The Surgeon’s Studio

Chapter 542: 535 Take the instrument nurse with you

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Director Kong was a little surprised.

After all, he is also the director of the interventional department of a large tertiary hospital in Imperial City. Although his level of interventional imaging is not among the best in the country, it is still among the top ten.

If you can't even understand it yourself... Did this kid Zheng Ren subvert a certain field of interventional science

Although he didn't quite believe Su Yun's statement, Director Kong then thought about it. This was Professor Rudolf Wagner's technique to apply for the Nobel Prize. If it were simple, it would be unbelievable.

He didn't think about anything else. Zheng Ren had already taken out the film and inserted it into the reader.

Liver, MRI, diffusion

Director Kong took one look and was stunned.

The liver only undergoes CT scan with 64-slice contrast enhancement, plus MRI scan with enhancement. B-ultrasound is rarely used because the resolution is not enough.

No one has ever used diffusion MRI to look at the liver.

It was a bit interesting. Director Kong stood behind with his arms crossed and his eyes narrowed.

"Lao Gao... Lao Gao, look at this film, where should the puncture be performed?" Zheng Ren said.

Gao Shaojie had already watched the movie and had a clue in his mind. He took out a pen and clicked on a location on the MRI diffusion.

"Teacher Zheng, this is it." Gao Shaojie said.

Zheng Ren nodded. Gao Shaojie was indeed a top student who graduated from a prestigious school. In such a short time, he was able to basically master the problem of determining the approach to tip surgery using MRI diffusion imaging.

But it's just basic. There are still some minor problems with what he said.

"Lao Gao, this is possible, but it is not the best point." Zheng Rendao: "With and without the gradient pulse that is sensitive to dispersion, the two subtractions will leave the protons doing dispersion motion in the direction of the gradient pulse. Artifacts may appear when images are formed due to components that cause signal degradation, that is, due to differences in diffusion coefficients between tissues.”

"Is it an artifact?" Gao Shaojie pondered.

Director Kong was confused.

Clinicians are already very good if they can read movies. Many doctors only read the test reports in the movies.

And what Zheng Ren said about gradient pulses... proton motion... is this really something that medicine can cover

"You also had an operation. During the last tips operation, this happened to the third patient. During the operation, we looked for the puncture point under X-rays, so this position is not impossible, but The success rate is slightly lower.”

"Then..." Gao Shaojie was slightly frustrated.

For this film, he thought that the location he was looking for would definitely be fine.

Because he arrived last night, he first looked at a circle of patients, four MRI diffusion films, and studied them all night.

But I didn't expect that Zheng Ren would deny it again.

But Gao Shaojie immediately cheered up and recalled the patient Zheng Ren mentioned.

Gao Shaojie has seen Zheng Ren's patients undergoing tip surgery and knows everything about them. Without much trouble, the image data of the patient appeared in my mind.

"The signal strength of the gradient pulse is very high, and there will be errors in image judgment. Here, the gradient needs to be lowered. I remember I told you about this." Zheng Ren tapped the film with the pen in his hand and said.

Gao Shaojie felt a little pain in his radial styloid process, as if Zheng Ren had hit his wrist with a hemostat.

meditation,

Thinking hard,

Meditate.

Zheng Ren was not in a hurry. After a few minutes, he said again: "The correct puncture range for this patient is here."

As he spoke, he used a pen to draw a vague area of 0.5cm in diameter on the film.

"Diffusion is a vector, which not only has size but also direction. Regarding the signal strength issue, we need to do more and see more, so that we can know at a glance how to reverse and correct it." Zheng Ren taught earnestly, and Gao Shaojie nodded frequently.

Director Kong sighed.

"Director Kong, are you okay?" Su Yun asked with concern rather than a provocative tone.

"It's okay." Director Kong waved his hand, "Su Yun, can you do it?"

Su Yun blew a breath with a smile, his black hair floating in front of his forehead, "Of course, you will know it after listening to it twice."

"Then I'll give you a task." Director Kong was not polite, "If you have time, teach the people in our department."

"Director Kong, you are so rude. Let me tell you, the New England Magazine has already entered the document and will publish it today and tomorrow." Su Yundao said, "The rich man is waiting to use this to earn a Nobel Prize."

The implication is that this is a Nobel Prize-level surgery.

Director Kong was very sophisticated and knew that Su Yun was joking, so he smiled and said, "Anyway, you went to the Imperial Capital, so there's nothing wrong with you."

"Huh? Going to the Imperial Capital?" Su Yun was stunned for a moment.

"I just asked for Boss Zheng's opinion. The 912 Hospital sent people to support the emergency department of Haicheng City No. 1 Hospital. He went to the Imperial Capital." Director Kong said: "You don't want to go. After so many years, returning home in fine clothes is not enough for you. ?”

"Hey, look at what you said." Su Yun's expression immediately changed.

"How many people can go?" Su Yun asked.

Director Kong was confused, how many people were there? The hospital wanted Zheng Ren, so of course Su Yun would go with him, that would be no problem. In the past, after he graduated from graduate school, many hospitals in the imperial capital rushed to get him, and he was considered a golden pimple.

How many more people are there? What does it mean

Su Yun caught a glimpse of Director Kong's expression from the corner of his eye, and he understood clearly, and said, "Director Kong, my boss has his own equipment nurse."

As he spoke, he winked.

it is more than words.

Director Kong was stunned, and after a few seconds, he said quietly: "Su Yun, Boss Zheng really has his own dedicated equipment nurse!"

"Yeah, didn't I already tell you that?"

"I thought you were bragging." Director Kong was surprised and said a curse word.

"Which Nobel Prize winner doesn't have an assistant? Let me tell you, Director Kong, if the boss goes and I can't go, the boss won't say anything. But if the equipment nurse can't go, he has to come back the next day. , do you believe it or not.”

"..." Director Kong didn't expect such a situation and was startled.

But there are still one or two spots left. This is a big deal involving the Nobel Prize. If I don’t get it first, there will be more people coveting it in the future.

By then, let alone the equipment nurse, even if it were to acquire Haicheng City No. 1 Hospital and make Zheng Ren the director, it would be a trivial matter.

"No problem." Director Kong said.

As he said that, he raised his head and glanced at Zheng Ren. Zheng Ren was talking about the second film with Gao Shaojie, but he couldn't understand what he was saying...

Ten thousand alpacas rushed through Director Kong's heart.

I originally planned to finish talking about things today, confirm the itinerary, and rush back today.

But watching Zheng Ren explain the film, Director Kong was extremely itchy and had to see it with his own eyes before he could feel relieved.

He pondered for a moment and picked up the phone.

"Hey, it's me."

"Well, I'm not going back today. Help me change my ticket to an early flight the day after tomorrow."