REMEDIUMREMEDIUM1561-59362658-3534Joint-Stock Company Chicot179910.32687/1561-5936-2025-29-3-287-293Original ArticleImproving the financial sustainability of import substitution projects in the medical industry: the case of magnetic resonance imagingGertsikYuri Genrikhovichygerzik@bmstu.ruPoletaevKirill Vladlenovichpoletaevkv@student.bmstu.ruBauman Moscow State Technical University, Moscow, Russia15122025328729317102025Copyright © 2025,2025The article discusses the issues of increasing the financial stability and competitiveness of import substitution projects in the medical industry using the example of a domestic high-field magnetic resonance imaging device developed by Rosatom Corporation. An analysis of the state of the Russian magnetic resonance imaging market has been carried out, and key problems related to high dependence on imports and a shortage of modern equipment have been identified. Based on a comprehensive comparison of the technical and economic characteristics of domestic developments with leading foreign analogues, an integral indicator of competitiveness has been calculated. The Monte Carlo method was used to assess the investment risks and effectiveness of the project, which made it possible to quantify the likelihood of achieving positive financial results. The data obtained indicate the high sustainability and attractiveness of the project for investors, as well as confirm its potential for import substitution and increasing the technological sovereignty of the country.medical industry, technological sovereignty, magnetic resonance imaging, integral indicator of competitiveness, financial stability, Monte Carlo methodмедицинская промышленность, технологический суверенитет, магнитно-резонансная томография, интегральный показатель конкурентоспособности, финансовая устойчивость, метод Монте-Карло[Gertsik Yu. G., Omelchenko I. N. Innovative management in the medical industry: a monograph. Moscow: Publishing House of the Bauman Moscow State Technical University; 2020 (In Russ.).][Kuznetsov V. I., Tarakanov S. A., Ryzhakov N. I., Rassadina A. A. Application of cloud technologies in medical remote diagnostic devices. Doctor and information technologies. 2012;16(5):45—52 (In Russ.).][Lukyanenok P. I. Historical aspects of magnetic resonance imaging in Russia. Scientific review. Medical sciences. 2016;(2):59—67 (In Russ.).][Mokronosov A. G., Mavrina I. N.Competition and competitiveness: a textbook. Yekaterinburg: Ural University Publishing House; 2014 (In Russ.).][The advantage of the first Russian-made MRI scanner over imported analogues is named. PharMedProm. 2024. URL: https://pharmmedprom.ru/news/nazvano-preimuschestvo-pervogo-mrt-tomografa-rossiiskogo-proizvodstva-pered-importnimi-analogami. (date of access: 05/23/2025) (In Russ.)][Polikarpov A. V., Ogryzko E. V., Moravskaya S. V., Tagiev E. N.Dynamics of equipment of medical organizations of the Russian Federation and federal districts with computer and magnetic resonance imaging in 2019—2023. Problems of social hygiene, healthcare and the history of medicine. 2024;(3):68—72 (In russ.). DOI: 10.24412/2312-2935-2024-3-749-764][Sokhareva A. V. The impact of a changing economy on investment project management in a state corporation. Prospects for the development of fundamental Sciences: Proceedings of the XIX International Conference of Students, Postgraduates and Young Scientists, April 26—29, 2022, Volume 7. Economics and Management. Tomsk: TUSUR Publ.; 2022 (In Russ.).][Ternovoy S. K. on the interaction of the Russian Academy of Sciences with industry in the current conditions. 2022. URL: https://www.ras.ru/FStorage/Download.aspx?id=2d64f1a7-82f8-457c-a054-76d579b8dc11 (date of request: 05/23/2025) (In Russ.).][Falin G. I. The Monte Carlo method in risk theory: a textbook. Moscow: MSU; 2016 (In Russ.).][Federal project «Fight against oncological diseases. Official website of the Ministry of Health of the Russian Federation. URL: https://minzdrav.gov.ru/poleznye-resursy/natsproektzdra-voohranenie/onko (accessed: 05/23/2025) (In Russ.).][Global Magnetic Resonance Imaging Market Trends, Share 2033 [Electronic resource]. Custom Market Insights. 2024. URL: https://www.custommarketinsights.com/report/magnetic-resonance-imaging-market. (date of access: 04/10/2025) (In Russ.).][Tonkonog V. V. Current issues of import of medical devices and equipment to the Russian Federation. Problems of Social Hygiene, Public Health and History of Medicine. 2024;32(Special Issue 2):1176—1180 (In Russ.). DOI: 10.32687/0869-866X-2024-32-s2-1176-1180]