本双语教材密切结合放射诊断学临床实践,以英语写作和听力为突破口,逐步深化英语学习,提高英语应用能力。从2003年开始,它作为广州医学院医学影像学系双语课程试用教材,获得良好教学效果。《放射学英语(光盘版,第2版)》适合于医学影像学系双语教学和英语教学,也为放射科医生和技术人员提供参考。
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医药院校临床相关专业的本科生、研究生使用,也可供医技科室相关实习、进修的医生以及科研人员参考学习。
第1章放射诊断学报告概要
Chapter 1Outline of Radiodiagnostic Report
第1节放射诊断学报告的书写原则
Section 1The Writing Principle of Radiodiagnostic Report从事放射学诊断的医生应全面、客观地依据患者的放射学所见,密切结合临床和其他相关检查,有时需要在亲自检查患者后才能作出判断——放射学诊断。
以下几点很重要:
(1)以人体解剖学和生理学为基础,熟悉正常放射学影像。
(2)以病理学、医学诊断学和放射诊断学为基础,认识异常放射学影像。
(3)结合临床检查、实验室检查和其他医学影像学检查结论及治疗经过,还要考虑检查部位、体位、技术、方法和设备等方面的因素,养成全面观察和综合分析的良好习惯,才能得出可靠的结论——放射学诊断。
The radiologist should make rational and reliable conclusion(s)radiodiagnosis(readiodianoses),based on the combination of radiodiagnostic findings with the clinical data and the other related and corresponding tests,sometimes examining the patient in detail personally.
The following are essential in radiodiagnosis(radiodiagnoses).
(1)Normal radiodiagnostic findings are familiarized on the basis of anatomy and physiology of the human body.
(2)Abnormal radiodiagnostic findings are identified in accordance with the knowledge of pathology,medical diagnostics and radiodiagnostics.
(3)The radiodiagnostic findings should be combined with the clinical symptoms and signs,results of laboratory tests and other medical imaging information,and therapeutic effectiveness to make a reliable diagnosis.Meanwhile,all technical factors in the examination should be taken into consideration,such as postures,views,regions of the body,examination techniques and imaging equipment.Only through cultivating a good habit of analyzing radiographs in a certain order and interpreting the radiological findings as an interrelated whole,then,can the radiologist reach reliable conclusion(s).
第2节放射诊断学报告的书写方法
Section 2The Writing Method of Radiodiagnostic Report
放射学诊断一般采取先定位、定量,后定性的方法,前二者是条件,后者是结论。观察每幅图像,首先要了解它的技术条件,然后按一定顺序,如从患者图像的右侧至左侧,从上方至下方详细观察、对比、全面分析,特别注意不要遗漏图像边缘的病变。
The tasks of radiodiagnosis are intended to resolve 3 questions which are localization,quantification and characterization of lesion(s).The first two steps are prerequisites and the final step leads to diagnosis(or diagnoses).For each radiograph,technical factors are considered firstly.Then,careful observations will be explored from the right to the left of an image of a patient,from upward to downward. Following that,the radiologist should have a comprehensive and reasonable analysis(analyses). Be sure,nothing is ignored especially in the margins of images.
1.病变的分布
有些病变常好发生于人体的某个(些)部位,病变分布有一定的规律性,如在范围上呈广泛性或局限性分布;在结构上呈散在性分布或密集性分布。
2.病变的数目和大小
常与病变的性质有关。
3.病变的形状与边缘
边缘模糊的片状影常为急性渗出性炎症;边缘整齐的条带影常为慢性增殖性病变。
4.病变的密度
与周围正常组织对比,病变的密度增高、减低或相同。
5.病变周围组织
有无“卫星”病灶;病变周围的结构有无改变。
1.Distribution of lesions
Some diseases often predispose in a certain part(parts)of the human body.There are some rules of thumb for them.Distributions of lesions are depicted as an extensive or localized range,scattered or dense structure.
2.Numbers and sizes of lesions
These often relate to the characterization of lesions.
3.Shapes and margins of lesions
A fuzzy margin on a patchy shadow often represents an acute inflammation,while a clear margin in a stripelike substance usually suggests a chronic proliferation.
4.Changes in density
In comparison with the normal surrounding tissues,lesions are described as high density,low density or isodensity.
5.Surrounding tissues
It is important to verify whether there are scattered “satellite”foci and alterations of the surrounding structures.
第3节放射诊断学报告的结构
Section 3The Structure of Radiodiagnostic Report
放射诊断学报告是放射科医师的会诊意见,应高度重视。它作为医疗记录的一部分,也是医疗诉讼的依据。所以要用词准确、恰当,层次清楚,分析合理,决不能草率从事。放射诊断学报告应包括以下内容:基本信息、描述部分、诊断部分和医师签名。
1.基本信息
包括患者的姓名、年龄、性别;X线检查号、CT检查号、MRI检查号、DSA检查号、住院号、门诊号;X线检查日期,CT检查日期,MRI检查日期,DSA检查日期;检查部位;X线投照体位(常见的有后前位摄片,前后位摄片,左侧位摄片,右侧位摄片,左前斜位摄片,右前斜位摄片等);送检科室和临床诊断,这些基本信息可以在PACS上与登记处共享。
2.描述部分
一般按摄片的部位、范围,受检器官的组织结构顺序进行描述。当发现病变时,按先重后轻,先因后果,用X线术语描述,避免诊断用语,如脓肿或骨折等。
The writing of radiodiagnostic report has to be a precise work because it is not only a consulting suggestion for clinicians but also a medicolegal document.The radiologist should choose words carefully and correctly and try to make the report in clarity of description and a reasonable analysis.Carelessness should always be avoided at any condition.A radiodiagnostic report should include the following items: basic information,description,diagnosis(or diagnoses)and signature of the radiologist(s).
1.Basic Information
Filling out the header line by line,such as Name,Age,Sex of the patient;Number of Xray examination,Number of CT examination,Number of MRI examination,Number of DSA examination,Number of inpatient,Number of outpatient;Date of Xray examination,Date of CT examination,Date of MRI examination,Date of DSA examination;Regions of examinations;Views of radiographs(including Posteroanterior(PA)view,Anteroposterior(AP)view,Left Lateral(LL)view,Right Lateral(RL)view,Left Anterior Oblique(LAO)view,Right Anterior Oblique(RAO)view,and etc);referring department of the patient and the clinical diagnosis(or diagnoses).These data can