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A History of
Radionuclide
Studies in the UK
Ralph McCready
Gopinath Gnanasegaran
Jamshed B. Bomanji
Editors
123
A History of Radionuclide Studies in the UK
Ralph McCready • Gopinath Gnanasegaran
Jamshed B. Bomanji
Editors
A History of Radionuclide
Studies in the UK
50th Anniversary of the British Nuclear
Medicine Society
Editors
Ralph McCready Jamshed B. Bomanji
Department of Nuclear Medicine Institute of Nuclear Medicine
Royal Sussex County Hospital University College Hospital
Brighton London
UK UK
Gopinath Gnanasegaran
Department of Nuclear Medicine
Guy’s and St Thomas’ Hospital
London
UK
© The Editor(s) (if applicable) and The Author(s) 2016 The book is published open access.
Open Access This book is distributed under the terms of the Creative Commons Attribution-
Noncommercial 2.5 License (http://creativecommons.org/licenses/by-nc/2.5/) which permits any
noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and
source are credited.
The images or other third party material in this chapter are included in the work’s Creative Commons
license, unless indicated otherwise in the credit line; if such material is not included in the work’s
Creative Commons license and the respective action is not permitted by statutory regulation, users will
need to obtain permission from the license holder to duplicate, adapt or reproduce the material.
This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of
the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation,
broadcasting, reproduction on microfilms or in any other physical way, and transmission or information
storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology
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The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication
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The publisher, the authors and the editors are safe to assume that the advice and information in this book
are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the
editors give a warranty, express or implied, with respect to the material contained herein or for any errors
or omissions that may have been made.
v
Introduction
The British Nuclear Medicine Society (BNMS) is a registered charity that was orig-
inally established in 1966 as the Nuclear Medicine Society. It is the only indepen-
dent forum devoted to all aspects of nuclear medicine, clinical practice, education,
research and development of nuclear medicine within the UK. Nuclear medicine
covers the whole spectrum of medical diagnostic, investigational and investigational
use of ‘unsealed’ radionuclides.
The Society is committed to safe practice and high quality standards throughout
the UK. As well as co-operating with other professional societies and interested
bodies, the BNMS holds two scientific and educational meetings each year around
the UK and through its committees, promotes education, good practice, organisa-
tional audit and quality assurance activities. The Society provides advice for
purchasers on clinical and technical requirements and standards for nuclear medi-
cine as well as responding to NICE when appropriate.
The BNMS also promotes the countrywide audit and quality assurance
activities.
Celebrating the 50th Anniversary of the foundation of the BNMS, this booklet
brings together the history and scientific achievements in the UK over the past 50
years and more.
vii
Past Presidents of the BNMS
ix
Preface
xi
Preface
We would like to use this opportunity to congratulate you all on the 50th anniversary
of the British Nuclear Medicine Society.
Enhancing the capacity of Member States in the field of nuclear medicine and
diagnostic imaging forms an integral part of the International Atomic Energy
Agency’s objective to accelerate and enlarge the contribution of atomic energy to
peace, health and prosperity throughout the world. The unconditional support of
British professionals and institutions throughout these 50 years has made a signifi-
cant contribution to achieving this goal. Provision of training for all disciplines
involved in the field and the expertise provided to Member States by British experts
has been pivotal in advancing the practice of nuclear medicine and diagnostic imag-
ing worldwide.
Through the generous support of our British colleagues, a total of over 800 train-
ees have been hosted and over 150 experts have provided their support to countless
IAEA Member States. The knowledge and experience shared have enabled profes-
sionals to bring nuclear medicine and diagnostic imaging to the forefront on global
scale in tackling a variety of diseases, with special emphasis on cardiovascular and
cancer diseases. Through our mutual collaboration, we have helped many countries
throughout the world to improve the delivery of high-quality practice in a sustain-
able manner.
We would like to use this opportunity to express our gratitude to the British
Nuclear Medicine Society for your support and look forward to future collabora-
tion. We invite you all in your professional or institutional capacities to continue
providing support for strengthening the nuclear medicine and diagnostic imaging
practice worldwide.
xiii
Contents
xv
xvi Contents
xvii
xviii Contributors
1.1 Background
The post-war period of the late 1940s and the 1950s was a productive time for
developments in the use of radionuclides to diagnose and treat human disease. The
pioneers of these developments in the UK were eminent scientists such as Norman
Veall, Russell Herbert, WV Mayneord, and John Mallard who carried out research
using radiopharmaceuticals and designed and built simple homemade detection sys-
tems [1, 2]. The field developed rapidly but failed initially to capture the imagina-
tion of clinicians other than endocrinologists such as Edward McGirr (second
President of the BNMS) who used 131I to study and treat thyroid disorders.
Influenced by progress reported at international meetings, the availability of com-
mercially built scanners and the increasing access to radioisotopes other than I-131,
things were changing in the UK and elsewhere. Progress with radioisotopes had
largely been the preserve of Medical Physics Departments but by 1960 it was rec-
ognised that the move of radioisotopes from bench to bedside necessitated medical
leadership of the new discipline of ‘Nuclear Medicine’, a descriptor imported from
North America. The 1960s saw the appointment of the first consultant physicians in
Nuclear Medicine in the UK.
Against this changing landscape, four clinicians with an interest in Nuclear Medicine,
Steve Garnett, David Keeling, Ralph McCready and Edward Williams met at the
Prince Alfred pub in Queensway, London (Fig. 1.1) on Tuesday 19th July 1966 to
B. Neilly
Department of Nuclear Medicine, Glasgow Royal Infirmary,
Glasgow G31 2ER, UK
By the late 1960s interest in Nuclear Medicine in the UK was growing fast and in
June 1969 the Royal College of Physicians held a meeting entitled ‘Advances in the
Application of Physics in Medicine’ incorporating advances in Nuclear Medicine.
The May 1970 BNMS Newsletter gave details of the London University Nuclear
Medicine MSc course that commenced later that year. In 1971, Edward Williams,
then head of the Institute of Nuclear Medicine at the Middlesex Hospital, was
elected BNMS President and the same year became the first UK Professor of
Nuclear Medicine. A paper given by Edward Williams at the ‘Whither Nuclear
Medicine’ meeting at the Royal College of Surgeons in Lincoln’s Field in May 1971
helped foster the association with internal medicine. By 1972 there were 140 recti-
linear scanners in the UK and 30 gamma cameras, a remarkable advance given that
the first UK commercial scanner had been installed in 1958 at the Royal Marsden
[3] The success of clinical Nuclear Medicine highlighted tensions between the vari-
ous professional bodies involved in Nuclear Medicine in the UK particularly over
the matter of the HPA document ‘Organisation of Hospital Radioisotope Services
(Nuclear Medicine) in the UK’ [3]. These difficulties were resolved by discussion
and the groups have continued to work collaboratively over the years. Important
associations were formed early on between the BNMS and international organisa-
tions such as the World Federation of Nuclear Medicine and Biology (WFNMB). In
1971 the BNMS was invited to sign as the UK representative to the WFNMB. In
June 1974, Desmond Croft attended the ENMS meeting at Clermont-Ferrand and
signed up the BNMS as the specialist NM society representing the UK [3]. Such
developments helped strengthen and establish the BNMS as the recognised profes-
sional organisation devoted to Nuclear Medicine in the UK.
By the early 1970s efforts were concentrated on the creation of an annual meeting
and AGM. The first annual meeting of the BNMS took place in 1973 in the Windeyer
Building at the Middlesex Hospital and included a small commercial exhibition [4].
By 1975, and for economic reasons, the annual meeting [3] was held at the University
of London Student’s union in Malet Street where the registration fee was £1 (£2 for
non-members). The 1976 annual meeting was a 2-day conference held in association
with the HPA where 24 proffered papers were presented [5]. The 1978 BNMS annual
meeting was held jointly with the ENMS and SNME (the forerunner organisations of
4 B. Neilly
the EANM) prompting a move to Imperial College where the venue remained until
1995. The single exception to this was 1985 (the year of the joint ENMS/SNME/
BNMS meeting at the Barbican) when a 1-day BNMS meeting was held at the
University of Manchester Institute of Science and Technology during April. The
1980 annual meeting was the first UK meeting to be held over 3 days. The newsletter
commented that one of the strengths of the meeting was ‘the enthusiasm of the com-
mercial exhibitors to display and discuss their wares’ [6]. By 1986 at the 14th annual
meeting, there were 162 proffered papers of which 119 were accepted and it was
generally agreed that the standard of the scientific papers was high [5]. A central
feature of the annual meeting is the guest lecture. Of the many distinguished lectures
over the years, the BNMS were honoured to have Professor Henry Wagner deliver
the 1987 guest lecture entitled ‘Imaging the Chemistry of Mental Illness.’
The need for space to accommodate the commercial exhibition necessitated a
move away from Imperial College to more suitable venues. In 1996 the annual
meeting was held in Brighton and thereafter at various venues including Brighton,
Manchester and Edinburgh until 2009. The delegate numbers peaked at 768 at
Brighton in 2000. However, the spiralling costs of the larger centres meant that it
was no longer financially viable to continue at large city venues and a decision was
taken to alternate between Harrogate and Brighton where the venue hire was more
affordable during the period 2009–2015. The 2016 Annual Meeting will be held in
Birmingham where fittingly the President is Dr Alp Notghi.
Since its formation, the BNMS has held four joint meetings with the EANM in the
UK. These were in 1978 at Imperial College, 1985 at the Barbican Centre, 1997 at
the SECC Glasgow and 2011 at the ICC Birmingham. Over 3,000 delegates attended
the Barbican Centre in 1985 where the Congress President was Keith Britton and
the BNMS President was Keith Harding. The Congress President at the Glasgow
Meeting in 1997 was Jim McKillop and the BNMS President was Harry Gray. Over
5,400 participants attended the 2011 Birmingham meeting where the local organiser
was Alan Perkins, the first non-medical President of the BNMS.
1.6 Membership
While the agenda of early BNMS council meetings was dominated of necessity by
the formation of its rules and byelaws and the arrangement of its scientific meetings,
the matters discussed by council included issues of national concern such as staff
training (technical and medical), advice to government bodies on the registration,
authorisation and safe use of radioisotopes in medicine, and collaboration with
other professional organisations such as HPA and BIR [3]. The business of these
first BNMS Council meetings helped shape the aims and objectives of the Society
that were subsequently crystallised and set out in the Articles of Association and
now captured in the BNMS strategic plan 2010–2013 [7]. To help Council achieve
its objectives, there are a number of Committees or Groups that report to Council.
These include Professional Standards, Education, Science, Research & Innovation,
Public Relations, Therapy and PET-CT groups. The administrative functions of the
BNMS were ably supported by a number of individuals but notably by Sue Hatchard
who was administrative secretary between 1986 until 2013. Sue ran the BNMS from
the office in Regent House, SE London and on her retiral, the BNMS Offices moved
to the Jubilee Campus at Nottingham University where Charlotte Weston is the
Chief Executive Officer.
A significant development for Nuclear Medicine in general and the BNMS in par-
ticular was the creation of Nuclear Medicine Communications. The journal was
formed to facilitate rapid communication of information within the international
community. The first issue of Nuclear Medicine Communications was published in
1980 in association with the BNMS [8]. The success story that is Nuclear Medicine
and the part played by the BNMS in its remarkable progress in the UK can be seen
in the pages of NMC, as well as at scientific meetings of the BNMS and on its
webpages.
6 B. Neilly
Open Access This chapter is distributed under the terms of the Creative Commons Attribution-
Noncommercial 2.5 License (http://creativecommons.org/licenses/by-nc/2.5/) which permits any
noncommercial use, distribution, and reproduction in any medium, provided the original author(s)
and source are credited.
The images or other third party material in this chapter are included in the work’s Creative
Commons license, unless indicated otherwise in the credit line; if such material is not included in
the work’s Creative Commons license and the respective action is not permitted by statutory regu-
lation, users will need to obtain permission from the license holder to duplicate, adapt or reproduce
the material.
References
1. Schicha H, Bergdolt K, Ell PJ, editors. History of Nuclear Medicine in Europe. Stuttgart/New
York: Schatthauer; 2003. p. 75–9.
2. McCready RV. History of the British Nuclear Medicine Society. http://www.bnms.org.uk/
images/stories/History/EANM_25_Anniversary_UK.pdf.
3. Keeling D. Historical notes on the first 10 years (unpublished observations).
4. McCready RV. 40th anniversary BNMS annual meeting. http://www.bnms.org.uk/images/sto-
ries/History/history_poster.pdf.
5. Harding LK. British Nuclear Medicine Society 14th annual meeting. Nucl Med Commun.
1986;7:209–10.
6. Editorial. BNMS Newsletter. Nucl Med Commun 1980;1(3):147–52.
7. BNMS strategic plan 2010–2013. http://www.bnms.org.uk/images/stories/Official_
Documents/BNMS_Strat_plan_Final_2011.pdf.
8. Britton K. Editorial. Nucl Med Commun 1980;(1):1–2.
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