treat, nationally, differentiated thyroid carcinoma patients with radioiodine and patients with certain neuroendocrine tumors with 131I-MIBG. The ward has 34 beds, divided into two departments – diagnostic and therapeutic.  The Endocrinology part of our center focuses on consulting examinations in the fields of thyreology, calciophosphate diseases and metabolic diseases of the adrenal glands. Our skilled professionals provide the treatment and monitoring of patients with differentiated and medullary thyroid carcinoma. In addition, they provide comprehensive care to thyreoncological patients and perform the sonographic examination of the thyroid using the targeted aspiration fine needle biopsy.

In the outpatient department of Nuclear Medicine we offer a wide range of scintigraphic examinations (bone scintigraphy, nuclear nephrology, cardiology, cancer diagnostics, Pneumology, examination of the CNS or thyroid diagnostics) in both, pediatric and adult patients, as well as the palliative treatment of bone metastases and radionuclide synovectomy. We also cooperate with surgical facilities in the radiation-navigated surgeries.

Our methods and procedures

Our coordinated team performs these procedures within the department:

  • Diagnosis and treatment of differentiated carcinoma of the thyroid gland using human recombinant thyreostimulation hormone
  • Diagnosis using a hybrid combination of X-ray (CT) scanning and isotope (SPECT) imaging
  • The introduction of new radiopharmaceuticals in clinical practice such as Tectrotyd-99m
  • Clinical testing of new pharmaceutical for the therapy of medullary carcinoma and radioiodine-refractory differentiated thyroid carcinomas
  • The provision of genetic testing in patients with familial forms of medullary thyroid carcinoma

How does the usual schedule look like?

  • The schedules of the placement are regular as the procedures are planned in advance. Your mentoring team will present you with your detailed schedule on Monday morning, we guarantee 25 hours weekly as a minimum.

Our Team


Photo Jan Šibík

MUDr. Monika Hartmanová

Ward and Outpatient Department Doctor

Doctor


Rather than the surgical specialties, I have always been fascinated by internal medicine, in which I worked for a couple of years. To push myself forward, I have done my attestation in the field of Nuclear Medicine. Thanks to its unique combination with Endocrinology within the single workplace, our department became the Czech Republic's top center for thyroid-oncology. This allows us to provide the best care to patients with thyroid cancer.

Why did I become a healthcare professional?

My mom had always wanted to study medicine, but eventually she graduated from another field and even now she sometimes still regrets it. When I was 4 years old, I lectured my grand-uncle that he should stop smoking to avoid having “black lungs”. I also carried a red suitcase with a picture of a hospital cross and plastic instruments inside, on which I wrote "MD. Monika". In high school I mostly enjoyed chemistry and biology, and I was fascinated by the human body. So I never thought of doing anything else other than medicine. It seemed to me that this profession made sense and was a field in which I can help others. My choice of the university was clear. Instead of a surgical specialty, I have chosen an internal one.

We are the only center in the Czech Republic or Slovakia that performs iodine therapy labeled as MIBG for specific diagnoses, such as pheochromocytoma, medullary thyroid carcinoma, and neuroblastoma in children - in cooperation with the Department of Children's Hematooncology. Our work includes working with open radioactive emitters and the resulting measures. If you are a technically oriented student, you will appreciate the chance to see the work of radiological physics and also the technical equipment of our center.

What do I love the most about my specialty?

My job is not monotonous, as we carry out a wide spectrum of examinations. At our center we have top equipment, including hybrid cameras. We cooperate with colleagues from other specialties with whom we attend clinical workshops. There we discuss individual patients and the results of the treatment we have provided. I am also glad that even in a field that is partly complementary, not clinical; I can utilize my experience from internal medicine. Now I have the opportunity to excel in the field of Endocrinology, due to the highly efficient combination of both specialties in our center. It is great to keep in touch with English-speaking students so I can practice and expand my knowledge of another language.

What can you see by shadowing our team?

As part of my work in the center, you will see the full spectrum of nuclear medicine examinations - mostly skeletal examinations to determine the generalization of oncological diseases, the examination of kidneys, thyroid, or lungs, to exclude the possibility of a pulmonary embolism, and other examinations. You will meet with both adult and children patients. I will show you all of the phases that the patient will go through – instructions for undertaking the examinations, reporting on the patients’ history, and the administration of radiopharmaceuticals. With my colleagues – your other mentors – you will be able to see screening with a gamma camera, and then with me you will observe the appropriate results, processing, evaluation, and finally the patient´s discharge. This process includes the implementation of ultrasound of the neck, you will see the appropriate radiohygienic measures and special patient regimens.

Apart from being a healthcare professional...

I mostly enjoy sports - especially swimming, running, cycling, and waterskiing. I love the mountains and the outdoors. My other hobby is baking and trying new recipes that I collect. Recently I have enjoyed decorating cakes.

My motto…

Per aspera ad astra (through hardships to the stars)

Photo Jan Šibík

Ing. Tereza Kráčmerová

Radiology Physicist

Physicist


Nuclear medicine remains a mystery to a lot of people. Maybe some of my colleagues would disagree, but I think that the whole Department of Nuclear Medicine depends on radiology physics. smile If the devices that are needed for the therapies conducted here did not work correctly, all of the procedures connected with them would be pointless, and that could cause serious problems for the patients. Our work starts after a healthcare professional´s diagnosis. We can only do most of our studies to improve our treatment during the weekends or following the work of my colleagues, but the results of these studies can provide great satisfaction.

Why did I become a healthcare professional?

In my high school days, I enjoyed math, biology, and physics. I was very interested in medicine, but I did not like the idea of nights full of memorizing Latin terms by heart. On a recommendation made by some of my friends, I spent a week at an event called the “Week of Physics“, a students’ conference full of interesting lectures, excursions, and experiments organized by the Czech Technical University. Here I discovered projects that involved radiological physics. After completing several projects at the faculty, I fell madly in love with this field. After two years of study at this faculty, I did have a moment where I wanted to give it up, but I ultimately overcame that moment and decided to finish my studies.

Nuclear medicine remains a mystery to a lot of people. Most of them do not even encounter anything involving this field, and those who do may have some trouble understanding it. However, nuclear medicine brings a lot of opportunities due to its wide range. Everyone can find his or her place in this field. Whether it is as a doctor of nuclear medicine, endocrinologist, or radiology physicist, each one of us has an important role in the department.

What do I love the most about my specialty?

I like that my work differs from day to day; it is not a job where you have to deal with the same things over and over again. Every minute something new and unexpected can occur, and you need to be focused all the time. You simply cannot get bored. I often face some new problems or obstacles that are challenging to overcome. The possibility of development and progress in this field is one of the main reasons why I have chosen this specialty.

What can you see by shadowing our team?

Before your placement even starts, I will take you on a tour around our department. Afterwards, you will have the opportunity to participate in the measuring of dosages. You will also see tests that are conducted by radiological assistants in the patients’ wards. When a treatment will be performed using the 131I-MIBG , you will have the opportunity to see all the procedures and scans of the patient. During the week, I will explain to you the principle for calculation of a full dose. I will also tell you about the problematics of urination after the 131I-MIBG procedure. We will also go through some tests of the devices that are mainly used in the emergency part of the department. These tests are normally done only once a year. Another important procedure is the evaluation, which you will have the opportunity to do yourself. Nowadays, we do a study of dosimetry purposes during thyroid gland therapy. Of course, you will have the opportunity to participate, but you can also give us your input and ideas and make this study even better.

Apart from being a healthcare professional...

I do not have a lot of free time, but when I do, I play sports. I play volleyball, ride my bike, play golf, or skate. I also like going to a good restaurant and trying new meals. I frequently travel around the world, as well.

My motto…

There is no shame in failure; the shame is in lying for a long time.

Photo Jan Šibík

Bc. Jakub Suchánek

Radiology Assistant in Nuclear Medicine

Radiology Assistant


At the Department of Nuclear Medicine, I am in charge of patients as well as the gamma cameras. Work with the cameras is more relaxed, but they cannot surprise me like my patients often do with their stories. The patients are usually suffering from cancer, waiting for a lung transplant in the pulmonology department, or have been diagnosed with an embolism. We also provide kidney examinations to children, so you will meet patients with various diseases of all ages.

Why did I become a healthcare professional?

When I was younger, I was like a magnet for accidents, therefore I was in the hospital quite often. Although you might think that so many visits would have caused me to dislike the clinical environment, it was actually just the opposite. I started to love the hospital, the doctors, and everything related and decided to work in healthcare. After a medical lyceum, I was to choose what path I would take afterwards. My choice could had been physiotherapy, nursing, paramedics, pharmacy, or medical school. I chose radiology, as it matches most of my interests. The combination of technology and medicine was perfect for me.

If you enjoy physics and technology, then nuclear medicine is the best choice for you.

What do I love the most about my specialty?

I am constantly meeting new people and moving around the workplace thanks, allowing me to easily avoid repetitive routines. I really enjoy nurse’s work, which includes taking and applying radiopharmaceuticals, inserting cannulas, or drug preparations. While working on the cameras, I enjoy the more relaxed time that I definitely do not have during applications, because you have to constantly run back and forth. To do the job you must be quite creative, because sometimes it is necessary to examine patients in a very unusual position or you have to resolve unexpected technical problems.

What can you see by shadowing our team?

You will see a wide range of tests such as a whole body bone scintigraphy, a dynamic renal scintigraphy, or even a brain single-photon emission computed tomography (SPECT). You can see the work in a laminar flow cabinet during the extraction and thinning of radiopharmaceuticals and their administration to patients for diagnostic or therapeutic purposes. It is worth mentioning that there is also a chance to see cooperation between our center and Cardiology Specialized Center, for example when we perform stress myocardial SPECTs. We also cooperate with neurology, assisting with the examination of patients with intractable epilepsy. For singular examinations, you can also see the technical side, which in practice means the control of gamma cameras or the reconstruction of scanned data.

Apart from being a healthcare professional...

I play the guitar and bass guitar and I like going to concerts. My favorite activity is also cooking and juggling.

My motto…

„A ship is safe in the harbor, but that’s not what ships were made for“.

Photogallery

LOVE WHAT YOU DO WITH EVERY HEARTBEAT