Chapter 3521 【3521】Not a Simple Matter
In many cases, the first inspection report is like a big sieve. If a problem is found and then a second inspection is done in detail, it will not be in place at the first time. This is incomprehensible to ordinary people outside the industry, who think that you are wasting my time and money, doctor.
The reason why ordinary people outside the industry have this kind of cognition is to raise the self-cognition of the threshold for doctors to practice medicine to the level that all doctors are super bosses. Only people in the industry know that the threshold for a doctor to practice medicine is just a passing line. It is also impossible for the doctors in the tertiary hospitals to be super bosses.
The best radiologists are no different from clinicians, and they belong to a handful of proportions.
If you want to thank students like this, it takes a terrifying level of vision to see at a glance that the reference line in this film is not the most accurate. It should be said that Cao Yong couldn't do the same.
I don’t know how difficult it is for conventional MRI to locate very accurately. 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 possible. The word used here is called as far as possible, which is enough to show that it is difficult for ordinary people to do it, and it is difficult for radiologists to play the most accurate.
"I understand." Tao Zhijie said.
Do you really understand? ——Cao Yong gave him another look to ask him to think more deeply.
Tao Zhijie won't meet his gaze anymore, and pretends not to understand even if he understands it. Otherwise, why don't you agree with him saying that ophthalmology neurosurgeons like Xie need it most, and let her go to their neurosurgery.
Speaking of the current case, a second, more detailed examination was necessary, obviously because the results of the first examination made the doctor think it was necessary.
The meaning of checking again must be for fear of checking mistakes. And now some student Xie has judged that it is very likely that the investigation is wrong.
"It means you missed it, right?" Tao Zhijie asked again.
Even if you are not a neurosurgeon, you also have common sense. It is impossible for the machine to scan two relatively large tumors at the same time.
"Yes, she guessed it was a leak." Cao Yong nodded.
Xie Wanying, who was standing by the side, didn't need to say much at all, as long as a big brother like Senior Brother Cao could explain it clearly for her even if he couldn't see it.
As I said before, you are not afraid of leak detection, you can go to chemotherapy. However, due to the blood-brain barrier in the brain that can greatly reduce the drug, chemotherapy is not suitable for brain metastases, and it is limited to a small number of types that are very sensitive to chemotherapy drugs. The medical consensus for multiple brain metastases is that radiotherapy is the first choice.
Radiation therapy is not an easy thing. For example, some doctors who specialize in brain radiotherapy have transferred from graduate students in neurosurgery to the Department of Radiology. Therefore, radiotherapy is treating patients like clinicians, rather than simply doing examinations for clinicians to refer to. The nature can be said to be completely different.
"Two, this number is a very delicate number in the eyes of our neurosurgeons. The doctors who performed the MRI examinations are not very clear about our neurosurgeons' thoughts." Cao Yong continued to add.
"I thought it was only about surgery or no surgery." Tao Zhijie felt that he had been educated when he heard this, and responded with feeling.
The number of two brain metastases is relatively small. For brain metastases with less than three brain metastases, the first consideration is whether to undergo surgery or local resection to achieve local cure. Secondly, listening to the words of neurosurgery experts now, we can know that it is not just a question of whether to do surgery or not.