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"justification": [
"Korva-, nen\u00e4-, ja kurkkutautien ja foniatrian vastaanottojen yhteydess\u00e4 Turun yliopistollisen keskussairaalan Majakkasairaalassa on toimenpidehuone, jossa tehd\u00e4\u00e4n polikliinisia toimenpiteit\u00e4 erilaisten taipuisien t\u00e4hystimien avulla. Toimenpiteiden p\u00e4\u00e4kohteet ovat n\u00e4iss\u00e4 tapauksissa kurkunp\u00e4\u00e4 ja ruokatorvi, joiden limakalvoilla esiintyvist\u00e4 muutoksista voidaan ottaa koepaloja puudutuksessa. Koepalan ottokohdan kohdentaminen on haastavaa ja tutkittaessa k\u00e4ytett\u00e4v\u00e4 erikoisvalo parantaa osuvuutta. NBI (Narrow Band Imaging)-tekniikka on ehdoton vaatimus hankittavalle tornille ja suorahankinnan peruste.",
"",
"NBI-termi viittaa tekniikkaan, jonka avulla limakalvoa tarkastellaan sinivihre\u00e4ll\u00e4 valolla. Toisin kuin valkoinen valo, NBI tuo limakalvojen verisuonirakenteet paremmin esiin ja t\u00e4ll\u00f6in my\u00f6s poikkeavat verisuonisyker\u00f6t ja muut pahanlaatuistumisprosessiin liittyv\u00e4t verisuoni-ilmi\u00f6t n\u00e4kyv\u00e4t paremmin. NBI-tekniikkaa tarvitaan, jotta koepalat tulevat otettua oikeasta kohdasta limakalvoa ja mahdollisen sy\u00f6v\u00e4n tai sy\u00f6v\u00e4n esiasteen toteaminen tapahtuu varhaisemmassa vaiheessa kuin pelk\u00e4ll\u00e4 valkoisella valolla tutkittaessa. ",
"",
"NBI-valonl\u00e4hteell\u00e4 on ainoastaan yksi mahdollinen toimittaja, Olympus Finland Oy. Valonl\u00e4hdett\u00e4 ei voi yhdist\u00e4\u00e4 muiden valmistajien laitteisiin. Olympuksen laitteisto on markkinoiden ainoa, jossa on NBI-toiminto. Laitteisto soveltuu yll\u00e4 mainittuun k\u00e4ytt\u00f6tarkoitukseen ja on yhteensopiva osastolla jo olemassa oleviin laitteisiin. Foniatrian vastaanotoilla jo valmiiksi k\u00e4yt\u00f6ss\u00e4 olevien taipuisien t\u00e4hystimien tulee sopia toimenpidehuoneen t\u00e4hystystorniin. Toimenpidehuoneessa voidaan tehd\u00e4 samana p\u00e4iv\u00e4n\u00e4 viisikin kurkunp\u00e4\u00e4toimenpidett\u00e4, jolloin taipuisia t\u00e4hystimi\u00e4 pit\u00e4\u00e4 olla useita, ja t\u00e4hystimien tulee muutenkin olla joustavasti k\u00e4ytett\u00e4viss\u00e4 eri vastaanotoilla. Kaikki foniatrian vastaanottojen t\u00e4hystystornit ja taipuisat t\u00e4hystimet ovat Olympuksen. ",
""
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