The Society of Nuclear Medicine and Molecular Imaging submitted comments to U.S. Nuclear Regulatory Commission (NRC) on its patient release programs. The NRC announced a request for comments from the general public.

Specifically, the NRC is seeking input from the public on whether additional or alternate criteria are needed and whether to clarify the NRC's current patient release requirements. The information will be used to determine whether significant regulatory changes to the NRC's patient release requirements are warranted.

NRC is seeking feedback in six areas listed below.

  1. Development of an Activity-Based Patient Release Threshold
  2. Clarification of the Time Covered by the Current Dose Limit in 10 CFR 35.75(a) for Releasing Individuals
  3. Appropriateness of Applying the Same Limit on Dose From Patient Exposure to All Members of the General Public
  4. Requirements for Releasing Individuals Who Are Likely To Expose Young Children and Pregnant Women
  5. Requirement for Timely Discussion With the Patient About Patient Isolation to Provide Time for Licensee and Patient Planning
  6. Requirement To Ensure Patients Are Given Instructions Prior to the Procedure

NorCal CarciNET Community submitted a breif letter in support of the SNMMI's position and voiced concerned that any addtional requirement might reduce access to upcoming new therapy options for NETs that have very low radiation exposure to the general public.

If you would like to comment in support of the SNMMI's or NorCal CarciNET Communty's position click here. You may add your comments through June 27, 2017.

Advocates rally to protect federal funding of cancer research

The White House released a 2018 budget outline on March 14, 2017 that cuts National Institutes of Health (NIH) spending by nearly 20 percent. NorCal CarciNET shares the concern expressed by other cancer-related organizations and our collaborators that a funding decrease of this magnitude could disrupt, even derail, America’s cancer investigators and research institutions. These cut will amount to nearly $100 million shortfall to UCSF and Stanford only according to the San Francico Chronicle. These cut include a nearly $1.2 billion dollar cut for the NIH in FY2017.

FASEB Infograph

NIH funding critical
More than 80 percent of the $32 billion NIH budget is awarded to universities, medical schools and other research institutions through a competitive grant process. NIH grants often comprise a significant portion of an institution’s or individual investigator’s funding.

Speaking Up: What stands in the way of patient-physician conversation about neuroendocrine tumors and carcinoid syndrome?

Screen Shot 2017 01 07 at 11.53.19 AMYou, your family caregivers and fellow members of the neuroendocrine tumor (NET) community are cordially invited to attend an informal discussion hosted by Lexicon Pharmaceuticals about the barriers and opportunities in discussing NET and carcinoid syndrome with your healthcare professional team.

This session promises to be both informative and thought-provoking.

When: Friday, January 20
7 pm to 9:30 pm PT

Where: Intercontinental Hotel, San Francisco
Telegraph Hill Room (4th Floor)
888 Howard Street
Valet parking at the hotel will be validated.


This event is sponserd by Lexicon Pharmaceuticals

The U.S. Food and Drug Administration today approved Xermelo (telotristat ethyl) tablets in combination with somatostatin analog (SSA) therapy for the treatment of adults with carcinoid syndrome diarrhea that SSA therapy alone has inadequately controlled.

“Today’s approval will provide patients whose carcinoid syndrome diarrhea is not adequately controlled with another treatment option,” said Julie Beitz, M.D., director of the Office of Drug Evaluation III in the FDA’s Center for Drug Evaluation and Research.

This new treatment is now available by prescription and will be in select specialty pharmacies beginning March 6, 2017.

To read more about the approval click here for the FDA's release or here for the Lexicon press release.

For those needing information on how to getting Xermelo please click here.


2016 has been a truly groundbreaking year for NorCal CarciNET Community and the NET Community as a whole.

We started the year in January with nearly 350 members of our  community coming together for our annual conference - our largest yet. We were also joined by over 500 people on a live stream. During the conference, Josh Mailman, NorCal CarciNET's president, was honored with the Warner Advocacy Award for his work in the NET Community. We look forward to seeing everyone again on February 4, 2017 at our next annual conference which will be hosted by Stanford. Registration will be opening. 

NCCN at ORFIn March, 90 members of our community joined together to raise NET awareness at the Oakland running festival. In our 4th year at the festival we raised over $5,000 for our community programs. We hope to be over 100 strong when we take part in our 5th festival on April 2, 2017.
To join us please click here.

In 2016, we expanded our community meetings thanks to a collaboration with UCSF. Our community now has an an opportunity to meet monthly, meeting on even month at the Cancer Support community in Walnut Creek and odd months at UCSF Mission bay. To see our current meeting schedule please check our website’s meeting page. Funding for our meetings is provided by our community contributions.


In our continuing goal to educate both patients and the medical community, NorCal CarciNET awarded 4 education grants (2 for patients and 2 for doctors.) Our patient grantees, along with members of the NorCal CarciNET board, attended the 3 day Neuroendocrine Awareness Network Conference in New Orleans.  Our doctor grantees attended the North American Neuroendocrine Tumor Society in Jackson Hole at the end of September. Dr. Hope from UCSF, one of our grantees, has presented to our community several times in 2016, and Dr. Padda from Stanford will be presenting her work on in pulmonary disease in 2017.

Josh maintained an active advocacy schedule on the community's behalf, travelling locally, nationally and internationally. He was honored to give Radiology Grand Rounds at Stanford this fall while continuing his work with national and international organizations that has taken him around the world speaking to medical communities about issues important to our patient community. His travels have taken him to Johannesburg and Cochin, India, speaking on living with a rare disease, to Barcelona speaking on dosimetry to Melbourne speaking on the needs of randomized control trials in nuclear medicine.

Our NorCal CarciNET community once again hosted a patient education day in nuclear medicine last June at the Society of Nuclear Medicine and Molecular Imaging's annual meeting in San Diego. We were grateful to be joined by our colleagues in San Diego and Los Angeles as we had nearly 75 patients learning from a international panel of NET experts.

It would be hard to close out the year without highlighting our ongoing collaboration with NETRF. In November, Josh was elected to the board of Neuroendocrine Tumor Research Foundation ( in recognition of the work he has done in the NET Community and his collaboration with NETRF in support of its efforts in NET education and NET research funding.


Strength in Community 

By the Numbers 2016
8 Community meetings held (2017 we will have 12) 
325 Patients and caregivers attended our Community meetings
5 Private discussions groups hosted for those who attend meetings
7,500 Messages processed by our discussion group server
350 Participants in this year's Bay Area Conference
525 Watched our Bay Area Conference Live 
90 Participants at the Oakland Running Festival
$6,000 Amount raised by our Oakland Running Festival participants for NorCal CarciNETS
5,000 Unique visitors to our website (up 20%) 
6,000 Files downloaded from our file section
1,500 People worldwide have joined our mailing list
Terabyte of videos hosted by NorCal CarciNET
150,000 Number of videos loaded from our video server
6,000 Videos watched from our video server
70 Number of countries from where videos were watched from 
105 Contributors who made this all possible

NorCal CarciNET Community is a 501(c)(3) (Tax-Id 45-2968919)

Contribution made to our group are tax deductible.