Use and maintenance of nuclear medicine instruments in Southeast Asia

Nuclear medicine instruments are rather sophisticated. They are difficult to maintain in effective working condition, especially in developing countries. The present document describes a survey conducted in Bangladesh, India, Malaysia, Pakistan, Philippines, Singapore, Sri Lanka and Thailand from October 1977 to March 1978, on the use and maintenance of nuclear medicine equipment. The survey evaluated the existing problems of instrument maintenance in the 8 countries visited. The major instruments in use were (1) scintillation probe counters, (2) well scintillation counters and (3) rectilinear cameras. Gamma camera was not widely available in the region at the time of the survey. Most of the surveyed instruments were kept in a detrimental environment resulting in a high failure rate, that caused the relatively high instrument unavailability of 11%. Insufficient bureaucratic handling of repair cases, difficulties with the supply of spare- and replacement parts and lack of training proved to be the main reasons for long periods of instrument inoperation. Remedial actions, based on the survey data, have been initiated