Some people say that each additional CT, the risk of cancer increased by 43%, but this claim has been unanimously denied by radiologists. We all know that many diseases need to be “taken” first, but radiology is not only a “taken” department, it integrates with clinical departments and plays a great role in the diagnosis and treatment of diseases.
Be the clinician’s “eyes”
“The thorax is symmetrical, the mediastinum and trachea are centered, and the lung texture is normal…” When the reporter interviewed, a radiologist was writing a diagnostic report for the patient’s chest CT. In Tao Xiaofeng’s view, the imaging examination report determines clinical decision-making to a certain extent and cannot be slack. “If the scan is read incorrectly, it could affect the treatment plan. So, each one has to go through the hands of two doctors, and both of them have to sign.”
“Cancer is early detection and early treatment, and now people pay more attention to lung nodules. Patients with early lung cancer can survive for a long time after surgery, and even achieve clinical cure, which benefits from early imaging screening and accurate diagnosis.” Tao Xiaofeng said that taking lung cancer as an example, there are many methods for early screening, but the most sensitive and accurate is chest CT.
A liver transplant patient found “lung cancer” in the outside hospital, holding the last “lucky mind” came to Tao Xiaofeng’s clinic. “There is a spherical nodule on the film, which looks like lung cancer. But a careful study of the history showed that the patient had taken immune drugs, his resistance was reduced, and he had been coughing for more than a month, so this shadow of the lung was also likely to be inflammatory.” Tao Xiaofeng suggested that he go back to rest and strengthen nutrition, more than a month later, the lesion was indeed reduced, and the patient was finally relieved.
Continue to explore and apply new technologies
Radiology may be the “most valuable” department in the hospital, DR Room, CT room, MRI room, DSA room… Advanced testing equipment helps doctors better “catch” the signs of disease. Shanghai Ninth Hospital is one of the earliest hospitals to introduce AI-assisted image reading, AI-assisted diagnosis system can highly sensitive detection of positive cases and focal areas, and then sent to the radiologist for further diagnosis, thus saving a large number of negative case data occupied by manpower. Tao Xiaofeng said that under the traditional artificial mode, the daily workload of imaging doctors is very large, long-term work will inevitably lead to eye fatigue, the spirit can not be highly concentrated, the introduction of artificial intelligence to do the preliminary screening, greatly improve the efficiency of doctors.
“Radiology is a discipline that depends on experience, technology is constantly improving, the spectrum of diseases is constantly changing, radiologists must not only have a comprehensive clinical knowledge, but also continue to learn new techniques and new skills to benefit more patients.” Tao Xiaofeng said. In his work, he found that new MRI techniques, such as diffusion-weighted imaging and dynamic enhanced magnetic resonance imaging, have great application value in the diagnosis of thyroid nodules, which promoted the clinical application of CT and MRI methods for preoperative diagnosis and evaluation of thyroid nodules. He also used molecular imaging methods to determine the tumor boundaries of brain glioma and head and neck squamous cell carcinoma, and explored the significance of c-Met polymorphism in the tumorigenicity and development of glioma and head and neck squamous cell carcinoma, and made a major breakthrough.
Make the report accurate and heartwarming
In the radiology department of the ninth Hospital, the difficult cases left over from the previous day are discussed every morning. In Tao Xiaofeng’s view, radiologists should learn more and see more, for example, many people’s films look different, but they may have the same disease; There are also people whose shadows look the same, but are of a completely different nature. Therefore, it is necessary to pay attention to the situation of different diseases and different shadows. Sometimes a small, insignificant image can affect the judgment.
Tao Xiaofeng will “change their homework” for young doctors every week to see if their reports are accurate, and pay attention to reflecting the medical temperature, because each film affects the happiness and worry of patients. For example, the signs on the image should give a more rational description, but do not write too “straightforward”, will frighten the patient; If the patient is re-examined, but also carefully before and after comparison. For example, the accuracy of AI reading is very high, many nodules without clinical significance will be “pulled” out, one time AI suggested that a patient has 35 nodules, of which more than 10 are high-risk, then the doctor needs to carefully check and distinguish, and finally pay attention to the wording when writing the report, to avoid causing excessive anxiety of patients.
Nowadays, medical imaging has penetrated into every corner of medicine, Tao said, careful reading of the film can draw a correct diagnosis and provide a basis for effective treatment. Radiologists are like light seekers struggling in the image world, looking for the light of hope for patients from the image.
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Post time: Apr-03-2024
