Novel Therapies and Diagnostic Methods (North Estonia Medical Centre)

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