驰影A30磁共振诊疗车快速诊断流程优化在颅脑战创伤中的应用效果

Outcomes of optimizing the rapid diagnosis process of Chiying A30 MRI diagnostic vehicle for traumatic brain injury in the military

目的 探讨驰影A30磁共振诊疗车优化流程预案在颅脑战创伤中的应用效果。方法 对驰影A30磁共振诊疗车展开流程与实战化应用流程进行优化,在野战环境下进行应用。结果 2020年3月至2022年3月,共进行21次演练,对113人次模拟颅脑战创伤伤员进行核磁检查。核磁诊断车磁体设备达到恒定温度状态下,平均9.5 min即可完成展开进行头颅核磁检查,相关业务与流程越熟悉,则耗时越少。常规颅脑4个平面类型脉冲序列的检查时间平均17.6 min,伤员实际通过率约3人/h。只完成定位像和轴位T2FLAIR序列的检查时间平均6.4 min,批量颅脑战创伤伤员通过率提升至7人/h,相对常规颅脑核磁检查平均时间约缩短63.64%,通过率约增加1.33倍。结论 驰影A30磁共振诊疗车适用于野战医疗环境下颅脑战创伤伤员的伤情诊断并指导治疗,优化展开、检查流程,可进一步提高诊断效率。

Objective To explore the outcomes of optimizing the rapid diagnosis process of Chiying A30 MRI diagnostic vehicle for the traumatic brain injury in the military.Methods The deployment process and actual application process of Chiying A30 MRI diagnostic vehicle were optimized and applied in the battlefield environment.Results A total of 21 simulated trainings was conducted and 113 patients with simulated traumatic brain injury in the military received MRI examination using Chiying A30 MRI diagnostic vehicle from March 2020 to March 2022.When the MRI diagnostic vehicle reacheed a constant temperature,the mean time was 9.5 min for the vehicle to perform a head MRI examination.The average time was 17.6 min for the examination of four sequences,and the actual passing rate of the wounded was about 3 persons per hour.The average time was 6.4 min for the examination of only localization images and axial T2FLAIR sequences,and the passing rate of the batch of traumatic patients increased to 7 persons per hour,which shortened the average time of conventional cranial MRI by about 63.64%,and increased the passing rate by about 1.33 times.Conclusions Chiying A30 MRI diagnostic vehicle is suitable for diagnosing and guiding the treatment of patients with traumatic brain injury in the battlefield environment.The optimization of the deployment and detection processes can further improve the diagnosis efficiency.