Release date: 2017-02-10 With the continuous development of medical technology, imaging medicine has moved from anatomical morphology to functional imaging, and then to molecular imaging and genetic imaging. Whether it is evidence-based medicine or precision medicine, it is inseparable from imaging medicine. So, how should video doctors face the rapid development of imaging medicine and further promote the continuous advancement of imaging medicine? Changes in the pattern of medical development Impact on imaging doctors and countermeasures The current medical model has changed from a simple biomedical model to a bio-psycho-social medical model. As we all know, the occurrence and development of diseases is the result of the combined effects of various factors. In addition to biological factors, it is also closely related to people's living habits, psychological activities, behaviors, and environmental pollution. The working mode of the imaging doctor should also change accordingly. From dealing with equipment and image film to communicating with patients and family members, it is necessary to see every cold film, each group of silent images behind a person and a The family should reflect humanistic care from the interpretation of images and the writing of reports. Do not pursue the absolute diagnostic accuracy rate, but should aim at solving the physiological and psychological burden of patients and their families. At present, major hospitals in China have opened specialist clinics and specialist clinics for imaging doctors. On the one hand, it is helpful to solve the clinician's consultation needs for film and images of outpatients in outpatients. On the one hand, it helps clinicians and patients to select appropriate images. The more important aspect is to facilitate the direct communication between the doctor and the patient, to help the doctor to make a correct diagnosis, to establish a mutual trust relationship between the doctor and the patient, and to help the imaging doctor to eliminate the target. The patient's anxiety and other unhealthy psychological problems are also conducive to the choice of patients' follow-up treatment plan, to maximize the level of medical services and effectively reduce the contradiction between doctors and patients. Therefore, the imaging doctor is first of all a clinician. It is necessary to take the initiative to contact and communicate with the patient. It is necessary to change from a “watchmaker†(a craftsman who only watches the film) to a “reading film†(which will interpret film and patient psychology). the only way to become a good image doctor. The influence of evidence-based medicine as a new trend of medical development on imaging doctors and its countermeasures In recent years, evidence-based medicine (EBM) has become a new discipline in the field of international clinical medicine, and it is the decision-making guide and development direction of medical therapeutics. Professor David Sackett, an internationally renowned clinical epidemiologist, defines EBM as "the best research basis for discreet, accurate and sensible applications to determine the patient's treatment." The core idea is medical decision-making (patient treatment, treatment guidelines) And the formulation of medical policies, etc.) should be based on the best clinical research evidence available, and also pay attention to the combination of personal clinical experience. The basis of evidence-based medicine is evidence (Evidence), and the information obtained by imaging medicine is one of the best evidence. Modern medical imaging has played an increasingly important and indispensable role in the whole process of disease development, such as the diagnosis of diseases, the choice of treatment options, and the monitoring of therapeutic effects. This also puts higher demands on the imaging doctor. Imaging doctors, like pathologists, are called Doctor's Doctors, and the rapid development of imaging technology allows imaging doctors to make scientific judgments about the physiological and pathological changes caused by diseases at any time. Imaging techniques such as ultra-X-ray, CT and MRI can not only determine whether there is a disease or a disease, but also determine the stage of the disease and predict the possible consequences, and can better judge the physiological and pathological changes brought about by the disease. Can also judge the effect of treatment. For example, diffusion-weighted imaging (DWI) in functional magnetic resonance (fMRI) can determine the dispersion of water molecules. Magnetic resonance spectroscopy (MRS) can determine changes in compounds in lesions. Perfusion-weighted imaging (PWI) can determine blood flow in tissues and organs. Status, blood oxygen level, functional magnetic resonance (BOLD-fMRI) can determine brain function status, etc. The combination of these technologies can not only make a clear diagnosis of the disease, but also protect the tissues and organs to the greatest extent in the treatment of diseases. Features. This requires imaging doctors to master new technologies and be good at applying them to clinical practice, and to continuously research and improve in clinical applications, and to accumulate experience and guide clinical practice in accordance with the requirements of evidence-based medicine. Good imaging medical research projects should be based on clinical needs, aiming at solving clinical difficulties, following the principles of evidence-based medicine, and applying research conducted by new medical technologies. In China, many clinical medicine fields lack clinical guidelines and norms based on evidence-based medicine. Most of them draw on guidelines developed by WHO or related societies in Europe, America, and even Japan and Korea. This has certain constraints on the development of domestic medicine and is not conducive to imaging medicine. development of. China has obvious advantages in the number of diseases and cases. It has been synchronized with the international advanced level in medical imaging equipment. It is urgent to establish imaging medical guidelines and norms that conform to China's national conditions, and carry out multi-centers in strict accordance with the principles of evidence-based medicine. There is no technical difficulty in large-scale related clinical research, which is both a challenge and an opportunity for imaging doctors . At present, domestic professional societies have organized experts to establish a consensus of experts in China, laying a solid foundation for the establishment of China's own guidelines and norms in the future. Image doctors should actively participate in this work and contribute to the introduction of China's imaging medical guidelines and specifications as soon as possible. The influence of imaging medicine from morphology to functional science and molecular imaging on imaging doctors and countermeasures At present, imaging medicine is still at the stage of morphological anatomy. It is still at the stage of disease diagnosis and efficacy monitoring. With the continuous development of imaging technology, modern medical imaging has been able to heal the blood of human tissues and organs. Assessment of learning, function and metabolic status, and further development of molecular imaging (Molecular Imaging) and genetic imaging (Genetic Imaging), the so-called Biomedical Imaging (Biomedical Imaging), the combination of imaging medicine and biotechnology, and computer technology and The combination of microelectronics technology enables a new generation of imaging equipment, both in image acquisition and display, in image post-processing and image fusion, both in display accuracy and in function judgment. It has reached an unprecedented height. At the same time, the development and application of imaging medical developers in tissue and organ and disease specificity have jointly promoted the continuous advancement of imaging medicine from macro to micro, from whole to individual, and from breadth to depth. The development of imaging medicine from morphological anatomy to functional imaging, molecular imaging and genetic imaging has placed higher demands on imaging doctors. The imaging doctor is not only a good clinician, but also a good basic medical expert. Clinical pharmacologists should be a comprehensive talent with multidisciplinary knowledge. It is difficult for the imaging medical profession to rely on the imaging doctors and imaging technicians to keep up with the advancement of medical science. It requires a team of multidisciplinary scientists such as physics, biology, life sciences, computers, biomedical engineering, and clinicians to jointly develop and apply. New technologies are making efforts for the development of imaging medicine. This requires imaging doctors to have extensive and profound knowledge, a spirit of teamwork, a sense of cooperation and development, and an innovative development concept . For example, the famous large hospitals in China have academic teams led by imaging medical experts, and have made remarkable achievements in national major scientific and technological research projects. Only in this way can China's imaging medicine follow the trend of the world and achieve greater achievements. Medical development from disease saving to prevention-oriented changes Impacts on imaging doctors and countermeasures Since the beginning of the 21st century, the greatest threat to human health has come from chronic diseases and tumors. The treatment of these diseases is often ineffective, and effective prevention is the key to reducing the risk of chronic diseases and tumors posing to human health. Imaging medicine can play an important role in the early detection, early diagnosis and effective prevention of chronic diseases and tumors. For lung cancer, which ranks first in cancer mortality in China and around the world, low-dose CT lung biopsy can detect early and early diagnosis. Early minimally invasive surgery can achieve complete cure; such as mortality and In the case of cardiovascular and cerebrovascular diseases with high residual rates, imaging medicine can not only diagnose early, but also provide scientific and objective indicators for early prevention. Medical examination and screening based on imaging medical technology can minimize the threat to human health caused by chronic diseases and tumors. This requires imaging doctors not to wait for patients to see a doctor, but should widely publicize new imaging medical technology in disease prevention and early diagnosis. The role of physical examination and screening for high-risk groups, reduce the health damage caused by chronic diseases and tumors, and minimize the medical burden of the whole society, to avoid the emergence of disease-causing phenomenon. Cerebrovascular disease has become the first cause of death in China, with high morbidity, high recurrence rate, high disability rate and high mortality rate. The “Ministry of Health Department's Stroke Screening and Prevention Project†project, which has been widely promoted in China, has completed the construction of the network system of the base hospital, and carried out screening and intervention of high-risk groups, and promoted the in-depth development of national stroke screening and prevention. Guide the national medical workers to establish new prevention concepts, explore new ways to prevent and treat chronic diseases in China, and play an important role in safeguarding the health rights and interests of the people and promoting the development of medical and health undertakings. In this project, multi-modal image evaluation became the most critical technical indicator. It is believed that with the popularization of imaging medical technology, more and more screening and prevention projects will be launched one after another, and imaging doctors should actively participate in it, and make themselves to establish imaging technical specifications for screening and to develop diagnostic criteria for imaging. Contribution. The influence of mobile medical based on digital and internet on imaging doctors and its countermeasures With the advancement of information science, digital imaging has become a reality. The establishment of image storage and communication system (PACS) has made teleradiology and telemedicine possible, while intelligent computers and workstations, Computer Aided Diagnosis (CAD) The progress and practical use of the Internet, the rapid development and popularity of the Internet, make "Network Imaging" (Network Imaging) and mobile medical treatment possible. In the most popular mobile medical field, imaging medicine is the newest area that is most likely to be realized. For example, many districts and counties in Shanghai have established imaging medical centers. As a strong technical backing, Shanglian Top A Hospital has provided full coverage of technical support. The Imaging Medical Center is responsible for the diagnosis and review of all community hospital uploading image reports. The quality and timeliness of the diagnosis report solved the problem of insufficient imaging doctors in community hospitals, and provided guidance and appointment services for further examination of patients, which became one of the successful modes in the field of mobile medicine. At the same time, the Imaging Medical Center can provide technical support for private hospitals, and on this basis, it can provide remote imaging diagnosis for the border areas, and achieve technical assistance to assist the border and give full play to the advantages of mobile medicine. Like China, there are also shortages of imaging doctors in the United States. At present, some hospitals in the United States have outsourced image post-processing and report writing to India and China through remote technology, which has reduced medical expenses and ensured the quality and timeliness of reports. Similar to the role played by the regional imaging medical center established in Shanghai, this model will be widely promoted in China in the future. This requires imaging doctors to keep up with the development of the times, actively participate in the construction of mobile medical care, make full use of the convenience of the Internet to expand the work area, and make more contributions to the diagnosis and treatment of domestic diseases. At the same time, the collection and mining of big data through the Internet will help to summarize the experience in the etiology, pathology and diagnostics of diseases, and achieve greater results in the research of diseases. The influence of precision medicine on imaging doctors and its countermeasures On January 20, 2015, US President Barack Obama delivered a speech on the Precision Medicine Initiative. As one of the key contents of the State of the Union address, he received universal attention from both the US political parties and international media, as well as science. Unanimous support from different genres in the world. Achieving precision medicine requires four elements: precise, punctual, shared, and individualized. “Precision†refers to the right patient, the right time, the right treatment; and Timingis Everything, that is, all medical treatments are only appropriate at the right time, which also reflects predictive medicine and preventive medicine. The meaning of “sharing†is that the development of medicine should make “we and our family members healthier; “individualization†means that every patient is unique, and doctors are always doing everything they can. Medication. The concept of precision medicine puts forward higher requirements for the development of imaging medicine, and also points out the future development direction. Imaging medicine can achieve precise positioning and quasi-determinism, and can stage and classify diseases, especially tumors. It is not only feasible but also necessary to be able to objectively evaluate the efficacy and monitor it. In the field of precision medicine, imaging doctors should follow the elements and requirements of precision medicine, not only to be precise and punctual, but also to be accurate and punctual. Accumulate experience and actively share, establish norms and standards, and pay attention to individualized applications, let imaging medicine In short, the rapid development of imaging medicine has put forward higher requirements for imaging doctors, and it also gives imaging doctors more opportunities. Image doctors should follow the trend of the times and pay attention to humanistic care in the process of medical model transformation. Based on clinical work and active scientific research, developing in new fields of functional imaging, molecular imaging and genetic imaging, taking advantage of disease prevention, early detection and early diagnosis, and occupying high ground in mobile medical field. Constantly innovating in the field of precision medicine, enabling imaging medicine to benefit mankind and make more contributions to the health of the whole people. Source: World Medical Devices Magazine, Science and Technology Video Pickled Beefsteak,Frozen Pickled Beefsteak,Seasoned Pickled Beef Cubes,Fillet Steak ZHOUSHAN GENHO FOOD CO.,LTD , https://www.genho-food.com