Abstract
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. 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. 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. 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".
Highlights
Nuclear Medicine (NM) is a discipline which uses radioactivity in diagnosis and treatment of disease
By 2023, Turkey will need around 820 nuclear medicine (NM) specialists, 498 gamma cameras and 99 PET/CT devices
Given 446 NM specialists existing in summarized in Table 1; while the distribution of the Turkey, there is only 1 NM specialist for 170.000 people
Summary
Nuclear Medicine (NM) is a discipline which uses radioactivity in diagnosis and treatment of disease. NM procedures are indisputable in diagnosis and treatment of cancer, and its importance is increasing. These applications contribute in diagnosis of diseases, staging, and monitoring response to therapy and to the re-staging procedures if needed. In addition to PET/CT systems currently used in routine, SPECT-CT systems have started to spread in the field of oncology (WHO, 2003; World Cancer Report, 2008; Alberini et al, 2011). 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. Equipment insufficiency was more significant in the Ministry of Health (MoH) hospitals. 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”
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