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Jingdong book

健康快乐100岁:通过先进医疗与影像手段改善生命质量

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健康快乐100岁:通过先进医疗与影像手段改善生命质量

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《健康快乐100岁:通过先进医疗与影像手段改善生命质量》中介绍了日本预防医疗的千姿百态。在中国,预防医疗的重要性也迅速被认知着。《健康快乐100岁:通过先进医疗与影像手段改善生命质量》接触了这些方方面面的视角,希望能从中绽放新的中日友好交流的花朵。
Author Description

佐藤俊彦,男,1960年9月出生于日本福岛县。1985年毕业于福岛县立医科大学,同年进入大学医院放射科。先后任日本医科大学第一医院放射科助手,独协医科大学放射科助手,鹫谷医院副院长,于1997年开设宇都宫中央医院(现称:医疗法人DIC宇都宫中央医院)。2002年设立株式会社DOCTORNET,并于2011年,2013年分别成立登美丘影像诊断中心和野口纪念国际影像中心。现任医疗法人DIC宇都宫中央医院理事,中央医疗俱乐部顾问医,株式会社共生医学研究所董事,株式会社freeill董事,Medical Research株式会社顾问医,美国财团法人野口医学研究所常务理事,著有《工作到100岁人的简单习惯》(幻冬舍)、《放射科医生之所以有意思》(现代书林)等书籍。
Catalogue

第一章 不断进步的癌症诊断仪器
1.癌症的预防包括一级预防与二级预防
2.CT-利用MDCT(多排CT)与DSCT(双源CT)提高诊断精度
3.MRI-利用超高磁场提高空间分解能力
4.PET-CT-利用CT与PET的融合影像提高诊断能力
5.PET检查为什么能发现癌症
6.接受PET检查不用担心受到辐射,90%的癌症都能被发现
7.利用PET检查能够发现早期癌症
8.PET检查是这样进行的
9.MMG(乳腺X线摄影)
10.3 D MMG(三维乳腺X线摄影)——利用三维数字断层融合摄影开拓乳腺癌早期发现的新视野

第二章 通过读影早期发现癌症的重要性
1.影像诊断是所有诊疗的入口,把持着患者的命运
2.作为“医生中的医生”,放射科医生与读影密不可分
3.利用PET-CT早期发现癌症的病例
病例①通过定期影像诊断早期发现前列腺癌
病例②早期发现无症状的宫颈癌,选择手术
病例③予宫体癌手术两年后,怀疑转移,但诊断为炎症
病例④怀疑为高分化型肺腺癌的病程观察
病例⑤早期发现大肠癌,在内镜下切除成功
4.影像诊断进入国内+国际读影的网络时代
……
第三章 通过影像检查做到脑部疾病与缺血性心脏病的早期发现
第四章 最新放射治疗癌症方法
第五章 利用最新技术CTC(外周血循环肿瘤细胞)端粒酶检测法检测微小癌症
第六章 采用免疫细胞疗法(BAK)进行癌症的防治
第七章 医疗俱乐部成为预防医疗的核心
后记 医疗无国界——愿通过医疗建立中日友好关系
Book Abstract

重粒子是对比氢重的原子核流的总称。重粒子线包括碳、氖、硅、氩等,将这些粒子通过巨大的加速器加速到光速的60%~80%的速度时则形成重粒子线。目前,能实际应用的只有碳线。因此,通常所说的重粒子线指的就是碳线(碳离子线)。
与质子线比较,重粒子线的效果约是其三倍。
相对于质子线中的一个质子,重粒子线所用的碳原子核中有六个质子与六个中子。由于重粒子线具有质子线12倍的质量,因此可产生达到质子线三倍的强力杀伤癌细胞的效果。
进一步来讲,重粒子线的布拉格峰要比质子线的更尖锐。也因此可以实现质子线三倍以上的治疗精度。在对侧方形成的剂量分布上,重粒子线也要优于质子线,比质子线更锋利。
在实际治疗中所用的11C线束强度,为一次线束1%以下的低强度。低强度会使剂量率降低,治疗时间变长。为了克服这一缺点,需要采用对射线束利用效率更高的点扫描照射方式,在二次线束光路SB1的下游配备点扫描照射系统。
利用该系统,可以在改变点束照射位置与照射量的同时,进行连续照射,获得符合设计的照射野。
1993年,作为日本《第一次抗癌十年综合战略》的一环,世界首台医疗专用重粒子线治疗装置(HIMAC)在放射医学综合研究所建成。第二年6月开始进行临床试验,2003年10月获得实性癌方面“先进医疗”的认证。
前面曾提到,“能够进行粒子线治疗的设施,全世界只有大约三十套左右,几乎全部为质子线治疗设备”。
世界上可用于治疗的重粒子线治疗设备,只有包括日本的三套(放射医学综合研究所、兵库县立粒子线医疗中心、群马大学粒子线医学研究中心)、德国的GSI与HIT以及中国的兰州近代物理学研究所在内的共六套设备。
……
Introduction

如果担心患上癌症或其他疾病,就只有做好自我防护。
如果有人对您这样说,“一周以后,你会得这种病”,您会有什么感觉呢?
您绝对不会有好心情。如果该疾病关乎到您的生命时,无论是谁都无法保持冷静。您一定会拼命地四处打听有没有预防这种疾病的方法。
为了以防万一,您也许会开始求医问药。但那样会花上大量的时间和精力,即使那时寻得良方,也可能为时已晚。
那么,如果有人对您这样说,“三个月后,你会得这种病”,结果又会怎样呢?
您同样会感到焦虑吧。不惜四处奔走,寻求能够预防或治疗的良方。
如果有人对您这样说,“在你活着的时候,总有一天会患上疑难病症”,那您又会怎样做呢?
大概有人会觉得这似乎有点危言耸听了,或者有人会想:“人生如此,万事顺其自然吧”。何必为求医问药自寻烦恼呢?
但是,这里的“总有一天”,也许是今天,也许是明天。也许是一周后,也许是三个月后。
突然来袭的疾病往往会使人措手不及。这些疾病的潜在风险攸关生命。它们的名字是癌症、中风、心脑血管疾患。
在患病过程中,即使产生“如果当初做了预防措施就好了”的想法,也为时已晚。这种情况很常见,患者要么开始在与疾病做斗争的日子里受煎熬,要么就被病魔无情地夺去生命。
当代中国人都越来越健康、长寿,其中奥秘何在呢?
其奥秘就是“预防医疗”。
新中国成立后不久,中央最年轻的政治局委员,年仅46岁的任弼石同志就去世了。他的逝世引起了中国共产党领导人的注意。

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