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"Hankinnan kohteena on uusi magneettikuvauslaitteisto (MRI). Hankittava laite tulee sijoittumaan P-K:n keskussairaalaan, kuvantamiskeskuksen r\u00f6ntgenosastolle.",
"Kuvantamiskeskukseen kuuluu viisi yksikk\u00f6\u00e4: kliininen fysiologia, kliininen neurofysiologia, isotooppil\u00e4\u00e4ketiede, patologia sek\u00e4 r\u00f6ntgenosasto. Kuvantamiskeskus vastaa Siun soten alueen kuvantamisen eritysosaamisesta. Kuvantamiskeskuksessa tehd\u00e4\u00e4n TT, PET-TT, SPET-TT ja MRI tutkimuksia. Pohjois-Karjalassa syd\u00e4n- ja verisuonisairaudet ovat lukum\u00e4\u00e4r\u00e4llisesti korkealla tasolla ja t\u00e4m\u00e4n vuoksi syd\u00e4n- ja verisuonikuvantaminen on yksi sairaalan painopisteist\u00e4. R\u00f6ntgenosastolla ty\u00f6skentelee n. 50 r\u00f6ntgenhoitajaa ja n. 15 radiologia, joista osa osallistuu MRI\u2013kuvantamiseen.",
"Joensuun keskussairaala on laajan p\u00e4ivystyksen sairaala ja n\u00e4in ollen r\u00f6ntgenosastolla on toimintaa ymp\u00e4ri vuorokauden.",
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"Laitteiston hankintahinnalle on asetettu kattohinta 1 220 000 euroa (alv 0%). Kattohintaan tulee sis\u00e4lty\u00e4 laitteisto, joka soveltuu sairaalamme toimintaan mahdollisen parhaalla tavalla, kuitenkin niin, ett\u00e4 ehdottomat vaatimukset (kohta \"hankinnan kohteen kriteerit\" sek\u00e4 liite 1 Kliiniset spesifikaatiot) t\u00e4ytyy.",
"Asettamamme hintakaton puitteissa toimittajan tulee r\u00e4\u00e4t\u00e4l\u00f6id\u00e4 sairaalaamme varten MRI-kokonaisuus, mik\u00e4 vastaa parhaiten meid\u00e4n k\u00e4sityst\u00e4mme laadullisesti parhaasta laitteesta. Tulemme valitsemaan laadullisesti parhaimman MRI-kokonaisuuden.",
"Vuodessa Siun sotella suoritetaan yhteens\u00e4 n. 8 000 MRI-tutkimusta. Uudella laiteella tullaan kuvamaan n. 4 000 tutkimusta vuodessa, kuvausm\u00e4\u00e4r\u00e4t nousevat jatkuvasti. Kuvauksiin kuuluu sek\u00e4 yleis- ett\u00e4 erikoistutkimuksia (mm. syd\u00e4men kuvantaminen, mammo-MRI ja verisuonitutkimukset esim. alaraaja-angiot).",
"Laitteella tullaan kuvaamaan sek\u00e4 lapset ett\u00e4 aikuiset, lis\u00e4ksi my\u00f6s obeesi- ja huonosti ko-operoivat potilaat, usein my\u00f6s vuodepotilaita ja potilaita joilla on ahtaanpaikankammo. Kuvauksia tehd\u00e4\u00e4n my\u00f6s anestesiassa. Yh\u00e4 usein potilailla on implantti.",
"P\u00e4\u00e4asiallisiin tutkimuksiin kuuluvat:",
"\u2022aivojen kuvaus (my\u00f6s perfuusio)",
"\u2022vartalon ja vatsan alueen kuvaus (my\u00f6s dynaaminen)",
"\u2022prostatan kuvaus",
"\u2022muskuloskeletaaliset kuvaukset",
"\u2022verisuonitutkimukset (tehosteisena sek\u00e4 non-contrast-tekniikalla)",
"\u2022syd\u00e4men kuvaus EKG-tahdistettuna",
"\u2022rinnat",
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"Syd\u00e4men kuvantamiseen osalta toivomme, ett\u00e4",
"\u2022laiteella tulee pysty\u00e4 kuvamaan rytmih\u00e4iri\u00f6isi\u00e4 potilaita (sykkeelt\u00e4\u00e4n vaihtelevia, matalasta korkeaan, ep\u00e4s\u00e4\u00e4nn\u00f6llisi\u00e4 sykkeit\u00e4)",
"\u2022tulee pysty\u00e4 kuvamaan suoniltaan kalkkisia potilaista (tupakoitsijat, i\u00e4kk\u00e4\u00e4t)",
"\u2022laiteella aiotaan kuvata my\u00f6s potilaita, joille on tehty aiempi sepelvaltimotoimeenpide (stentatut ja ohitusleikatut)",
"\u2022tulee pysty\u00e4 arvioimaan syd\u00e4men toiminta.",
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"Osastollamme on k\u00e4yt\u00f6ss\u00e4 t\u00e4ll\u00e4 hetkell\u00e4 Siemens Sola, 1.5T MRI-laite. Hoitajamme on koulutettu t\u00e4h\u00e4n laitteen k\u00e4ytt\u00f6\u00f6n. Laiteella on k\u00e4yt\u00f6ss\u00e4 seuraavat kelat:",
"\u2022p\u00e4\u00e4kela\u201320 kanavainen",
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"\u2022olkap\u00e4\u00e4kela\u201316 kanavainen",
"\u2022rannekela\u201316 kanavainen",
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"\u2022ala-raaja angiografia kela",
"\u2022syd\u00e4nkela\u201318 kanavainen",
"\u2022rintakela\u201318 kanavainen",
"\u2022Felx-kelat\u201318 kanavainen",
"Lis\u00e4ksi osastollamme on k\u00e4yt\u00f6ss\u00e4 Siemensin toimittama syngo-via palvelinpohjainen ratkaisu kuvien j\u00e4lkik\u00e4sittelyyn ja rekonstruointiin. L\u00e4\u00e4k\u00e4rimme on koulutettu k\u00e4ytt\u00e4m\u00e4\u00e4n t\u00e4t\u00e4 ohjelmistoa."
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"hilmaSubmissionDate": "2022-01-25T06:27:04.2331668",
"dateCreated": "2022-01-25T06:27:03.9150931",
"dateModified": "2022-01-28T08:00:19.7060697"
}