Many times, the first inspection report is like a big sieve. If you find problems and do a second inspection in detail, you can't get it right at the first time. This is something that people outside the industry can't understand. They think, doctor, you are wasting my time.
and money.
The reason why people outside the industry have this understanding is that they have raised their self-awareness of the threshold for doctors to practice medicine to the point where they become super bosses. Only people in the industry know that the threshold for doctors to practice medicine is just
Passing line. It is also impossible for every doctor in a tertiary hospital to be a super boss.
The best radiologists are no different from clinicians and belong to a handful of proportions.
If you want Xie to do this, he can tell at a glance that the reference lines in this film are not the most accurate, which requires a terrifying level of vision. It should be said that he, Cao Yong, cannot do it.
If you don’t know how difficult it is for conventional MRI to be very accurate, for example, the positioning principle of MRI is that the center of the scanning part, the center of the coil, and the center of the main magnetic field should be placed at the same horizontal position as much as possible. The word used here is called
Try your best, which is enough to show that it is difficult for ordinary people to do it, and it is difficult for imaging doctors to achieve the most accurate performance.
"I understand." Tao Zhijie said.
Do you really understand?——Cao Yong gave him another look that told him to think more deeply.
Tao Zhijie won't look at him anymore, and he has to pretend not to understand. Otherwise, why should he agree with him that vision neurosurgery like Xie is most needed, so let's give her to their neurosurgery.
Talking about the current case, a second more detailed examination was necessary. It was obviously because the results of the first examination made the doctor think it was necessary.
The purpose of doing the check again must be to avoid making mistakes. And now some students, Xie, have judged that it is very likely that the check was wrong.
"You mean it was missed, right?" Tao Zhijie asked again.
Even if you don’t have the common sense of a neurosurgeon, it’s very unlikely that the machine will detect two larger tumors at the same time.
"Yes, she probably missed it in the investigation." Cao Yong nodded.
Xie Wanying, who was standing next to her, didn't need to say anything at all. A big boss like Senior Brother Cao could help her explain everything clearly even if she couldn't see it clearly.
As mentioned earlier, there is no need to worry about leakage, and you can use radiotherapy and chemotherapy. However, because the brain has a blood-brain barrier that can greatly reduce the use of drugs, chemotherapy is not suitable for brain metastases. It is only limited to a small number of types that are very sensitive to chemotherapy drugs.
The medical consensus for multiple brain metastases is radiotherapy as the first choice.
Radiotherapy is not a simple matter. For example, some doctors who specialize in brain radiotherapy are graduate students who studied neurosurgery and transferred to the radiology department. Therefore, radiotherapy is treating the patient like a clinician rather than simply doing examinations.
As a reference for clinicians, the nature can be said to be completely different.
"Two, this number is a very important number in the eyes of our neurosurgeons. The doctors who did the MRI examinations don't know very well what our neurosurgeons think." Cao Yong continued to add.
"I thought it was just about surgery or no surgery." Tao Zhijie was enlightened after hearing this, and responded with emotion.
Two is a small number, and for brain metastases with three or less, you can indeed first consider whether to undergo surgery for local resection to achieve local cure. Secondly, if you listen to the words of neurosurgery experts, you can know that you should not only consider whether to do it or not.