Department Chief Kong was surprised.
After all, he was the Chief of the Department of Interventional Medicine at a Class Three Grade A Hospital in Imperial Capital. Although he was not the best in the country in terms of interventional imaging, he was definitely in the top ten.
If even he could not understand it … Had Zheng Ren subverted a certain field of interdisciplinary studies?
Although he did not quite believe Su Yun's words, Department Chief Kong thought about it again. This was the surgical method that Professor Rudolf Wagner was preparing to apply for the Nobel Prize. If it was simple, it would not be credible.
He did not think about anything else. Zheng Ren had already taken out the film and inserted it into the film viewer.
Liver, MRI, diffusion?
Department Chief Kong took a look and was stunned.
Only plain CT scan with 64-slice contrast-enhanced MRI scan was performed on the liver. B-ultrasonography was rarely used because the resolution was not high enough.
No one had ever used diffusion-weighted magnetic resonance imaging to examine the liver.
Interesting. Department Chief Kong stood behind with his arms crossed, his eyes narrowed.
"Old Gao … Old Gao, look at this scan. Where should I puncture it?" Zheng Ren asked.
Gao Shaojie had already seen the radiographic films and had a plan in mind. He took out a pen and pointed at a spot on the nuclear MRI.
"Teacher Zheng, it's here," Gao Shaojie said.
Zheng Ren nodded. Gao Shaojie was indeed worthy of being a top student who graduated from a famous school. In such a short time, he could basically grasp the problem of determining the TIPS surgical approach using nuclear magnetic resonance imaging.
But that was just the basics. There were still some small problems with what he said.
"Old Gao, this spot is fine, but it's not the best spot." Zheng Ren said, "The gradient pulses that are sensitive to dispersion are used and not used separately. After two subtractions, there is only the component of the signal drop caused by the protons in the direction of the gradient pulse that is making the dispersion movement. That is, when the image is formed due to the difference in the dispersion coefficient between the tissues, there may be artifacts."
"Illusion?" Gao Shaojie muttered.
Department Chief Kong was dumbfounded.
Clinicians were already very good at reading scans. Many doctors only read the examination reports in the scans.
As for the gradient pulse … proton movement … Was it really within the scope of medical knowledge?
"You've also undergone surgery. During the last TIPS surgery, the … third patient had this situation. During the surgery, we look for the puncture point under the X-ray, so it's not that we can't do it, but the success rate is slightly lower. "
"Then …" Gao Shaojie was a little depressed.
For this film, he felt that there was definitely no problem with the position he had found.
That was because he had arrived last night. He first looked at the patients and studied the four diffusion-weighted MRI scans for the entire night.
However, he did not expect to be rejected by Zheng Ren again.
However, Gao Shaojie immediately perked up and recalled the patient Zheng Ren had mentioned.
Gao Shaojie had seen Zheng Ren perform TIPS surgery on patients, so he knew all of them. Without much effort, the patient's image appeared in his mind.
"The signal strength of the gradient pulse is very strong, so there will be errors in the image. Here, we have to lower the gradient. I remember telling you this before, "Zheng Ren said as he tapped the film with the pen in his hand.
Gao Shaojie felt a little pain in his radial styloid process, as if Zheng Ren was hitting his wrist with a pair of hemostatic forceps.
Deep in thought.
Thinking hard,
Meditation.
Zheng Ren was not in a hurry. After a few minutes, he said, "The correct puncture range for this patient is here."
As he spoke, he used a pen to draw a 0.5cm diameter on the film.
"Dispersion is a vector. Not only does it have a size, but it also has a direction. As for the problem of signal strength, you have to do more and see more. Only then can you know how to reverse and correct it at a glance, "Zheng Ren said earnestly. Gao Shaojie nodded repeatedly.
Department Chief Kong sighed.
"Department Chief Kong, are you alright?" Su Yun asked with concern instead of a provocative tone.
"I'm fine." Department Chief Kong waved his hand. "Su Yun, do you know how to do it?"
Su Yun smiled and blew at his hair. The black hair on his forehead fluttered in the wind. "Of course, I learned it after listening to it twice."
"Then I'll give you a task." Department Chief Kong did not stand on ceremony. "When you have time, teach the people in our department."
"Department Chief Kong, you're really not polite. Let me tell you, the New England Journal has already entered the literature. It will be published today or tomorrow, "Su Yun said." Lil Fugui is waiting to use this to win the Nobel Prize. "
The meaning behind his words was that this was a f * cking Nobel Prize-level surgery.
Department Chief Kong was experienced in the ways of the world. He knew that Su Yun was joking, so he smiled and said, "Anyway, you're going to the Imperial Capital. There's nothing to do."
"Huh? To the Imperial Capital? "Su Yun was stunned.
"I just asked for Boss Zheng's opinion. The Imperial Capital Hospital sent someone to support the Emergency Department of Sea City General Hospital. He's going to the Imperial Capital," Department Chief Kong said. "Don't tell me you don't want to go. After so many years, isn't it enough for you to return to your hometown in glory? "
"Oh, look at what you're saying." Su Yun's expression immediately changed.
"How many people can go?" Su Yun asked.
Department Chief Kong was puzzled. How many people could go? The hospital only wanted Zheng Ren. Of course, it was not a problem for Su Yun to go with him. In the past, when he graduated from graduate school, many hospitals in the Imperial Capital were fighting to hire him. He could be considered a golden lump.
How many people? What did that mean?
Su Yun glanced at Department Chief Kong's expression from the corner of his eye. He understood and said, "Department Chief Kong, my boss has his own scrub nurse."
As he said that, he winked.
Everything was said without saying anything.
Department Chief Kong was stunned. After a few seconds, he said quietly, "Su Yun, Boss Zheng really has his own special scrub nurse!"
"Yeah, didn't I say that a long time ago?"
"I thought you were bragging." Department Chief Kong was surprised and cursed.
"Which Nobel Prize winner doesn't have an assistant or something? Let me tell you, Department Chief Kong, if the boss goes and I don't go, the boss won't say anything. But if the scrub nurse doesn't go, he'll have to come back the next day. Do you believe me? "
"…" Department Chief Kong did not expect such a situation. He was stunned for a moment.
However, one or two spots did not matter. This was a matter that involved the Nobel Prize, a big fat piece of meat. If he did not take it first, there would be many people who coveted it in the future.
At that time, not to mention the scrub nurse, even if he bought Sea City General Hospital and made Zheng Ren the hospital director, it would be a small matter.
"No problem," Department Chief Kong said.
As he said that, he raised his head and glanced at Zheng Ren. Zheng Ren was talking to Gao Shaojie about the second radiographic films. He actually could not understand what he was saying …
Ten thousand alpacas galloped through Department Chief Kong's heart.
He had originally planned to rush back today after he finished talking about the matter and confirmed the itinerary.
However, when he saw Zheng Ren explain the radiographic films, Department Chief Kong's heart was extremely itchy. He had to see it with his own eyes to be at ease.
He pondered for a moment and picked up his phone.
"Hello, it's me.
"Okay, I'm not going back today. Help me change my ticket to the morning flight the day after tomorrow.
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