I write this as I’m sitting on the train having returned from SNMMI in Vancouver. I am a little jet lagged but also inspired by what is going on in nuclear medicine worldwide and I hope I can communicate my excitement to you. The meeting had about 3000 in person and 3000 virtual delegates which was a good turnout. The commercial exhibition was buzzing with various new pieces of kit being launched. The opening ceremony was something else with native Canadian dancing – roll on the Morris dancers at the next BNMS!
 
Theranostics remains the hottest topic with many sessions on this – particularly Lu177 PSMA. There is great concern worldwide about the infrastructure, equipment and staffing needed to deliver these services if prostate cancer theranostics is as big as predicted. Particularly, if it works better than standard treatment in lower stage patients.
 
The BNMS session on parathyroid imaging was delivered by myself, Stewart Redman and John Buscombe. It was very well received and stimulated a good debate at the end of the session about the optimal way to image parathyroid adenomas with some people arguing for FCH PET-CT as a one stop! I think it is unlikely NHS England would go for that.
 
They say never meet your heroes, but this was impossible at this meeting. Universally they were all very approachable and keen to hear the news from the UK. Richard Whal is the current SNMMI president and wanted to know about BREXIT and the effect on UK nuclear medicine making me give a speech at the international leaders dinner. I was happy to report that our services have not imploded as a result but do continue to have staffing issues which BREXIT has not helped.
 
At BNMS council recently the formal feedback from the Glasgow meeting was reviewed and bar the lunches was universally positive. We even are likely to turn a small profit. Vineet Prakash has now stepped down from his leadership of the SEC and I would like to thank him for the fantastic job that he has done. Brent Drake continues to lead the SEC and is now joined by Ian Armstrong as co-chair. Ian thank you for stepping up, I am sure you will contribute to the continued success of the SEC.
 
We have a joint SPECT-CT meeting with the Royal Free on 6 July which looks to be an excellent virtual study day which I would recommend and the registration for the Autumn BNMS meeting in Swansea is now open and looks great too. Get your dancing clogs on!

Prof Richard Graham

BNMS President