00:00Sir, Breast Cancer Day is a day and the treatment of breast cancer is very complex when the patient comes
00:08with you.
00:09At this time, we are in nuclear medicine.
00:12Do you have any research based treatment for breast cancer?
00:19In nuclear medicine, we do two aspects.
00:24One is diagnostic and one is therapeutic.
00:25In nuclear medicine, we attach isotopes, or radioactive materials, with chemicals.
00:35Chemical salts, protein molecules, or any type of chemical.
00:41There are two types of applications.
00:43One is diagnostic.
00:46So, the isotopes we attach are only radiations.
00:52We either use gamma camera or PET scan.
00:56We can scan it.
00:58In that scan, we can specifically localize.
01:00Where is the protein molecules or chemical?
01:04Where is the isotope radiation?
01:09In breast cancer, generally bone scan or PET scan.
01:15These are two things commonly used.
01:17Now, for the diagnostic purposes, when we scan what we do,
01:26we don't have any role in primary detection.
01:30The ultrasound, mammography, or biopsy are already diagnosed.
01:33Our work is in staging.
01:35The disease is localized, locally spread or whole body is spread.
01:39The other is whether there are bones involved or not.
01:44When we see treatment after treatment,
01:48we can scan how much response is happening.
01:50We can scan the treatment again.
01:52The treatment we are giving,
01:54like chemotherapy, radiation, hormonal therapy,
01:57there is no response.
01:59If there is no response,
02:02we can change the treatment.
02:05We have only some of the research.
02:07We can try to improve the treatment.
02:08In our department,
02:09we have been trying to improve the treatment.
02:14We have tried to improve the patients.
02:15We are still doing some of the patients.
02:18We have tried to improve the treatment.
02:19So, the patients who are referred to the hormone-positive,
02:21ER-positive, PR-positive patients,
02:24as well as the hormone treatment can respond to the hormone treatment,
02:27specifically,
02:28specifically hormones
02:29we can identify
02:32that we will respond or not
02:35and if the hormone is negative
02:37then we have
02:41other agents
02:42which can identify
02:43again with PSMA scans
02:46and we can identify
02:47the other thing
02:49if there is a hidden location
02:52or a difficult location
02:53where there is a few spots
02:55in pet guided biopsy
02:57we can target
02:58and take a tissue sample
03:00and then diagnose it
03:02on the treatment
03:03there are other types of isotopes
03:06which are
03:07beta radiation
03:08or alpha radiation
03:10if we tag the isotope
03:14or protein
03:16and inject
03:17in the body
03:19if we say metastatic disease
03:23then the disease
03:25specifically target
03:26target and treat us
03:27in a custom way
03:28we can treat
03:30in a routine treatment
03:32or hormonal treatment
03:33or anti-body treatment
03:35or chemotherapy
03:36or chemotherapy
03:37or not respond to them
03:37we can do
03:38in a custom way
03:40targeted therapy
03:41which we call
03:41beta emitters
03:43or alpha emitters
03:59Thank you very much.
04:15Thank you very much.
04:59Thank you very much.
05:17Thank you very much.
