If there were no such group of " scout ", she would have found the lesions from the complex digital image information, the 18-year-old Miss Yang would never know that she had suffered from the rare disease ; if treatment was delayed, she would have to endure endless torture throughout her life.
18-year-old girl Yang has been suffering from dysmenorrhea since her menstruation. When I was a child, my family didn't care at all, thinking it was a normal reaction to in puberty, but in recent years, Xiao Yang has repeatedly experienced lower abdominal pain and fever.
They went to many hospitals in Chengdu to take Xiao Yang to see a doctor. Most hospitals diagnosed Xiao Yang's disease as dysmenorrhea and pelvic inflammatory disease. They usually just prescribe the right medicine and give up when the condition is relieved.
However, recently, Xiao Yang's lower abdomen has worsened and he actually developed a high fever, with a maximum body temperature of 41 degrees Celsius. family sent Xiao Yang to the emergency department of Longtan Campus of Chengdu Second People's Hospital. In the emergency CT, pelvic abscess was shown to have acute peritonitis and uterine morphology abnormal.
What does an abnormal uterine morphology mean? How do you need to formulate the next diagnosis and treatment plan? Xiao Yang’s medical experience shows that
Her condition is not simple, Gynecologist needs a more accurate pair of "eyes".
"Scout" divine eyes found out the crux of
Gynecologist contacted Dr. Chen Guangwen, director of the Department of Imaging Medicine, and he quickly interpreted the emergency CT film: "I analyzed that she may suffer from rare urogenital malformations, and secondary infection caused pus in the right fallopian tube and acute pelvic peritonitis. However, according to her current situation, CT has limited value for gynecological diseases diagnosis, and further MRI is needed!"
[Small common sense] In the development of medicine, with the birth and clinical application of generations of imaging technology, medical imaging has provided a variety of "fluoroscopic eyes" for clinical disciplines. Taking the most widely used X-rays, CT examination and magnetic resonance imaging (MRI), which are currently the most widely used in clinical practice, as an example, X-ray uses the penetration of X-ray to obtain images and is widely used in the examination of various tissues such as limb bones, chest, cervical lumbar vertebrae and lumbar vertebrae. X-ray technology is cheap and has a fast examination, and it has become the first choice for doctors in situations such as when it is necessary to quickly determine whether a fracture has occurred. However, X-rays provide limited information compared to CT imaging and have limitations in the diagnosis of certain diseases. What is different from
and X-ray films and CT is that magnetic resonance imaging (MRI) has special advantages in soft tissue imaging, and has excellent diagnostic functions for parenchymal organs such as the brain, thyroid , liver, gallbladder, as well as the heart and large blood vessels. Compared with the three, no examination method is better, each has its own function. In the actual diagnosis process, the doctor will make targeted choices or combinations to help judge the condition.
In order to further diagnose Xiao Yang's cause, the Radiology Department quickly made an appointment for Xiao Yang in the form of a green channel for special diseases, and used the latest 3.0T nuclear magnetic resonance instrument purchased by Longtan Campus for examination.
It is understood that 3.0T nuclear magnetic resonance imaging can generate thousands of images in multiple sequences, just like cutting our human body into thousands of thin slices from different directions, each image can be accurate to the submillimeter level. Dr. Chen Guangwen held thousands of accurate imaging films in his hand and once again analyzed and compared Xiao Yang's lesions.
nuclear magnetic results confirm Dr. Chen Guangwen's previous diagnosis of emergency CT. Xiao Yang does suffer from a rare reproductive system deformity - vaginal oblique septum syndrome.
"Guiding Light",
It is the navigation of the treatment plan
According to Chen Guangwen, vaginal oblique septum syndrome is a rare congenital malformation, which is hidden very deeply before puberty and is very difficult to diagnose. At this time, medical imaging can help doctors judge the condition and formulate the next plan."At this time, the medical imaging department of has become the 'navigation' of treatment plans, and helps doctors to find a way out in dangerous diseases," said Chen Guangwen.
According to the imaging diagnosis results and Dr. Chen Guangwen's judgment, the gynecologist quickly formulated the corresponding surgical plan for Xiao Yang and performed as soon as possible to remove Xiao Yang's congenital malformation, thereby quickly alleviating clinical symptoms and eradicating stubborn diseases. When Xiao Yang's affected area was fully displayed on the monitor in the operating room, the medical staff were surprised to find that what was seen during during surgery was exactly consistent with the imaging description, and it was not a small difference! The operation after
was very smooth, and the medical imaging successfully helped Xiao Yang get out of danger. A week later, she was successfully discharged from the hospital and completely bid farewell to the pain of "unspeakable" for six years. "If it weren't for this thorough examination, I wouldn't know how long I would be misdiagnosed!" Xiao Yang sighed sincerely when he was discharged from the hospital. The naked eye vision of
1.5 is already good enough, but it is not enough when looking at the lesions. Precision medicine and imaging should be the first.
is also the "strong backing" of the clinical department and the "eye" of the clinician. This medical and technical auxiliary department is also crucial. They are a group of "scouts", who not only need to discover problems, but also identify the authenticity from various problems found, and provide the most accurate and effective information for the clinical "combat force".
Today, Xiaokang Meier will take you into the Medical Imaging Department to take stock of the unique features of this department.
—————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————— At present, the department's special technologies include coronary imaging, ischemic stroke "one-stop" CT examination, high-resolution MR vascular wall imaging, cardiac MRI and other new technologies. The number of diagnosis and treatment in the previous year is 600,000 people, becoming a national standardized training base for resident physicians.
[Hardcore Technology]
Vascular wall imaging, tumor biological behavior evaluation
Challenge the "impossible"
If you want to summarize the development of medical imaging in one sentence, it must be "technology changes destiny."
hardware is the first demonstration of the strength of medical imaging, and its importance to medical imaging is self-evident. For a long time, the Second Municipal Hospital of the City has continuously improved medical imaging detection equipment. The department now has 9 disciplines, including 1 dual source CT and 1 256 row CT; 4 MRIs (3.0T 3 units), 9 DRs, 1 digital gastrointestinal machine and 1 breast machine, ranking among the leading domestic levels. The update of
device gives clinical medicine a clearer field of view, among which cardiovascular and cerebrovascular diseases detection and tumor lesion evaluation have the most outstanding advantages.
1. Cardiovascular and cerebrovascular disease detection
"The 1.5T, 3.0T we usually see... refers to the magnetic field intensity of the nuclear magnetic resonance instrument. This is actually a bit similar to the displacement of a car." Chen Guangwen told Xiaokang Meier that the higher the magnetic field intensity, the richer the images that can be obtained.
Previous CTs could only image the blood vessel lumen, but now the hospital's latest 3.0T high-end nuclear magnetic resonance instrument can image the blood vessel walls. "This plays a crucial role in saving the lives of patients with cardiovascular and cerebrovascular diseases, especially those with cerebral infarction and ." Chen Guangwen said. vascular wall imaging condition means that treatment is no longer a "smashing the sheep" . Doctors can always detect the patient's blood vessel wall health and predict the probability of stroke in the future. Once plaques are found on the blood vessel wall and the plaques are vulnerable, intervention can be carried out in time.
"At present, only 3.0T of MRI can do it, and our hospital already has this capability and conducts this examination routinely." Chen Guangwen said.
2. Tumor lesions evaluation
"Today's CT and magnetic resonance are no longer limited to evaluating tumor morphology and structure, but can help doctors understand the biology behavior of tumors." Chen Guangwen said.
Previous CT examinations can only see the size of the tumor, but in fact, the malignant conditions of many tumors are not related to their size. "Just like us, some are tall but gentle, while others are small but very fierce." Chen Guangwen explained. At this time, if you can understand the internal conditions of the tumor, you can better determine its malignant conditions. This is the role of enhancing CT and enhancing nuclear magnetism. According to reports, enhanced CT and enhanced nuclear magnetism can detect the hemodynamic status, macroscopic changes and internal microenvironment changes in tumor lesions. After the patient undergoes treatment for a period of time, these dynamic changes can be used to determine whether the degree of malignancy of the tumor has changed.
"If the results of enhancing CT and enhancing nuclear magnetism indicate that the degree of tumor malignancy is decreasing, even if the tumor size does not change, then the previous treatment is proved to be effective." Chen Guangwen said that clinicians can adjust the treatment plan based on this. "At this time, medical imaging has become a navigation for treatment and an effective method to guide clinical management. "
In addition, the high-end equipment of the medical laboratory department has also effectively accelerated the speed of imaging. At present, the department has been able to conduct large-scale vascular examinations in a "one-stop" manner to avoid damage caused by repeated examinations by patients.
[Special Service]
Check at any time, and make accurate reservations
Green channel can get the report as fast as 20 minutes
"In order to reduce the queuing time of patients, we have established a complete appointment system." Chen Guangwen introduced. At the entrance of the Medical Imaging Department of the Second Hospital of the City, the huge registration desk of the department came towards us. Chen Guangwen said that patients can make an appointment at the Medical Imaging Department Registration Station and the WeChat official account of the Second Hospital of the Municipal Hospital.
"At present, the reservation can be accurate to minutes. The reservation order says CT at 12:30, and you can come back at 12:30 without waiting in line." Chen Guangwen said.
Not only that, the Medical Imaging Department of the Second Hospital of the City can also make check-up and report is issued on the same day, and can truly save time for patients.
For critical and severe patients, especially stroke patients, the department opens a green channel. It is understood that for stroke patients, the department can complete the test and issue a report within 20 minutes to help patients outperform the "golden rescue time".
—————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————— At present, there are 1 national-level clinical key specialty construction project, 9 provincial-level medical key (school) specialty, and 33 municipal-level medical key disciplines, achieving clustered development of disciplines. There are currently 97 medical staff in the department of
, including 2 chief physicians, 16 deputy chief physicians/nursers, and 30 intermediate professional titles. They are at the advanced level in Chengdu in clinical, teaching and scientific research.
If you want to choose Chengdu Second People's Hospital for treatment, you can follow the "Chengdu Second People's Hospital Service Account" or search for the "Chengdu Second People's Hospital Internet Hospital" mini program on WeChat.
Sichuan famous doctor editor: Zheng Yachen
