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Introduction

The capital piece of equipment to be
used in the Radiology Department of the hospital is Toshiba’s Gamma Camera. The
function of Gamma cameras is to image the radiation from a tracer introduced into
the patient’s body. The frequently used tracer is technetium-99m, a meta-stable
nuclear isomer chosen for its relatively long half-life of 6 hours and its capability
to be incorporated into a multiplicity of molecules in order to aim diverse
systems inside the body. As it travels inside the body and emits radiation, it
is known that the tracer’s development is tracked by a crystal that
scintillates in retort to gamma-rays. The crystal is fixed in front of an array
of light sensors that change the resulting flash of light into an electrical
signal. Gamma cameras differ from X-ray imaging techniques in one very essential
respect; rather than anatomy and structure, gamma cameras map the task and
processes of the body. (Institute of Physics 2012)

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Justification

To
start with, before any hospital decides to acquire a specific Gamma Camera (also
known as Scintillation Camera) system set-up, facilities need to mull over the
number of nuclear medicine studies that will be carried out and the clinical
applications for which the new system will be utilized. Also, the dimensions
and weight of the system, humidity and temperature requirements should also be
taken into proper consideration. (Gagnon et al 2012) Hence, based on the
number of patients with internal diseases coming to our hospital in the last
few weeks, there is need for our organization to purchase this piece of
equipment so as to enhance our productivity level as well as help our patients
when they need healthcare.

 

Gamma
cameras are usually used for large and small organ studies. They are
general-purpose imagers that usually use detectors with a relatively large
field of view. Some have SPECT, FDG-SPECT, and coincidence imaging
capabilities. Dedicated gamma cameras are also designed for exacting studies
including PET/SPECT brain, small parts cardiac, and neurological applications,
the detectors are generally smaller with a little field of view. (Cherry et al
2012) Aside from the fact that this piece of equipment will better help in
taking care of patients, it will as well help boost the financial capacity of
the hospital. According to the vendor, any healthcare facilities planning to
buy a stationary gamma camera should carefully pick possible features. The type
chosen and number of these features will greatly decide the final price. This
explains why a price range was given as the cost price instead of an exact cost
price. Our hospital can as well afford the range sent by the vendor.

Gamma cameras require continuing
maintenance and an operational cost; the first purchase cost does not correctly
replicate the total cost of ownership. Based on the optional feature selected
by our organization, the Operating costs are considered for years 1-5 below:

ü  Dollar
discount factor is 6.25%

ü  Inflation
rate is 4% for disposables

ü  Gamma
camera system cost is $350,000

ü  Total
Capital Costs is: $350,000

ü  Service
contract for years 2 through 5 = $32,500/year

ü  Salary
and expenses for 2 full-time technologists in years 1 through 5 = $90,000/year

ü  Cost
of Nuclear Regulatory Commission licensing = $20,000/year

ü  Cost
for accessories, such as syringes, film, and optical disks, at $15/procedure =
$30,000/year in years 1 and 2: $33,000/year in years 3 through 6

ü  Cost
for radiopharmaceuticals at $250/dose = $500,000/year

Making a total
Operating Costs = $640,000 in year 1;
= $672,500/year in years 2 through 5
Present Value = $3,306,311 (Toshiba, 2018)

Our
facility is planning to carry out a broad range of studies and according to the
vendor, we will discover a more resourceful design in the variable-angle
dual-head gamma camera because it allows the detectors to be positioned at 90°,
101°, or 180° relative to one another.

More
experienced physicians have been consulted in order to get the true effect of
this piece of equipment not only for the benefit of the organization, but also
for the healthcare development of patients patronizing the organization. The
usage of this equipment by the competing hospital and how well it could be
enhanced to benefit the organization more than the competing hospitals has also
been examined in due processes. Meanwhile, another point considered in
acquiring this capital equipment is the quality it is and how well it will
impact research and as well fit into all strategic plans of the organization
better than the competitors. (Munoz et al 2017)

The
trending usage of this equipment within the industry is consider in the decision
of the organization considering the changing pattern of the healthcare industry
and the effect of updating healthcare equipment not for the benefit of the
organization alone but as well as for all potential patients of such
organization.

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