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"Turun yliopistollinen keskussairaala toteuttaa yhden (1) 3D-rengasmaisen SPECT\/TT-laitteen (j\u00e4ljemp\u00e4n\u00e4 SPECT\/TT) hankinnan hankintalain 40 \u00a7:n mukaisella suorahankintamenettelyll\u00e4, jossa hankintayksikk\u00f6 neuvottelee valitsemansa toimittajan kanssa hankintasopimuksen ehdoista julkaisematta hankintailmoitusta.",
"SPECT\/TT -laitetta k\u00e4ytet\u00e4\u00e4n yleisimpiin gammakuvauksiin, kuten luuston gammakuvauksiin, erilaisiin vartijaimusolmuketutkimuksiin sek\u00e4 lis\u00e4kilpirauhas- ja dopamiinitransportterikuvauksiin. Laitteella tehd\u00e4\u00e4n SPECT\/TT-yhdistelm\u00e4kuvauksia kuten luuston ja syd\u00e4nlihasperfuusion SPECT\/TT -kuvauksia ja erityisesti lapsitutkimuksia. Laitteen TT-osan tulee soveltua onkologisiin varjoainetutkimuksiin. Laite on k\u00e4yt\u00f6ss\u00e4 5 p\u00e4iv\u00e4\u00e4 viikossa ja sill\u00e4 tehd\u00e4\u00e4n arviolta 1100 - 1300 isotooppitutkimusta vuodessa.",
"",
"SPECT\/TT -laitteen keskeisin etu verrattuna 2D-laitteeseen on korkea herkkyys mittaussignaalille. 3D-laitteessa mittausp\u00e4\u00e4t voidaan fokusoida pienempiin kuvauskohteisiin, jolloin laitteen herkkyytt\u00e4 voidaan lis\u00e4t\u00e4 entisest\u00e4\u00e4n moninkertaiseksi verrattuna perinteiseen 2D-laitteeseen. CZT-detektorimateriaalin ansiosta 3D-laitteen energianerotuskyky ja paikkatarkkuus ovat my\u00f6s merkitt\u00e4v\u00e4sti parempia kuin analogisen 2D-laitteen.",
"Tyksin Isotooppiosastolla otetaan vuonna 2022 k\u00e4ytt\u00f6\u00f6n 99mTc-PSMA radiol\u00e4\u00e4keaine, joka mahdollistaa aiempaa pienempien ja vaikeammin erottuvien et\u00e4pes\u00e4kkeiden arvioinnin korkean riskin eturauhassy\u00f6p\u00e4potilailla. SPECT\/TT:ll\u00e4 on mahdollista kuvata korkean herkkyyden ja hyv\u00e4n paikkaerotuskyvyn ansiosta sellaisia pieni\u00e4 et\u00e4pes\u00e4kkeit\u00e4, joita 2D-laitteella ei pystyt\u00e4 diagnosoimaan. Korkean riskin eturauhassy\u00f6v\u00e4n levinneisyysselvitykset tulee tehd\u00e4 nykysuosituksien perusteella luuston gammakuvauksella ja vartalon varjoainekuvauksella. Yhdysvalloissa on jo sis\u00e4llytetty suosituksiin (NCCN) PET-PSMA -kuvaus ja n\u00e4in tapahtuu l\u00e4hivuosina my\u00f6s Euroopassa (EAU). 3D-laite on v\u00e4ltt\u00e4m\u00e4t\u00f6n hankinta korkeatasoiseen eturauhassy\u00f6p\u00e4potilaiden diagnostiikkaan 99mTc-PSMA:lla, jota l\u00e4hitulevaisuuden suositukset tulevat edellytt\u00e4m\u00e4\u00e4n.",
"SPECT\/TT -laitteen muutkin kliiniset edut ovat kiistattomat. Laitteella voidaan tehd\u00e4 syd\u00e4nlihasperfuusion gammakuvauksia aiempaa nopeammin ja pienemm\u00e4ll\u00e4 s\u00e4deannoksella. Nopea ja herkk\u00e4 kuvaus mahdollistaa dynaamisen ja kvantitatiivisen SPECT\/TT:n, jolloin esimerkiksi kolmen sepelvaltimosuonen taudin diagnosointi olisi mahdollista syd\u00e4nlihasperfuusiotutkimuksessa. T\u00e4m\u00e4 ei ole luotettavasti mahdollista nykyisill\u00e4 2D-SPECT\/TT -laitteilla. 3D-laitteen korkea herkkyys ja paikkatarkkuus etenkin fokusoidulla kuvauksella sek\u00e4 CZT-detektorin erinomainen energianerotuskyky parantavat merkitt\u00e4v\u00e4sti Parkinson-taudin diagnostiikkaa ja pienten lis\u00e4kilpirauhasadenoomien paikannustarkkuutta. 3D-laitteen korkea herkkyys mahdollistaa my\u00f6s s\u00e4teilynk\u00e4yt\u00f6n merkitt\u00e4v\u00e4n v\u00e4hent\u00e4misen tai mittauksen nopeuttamisen aikuis- ja etenkin lapsipotilailla.",
"SPECT\/TT -laite parantaa kaikkien yleisimpien isotooppitutkimusten diagnostista tarkkuutta sek\u00e4 edist\u00e4\u00e4 potilaiden ja henkil\u00f6kunnan s\u00e4teilysuojelua. Modernia laitetekniikkaa edustava 3D-laite on v\u00e4ltt\u00e4m\u00e4t\u00f6n investointi Tyks isotooppiosastolle, kun potilaille halutaan tarjota parasta isotooppidiagnostiikkaa tulevina vuosina. T\u00e4ll\u00e4 investoinnilla vastataan l\u00e4hitulevaisuuden kliinisiin haasteisiin ja edistet\u00e4\u00e4n merkitt\u00e4v\u00e4sti potilaiden diagnostiikkaa perinteisell\u00e4 isotooppil\u00e4\u00e4ketieteell\u00e4.",
"",
"Hankintayksik\u00f6n toteuttaman markkinakartoituksen perusteella SPECT\/TT -laitetta valmistaa kaksi yrityst\u00e4; GE Healthcare ja Spectrum Dynamics Medical, joilla kummallakin on tarjolla yksi yleisk\u00e4ytt\u00f6inen SPECT\/TT -laite. Spectrum Dynamics Medical on pienehk\u00f6 laitevalmistaja, jolla ei ole myynti- eik\u00e4 huolto-organisaatiota Suomessa eik\u00e4 Pohjoismaissa. GE Healthcarella on kotimainen myynti- ja huolto-organisaatio. Laitteen k\u00e4yt\u00f6n kannalta kotimainen huolto-organisaatio on v\u00e4ltt\u00e4m\u00e4t\u00f6n, mist\u00e4 johtuen 3D-rengasmainen SPECT\/TT -laite esitet\u00e4\u00e4n suorahankittavaksi GE Healthcare Finland Oy:st\u00e4.",
"",
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