Chapter 814 Rigorous Academic Research

The large imaging department is divided into X-ray, CT, MRI, and B-ultrasound. However, the B-ultrasound room in general hospitals is listed separately. Although it is also a department of imaging, it is separated from the imaging department.

Maybe it's because there is no radiation, or maybe it's the regulations when B surpassed China in the first place.

It's like European spinal surgery is performed by neurosurgery, while in China it is performed by orthopedics.

X-ray, CT, and MRI are integrated into one large imaging department in some hospitals, and separated in some hospitals.

912 is separated here. Director Chu is the chief director of CT and MRI.

Zheng Ren had done 64-slice CT 3D reconstruction before, and had communicated with Director Chu, and also came here, so he went directly to the door of the director's office and knocked lightly on the door.

It was quiet inside.

Um? At this point, isn't Director Chu here?

Zheng Ren tried to knock twice, but still no one answered.

Unexpectedly, it was a waste of time, and now Zheng Ren was sitting on the wax. It was a big mistake not to contact Director Chu in advance.

While self-reflecting, he wondered whether he should ask Director Chu's student Dr. Liang to solve this problem.

Let's look for it first, Su Yun's side is also busy, and it's very important.

Zheng Ren had always been a bit pushy in his heart, and it was a bit unreasonable for him to throw so much work to Su Yun, and to look for him no matter what.

Although he bears the name of the boss, if he throws everything at Su Yun, that guy will beat him to death.

doctor's office...office...office...

The doctor's office in the CT room is mostly called the reading room, which is the place where CT and MRI doctors read the films and issue diagnostic reports.

Zheng Ren found the reading room, and through the crack of the door, he saw seven or eight doctors gathered in front of the reading device, discussing something.

The person in the middle is Director Chu.

Finally found it, Zheng Ren hastily knocked on the door. Although no one would hear the knock on the door, and no one would pay attention to his knock, Zheng Ren still knocked on the door in a polite manner before going in.

Director Chu watched the film and whispered something.

Zheng Ren walked to the back and glanced at the film first.

It is coronary artery 256CT, the three coronary arteries are very smooth, and it does not look like coronary heart disease. But Director Chu and the others were thinking about an almost normal film.

"Director Chu, hello." Although Zheng Ren knew that it was not good to interrupt other people's train of thought, but the patients in the gastroenterology department were waiting for the examination, so he still had the cheek to hurry up and come here.

Director Chu was a little upset, but when he turned around and saw Zheng Ren, he smiled.

Across the crowd, he grabbed Zheng Ren's arm, pulled him over, and asked, "Boss Zheng, come here."

Uh... Zheng Ren was taken aback for a moment.

"Come take a look and see what's wrong with this patient." Director Chu pulled Zheng Ren to his side without any politeness, and said.

"I……"

"Hurry up and watch the movie, and talk about the matter after watching it." Director Chu was also a little domineering, and directly interrupted Zheng Ren's words, "This is the first user of the new 64-slice CT 3D reconstruction method, Boss Zheng Renzheng."

Director Chu saw that several doctors around were very puzzled, so he introduced it.

The area around the film reader became quiet. This very young doctor turned out to be the famous Boss Zheng.

This is really indescribable.

It is said that Boss Zheng is not very old, but who would have thought that he would be so young.

Zheng Ren is also very strange, the coronary artery 256CT mainly looks at the coronary arteries. The film shows that the coronary arteries are unobstructed and there is no problem with the image. What are Director Chu and the others doing here?

Wait... There seems to be something wrong with the image of myocardial reconstruction.

"Director Chu, the coronary arteries are fine, but there seems to be something wrong with the heart muscle." Zheng Ren habitually held his chin and said while looking at the film on the film reader.

"Little Liang, explain the illness to Boss Zheng."

Dr. Liang stood aside, and he responded, holding a stack of papers in his hand, and began to read the key points.

The patient was a 32-year-old male patient who had palpitation and shortness of breath after activities 6 months ago. At that time, no attention was paid, but the disease progressed rapidly. The patient experienced syncope after an activity more than a month later, accompanied by edema of limbs.

He went to the local hospital for examination, and the electrocardiogram found typical symptoms of myocardial infarction such as T wave changes and ST segment depression.

Serum troponin and brain natriuretic peptide were elevated, and several tests also suggested cardiac disease.

It was rather strange that there was no problem with the coronary arteries after a comprehensive examination in the hospital. The local hospital did not give a definite diagnosis, but only gave a suspicious diagnosis of myocardial infarction, and asked him to come to the higher-level hospital in the capital for a diagnosis.

That's all for the medical history, and Dr. Liang quickly finished reading it.

Zheng Ren felt a little emotional, a place like 912 really deserves to be a high-level hospital, no wonder its level is so high!

The CT room is only responsible for issuing reports based on the images seen, but Director Chu and the others also need to compare the medical history, and start discussions in the department directly after discovering doubts.

This rigorous academic style is really amazing!

"Boss Zheng, the medical history of this patient should be a myocardial infarction. But the blood supply to the heart is fine, and the possibility of a typical myocardial infarction is unlikely." Director Chu clicked on the film: "Here, I see that the myocardium has changed, and I suspect it may be some A disease that changes the structure of the myocardium, I have already told the circulatory clinic, and asked the nurse to take it for an emergency echocardiogram."

Zheng Ren nodded, he thought so too.

And what is the specific disease... there is only one coronary heart 256 film, and it is impossible to give an answer.

[Reconstruction]'s passive ability is not omnipotent. The system panel can give a diagnosis directly, but in the imperial capital, in many cases, the patient's family members bring the film to see the doctor, and the patient does not follow, or it seems that he can't see the patient at all.

A completely different diagnosis and treatment model from Haicheng.

Zheng Ren recalled what Dr. Liang said about his condition in his mind, and suddenly asked, "Dr. Liang, is there any test report for the patient's proteinuria?"

Some heart diseases are accompanied by proteinuria, and proteinuria alone can't explain any problems, so Dr. Liang didn't pay special attention.

He began to look for printed materials, which were cases of circulatory medicine, and there were no reports of urine routine and urine protein tests.

It is estimated that the local information carried by the patient himself has it, and the director of the circulatory department did not issue a checklist.

"Boss Zheng, the medical records haven't been written yet, we can't see them here." Dr. Liang replied quickly.

"Yeah." Zheng Ren started to watch the movie again.

This time he did not focus on the coronary arteries, but began to carefully observe the changes in the heart structure.

[Reconstruction] With the ability to convert a 64-slice CT three-dimensional reconstruction into echocardiography and MR of the heart, Zheng Ren noticed some changes in the patient's heart image.

Domestic cardiac MR, like breast MR, is a rare examination and is of little clinical use. However, the subendocardial ring-shaped enhancement focus can be seen on the cardiac MR delayed image of this patient.

While echocardiography, there are some subtle changes, thickening of the whole heart, and irregular echoes in the myocardium.

Zheng Ren began to recall similar medical case reports.