DOI QR코드

DOI QR Code

Planning of Nuclear Medicine in Turkey: Current Status and Future Perspectives

  • Goksel, Fatih (General Secretariate of Curative Services, Turkish Ministry of Health) ;
  • Peksoy, Irfan (Division of Nuclear Medicine, Ankara Numune Training and Research Hospital) ;
  • Koc, Orhan (General Secretariate of Curative Services, Turkish Ministry of Health) ;
  • Gultekin, Murat (Department of Cancer Control, Turkish Ministry of Health) ;
  • Ozgul, Nejat (Department of Cancer Control, Turkish Ministry of Health) ;
  • Sencan, Irfan (General Secretariate of Curative Services, Turkish Ministry of Health)
  • Published : 2012.05.30

Abstract

Background and Purpose: An analysis of the current nuclear medicine (NM) status and future demand in Turkey in line with the international benchmarks was conducted to establish a comprehensive baseline reference. Methods: Data from all NM centers on major equipment and manpower in Turkey were collected through a survey and cross-checked with the primary research and governmental data. Data regarding manpower currently working were obtained from the relevant academic centers and occupational societies. Results: The current numbers of NM laboratories, NM specialists, gamma cameras, PET/CT scanners, radioiodine treatment units for thyroid cancer are 217, 474, 287, 75 and 39, respectively. There was personnel and equipment need underestimated in the field compared to developed countries. Equipment insufficiency was more significant in the Ministry of Health (MoH) hospitals. These gaps should be eliminated with strategic planning of equipment and NM laboratories. Currently, the number of the PET/CT devices is at the level of the developed countries. The number of specialists in the field should reach the expected goal in 2023. By 2023, Turkey will need around 820 NM specialists, 498 gamma cameras and 99 PET/CT devices. In addition, further studies should be made regarding other related staff, particularly for health physicians, radiopharmacists and NM technicians. Conclusion: There is an insufficiency of personnel and equipment in Turkey's NM field. Comprehensive strategic planning is required to allocate limited resources and the purchase of the equipment and employment policies should be structured as part of "National Special Feature Requiring Health Service Plan".

Keywords

References

  1. Alberini JL, Edeline V, Giraudet AL, et al (2011). Single photon emission tomography/computed tomography (SPET/CT) and positron emission tomography/computed tomography (PET/CT) to image cancer. J Surg Oncol, 103, 602-6. https://doi.org/10.1002/jso.21695
  2. Ayse M (2008). Turkiye'de PET Görüntülemenin Durumu. Turk J Nucl Med, 17, 1-9
  3. Tsui BM, Chen S, Xu J, et al (2010). The Development of SPECT-MR Instrumentation and Techniques for Preclinical Small Animal Imaging. Novel Hybrid Molecular Imaging Technology. [Internet]. [cited 2012 March 26]. Available from http://www.wmicmeeting.org/2010/Abstracts/forSystemUse/papers/0114. html
  4. Beyer T, Freudenberg LS, Czernin J, Townsend DW (2011). The future of hybrid imaging-part 3: PET/MR, small-animal imaging and beyond Insights Imaging. Insights Imaging, 2, 235-46 https://doi.org/10.1007/s13244-011-0085-4
  5. Blodgett T (2008). Best practices in PET/CT: consensus on performance of positron emission tomography-computed tomography. Semin Ultrasound CT MR, 29, 236-41. https://doi.org/10.1053/j.sult.2008.05.007
  6. Blodgett T (2010). Best practices: consensus on performing positron emission tomography-computed tomography for radiation therapy planning and for therapy response assessment. Semin Ultrasound CT MR, 31, 506-15. https://doi.org/10.1053/j.sult.2010.10.006
  7. Cetin O , Fatih K (2010). Istanbul Universitesi Cerrahpasa Tip Fakultesi Surekli Tip Egitimi Etkinlikleri Sempozyum Dizisi No: 69 [Internet]. [cited 2012 Jan 10]. Available from :http://www.ctf.edu.tr/stek/pdfs/69/6901.pdf
  8. Durak H (2005). Nukleer tıpta uzman sayısı planlaması. Turk J Nucl Med, 14, 71-5
  9. EURATOM 97/43 (1997). [Internet]. [cited 2012 March 26]. Available from http://ec.europa.eu/energy/nuclear/radioprotection/doc/legislation/9743_en.pdf
  10. Fatih Goksel (2011). Onkoloji Hizmetleri. Turkiye'de ozellikli planlama gerektiren saglik hizmetleri 2011-2023, P 35-97. ISSBN: 978-975-590-373-6.
  11. Globocan (2008). Database. 2010 projections. 2010. [cited 2011 July 1]. Available from: http://globocan.iarc.fr/
  12. Gonzales P, Munoz A (1996). The need for nuclear medicine specialists and gamma cameras. Rev Med Chil, 124, 1528-31
  13. Irina Cleemput, C' ecile Camberlin, Ann Van den Bruel, Dirk Ramaekers (2008). Methodology for calculating a country's need for positron emission tomography scanners. Int J Technol Assess Health Care, 24, 20-4. https://doi.org/10.1017/S0266462307080038
  14. Jansen DR, Krijger GC, Kolar ZI, Zonnenberg BA, Zeevaart JR (2010). Targeted radiotherapy of bone malignancies. Curr Drug Discov Technol, 7, 233-46. https://doi.org/10.2174/157016310793360675
  15. Kanser.gov [Internet]. 2004-2006 Yılları Turkiye Kanser Insidansi [Turkey Cancer Incidence in years 2004-2006]. Ankara: Turkish Ministry of Health, Department of Cancer Control; na [updated na; cited 2012 Jun 5]. Available from: http://www.kanser.gov.tr/folders/file/8iL-2006-SON.pdf
  16. Karakaya MD (2009). Provincial and regional population projections for the centenary of the Republic of Turkey [dissertation]. [Ankara]: Hacettepe University. 416 p.
  17. Karayalcın B, Bayhan H, Degirmenci B, et al (2003). Nukleer Tıpta Is Gucu Planlaması: Turkiye'deki Durum, UDKK Kurultayı, Izmir, 2003
  18. Konrady A, Bencsik Z, Locsey Z, Benik T (2011). Outcome of differentiated thyroid cancer after initial treatment. Orv Hetil, 152, 1731-8 https://doi.org/10.1556/OH.2011.29227
  19. Liepe K, Zaknun JJ, Padhy A, et al (2011). Radiosynovectomy using yttrium-90, phosphorus-32 or rhenium-188 radiocolloids versus corticoid instillation for rheumatoid arthritis of the knee. Ann Nucl Med, 25, 317-23. https://doi.org/10.1007/s12149-011-0467-1
  20. Malygina AI, Nikitina RG (1978). Intracavitary administration of liquid radioisotopes. Med Radiol (Mosk), 23, 76-80.
  21. Mariani G, Strauss HW (2011). Positron emission and singlephoton emission imaging: synergy rather than competition. Eur J Nucl Med Mol Imaging, 38, 1189-90 https://doi.org/10.1007/s00259-011-1767-3
  22. Michael Bedford, Michael N. Maisey (2004). Requirements for clinical PET: Comparisons within Europe. Eur J Nucl Med Mol Imaging, 31, 208-21. https://doi.org/10.1007/s00259-003-1351-6
  23. Mowatt G, Vale L, Brazzelli M, et al (2004). Systematic review of the effectiveness and cost-effectiveness, and economic evaluation, of myocardial perfusion scintigraphy for the diagnosis and management of angina and myocardial infarction. Health Technol Assess, 8, iii-iv.
  24. Murthy R, Habbu A, Salem R. Trans-arterial hepatic radioembolisation of yttrium-90 microspheres (2006). Biomed Imaging Interv J, 2, 43.
  25. Purandare NC, Rangarajan V (2010). PET-CT in oncology. J Postgrad Med, 56, 103-8. https://doi.org/10.4103/0022-3859.65277
  26. Seo Y, Mari C, Hasegawa BH (2008). Technological development and advances in single-photon emission computed tomography/ computed tomography. Semin Nucl Med, 38, 177-98. https://doi.org/10.1053/j.semnuclmed.2008.01.001
  27. TUIK ( 2011). Turkey in Statistics 2011 [Internet]. [cited 2012 March 26]. Available from www.tuik.gov.tr/IcerikGetir.do?istab_id=5
  28. Tuncer MA, Ozgul N, Olcayto E, Gultekin M (2010). Cancer Control in Turkey. 1st ed. Ankara: Republic of Turkey Ministry of Health; . 412 p
  29. Turk Kardiyoloji Dern Ars - Arch Turk Soc Cardiol (2010). 38 Suppl 1
  30. TURKSTAT (2011) [Internet]. Mid-year population projections by age group and sex. Ankara: Turkish Statistical Institute. na -[cited 2011 Jan 1]. Available from: http://www.turkstat.gov.tr/VeriBilgi.do?tb_id=39&ust_id=11.
  31. Underwood SR, Anagnostopoulos C, Cerqueira M, et al (2004). Myocardial perfusion scintigraphy: the evidence. Eur J Nucl Med Mol Imaging, 31, 261-91. https://doi.org/10.1007/s00259-003-1344-5
  32. WHO Global cancer rates could increase by 50% to 15 million by 2020. [Internet]. [cited 2010 June 10]. Available from: http://wwwwhoint/mediacentre/news/releases/2003/pr27/en/
  33. World Cancer Report 2008. [Internet]. [cited 2011 June 30]. Available from http://wwwiarcfr/en/publications/pdfsonline/wcr/2008/wcr_2008.pdf