{"id":43989,"date":"2024-01-05T17:17:16","date_gmt":"2024-01-05T16:17:16","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=43989"},"modified":"2024-01-05T17:17:21","modified_gmt":"2024-01-05T16:17:21","slug":"rozhovor-o-nuklearni-medicine","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=43989","title":{"rendered":"Rozhovor o nukle\u00e1rn\u00ed medic\u00edn\u011b\u00a0\u00a0"},"content":{"rendered":"\n<p>T\u00e9matem l\u00e9k\u00e1rny \u010cesk\u00e9ho rozhlasu je nukle\u00e1rn\u00ed medic\u00edna, a to, jak pom\u00e1h\u00e1 v l\u00e9\u010db\u011b i diagnostice, a pr\u00e1v\u011b proto je hostem ve studiu Dr. Martin Havel, p\u0159ednosta kliniky nukle\u00e1rn\u00ed medic\u00edny Fakultn\u00ed nemocnice Ostrava, sv\u00e9 dotazy m\u016f\u017eete, v\u00e1\u017een\u00ed poslucha\u010di, pr\u00e1v\u011b te\u010f telefonovat na \u010d\u00edslo 59 6 11 22 66. <br \/><br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Dobr\u00fd den. Tady je poslucha\u010dka z T\u0159inecka. J\u00e1 bych m\u011bla dotaz, jak, \u010d\u00edm to je, \u017ee t\u0159eba cel\u00fd \u017eivot je ten \u010dlov\u011bk zdrav\u00fd. P\u0159ipad\u00e1, je to p\u0159\u00edpad jedn\u00e9 pan\u00ed. 89 let. Byla jak rybi\u010dka, chodila do obchodu nakupovat, chodila i na kontroly l\u00e9ka\u0159sk\u00e9, najednou, za\u010dlo j\u00ed, za\u010dla ka\u0161lat, n\u011bco jakoby pro du\u0161ky, byla u v\u00e1s v nemocnici fakultn\u00ed v Ostrav\u011b a zjistili jejda, ona m\u00e1 rakovinu ledvin a plic a do dvou t\u00fddn\u016f bylo po n\u00ed. Jak je to mo\u017en\u00e9, \u017ee to tak rychle, \u017ee p\u0159edt\u00edm se na to nep\u0159i\u0161lo a najednou se to objev\u00ed a u takov\u00e9ho star\u00e9ho \u010dlov\u011bka, kter\u00fd byl celej \u017eivot zdrav\u00fd, jak rybi\u010dka. D\u011bkuji za odpov\u011b\u010f.<br \/><br \/>mluv\u010d\u00ed 2,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Nicm\u00e9n\u011b nev\u00edm, pane p\u0159ednosto, jestli je to pr\u00e1v\u011b z oboru nukle\u00e1rn\u00ed medic\u00edny, pokuste se prost\u011b.<br \/><br \/>mluv\u010d\u00ed 4,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>dobr\u00fd den. Obecn\u011b jedn\u00e1 se o to, \u017ee ten \u017eivot, tak prost\u011b b\u011b\u017e\u00ed n\u011bkdy, a ta na\u0161e t\u011bla, ten \u017eivot je n\u011bkdy kone\u010dn\u00fd a to na\u0161e zdrav\u00ed je n\u011bkdy, m\u016f\u017ee b\u00fdt i k\u0159eh\u010d\u00ed a k\u0159ehk\u00e9. A jedn\u00e1 se o to, pokud se takhle pt\u00e1te, jak se to m\u016f\u017ee st\u00e1t nebo co ud\u011blat proti tomu, je to opravdu, co j\u00e1 m\u016f\u017eu doporu\u010dit, a to v\u00e1m p\u0159ijde doporu\u010dit ka\u017ed\u00fd, u\u017e\u00edvat toho, co n\u00e1\u0161 syst\u00e9m dovoluje, to znamen\u00e1 pravideln\u00e9 preventivn\u00ed prohl\u00eddky, sledovat sv\u016fj zdravotn\u00ed stav a \u0159e\u0161it ty v\u011bci nejd\u0159\u00edve, jak se d\u00e1 a t\u0159eba n\u011bkdy m\u016f\u017ee pomoci i nukle\u00e1rn\u00ed medic\u00edna zrovna v t\u00e9 diagnostice.<br \/><br \/>mluv\u010d\u00ed 2,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>D\u011bkuji, j\u00e1 se tedy vr\u00e1t\u00edm pr\u00e1v\u011b k nukle\u00e1rn\u00ed medic\u00edn\u011b a scintigrafii, proto\u017ee ur\u010dit\u011b by n\u00e1s v\u0161echny zaj\u00edmalo, jak konkr\u00e9tn\u011b v praxi vypad\u00e1 takov\u00e9 scintigrafick\u00e9 vy\u0161et\u0159en\u00ed, kdy\u017e je t\u0159eba podez\u0159en\u00ed na n\u011bjakou nemoc, co to vy\u017eaduje ze strany pacienta, jestli se m\u00e1 n\u011bjak p\u0159ipravit, kdo ho m\u00e1 doprovodit atd.<br \/><br \/>mluv\u010d\u00ed 4,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Tak ur\u010dit\u011b v r\u00e1mci toho samotn\u00e9ho vy\u0161et\u0159en\u00ed by v\u017edycky m\u011bl b\u00fdt pacient pou\u010den t\u00edm odes\u00edlaj\u00edc\u00edm l\u00e9ka\u0159em, proto\u017ee velice \u010dasto, anebo t\u00e9m\u011b\u0159 poka\u017ed\u00e9 je k n\u00e1m odesl\u00e1n k tomu vy\u0161et\u0159en\u00ed, tak\u017ee ten prvn\u00ed kontakt u\u017e s t\u00edm odes\u00edlaj\u00edc\u00edm l\u00e9ka\u0159em, n\u011bjak\u00fdm specialistou, kter\u00fd indikuje, to znamen\u00e1 objedn\u00e1v\u00e1 u n\u00e1s to vy\u0161et\u0159en\u00ed jako takov\u00e9 ve v\u011bt\u0161in\u011b nebo v \u010d\u00e1sti t\u011bch na\u0161ich vy\u0161et\u0159en\u00ed nen\u00ed pot\u0159eba n\u011bjak\u00e1 superspeci\u00e1ln\u00ed p\u0159\u00edprava, ale u n\u011bkter\u00fdch je to naopak d\u016fle\u017eit\u00e9 a je to opravdu vy\u0161et\u0159en\u00ed od vy\u0161et\u0159en\u00ed. Nap\u0159\u00edklad takov\u00e9 asi nej\u010dast\u011bji pou\u017e\u00edvan\u00e9 je kup\u0159\u00edkladu scintigrafie skeletu, to znamen\u00e1 vy\u0161et\u0159en\u00ed kost\u00ed, kter\u00e9 asi prov\u00e1d\u00edme na po\u010dty asi nej\u010dast\u011bji b\u011bhem t\u00e9 na\u0161\u00ed denn\u00ed rutiny a tam je p\u0159\u00edprava, udr\u017eet n\u011bjakou hydrataci t\u011bla, to znamen\u00e1 dostate\u010dn\u00fd pitn\u00fd re\u017eim, ale jin\u00e1 n\u011bjak\u00e1 speci\u00e1ln\u00ed p\u0159\u00edprava nen\u00ed a \u010dasto u t\u011bch na\u0161ich vy\u0161et\u0159en\u00ed plat\u00ed obrnit se trp\u011blivost\u00ed a p\u0159ipravit se na to, \u017ee to vy\u0161et\u0159en\u00ed nen\u00ed hotovo na Blik,  tak, jak t\u0159eba \u010dlov\u011bk zn\u00e1 z radiodiagnostiky, z rentgenu, ale je to n\u011bjak\u00fd proces, kter\u00fd n\u011bjak trv\u00e1, proto\u017ee se sna\u017e\u00edme zobrazit n\u011bjak\u00e9 d\u011bje v t\u011ble, a to pot\u0159ebuje sv\u016fj \u010das, tak\u017ee  u n\u00e1s to vy\u0161et\u0159en\u00ed za\u010d\u00edn\u00e1 tak, \u017ee do t\u011bla naaplikujeme tu vy\u0161et\u0159ovac\u00ed l\u00e1tku.<br \/><br \/>mluv\u010d\u00ed 2,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Jak\u00fdm zp\u016fsobem.<br \/><br \/>mluv\u010d\u00ed 4,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Nej\u010dast\u011bji je to malou injekc\u00ed, n\u011bkter\u00e9 l\u00e1tky se mohou i p\u0159ij\u00edmat, norm\u00e1ln\u011b jako vyp\u00edt, anebo taky n\u011bkter\u00e9 se u n\u00e1s i vdechuj\u00ed, kdy\u017e se t\u0159eba vy\u0161et\u0159uje funkce plic, ale tou nej\u010dast\u011bj\u0161\u00ed formou je klasick\u00e1 mal\u00e1 injekce, ve kter\u00e9 je ono l\u00e9\u010divo nebo l\u00e1tka a pak podle typu vy\u0161et\u0159en\u00ed nastupuje n\u011bjak\u00e1 doba, kdy je pot\u0159eba \u010dekat a b\u011bhem t\u00e9 doby my v\u00edme, co se s t\u00edm l\u00e9kem v t\u011ble, s tou na\u0161\u00ed l\u00e1tkou d\u011bje tak, abychom v t\u011bch ur\u010dit\u00fdch a dan\u00fdch \u010dasech si ud\u011blali ty obr\u00e1zky, proto\u017ee to je d\u016fle\u017eit\u00e9. N\u011bkter\u00e1 l\u00e1tka se vylu\u010duje z t\u011bla del\u0161\u00ed dobu, n\u011bkter\u00e1 krat\u0161\u00ed, n\u011bkter\u00e1 se hromad\u00ed v tom dan\u00e9m m\u00edst\u011b, kter\u00e9 my chceme zobrazit t\u0159eba hned po t\u00e9 aplikaci, tak\u017ee tam m\u016f\u017ee nast\u00e1vat i ta scintigrafie ihned po t\u00e9 aplikaci a jsou t\u0159eba i vy\u0161et\u0159en\u00ed, kdy to nen\u00ed ukon\u010deno jedn\u00edm obr\u00e1zkem, ale dopl\u0148uje se t\u011bch nahr\u00e1v\u00e1n\u00ed t\u011bch obr\u00e1zk\u016f v\u00edce , to znamen\u00e1 le\u017een\u00ed pod kamerou v \u010dase a n\u011bkdy t\u0159eba vy\u0161et\u0159ujeme i ve dvou dnech, to znamen\u00e1, \u017ee pacient p\u0159ijde, naaplikujeme l\u00e1tku, ud\u011blaj\u00ed se za n\u011bjakou dobu ten den jedny obr\u00e1zky a pak vlastn\u011b pou\u010d\u00edme a p\u0159ijde k n\u00e1m dal\u0161\u00ed den, kdy u\u017e se zase jenom d\u011blaj\u00ed ty obr\u00e1zky a d\u00edv\u00e1me se, co se s tou l\u00e1tkou stalo za t\u011bch dal\u0161\u00edch kup\u0159\u00edkladu 24 hodin.<br \/><br \/>mluv\u010d\u00ed 2,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Ka\u017edop\u00e1dn\u011b v\u017edy je to \u0161it\u00e9 na m\u00edru tomu pacientu podle toho, co chcete vy\u0161et\u0159ovat.<br \/><br \/>mluv\u010d\u00ed 4,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>My se sna\u017e\u00edme komunikovat s t\u011bmi kliniky, tak\u017ee m\u011blo by to tak b\u00fdt, \u017ee ti, kte\u0159\u00ed k n\u00e1m odes\u00edlaj\u00ed, by m\u011bli v\u011bd\u011bt na jak\u00e9 vy\u0161et\u0159en\u00ed, odes\u00edlaj\u00ed, jak\u00e1 je pot\u0159eba p\u0159\u00edprava a i na na\u0161ich webov\u00fdch str\u00e1nk\u00e1ch je mo\u017en\u00e9 naj\u00edt ta v\u0161echna vy\u0161et\u0159en\u00ed, kter\u00e1 prov\u00e1d\u00edme s n\u011bjak\u00fdm kr\u00e1tk\u00fdm popisem i s doporu\u010denou p\u0159\u00edpravou, tak\u017ee je to i takov\u00e1 p\u0159\u00edru\u010dka pro ty odes\u00edlaj\u00edc\u00ed l\u00e9ka\u0159e, aby tam v\u017edycky tu informaci na\u0161li.<br \/><br \/>mluv\u010d\u00ed 2,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>A mysl\u00edm, \u017ee m\u016f\u017eeme v\u0161echny uklidnit, \u017ee scintigrafie nebol\u00ed.<br \/><br \/>mluv\u010d\u00ed 4,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>v\u0161echno v klidu nebol\u00ed, je to opravdu spojeno jenom s t\u00edm mal\u00fdm p\u00edchane\u010dkem do \u017e\u00edly, je to jenom jednoduch\u00e1 injekce do \u017e\u00edly nej\u010dast\u011bji a pak sp\u00ed\u0161 to \u010dek\u00e1n\u00ed, co\u017e s na\u0161\u00ed zku\u0161enost\u00ed n\u011bkdy b\u00fdv\u00e1 asi ten nejpal\u010div\u011bj\u0161\u00ed probl\u00e9m v dne\u0161n\u00ed dob\u011b.<br \/><br \/>mluv\u010d\u00ed 2,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Co v\u0161e si m\u016f\u017eeme p\u0159edstavit pod pojmem nukle\u00e1rn\u00ed medic\u00edna, jak\u00e9 mo\u017enosti pacient\u016fm nab\u00edz\u00ed a s jak\u00fdmi onemocn\u011bn\u00edmi se setk\u00e1vaj\u00ed nap\u0159\u00edklad konkr\u00e9tn\u011b na klinice nukle\u00e1rn\u00ed medic\u00edny ve fakultn\u00ed nemocnici Ostrava, o tom hovo\u0159\u00edme s p\u0159ednostou kliniky Dr. Martinem Havlem, mohli bychom, pane p\u0159ednosto, je\u0161t\u011b v\u00edce p\u0159ipomenout nebo \u0159\u00edct, jak\u00e9 poruchy, jak\u00e9 nemoci vlastn\u011b d\u00edky nukle\u00e1rn\u00ed medic\u00edn\u011b diagnostikujete a l\u00e9\u010d\u00edte.<br \/><br \/>mluv\u010d\u00ed 4,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Tak diagnostikujeme celou \u0159adu t\u011bch r\u016fzn\u00fdch stav\u016f ne\u017e sp\u00ed\u0161e chorob, ale r\u016fzn\u00fdch stav\u016f org\u00e1n\u016f, kter\u00e9 zrovna zaj\u00edmaj\u00ed toho klinika, to bychom tady byli opravdu dlouho, ale jestli mohu, zam\u011b\u0159il bych se i na tu l\u00e9\u010dbu, kterou poskytujeme a kup\u0159\u00edkladu zrovna tady ve fakultn\u00ed nemocnici Ostrava m\u00e1me tu v\u00fdhodu, \u017ee jsme vybaveni i l\u016f\u017ekovou jednotkou, to znamen\u00e1, m\u016f\u017eeme pod\u00e1vat i ony terapie, o kter\u00fdch u\u017e jsme tady dneska hovo\u0159ili, a takovou tou nejtypi\u010dt\u011bj\u0161\u00ed diagn\u00f3zou, kter\u00e1 je obecn\u011b spojen\u00e1 s nukle\u00e1rn\u00ed medic\u00ednu a s l\u00e9\u010dbou, jsou onemocn\u011bn\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy, tak\u017ee b\u00fdvaj\u00ed to bu\u010fto zv\u00fd\u0161en\u00e1 funkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy, anebo n\u00e1dory \u0161t\u00edtn\u00e9 \u017el\u00e1zy. A tady je d\u016fle\u017eit\u00e9, \u017ee velice dob\u0159e spolupracujeme s endokriminology z regionu, ale i mimo n\u00e1\u0161 region, proto\u017ee ta sp\u00e1dovost je v\u011bt\u0161\u00ed vzhledem k tomu, \u017ee takov\u00fdch odd\u011blen\u00ed, jako je to na\u0161e, kter\u00e9 umo\u017e\u0148uje pod\u00e1n\u00ed t\u00e9to terapie na l\u016f\u017ekov\u00e9m odd\u011blen\u00ed, je v \u010cesk\u00e9 republice pouze p\u011bt, tak\u017ee ten n\u00e1\u0161 sp\u00e1d je v\u011bt\u0161\u00ed, tak\u017ee jsou to onemocn\u011bn\u00ed \u0161t\u00edtn\u00e9 \u017el\u00e1zy, kter\u00e9 se prov\u00e1d\u00ed za hospitalizace, ale prov\u00e1d\u00edme taky tzv. paliativn\u00ed terapie, to jsou l\u00e9\u010dby u onkologicky nemocn\u00fdch pacient\u016f, kte\u0159\u00ed maj\u00ed bolesti kost\u00ed spojen\u00e9 s n\u00e1dorem, nej\u010dast\u011bji n\u00e1dor prostaty, nebo u karcinomu prsu, kdy aplikujeme l\u00e1tky, kter\u00e9 zm\u00edr\u0148uj\u00ed tu bolest a p\u016fsob\u00ed analgeticky a zm\u00edr\u0148ovala se i pot\u0159eba trval\u00e9 medikace, u t\u00e9 bolesti l\u00e9\u010d\u00edme tak\u00e9 n\u011bkter\u00e1 kloubn\u00ed onemocn\u011bn\u00ed. Cel\u00e9 menu na\u0161eho odd\u011blen\u00ed, ale do budoucna ur\u010dit\u011b, na co se chyst\u00e1me a co mo\u017en\u00e1 tady te\u010fka zarezonovalo v \u010cesk\u00e9 republice, je c\u00edlen\u00e1 l\u00e9\u010dba, u n\u00e1dor\u016f prostaty je to jedna metoda, kter\u00e1 je za\u010dlen\u011bna do cel\u00e9ho toho syst\u00e9mu l\u00e9\u010dby, u karcinomu prostaty, tak u indikovan\u00fdch pacient\u016f je, to bychom r\u00e1di pod\u00e1vali zde v Ostrav\u011b, anebo l\u00e9\u010dba i u dal\u0161\u00edch typ\u016f n\u00e1dor\u016f,<br \/><br \/>mluv\u010d\u00ed 2,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>A promi\u0148te, na z\u00e1klad\u011b tedy va\u0161ich zku\u0161enost\u00ed to pod\u00e1v\u00e1n\u00ed radiofarmak m\u00e1 nejv\u011bt\u0161\u00ed smysl nebo i v\u00fdsledky, u kter\u00fdch onemocn\u011bn\u00ed.<br \/><br \/>mluv\u010d\u00ed 4,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Prakticky u v\u0161ech, u kter\u00fdch se to dostalo do praxe, tam je opravdu velice d\u016fle\u017eit\u00e9 m\u00edt v\u017edy toho konkr\u00e9tn\u00edho pacienta dob\u0159e indikovan\u00e9ho a tam je d\u016fle\u017eit\u00e1 ta spolupr\u00e1ce s t\u011bmi odes\u00edlaj\u00edc\u00edmi l\u00e9ka\u0159i, kdy v\u00edme, jak\u00e9 maj\u00ed b\u00fdt parametry, kter\u00e9 jsou ide\u00e1ln\u00ed pro to, aby ta na\u0161e l\u00e9\u010dba byla co nejefektivn\u011bj\u0161\u00ed tak, aby to fungovalo a ono n\u00e1m k tomu m\u016f\u017ee napomoci ta na\u0161e diagnostika, to na\u0161e vy\u0161et\u0159ov\u00e1n\u00ed. A dneska se mo\u017en\u00e1 mohou i poslucha\u010di setk\u00e1vat, mo\u017en\u00e1 se budou i \u010dast\u011bji setk\u00e1vat s pojmem teranostika, co\u017e zn\u00ed tak tro\u0161ku tajemn\u011b, ale je to spojen\u00ed dvou slov diagnostika a terapie, to znamen\u00e1 vy\u0161et\u0159ov\u00e1n\u00ed i l\u00e9\u010dba, a to znamen\u00e1 to, \u017ee my jednou l\u00e1tkou m\u016f\u017eeme prov\u00e9st jak onu diagnostiku, to znamen\u00e1 vy\u0161et\u0159it si tam m\u00edsta, kter\u00e1 n\u00e1s zaj\u00edmaj\u00ed, kup\u0159\u00edkladu n\u011bjak\u00e1 lo\u017eiska n\u00e1dor\u016f v t\u011ble a pak sou\u010dasn\u011b u\u017e i, bu\u010fto u\u017e ta l\u00e9\u010dba prob\u00edh\u00e1, anebo novou aplikac\u00ed stejn\u00e9 l\u00e1tky, ale jin\u00fdm t\u00edm radionuklidem, to znamen\u00e1 jin\u00fdm z\u00e1\u0159i\u010dem, dok\u00e1\u017eeme p\u0159\u00edmo ta m\u00edsta efektivn\u011b l\u00e9\u010dit a takhle si m\u016f\u017eeme ov\u011b\u0159it pr\u00e1v\u011b tu vhodnost t\u011bch konkr\u00e9tn\u00edch pacient\u016f k t\u00e9 l\u00e9\u010db\u011b, kte\u0159\u00ed budou m\u00edt na t\u00e9 diagnostice n\u00e1lez, kter\u00fd je pr\u00e1v\u011b vhodn\u00fd pro tu samotnou terapii.<br \/><br \/>mluv\u010d\u00ed 2,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>A je radioterapie vhodn\u00e1 pro v\u0161echny, co se t\u00fd\u010de v\u011bku, zdravotn\u00edho stavu nebo jsou tam n\u011bjak\u00e9 kontraindikace.<br \/><br \/>mluv\u010d\u00ed 4,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>V\u017edy je d\u016fle\u017eit\u00e9 zv\u00e1\u017eit p\u0159\u00ednosy, o\u010dek\u00e1van\u00e9 p\u0159\u00ednosy t\u00e9 l\u00e9\u010dby nad potenci\u00e1ln\u00edmi riziky, to znamen\u00e1, samoz\u0159ejm\u011b jsme opatrn\u00ed u mlad\u00fdch pacient\u016f, u d\u011bt\u00ed, tam je to zv\u00e1\u017een\u00ed v\u017edycky, o to v\u00edc obecnou kontraindikac\u00ed m\u016f\u017ee b\u00fdt t\u011bhotenstv\u00ed, ale v\u017edy z\u00e1le\u017e\u00ed na tom, jak u diagnostiky, tak u terapie. V\u017edycky zva\u017eujeme a i ten odes\u00edlaj\u00edc\u00ed l\u00e9ka\u0159 by m\u011bl zv\u00e1\u017eit, \u017ee d\u011bl\u00e1me to pro n\u011bco, a to n\u011bco, co chceme z\u00edskat, mus\u00ed p\u0159ev\u00e1\u017eit n\u011bjak\u00fd ten potenci\u00e1l, je to v\u017edycky jenom n\u011bjak\u00e9 hypotetick\u00e9 riziko se v\u0161\u00edm a t\u00fdk\u00e1 to i nukle\u00e1rn\u00ed medic\u00edny. <br \/><br \/>mluv\u010d\u00ed 2,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Nukle\u00e1rn\u00ed medic\u00edna pat\u0159\u00ed mlad\u0161\u00edm medic\u00ednsk\u00fdm obor\u016fm. Jak\u00e9 podle v\u00e1s t\u00fdk\u00e1 je\u0161t\u011b do budoucna? Mo\u017enosti? M\u00e1te n\u011bjakou vizi?<br \/><br \/>mluv\u010d\u00ed 4,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Tak vizi m\u00e1me ur\u010dit\u011b a ta vize se odv\u00edj\u00ed od toho, jak\u00e9 n\u00e1m ti na\u0161i spolupracuj\u00edc\u00ed specialist\u00e9 budou schopni vyr\u00e1b\u011bt a vyv\u00edjet l\u00e9\u010diva, to znamen\u00e1, my jsme opravdu z\u00e1visl\u00ed na p\u0159\u00edsunu radiofarmak, tak\u017ee tady je ten jeden v\u00fdvoj, to znamen\u00e1, ony l\u00e1tky, kter\u00fdmi l\u00e9\u010d\u00edme nebo diagnostikujeme, tak jejich v\u00fdvoj st\u00e1le prob\u00edh\u00e1 jak na poli t\u011bch radionuklid\u016f, to znamen\u00e1 t\u011bch z\u00e1\u0159i\u010d\u016f, tak t\u011bch l\u00e1tek, kter\u00e9 se v t\u011ble n\u011bjak chovaj\u00ed, kter\u00e9 se potom takhle spoj\u00ed dohromady, tak\u017ee tady ten v\u00fdvoj prob\u00edh\u00e1 a sou\u010dasn\u011b prob\u00edh\u00e1 i v\u00fdvoj na poli vy\u0161et\u0159ovac\u00edch syst\u00e9m\u016f, kamer, na kter\u00fdch vy\u0161et\u0159ujeme, kde i tady se st\u00e1le zlep\u0161uje ta technologie, tak\u017ee ten v\u00fdvoj je a vid\u00edm te\u010fka v t\u00e9 nejbli\u017e\u0161\u00ed dob\u011b ur\u010dit\u011b v\u00fdvoj v l\u00e9\u010db\u011b, v t\u00e9 teranostice.<br \/><br \/>mluv\u010d\u00ed 2,<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Tak j\u00e1 mockr\u00e1t d\u011bkuji za v\u0161echny rady, informace, \u010das vymezen\u00fd na\u0161emu po\u0159adu je u konce. Hostem l\u00e9k\u00e1rny byl dnes Dr. Martin Havel, p\u0159ednosta kliniky nukle\u00e1rn\u00ed medic\u00edny Fakultn\u00ed nemocnice Ostrava, moc d\u011bkuji a m\u011bjte se kr\u00e1sn\u011b.<br \/><br \/><br \/><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>T\u00e9matem l\u00e9k\u00e1rny \u010cesk\u00e9ho rozhlasu je nukle\u00e1rn\u00ed medic\u00edna, a to, jak pom\u00e1h\u00e1 v l\u00e9\u010db\u011b i diagnostice, a pr\u00e1v\u011b proto je hostem ve studiu Dr. Martin Havel, <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=43989\" title=\"Rozhovor o nukle\u00e1rn\u00ed medic\u00edn\u011b\u00a0\u00a0\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14514,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-43989","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/43989","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=43989"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/43989\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14514"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=43989"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=43989"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=43989"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}