North Estonia Medical Centre: Difference between revisions

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(Added a new section "Novel Therapies and Diagnostic Methods")
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== [[Novel Therapies and Diagnostic Methods]] ==
== [[Novel Therapies and Diagnostic Methods]] ==
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=== Diagnostics ===
{| class="wikitable"
! Radiology !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Machine || CT scanners || 5 ||
|-
| Machine || MRI (specify the strength and field of the techniques) || 3 || 14,283
|-
| Machine || Mammography (please specify analogic mammography or digital) || yes (digital) ||
|-
| Machine || Ultrasound || yes || 62,238
|-
| Machine || Gamma Camera || 1 ||
|-
| Machine || Radiation Therapy Devices || 5 || 1,600 patients (2020)
|-
| Machine || Angiograph || 5 ||
|-
| Technique || Radioisotope || yes || 2,434
|-
| Technique || MRI-guided biopsy || yes ||
|-
| Technique || X-rays || yes || 118,621
|-
| Technique || Stereostatic biopsy || yes ||
|-
| Technique || Ultrasound guided biopsy || yes ||
|-
| Technique || Endoscopic retrograde cholangiopancreatography (ERCP) || yes ||
|-
| Technique || CT guided biopsis || yes ||
|-
| Technique || Angiography || yes ||
|-
! Nuclear Medicine !!  !!  !! 
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Machine || Pet Scan || yes ||
|-
| Machine || PET (PET CT + PET MRI) || 1 ||
|-
| Machine || PET CT || yes ||
|-
| Machine || SPECT CT || yes ||
|-
| Technique || Sentinel node scintigraphy || yes ||
|-
! Pathology !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Facility || Cytology laboratory || yes ||
|-
| Facility || Histopathology laboratory || yes ||
|-
| Technique || FISH (Fluorescence In Situ Hybridization) || yes ||
|-
| Technique || PCR (Polymerase Chain Reaction) || yes ||
|-
! Pathology: Molecular Tests !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Technique || PGR || yes ||
|-
| Technique || KI-67 || yes ||
|-
| Technique || PDL1 || yes ||
|-
| Technique || ER || yes ||
|-
| Technique || KRAS || yes ||
|-
| Technique || BRAF || yes ||
|-
| Technique || EGFR || yes ||
|-
| Technique || ALK || yes ||
|-
| Technique || ROS || yes ||
|-
| Technique || HER2 status || yes ||
|-
! Others !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Technique || Bronchoscopy || yes ||
|-
| Technique || Hysteroscopy || yes ||
|-
| Technique || Video dermatoscopy || yes ||
|}
=== Treatment ===
{| class="wikitable"
! Surgical Oncology !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Specialist || Breast surgery || yes ||
|-
| Specialist || Urological surgery || yes ||
|-
| Specialist || Thoracic surgery || yes ||
|-
| Specialist || Digestive surgery || yes ||
|-
| Specialist || Neurosurgery || 8 ||
|-
| Specialist || Gynaecological surgery || yes ||
|-
| Specialist || Head and neck surgery || yes ||
|-
| Specialist || Soft tissue surgery || yes ||
|-
| Specialist || Oncoplastic surgery || yes ||
|-
| Specialist || ENT surgery || yes ||
|-
! Radiotherapy !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Machine || Linear accelerators with IMRT/VMAT || yes ||
|-
| Machine || Linear accelerators with IGRT || yes ||
|-
| Machine || Linear accelerators with SBRT/SRS || 2 ||
|-
| Machine || Brachytherapy unit || yes || 400 (2020)
|-
| Technique || Intraperitoneal chemo-hyperthermia ( HIPEC) || yes ||
|-
| Technique || Treatment Planning System || yes ||
|-
| Technique || Chemoembolization || yes ||
|-
| Technique || Thermal ablation (with radiofrequency or microwave) || yes ||
|-
| Technique || 4D Radiotherapy planning for lung tumors || yes ||
|-
| Technique || 3D conformal radiotherapy || yes ||
|-
| Technique || Radiosurgery || yes ||
|-
| Technique || Proton therapy || yes || 21,300 (2020)
|-
| Technique || Respiratory motion management || yes ||
|-
| Technique || Conventional simulation || yes ||
|-
| Technique || CT planning || yes ||
|-
| Technique || Magnetic resonance for radiotherapy treatment planning || yes ||
|-
| Technique || PET CT treatment planning || yes ||
|-
! Hemato-Oncology / Bone Marrow Transplants !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Facility || Bone marrow / stem cell bank || yes ||
|-
| Facility || Cellular therapy unit with GMP (Good Manufacturing Practice) || yes ||
|-
| Technique || Autologous stem cell transplants || yes ||
|-
! Specialists !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Specialist || Physician with a specialisation in palliative care || 1 ||
|-
| Specialist || Medical oncologist || yes ||
|-
| Specialist || Nurse with a specialisation/certification in palliative care || yes ||
|-
| Specialist || Nurse with a specialization/certification in oncology || yes ||
|-
| Specialist || Physician specialised in pain treatment || 2 ||
|-
| Specialist || Radiotherapist || yes || 11,500 appointments (2020)
|-
| Specialist || Psychologist or Psychotherapist || 3 ||
|-
| Specialist || Social worker || yes ||
|-
| Specialist || Spiritual care || yes ||
|-
| Specialist || Physiotherapist || yes ||
|-
| Specialist || Dietitian || yes ||
|-
! Others !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Technique || Embolization with microparticles || yes ||
|-
| Facility || Phase 1 Clinical Trial Unit || yes
|}
=== Prevention ===
{| class="wikitable"
! Screening and Others !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Facility || Breast cancer screening program || yes ||
|-
| Facility || Cervical cancer screening program || yes ||
|-
| Facility || Colorectal cancer screening program || yes ||
|-
| Facility || Smoking detoxification center || yes
|}
=== Quality of Life ===
{| class="wikitable"
! Quality of Life !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Facility || Supportive care unit || yes
|}
=== Palliative Care ===
{| class="wikitable"
! Others !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Facility || Home palliative care availability || yes
|}
</div>
</div>



Revision as of 07:42, 28 July 2023

The North Estonia Medical Centre is one of the top healthcare providers in the country. Its statutes states that their goal is "to provide high-quality, specialized medical care and ambulance services, to be the learning base of training that precedes and follows the acquiring of health care professionals’ qualifications and does healthcare-related study and research work."

See other cancer centers in Estonia.

Trials

Trials Information for Patients

Primary Purpose: Instructs about the procedure to participate in one of the hospital's clinical trials.

Access: Information [1]

Experts

Learning Resources

Professional Training

Content type: Provides training to professionals.

Target audience: Doctors, nurses and care staff and other professionals of health from across Estonia.

Access: Information [2].

Novel Therapies and Diagnostic Methods

Diagnostics

Radiology
Type Name Availibility Uses per year
Machine CT scanners 5
Machine MRI (specify the strength and field of the techniques) 3 14,283
Machine Mammography (please specify analogic mammography or digital) yes (digital)
Machine Ultrasound yes 62,238
Machine Gamma Camera 1
Machine Radiation Therapy Devices 5 1,600 patients (2020)
Machine Angiograph 5
Technique Radioisotope yes 2,434
Technique MRI-guided biopsy yes
Technique X-rays yes 118,621
Technique Stereostatic biopsy yes
Technique Ultrasound guided biopsy yes
Technique Endoscopic retrograde cholangiopancreatography (ERCP) yes
Technique CT guided biopsis yes
Technique Angiography yes
Nuclear Medicine
Type Name Availibility Uses per year
Machine Pet Scan yes
Machine PET (PET CT + PET MRI) 1
Machine PET CT yes
Machine SPECT CT yes
Technique Sentinel node scintigraphy yes
Pathology
Type Name Availibility Uses per year
Facility Cytology laboratory yes
Facility Histopathology laboratory yes
Technique FISH (Fluorescence In Situ Hybridization) yes
Technique PCR (Polymerase Chain Reaction) yes
Pathology: Molecular Tests
Type Name Availibility Uses per year
Technique PGR yes
Technique KI-67 yes
Technique PDL1 yes
Technique ER yes
Technique KRAS yes
Technique BRAF yes
Technique EGFR yes
Technique ALK yes
Technique ROS yes
Technique HER2 status yes
Others
Type Name Availibility Uses per year
Technique Bronchoscopy yes
Technique Hysteroscopy yes
Technique Video dermatoscopy yes

Treatment

Surgical Oncology
Type Name Availibility Uses per year
Specialist Breast surgery yes
Specialist Urological surgery yes
Specialist Thoracic surgery yes
Specialist Digestive surgery yes
Specialist Neurosurgery 8
Specialist Gynaecological surgery yes
Specialist Head and neck surgery yes
Specialist Soft tissue surgery yes
Specialist Oncoplastic surgery yes
Specialist ENT surgery yes
Radiotherapy
Type Name Availibility Uses per year
Machine Linear accelerators with IMRT/VMAT yes
Machine Linear accelerators with IGRT yes
Machine Linear accelerators with SBRT/SRS 2
Machine Brachytherapy unit yes 400 (2020)
Technique Intraperitoneal chemo-hyperthermia ( HIPEC) yes
Technique Treatment Planning System yes
Technique Chemoembolization yes
Technique Thermal ablation (with radiofrequency or microwave) yes
Technique 4D Radiotherapy planning for lung tumors yes
Technique 3D conformal radiotherapy yes
Technique Radiosurgery yes
Technique Proton therapy yes 21,300 (2020)
Technique Respiratory motion management yes
Technique Conventional simulation yes
Technique CT planning yes
Technique Magnetic resonance for radiotherapy treatment planning yes
Technique PET CT treatment planning yes
Hemato-Oncology / Bone Marrow Transplants
Type Name Availibility Uses per year
Facility Bone marrow / stem cell bank yes
Facility Cellular therapy unit with GMP (Good Manufacturing Practice) yes
Technique Autologous stem cell transplants yes
Specialists
Type Name Availibility Uses per year
Specialist Physician with a specialisation in palliative care 1
Specialist Medical oncologist yes
Specialist Nurse with a specialisation/certification in palliative care yes
Specialist Nurse with a specialization/certification in oncology yes
Specialist Physician specialised in pain treatment 2
Specialist Radiotherapist yes 11,500 appointments (2020)
Specialist Psychologist or Psychotherapist 3
Specialist Social worker yes
Specialist Spiritual care yes
Specialist Physiotherapist yes
Specialist Dietitian yes
Others
Type Name Availibility Uses per year
Technique Embolization with microparticles yes
Facility Phase 1 Clinical Trial Unit yes

Prevention

Screening and Others
Type Name Availibility Uses per year
Facility Breast cancer screening program yes
Facility Cervical cancer screening program yes
Facility Colorectal cancer screening program yes
Facility Smoking detoxification center yes

Quality of Life

Quality of Life
Type Name Availibility Uses per year
Facility Supportive care unit yes

Palliative Care

Others
Type Name Availibility Uses per year
Facility Home palliative care availability yes

Cancer-related Patient Associations and Resources

Association: Patient Advisory Council

Content Type: Ensures the interests of the patient are being taken into account when making decisions and designing services, and that the patient has an active role in the treatment process.

Members: Estonian Rheumatism Association; Avitus NGO; Estonian Inflammatory Bowel Disease Society NGO; Estonian Celiac Society; Estonian Psoriasis Association; Estonian Hemophilia Society;Estonian Chamber of Disabled People; Tallinn Chamber of Disabled People; Saaremaa Cancer Society; Läänemaa Cancer Association; Estonian Stroke Patients Society.

Access: Information [3]

Service: Tobacco Cessation Counseling Office

Content Type: Trained nurses perform counseling, organize a treatment plan for the patients, and accompany them during a specific time to help them quit smoking.

Target Audience: Free for everyone.

Access: Information [4]

Service: Chemotherapy Counseling

Content Type: A nurse-counselor instructs the patient and his family individually before, during, and after the chemotherapy treatment about the procedure, possible side effects, and how to deal with those.

Target Audience: Patients and their relatives.

Access: Information [5]

Service: Palliative Care Nurse Advisor

Content Type: A nurse instructs about the disease the patient is suffering from and how to deal with it and connects the patient to specialists who will help with palliative care.

Target Audience: Patients and their relatives.

Access: Information [6]

Resource: Learning Resources for Relatives and Caretakers

Content Type: Guides and counseling appointment information.

Target Audience: Patients, Relatives and Caretakers.

Access: Information [7]