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30 August 2022 | Story André Damons | Photo André Damons
UFS Nuclear Medicine
The team of doctors in the Department of Nuclear Medicine behind the success story are, from the left (standing): Dr Osayande Evbuomwan, nuclear medicine specialist and Senior Lecturer; Dr Gerrit Engelbrecht, Clinical Head of the Department of Nuclear Medicine at the UFS; and Dr Walter Endres, nuclear medicine registrar. In front is Dr Tebatso Tebeila, nuclear medicine registrar.

The University of the Free State (UFS) Department of Nuclear Medicine is proud to announce the successful treatment outcome of a patient with metastatic castrate-resistant prostate cancer (MCRPC) – an advanced stage of prostate cancer – by using Lutetium 177 PSMA (Lu-177 PSMA) therapy. This was initially a case of advanced stage prostate cancer, which had failed first-line chemotherapy, leaving little or no other treatment options.

This is a proud and happy moment for the department and the UFS, which started this treatment just over a year ago. The university and the Free State province are now joining other South African medical universities, such as the University of Pretoria, and other provinces in using this method to treat MCRPC patients. Lutetium 177 PSMA (Lu-177 PSMA) therapy is used on MCRPC patients who are not eligible for chemotherapy or have failed first- or second-line chemotherapy.

Dr Gerrit Engelbrecht, Clinical Head of the Department of Nuclear Medicine at the UFS, says the department is proud to be able to offer this treatment option to some of these patients. “It is a big win for the Free State and our oncology patients to be able to offer these expert services.” The UFS and Universitas Academic Hospital have now been able to join up with other academic institutions and hospitals in other provinces to offer these services. So far, three patients have been offered this therapeutic option, with the third patient currently undergoing his treatment.

Funds and equipment for proper treatment selection are needed

The expertise is no longer an issue for the UFS, as Dr Osayande Evbuomwan, nuclear medicine specialist and consultant, was trained and exposed to this therapy at the University of the Witwatersrand during his training as a nuclear medicine resident. Current registrars in the Department of Nuclear Medicine at the UFS are also being trained in the application of this treatment modality. However, proper patient selection is key in the management of these cases with Lu 177 PSMA. Without a PET/CT camera, it is challenging to appropriately select the patients who are most likely to respond to this therapy. This is an example of how PET/CT is crucial in the management and monitoring of oncology patients.

Both Drs Engelbrecht and Evbuomwan hope that the training of more registrars will increase their department’s capacity to treat more patients. They also hope that funds will be made available to acquire a much-needed PET/CT camera, which will greatly assist them in identifying the correct patients in need of this treatment. 

With the permission of the patient, the images above show the dramatic treatment response following Lu-177 PSMA therapy. The images on the left show widespread bone disease from the prostate cancer, including the skull. The images on the right show the dramatic response after completing four cycles of Lu 177 PSMA, with the normal excretion of the radiotracer seen in the liver, kidneys, and bladder.


Treatment puts the department, UFS, and hospital on the map

According to Dr Evbuomwan, the ability to administer this treatment puts the department, the UFS, and the hospital on the map, alongside other top universities within and outside the country. Says he: “It also creates an avenue for us to gather data for training, research purposes, and publications. We are now able to offer a promising, safe, and highly efficacious therapy for patients with MCRPC in the Free State. Some of these patients will no longer have to travel to other provinces to receive this treatment.”


“We are also well aware that not every patient will respond this way; however, proper patient selection is key in identifying responders – an area that is still being researched. We also do not know how long these patients will have their disease under control after the treatment. Nuclear medicine’s greatest cancer therapy success story is the treatment of well-differentiated thyroid cancer with radioactive iodine.” 

“After treatment, most of these patients remain cancer-free for a very long period of time, if not for life. With continuing research in the field of MCRPC radioligand therapy, we aim to improve the treatment modality, hopefully getting it to the success level of thyroid cancer therapy.”

 

News Archive

Two UFS architecture students won prestigious PG Bison 1.618 Competition
2017-10-26

 Description: Bison read more Tags: : Stephan Diedericks, Department of Architecture, Margaux Loubser, Kobus du Preez, Zack Wessels, PG Bison 1.168 Competition 

At the PG Bison 1.618 competition awards ceremony
in Rosebank, were from the left:
Camrin Plaatjes from the University of KwaZulu-Natal;
Stephan Diedericks, winner of the competition;
and Margaux Loubser,
the second-place winner. Both Stephan and
Margaux are studying Architecture at the UFS.
Photo: Supplied



Food that reaches its sell-by date in supermarkets is usually disposed of, but has not yet reached its best-before date.  What happens to this food?  According to Stephan Diedericks, the answer to this is for this food to be repurposed.

Not only does Stephan want to prevent the waste of food – in a world where food security is a challenge – but he also won the prestigious PG Bison 1.618 Competition with his entry in which he suggests that gourmet meals be prepared from food that has reached its sell-by date, and then be served in the Delta Recycletorium. 

Students introduced to park lands in urban areas
Diedericks is a student in the Department of Architecture at the University of the Free State (UFS). Second-place winner in this competition was Margaux Loubser, also a UFS student. Another UFS student, Dehan Kassimatis, was a finalist. They received their awards at a ceremony in Rosebank, Johannesburg, earlier this month. 

The competition, now in its 24th year, was created to recognise the future interior and industrial designers, architects, and key decision-makers in the South African construction industry. It is known not only for the prestige it offers its winners, but also for the tradition-defying brief given to the students each year.

According to lecturers Kobus du Preez and Zak Wessels, in the Department of Architecture, the competition introduced the students to parklands in urban areas. He quotes the competition brief: “Rural to urban migration with the development of commercial and residential property elevates the importance of parklands within cities, in creating a refuge from the hustle of daily life.  These areas are leveraged to encourage healthier living, community interaction and environmental awareness.”

Learning experience more important than prizes
The site that was the focus of the competition is the Environmental Centre, Delta Park Heritage Precinct in Johannesburg. Students needed to transform this old building into a vibrant gastronomic restaurant. “The theme and style of the restaurant was for the student to choose,” said Du Preez. 

Loubser called her restaurant Rooted – a wholefood restaurant.  She was influenced by the geometries of the original Art Deco building. Rooted articulates and integrates the space between nature and the building.  Similar to an Art Deco painting or poster, the landscape is abstracted into terraces which are used to grow vegetables organically.  Vertical green screens soften the divide between the building and its surroundings and it provides shade.

“Our students took their clues from the existing environment and integrated it with a single idea, an abstract concept, which impressed the judges,” Du Preez said. 

Although this is a competition that is well reported in the industry press, Du Preez and Wessels agree that the learning experience for students is much more important than winning the contest. The competition’s brief aligned well with the Department of Architecture’s learning content with its urban focus.

Jacques Steyn, a UFS architecture student, came third in the competition in 2015.

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