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日本是如何利用医疗AI解决放射科医生缺口的

2018-05-07 徐青 健康界

“在医生和AI之间,病人会如何选择?”4月27日,在2018博鳌·健康界峰会“国际医疗服务模式创新与中国机会”分论坛上,日本CVIS公司CEO古泽良知也提到了这个常被提及的问题。在CVIS旗下的心血管专业影像中心CVIC,古泽良知得到的答案是:选更好的那一个。在CVIC,更好的选项是医生+AI,即使用AI的医生。2009年成立的CVIC(Cardiovascular Imaging Clinic)

“在医生和AI之间,病人会如何选择?”4月27日,在2018博鳌·健康界峰会“国际医疗服务模式创新与中国机会”分论坛上,日本CVIS公司CEO古泽良知也提到了这个常被提及的问题。在CVIS旗下的心血管专业影像中心CVIC,古泽良知得到的答案是:选更好的那一个。

在CVIC,更好的选项是医生+AI,即使用AI的医生。

2009年成立的CVIC(Cardiovascular Imaging Clinic),是日本第一家也是唯一一家心血管专业影像中心,每天约进行20~30例冠状动脉血管摄影检查和15~16例心脏MRI检查,其处理的心脏MRI占全日本的10%。即便发展势头良好,CVIC也在迫切地寻求AI帮助。

不断增长的医疗费用和医生缺口

古泽良知介绍,日本有相对完善的全民医保制度,不论年龄和既有病史,只要持有国民健康保险证都可以享受医保,这同时也带来了高昂的医疗支出。

古泽良知提到一组数据:2017年,日本国民总收入约374亿美元,其中用于社保的花费是112亿美元,约占国民收入的30%。社保支出中有37亿美元是医疗支出,这一数字还在不断增长,预计到2025年会增至56亿美元。

除了不断增长的医疗费用之外,日本还面临一个更严峻的问题:人口老龄化。目前,日本有1.27亿人口。日本总务省的数据显示,从2010年到2030年会日本人口会减少1300万人,2010年到2050年会减少3100万人。与此同时,适龄工作人群(20到65岁的人)的数量也在不断下降。

具体到医疗影像领域,人才的缺口更为明显。

在日本,每100万人中有52台MRI、107台CT,这个比例是全球最高的。日本每年每***进行X光检查的人数约有1500。“虽然日本有这么多影像设备,但是医生却非常少。”古泽良知指出,在这一点上,中国和日本的情况非常相似。统计数据表明,国内医疗影像数据增速每年超过30%,但放射科医生的增速仅为4.1%,两者之间的矛盾显而易见。

借助AI阅片一举两得

面对重重挑战,日本政府和医疗机构纷纷将希望寄予了AI。

在CVIC进行心脏影像检查可以非常快速地拿到检查报告,因为CVIC有专业的心脏科医生阅片,因此从检查到出报告只需要一天。“但如果检查涉及身体其他部位,如肺脏等器官,就需要放射科医生二次阅片,CVIC的医生进行审核,才能拿到报告。”古泽良知介绍,这样下来,至少需要4到7天才能拿到检查报告。

为了提高效率和质量,CVIC在2017年引入了推想科技的AI系统。有了AI的帮助后,患者的影像会先发送给AI助手阅片,然后是放射科医生阅片,在CVIC医生进行检查之后出具报告。“经过这样的改进,从检查到出报告的时间缩短到2~3天,”古泽良知说,“这不仅节省了医生的时间,报告的质量也比以前更全面。”

日本将在2020年全面普及医疗AI

古泽良知提供的一组数据显示,到2030年,日本AI市场将达到8000亿美元,其中医疗AI市场会达到200亿美元。

日本政府希望,到2020年AI在基因组学、医疗影像诊断、医疗咨询和辅助治疗、药品研发、护理和手术辅助上的应用趋于成熟,并在之后达到飞速发展。

实际上,CVIC在2018年已经开始全面应用AI技术,并于2017年和2018年分别在中国杭州和广州建立了医学影像诊断中心。推想科技的研究显示,即使是在AI应用于医疗影像诊断的早期阶段,也可降低误诊率。

在CVIC,每天有40~50名患者从东京的医院转诊过来,AI的应用,让其在心血管以外的其他领域也能提供很好的服务。

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    2018-05-07 张新亮1853311252142e2fm

    好文献学习了

    0

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    2018-05-07 明月清辉

    谢谢分享.学习了

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1927212, encodeId=a886192e212db, content=<a href='/topic/show?id=7ca65e394f5' target=_blank style='color:#2F92EE;'>#放射科#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57394, encryptionId=7ca65e394f5, topicName=放射科)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6da1120, createdName=lidong40, createdTime=Mon Jun 18 16:56:00 CST 2018, time=2018-06-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1985894, encodeId=e7c41985894e8, content=<a href='/topic/show?id=12e55e395e8' target=_blank style='color:#2F92EE;'>#放射科医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57395, encryptionId=12e55e395e8, topicName=放射科医生)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e5742500212, createdName=12498f17m66暂无昵称, createdTime=Wed Feb 20 17:56:00 CST 2019, time=2019-02-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1294405, encodeId=c5881294405ab, content=<a href='/topic/show?id=ca6e592189b' target=_blank style='color:#2F92EE;'>#日本#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59218, encryptionId=ca6e592189b, topicName=日本)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f634250, createdName=chentianping, createdTime=Tue May 08 23:56:00 CST 2018, time=2018-05-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1516620, encodeId=fbac151662054, content=<a href='/topic/show?id=58c734e6349' target=_blank style='color:#2F92EE;'>#医疗AI#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=34763, encryptionId=58c734e6349, topicName=医疗AI)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b49310990515, createdName=ms1779634646866130, createdTime=Tue May 08 23:56:00 CST 2018, time=2018-05-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=312839, encodeId=dd34312839f2, content=好文献学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b5a62240667, createdName=张新亮1853311252142e2fm, createdTime=Mon May 07 10:40:39 CST 2018, time=2018-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=312834, encodeId=31a43128349e, content=谢谢分享.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Mon May 07 10:13:58 CST 2018, time=2018-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=312822, encodeId=dd6f312822ab, content=学习谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4Nd44v3xHnnictn9UpctwtH62EPQ59TMdI9lnqHMgQ16nH7GmGCfpzicsHgjibYVk6vwSpXrC86gMibRkoaIzf5HwSz7/0, createdBy=78cc1691107, createdName=龙胆草, createdTime=Mon May 07 09:17:38 CST 2018, time=2018-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=312820, encodeId=d2b4312820b8, content=`学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfDEeydJz0GlP8O0ngrUX6AYCXFic0XDOOAyeQicIqnOd4TrWSwiagJrsFNYuWC1Uc6iavbS1hWt9xtZAhAqLGHqZyl/0, createdBy=42891977006, createdName=1e17414fm02(暂无匿称), createdTime=Mon May 07 09:03:47 CST 2018, time=2018-05-07, status=1, ipAttribution=)]
    2018-05-07 龙胆草

    学习谢谢分享

    0

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    2018-05-07 1e17414fm02(暂无匿称)

    `学习

    0

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