"You have too many things, just like my second aunt. Professor Rudolf Wagner disdainfully, "Is it difficult to cure the primary lesion of liver cancer?"

"......" Cheng Lixue was speechless.

How can I not know this kind of thing.

But second aunt, what the hell is it?

I have been an interventional doctor for more than ten years and have done at least 1,000 interventional surgeries for liver cancer. There are also dozens of patients who have recovered from the primary lesion.

Although it is not much, Cheng Lixue does not lack this kind of experience.

But the patient's anterior piece, such a large tumor...... Cheng Lixue believes that the patient is terminally ill and cannot be cured. What can be done is to prolong the patient's survival as much as possible.

"Mr. Zheng, what are you going to do now?" Cheng Lixue didn't mind the professor's disdain, isn't it normal to be scolded by the world's top professors once or twice.

"Radiofrequency ablation, burn it out. Zheng Rendao.

"Then I should have 3-4 needles. Cheng Lixue estimated.

"Well, 3 is enough. The position of the needle, Fugui'er, you remember it. Zheng Ren said: "The 10th intercostal space on the right side, at 4 o'clock." The midclavicular line of the right upper quadrant is 1.5 cm to the right, and the needle is inserted at a 15° angle clockwise. Zheng Rendao.

"And the other one?" Professor Rudolf Wagner carefully wrote down all the words that Zheng Ren said, in German, of course.

If a professor can practice spoken Chinese well in a short period of time, he is already a language wizard. But if you want to learn kanji, it's not enough for the time being.

"There's one more position, I'm going to do the math. Zheng Rendao.

In fact, Zheng Ren wanted to go to the second hospital for TIPS surgery, complete the second phase of the crown jewel, and get 3,000 cases of radiofrequency ablation experience and the passive attribute of the success rate of interventional surgery +2.

Zheng Yunxia only delayed the operation for a few days, but if it was as Zheng Ren guessed, Zheng Yunxia would get several times more benefits from the operation.

Let's wait.

"Director Cheng, what kind of film are you carrying?" Zheng Ren finished watching Zheng Yunxia's film, and saw Cheng Lixue's Alzheimer's expression, as if he had forgotten the film he was still carrying, so he reminded him.

"Uh......" Cheng Lixue woke up in a trance, remembering what he was doing here.

"This is the film and information of patients who are eligible for TIPS surgery, please take a look at Mr. Zheng. Cheng Lixue put the piece on the table.

Unknowingly, she stood with the film for half an hour, and Cheng Lixue's arm was sore.

But he didn't have time to knead it twice, and he saw that Zheng Ren had already picked up the first film bag and took out the patient's information from it.

The professor took the film behind Zheng Ren, found out the MRI diffusion of the patient's liver, and inserted it into the reader.

When his time came, Cheng Lixue lifted his spirit a hundred times, found a good position, and stared at the film tightly.

"The patient's condition is not bad. Zheng Ren glanced at the case and said leisurely.

"Boss, the film is also typical, the needle is inserted at 25° behind the side, and it's fine. Professor Rudolf Wagner said.

"Between 24-28°, it's fine. In this case, the fault tolerance rate is a little higher. But pay attention to the needle attached to the left posterior wall, do you have anything else to add, Fuguier. ”

Professor Rudolf Wagner quickly recorded what Zheng Ren said on paper.

Hearing Zheng Ren ask himself, he said without raising his head: "No, boss." This patient's condition is typical, and I feel like I can get a single shot with my eyes closed. ”

"Well, it's simple, but don't be careless. Zheng Ren said: "Then replace the next patient." ”

Cheng Lixue was stunned when she saw Professor Rudolf Wagner start to put the patient's films, the materials in Zheng Ren's hands, and the paper he recorded into the film bag.

What did they say?

It seems that nothing has been said.

No!

They said...... With your eyes closed, you can successfully puncture with one needle.

1 week ago, if I told Cheng Lixue that the TIPS surgery could be successfully punctured, Cheng Lixue would definitely slap him and make him sober up.

But last time, Zheng Ren went to the Second Hospital of the city for TIPS surgery, and all the needles were successfully punctured.

There are facts in front of him, and Cheng Lixue can't help but believe it.

But...... What have you learned? You haven't learned anything!

What can I do?

Cheng Lixue immediately became anxious, and hurriedly grabbed Professor Rudolf Wagner's arm and said, "Professor, wait." ”

"What are you doing with this broken horse Zhang Fei?" the professor was displeased, his eyes were horizontal, and Cheng Lixue shuddered in fright.

Zheng Ren smiled and said, "Fugui'er, take out the film." ”

Professor Rudolf Wagner glared at Cheng Lixue and said aggrievedly: "Boss, this is simply a waste of life. ”

"Three days ago, you didn't say that. Zheng Ren smiled.

"Well, I think you're right, boss. The professor shook his head, "But soon, you'll find out you're wrong." ”

"Are you saying that his foundation is not enough, and he can't master it quickly?"

"Of course, MRI images, you can get started with them once, except for my estimate, there are only three people in the world at most. Professor Rudolf Wagner said proudly.

Cheng Lixue's sweat immediately fell.

How did learning TIPS start with images? It was completely different from what he had expected.

Shouldn't surgery start with the operation? How can it start with the imaging film, or the MRI diffusion image, which is never used in the interventional department......

Cheng Lixue was suddenly stupid.

"Director Cheng, how much do you know about MRI diffusion images?" Zheng Ren looked into Cheng Lixue's eyes and asked.

"The diffuse image is the Brownian motion of water molecules......" Cheng Lixue stammered a few words, and then couldn't go on.

Interventional doctor who specializes in X-rays.

Interventional embolization, for example, is performed under X-rays. In the past decade, with the rise of radiofrequency ablation, many doctors have begun to understand CT imaging, but for MRI, it is still highly directional MRI diffusion......

Cheng Lixue really doesn't understand.

"So, what can you see in this position?" Zheng Ren asked as he inserted the first patient's diffusion image into the reader, pointed to a location.

"......" Cheng Lixue was at a loss.

Here, a diffusion-sensitive gradient pulse of the same length, amplitude, and position is applied symmetrically on each side of the 180b pulse in the SE sequence. You try to subtract the pulses of a sequence, and think again. Zheng Ren has tried to simplify the technical terminology as much as possible.

But Cheng Lixue's expression betrayed his soul.

The director of the intervention department of the Second Municipal Hospital was completely confused.

"That's right. Zheng Ren was a little regretful, thought about it, and said, "Director Cheng, why don't you go to the MRI room to study for a few days?"

“……”

Zheng Ren sighed, a little regretful.

Professor Rudolph Wagner can accept it quickly, and so can Su Yun, but these are all anti-heaven level powerhouses, and Director Cheng Lixue Cheng really can't compare with them.

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