Eminyakeni yamuva nje, kube nokwanda okukhulu kwesidingo sezinhlelo zezithombe zezokwelapha eziphathwayo, ikakhulukazi ngenxa yokuphatheka kwazo kanye nomthelela omuhle ezinawo emiphumeleni yeziguli. Lo mkhuba washeshiswa kakhulu ubhubhane, okwagcizelela isidingo sezinhlelo ezinganciphisa izingozi zokutheleleka ngokunciphisa ukuminyana kweziguli nabasebenzi ezikhungweni zezithombe.
Emhlabeni wonke, kwenziwa izinqubo zokuthwebula izithombe ezingaphezu kwezigidigidi ezine minyaka yonke, kanti inani kulindeleke ukuthi likhuphuke njengoba izifo ziba nzima kakhulu. Ukwamukelwa kwezixazululo ezintsha zokuthwebula izithombe zezokwelapha eziphathwayo kulindeleke ukuthi kukhule njengoba abahlinzeki bezempilo befuna amadivayisi aphathekayo nasebenziseka kalula ukuthuthukisa ukunakekelwa kweziguli.
Ubuchwepheshe bokuthwebula izithombe zezokwelapha ezihambayo sebube yithonya eliguqukayo, bunikeza ikhono lokwenza ukuxilongwa eceleni kombhede wesiguli noma endaweni yaso. Lokhu kuletha izinzuzo ezinkulu kunezinhlelo zendabuko, ezimile ezidinga iziguli ukuba zivakashele izibhedlela noma izikhungo ezikhethekile, okungase kuzibeke engcupheni futhi kudle isikhathi esibalulekile, ikakhulukazi kubantu abagula kakhulu.
Ngaphezu kwalokho, izinhlelo eziphathwayo zisusa isidingo sokudlulisa iziguli ezigula kakhulu phakathi kwezibhedlela noma iminyango, okusiza ukuvimbela izinkinga ezihlobene nokuhamba, njengezinkinga zokuphefumula noma ukulahlekelwa ukufinyelela ngemithambo yegazi. Ukungadingi ukuhambisa iziguli nakho kukhuthaza ukululama okusheshayo, kokubili kulabo abathwetshulwa izithombe kanye nalabo abangakwenzi lokho.
Intuthuko kwezobuchwepheshe yenze izinhlelo ezifana ne-MRI, i-X-ray, i-ultrasound, kanye ne-CT scanners zibe zincane futhi zihambe kalula. Lokhu kuhamba kuzivumela ukuthi zithuthwe kalula phakathi kwezilungiselelo ezahlukene—kungakhathaliseki ukuthi zezokwelapha noma ezingezona ezezokwelapha—njengezindawo zokunakekelwa kwempilo, amakamelo ezimo eziphuthumayo, izindawo zokuhlinza, amahhovisi odokotela, ngisho namakhaya eziguli. Lezi zixazululo eziphathekayo ziwusizo kakhulu kubantu abanganakekelwa kahle ezindaweni ezikude noma zasemakhaya, okusiza ukuvala izikhala zezempilo.
Ubuchwepheshe bokuthwebula izithombe zeselula bugcwele izici ezisezingeni eliphezulu, ezihlinzeka ngokuxilonga okusheshayo, okunembile, nokusebenzayo okuthuthukisa imiphumela yezempilo. Izinhlelo zesimanje zinikeza amakhono okucubungula izithombe athuthukile kanye nokunciphisa umsindo, okuqinisekisa ukuthi odokotela bathola izithombe ezicacile nezisezingeni eliphezulu. Ngaphezu kwalokho, ukuthwebula izithombe zezokwelapha zeselula kunegalelo ekwehliseni izindleko ngokugwema ukudluliselwa kweziguli okungadingekile kanye nokulaliswa esibhedlela, okwengeza inani elengeziwe ezinhlelweni zokunakekelwa kwempilo.
Ithonya lobuchwepheshe obusha bokuthwebula izithombe zezokwelapha eziphathwayo
I-MRI: Izinhlelo ze-MRI eziphathekayo zishintshe isithombe sendabuko semishini ye-MRI, eyayikade ikhawulelwe ezibhedlela, yayihilela izindleko ezinkulu zokufakwa nokugcinwa, futhi yabangela isikhathi eside sokulinda iziguli. Lawa mayunithi e-MRI ahambayo manje avumela izinqumo zezokwelapha zezindawo zokunakekelwa (POC), ikakhulukazi ezimweni eziyinkimbinkimbi njengokulimala kobuchopho, ngokunikeza izithombe zobuchopho ezinembile nezinemininingwane ngqo eceleni kombhede wesiguli. Lokhu kuzenza zibaluleke kakhulu ekusingatheni izimo zezinzwa ezibucayi ngesikhathi njengokushaya kwenhliziyo.
Isibonelo, ukuthuthukiswa kwesistimu ye-Swoop yi-Hyperfine kushintshe i-MRI ephathekayo ngokuhlanganisa i-ultra-low-field magnetic resonance, amagagasi omsakazo, kanye nobuhlakani bokwenziwa (AI). Lolu hlelo lwenza ukuthi ukuskena kwe-MRI kwenziwe e-POC, okuthuthukisa ukufinyelela ku-neuroimaging kweziguli ezigula kakhulu. Lulawulwa nge-Apple iPad Pro futhi lungamiswa ngemizuzu embalwa, okwenza kube ithuluzi eliwusizo lokuthwebula izithombe zobuchopho ezindaweni ezifana namayunithi okunakekelwa okujulile (ama-ICU), amawadi ezingane, kanye nezinye izindawo zokunakekelwa kwempilo. Uhlelo lwe-Swoop lunokuguquguquka futhi lungasetshenziswa ezimweni ezahlukahlukene, kufaka phakathi isifo sohlangothi, i-ventriculomegaly, kanye nemiphumela yobukhulu be-intracranial.
I-X-Ray: Imishini ye-X-ray yeselula yenzelwe ukuba ibe lula, igoqeke, isetshenziswe ngebhethri, futhi ibe ncane, okwenza ibe yindawo efaneleke kakhulu ekuthathweni kwezithombe ze-POC. Lawa madivayisi afakwe izici zokucubungula izithombe ezithuthukisiwe kanye nezifunda zokunciphisa umsindo ezinciphisa ukuphazamiseka kwesignali kanye nokunciphisa, okukhiqiza izithombe ze-X-ray ezicacile ezinikeza inani eliphezulu lokuxilonga kochwepheshe bezempilo. I-World Health Organization (WHO) iphawula ukuthi ukuhlanganisa izinhlelo ze-X-ray eziphathekayo nesofthiwe yokuthola ikhompyutha esizwayo (CAD) esebenzisa i-AI kuthuthukisa kakhulu ukunemba kokuxilonga, ukusebenza kahle, kanye nokusebenza kahle. Ukusekelwa kwe-WHO kungadlala indima ebalulekile ekuthuthukiseni ukuhlolwa kwesifo sofuba (TB), ikakhulukazi ezindaweni ezifana ne-UAE, lapho abantu abangu-87.9% bakhiwa ngabafuduki bamazwe ngamazwe, abaningi babo abavela ezindaweni ezigcwele i-TB.
Izinhlelo ze-X-ray eziphathekayo zinezindlela eziningi zokusetshenziswa kwezokwelapha, okuhlanganisa ukuxilonga i-pneumonia, umdlavuza wamaphaphu, ukwaphuka kwamathambo, isifo senhliziyo, amatshe ezinso, izifo, kanye nezimo zezingane. Le mishini ye-X-ray yeselula ethuthukisiwe isebenzisa i-X-ray evame kakhulu ukuze ithunyelwe ngokunembile kanye nekhwalithi yesithombe ephezulu. Isibonelo, i-Prognosys Medical Systems eNdiya yethule uhlelo lwe-Prorad Atlas Ultraportable X-ray, idivayisi elula, ephathekayo enejeneretha ye-X-ray elawulwa yi-microprocessor, eqinisekisa ukuphuma kwe-X-ray okunembile kanye nezithombe ezisezingeni eliphezulu.
Ikakhulukazi, iMpumalanga Ephakathi ibona ukukhula okusheshayo kwezithombe zezokwelapha eziphathwayo, njengoba izinkampani zamazwe ngamazwe ziqaphela ukubaluleka kwazo kanye nesidingo esikhulayo esifundeni. Isibonelo esiphawulekayo ukubambisana kukaFebhuwari 2024 phakathi kwe-United Imaging ese-US kanye ne-Al Mana Group yaseSaudi Arabia. Lokhu kubambisana kuzobona i-AI Mana Hospital ibekwe njengesikhungo sokuqeqesha kanye nesikhungo samasu se-X-ray yeselula yedijithali kulo lonke elaseSaudi Arabia kanye neMpumalanga Ephakathi ebanzi.
I-Ultrasound: Ubuchwepheshe be-ultrasound yeselula buhlanganisa amadivayisi ahlukahlukene, kufaka phakathi izikena ezigqokwayo, ezingenantambo noma eziphathwayo ezinezintambo kanye nemishini ye-ultrasound esekelwe enqoleni equkethe ama-array e-ultrasound aguquguqukayo, aqinile eceleni kwama-transducer aqondile nagobile. Lawa ma-scanner asebenzisa ama-algorithms obuhlakani bokwenziwa ukuze abone izakhiwo ezahlukahlukene ngaphakathi komzimba womuntu, alungise amapharamitha afana nokuvama nokujula kokungena ngokuzenzakalelayo ukuze athuthukise ikhwalithi yezithombe. Ayakwazi ukwenza izithombe ezijulile nezingaphezulu eceleni kombhede, ngenkathi futhi esheshisa ukucubungula idatha. Leli khono livumela izithombe ezinemininingwane zesiguli ezibalulekile ekuxilongeni izimo ezifana nokwehluleka kwenhliziyo okuncishisiwe, isifo semithambo yenhliziyo, ukukhubazeka kokuzalwa kwengane, kanye nezifo ze-pleural kanye nezamaphaphu. Ukusebenza kwe-teleultrasound kuvumela abahlinzeki bezempilo ukuthi babelane ngezithombe zesikhathi sangempela, amavidiyo, nomsindo nabanye ochwepheshe bezokwelapha, okwenza kube lula ukubonisana okude ukuze kuthuthukiswe ukunakekelwa kweziguli. Isibonelo salokhu kuthuthuka ukwethula kwe-GE Healthcare isikena se-ultrasound esiphathwayo se-Vscan Air SL e-Arab Health 2024, esenzelwe ukuhlinzeka ngezithombe ezingajulile nezijulile ngamakhono okuphendula akude ukuze kuhlolwe inhliziyo nemithambo yegazi ngokushesha nangokunembile.
Ukuze kukhuthazwe ukusetshenziswa kwezikena ze-ultrasound eziphathwayo, izinhlangano zezempilo eMpumalanga Ephakathi zigxile ekuthuthukiseni amakhono abasebenzi bazo bezokwelapha ngokuqeqeshwa kobuchwepheshe obusezingeni eliphezulu. Isibonelo, iSheikh Shakhbout Medical City, esinye sezibhedlela ezinkulu e-UAE, yasungula i-academy ye-ultrasound (POCUS) ngoMeyi 2022. Lesi sinyathelo sihlose ukuhlomisa ochwepheshe bezokwelapha ngamadivayisi e-POCUS asizwa yi-AI ukuze kuthuthukiswe ukuhlolwa kweziguli eceleni kombhede. Ngaphezu kwalokho, ngoFebhuwari 2024, i-SEHA Virtual Hospital, esinye sezikhungo zezempilo ezinkulu kakhulu emhlabeni jikelele, yenze ngempumelelo ukuskena kwe-ultrasound okuqhutshwa ngocingo kusetshenziswa i-Sonosystem kaWosler. Lo mcimbi ugcizelele ikhono lepulatifomu ye-telemedicine lokuvumela ochwepheshe bezempilo ukuthi banikeze ukunakekelwa kweziguli ngesikhathi esifanele nangokunembile kunoma iyiphi indawo.
CT: Ama-scan e-CT ahambayo ahlonyiselwe ukwenza ukuskena komzimba wonke noma ukubhekisa ezindaweni ezithile, njengekhanda, akhiqize izithombe ezisezingeni eliphezulu (izingcezu) zezitho zangaphakathi. Lawa ma-scan asiza ekuboneni izimo zezokwelapha okuhlanganisa ukushaywa yisifo sohlangothi, i-pneumonia, ukuvuvukala kwe-bronchial, ukulimala kobuchopho, kanye nokuphuka kogebhezi. Amayunithi e-CT ahambayo anciphisa umsindo nezinto zobuciko zensimbi, okunikeza umehluko ongcono kanye nokucaca ekuthathweni kwezithombe. Intuthuko yakamuva ifaka ukufakwa kwama-photon counting detectors (PCD) anikeza ukuscan okuphezulu kakhulu ngokucaca okuphawulekayo kanye nemininingwane, okuthuthukisa ukuxilongwa kwesifo. Ngaphezu kwalokho, ungqimba olwengeziwe lwe-lead olunamathelisiwe kuma-scan e-CT ahambayo lusiza ekunciphiseni ukusabalala kwemisebe, lunikeze opharetha isivikelo esandisiwe futhi lunciphise izingozi zesikhathi eside ezihlobene nokuchayeka kwemisebe.
Isibonelo, i-Neurologica yethule isithwebuli se-OmniTom Elite PCD, esinikeza izithombe ze-CT ezisezingeni eliphezulu, ezingenakho ukungafani. Le divayisi ithuthukisa umehluko phakathi kwezinto ezimpunga nezimhlophe futhi iqeda ngempumelelo izinto ezinjengokunamathela, ukuqina kwe-beam, kanye nokuqhakaza kwe-calcium, ngisho nasezimweni ezinzima.
IMpumalanga Ephakathi ibhekene nezinselelo ezinkulu ngezifo zemithambo yegazi, ikakhulukazi isifo sohlangothi, lapho amazwe anjengeSaudi Arabia ebonisa ukwanda kwesifo sohlangothi okujwayelekile ngokweminyaka (amacala angu-1967.7 kubantu abayi-100,000). Ukuze kuxazululwe le nkinga yezempilo yomphakathi, i-SEHA Virtual Hospital inikeza izinsizakalo zokunakekelwa kwesifo sohlangothi okubonakalayo kusetshenziswa ama-CT scan, ahlose ukuthuthukisa ukunemba kokuxilonga nokusheshisa ukungenelela kwezokwelapha ukuze kuthuthukiswe imiphumela yezempilo yeziguli.
Izinselele Zamanje Neziqondiso Zesikhathi Esizayo
Ubuchwepheshe bokuthwebula izithombe eziphathwayo, ikakhulukazi ama-MRI kanye nama-CT scanner, buvame ukuba nezindawo ezincane zangaphakathi ezivalekile uma kuqhathaniswa nezinhlelo zezithombe zendabuko. Lo mklamo ungaholela ekukhathazekeni ngesikhathi sezinqubo zokuthwebula izithombe, ikakhulukazi kubantu ababhekene ne-claustrophobia. Ukuze kuncishiswe le nkinga, ukuhlanganisa uhlelo lokuzijabulisa olungaphakathi oluhlinzeka ngokuqukethwe okulalelwayo nokubukwayo kwekhwalithi ephezulu kungasiza iziguli ekuhambeni ngenqubo yokuthwebula ngokunethezeka. Lokhu kusethwa okujulile akusizi nje kuphela ukufihla eminye yemisindo yokusebenza komshini kodwa futhi kwenza iziguli zizwe imiyalelo yochwepheshe ngokucacile, ngaleyo ndlela kunciphisa ukukhathazeka ngesikhathi sokuthwebula izithombe.
Enye inkinga ebalulekile ebhekene nokuthwebula izithombe zezokwelapha eziphathwayo ukuphepha kwe-inthanethi kwedatha yomuntu siqu neyempilo yeziguli, esengozini yokusongelwa nge-inthanethi. Ngaphezu kwalokho, imithetho eqinile ephathelene nobumfihlo bedatha kanye nokwabelana ngedatha ingavimbela ukwamukelwa kwezinhlelo zokuthwebula izithombe zezokwelapha eziphathwayo emakethe. Kubalulekile ukuthi ababambiqhaza embonini basebenzise ukubethela kwedatha okuqinile kanye nezinqubo zokudlulisela eziphephile ukuze bavikele ulwazi lwesiguli ngempumelelo.
Amathuba Okukhula Ekuthathweni Kwezithombe Zezokwelapha Eziphathwayo
Abakhiqizi bemishini yokuthwebula izithombe zezokwelapha yeselula kufanele babeke phambili ukuthuthukiswa kwezindlela ezintsha zesistimu ezivumela amakhono okuthwebula izithombe ezinemibala. Ngokusebenzisa ubuchwepheshe be-AI, izithombe ezivamile ezimpunga ezikhiqizwa yizikena ze-ultrasound yeselula zingathuthukiswa ngemibala ehlukile, amaphethini, namalebula. Lokhu kuthuthuka kuzosiza kakhulu odokotela ekuchazeni izithombe, okuvumela ukuhlonza ngokushesha izingxenye ezahlukahlukene, njengamafutha, amanzi, ne-calcium, kanye nanoma yikuphi ukukhubazeka, okuzokwenza kube lula ukuxilongwa okunembe kakhudlwana kanye nezinhlelo zokwelapha ezenzelwe iziguli.
Ngaphezu kwalokho, izinkampani ezithuthukisa ama-CT kanye nama-MRI scanner kufanele zicabangele ukuhlanganisa amathuluzi okuhlola aqhutshwa yi-AI kumadivayisi azo. Lawa mathuluzi angasiza ekuhloleni ngokushesha nasekubekeni phambili amacala abucayi ngokusebenzisa ama-algorithms athuthukisiwe okuhlukanisa izingozi, okwenza abahlinzeki bezempilo bakwazi ukugxila ezigulini ezisengozini enkulu ohlwini lomsebenzi we-radiology futhi basheshise izinqubo zokuxilonga eziphuthumayo.
Ngaphezu kwalokho, kudingeka ushintsho oluvela kumodeli yokukhokha yesikhathi esisodwa evamile phakathi kwabathengisi bezithombe zezokwelapha eziphathwayo ukuya esakhiweni sokukhokha esisekelwe kokubhaliselwe. Le modeli izovumela abasebenzisi ukuthi bakhokhe imali encane, engaguquki yezinsizakalo ezihlanganisiwe, kufaka phakathi izinhlelo zokusebenza ze-AI kanye nempendulo ekude, kunokuba bakhokhe izindleko ezinkulu kusengaphambili. Indlela enjalo ingenza ama-scanner atholakale kalula ngokwezimali futhi akhuthaze ukwamukelwa okukhulu phakathi kwamakhasimende aqaphela isabelomali.
Ngaphezu kwalokho, ohulumeni basekhaya kwamanye amazwe aseMpumalanga Ephakathi kufanele bacabangele ukusebenzisa izinhlelo ezifana nohlelo lwe-Healthcare Sandbox olusungulwe yi-Saudi Ministry of Health (MoH). Lolu hlelo luhlose ukudala indawo yokuhlola ephephile nenobungani nebhizinisi ekhuthaza ukubambisana phakathi kwemikhakha yomphakathi neyangasese ukusekela ukuthuthukiswa kobuchwepheshe bezempilo obusha, okuhlanganisa nezixazululo zezithombe zezokwelapha eziphathwayo.
Ukukhuthaza Ukulingana Kwezempilo Ngezinhlelo Zokuthwebula Izithombe Zezokwelapha Eziphathwayo
Ukuhlanganiswa kwezinhlelo zezithombe zezokwelapha eziphathwayo kungasiza ekushintsheleni emodelini yokulethwa kwezempilo enamandla futhi egxile esigulini, kuthuthukiswe ikhwalithi yokunakekelwa. Ngokunqoba izithiyo zengqalasizinda kanye nezendawo zokufinyelela ukunakekelwa kwezempilo, lezi zinhlelo zisebenza njengamathuluzi abalulekile ekuhlukaniseni izinsizakalo zokuxilonga ezibalulekile zeziguli. Ngokwenza kanjalo, izinhlelo zezithombe zezokwelapha eziphathwayo zingachaza kabusha ukunakekelwa kwezempilo njengelungelo lomhlaba wonke kunokuba kube yilungelo.
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I-LnkMed ingumhlinzeki wemikhiqizo nezinsizakalo zensimu ye-radiology embonini yezokwelapha. Amasirinji aphakathi nendawo anomfutho ophezulu athuthukiswe futhi akhiqizwa yinkampani yethu, okuhlanganisaUmjovo owodwa we-CT,Umjovo wekhanda eliphindwe kabili we-CT,Umjovo we-MRIfuthii-angiography contrast media injector, ithengiswe kumayunithi angaba ngu-300 ekhaya nakwamanye amazwe, futhi ithole udumo kumakhasimende. Ngesikhathi esifanayo, i-LnkMed iphinde inikeze izinaliti namapayipi asekelayo njengezinto ezisetshenziswayo zemikhiqizo elandelayo: i-Medrad, i-Guerbet, i-Nemoto, njll., kanye namajoyinti okucindezela amahle, ama-ferromagnetic detectors kanye neminye imikhiqizo yezokwelapha. I-LnkMed ibilokhu ikholelwa ukuthi ikhwalithi iyinsika yentuthuko, futhi ibilokhu isebenza kanzima ukuhlinzeka amakhasimende ngemikhiqizo nezinsizakalo ezisezingeni eliphezulu. Uma ufuna imikhiqizo yezithombe zezokwelapha, wamukelekile ukubonisana noma ukuxoxisana nathi.
Isikhathi sokuthunyelwe: Okthoba-22-2024
