Gestion de la « crise du Mo » en 2010 par un service de médecine nucléaire hospitalier au Luxembourg : bilan

To face the challenges of the “⁹⁹Mo crisis” on a nuclear medicine department level, strategies were implemented to maintain numbers of scintigraphies as usual. We evaluated the efficiency of the measures. Using ^99mTc more rationally led to more profitable generator utilization. As long as the amount of ^99mTc at disposal (> 110%, 90–110% (= standard), 70–90%, 50–70%, 30–50% and < 30%) was greater than 30% of the standard, weekly numbers of ^99mTc-based investigations remained at “standard” level. Cost per mCi of administered ^99mTc remained unchanged. The successfully managed “⁹⁹Mo crisis” was based upon a rigorous organization as well as goodwill of all implicated staff, at the cost however of a lesser patient service. Punctual flexibility of staff members, adapted to the fluctuating work load, allowed global balance between numbers of required and delivered working hours. As efficient crisis management is tedious, generalization of the model cannot be thought of. To guarantee secure future availability of ^99mTc, projects for new nuclear reactors dedicated to producing ⁹⁹Mo are first choice.