Medical network, June 14, as the state council on the promotion of the construction of the grading system guidance ", how to construct the "first option at the grass-roots level, two-way referral, acute slow partition, the upper and lower linkage" hierarchical diagnosis model, the parties are actively exploring. In the recently held "2017 China international medical equipment fair", the reporter observed, is famous for its high, refined, sharp medical equipment industry pattern has - and whether multinationals, or local companies, focus mostly tailor products for different levels of medical institutions. 

 

CT in China market development report in 2015, according to relative to the tertiary hospital, CT equipment market in our country grass-roots hospitals, private hospitals have larger development space, is expected in 2018 sales at about 2400 units. And the number of CT devices will continue to grow. In the next few years, the annual demand of CT equipment for the basic medical and health institutions of our country will exceed 1,000, and the tertiary hospitals will be upgraded with equipment. 

 

The fair, China medical equipment association of relevant experts pointed out that at present from the point of view of industry structure, mainly domestic CT equipment sales increase, and civilian battalion hospital CT equipment purchase quantity increased year by year, lead to decline in average selling prices of CT equipment. Compared with 2014, the sales of CT equipment in foreign companies have decreased in varying degrees, while domestic brands have grown faster in sales of CT devices, such as dongying, lianying and sanofi. 

 

Senor via President pay a poem says, technically, fast local CT equipment development in our country in recent years, the product can meet the demand of different daily diagnosis and treatment of medical institutions, especially the grass-roots medical institutions more inclined to purchase domestic equipment. On the one hand you can lower the cost of the patient's examination; On the other hand, it can reduce the cost of service. But there is no denying that some clinical research, which has high, precise and pointed needs, will still be dominated by CT equipment for foreign enterprises. 

 

Research and development according to the needs of institutions 

 

For a long time, China has relied on imports for large medical equipment, and has very few large-scale medical equipment developed independently. CT equipment technology is very much involved, even Europe's big CT production enterprises, like a ball tube, high pressure generator and detector of hard core components, also has been a selection component providers worldwide, and customized production and cooperation, the current domestic CT enterprise also USES the same way. 

 

Farmers pay poetry reveals that this commissioned the production mode of cooperation, is not to say that our local CT equipment is the core technology, now most of the CT enterprise core is mainly devoted to the system and the optimization, eventually to the doctor with the perfect clinical solutions, to obtain the most perfect image can show the disease problem. With senor via, the company product development and internationalization mode and degree is similar, but GE and Siemens as a "leader" of CT equipment and some deeper ball tube, generator technology. 

 

During the meeting, also has the expert points out, medical imaging technology is indispensable to the current medical system popular, already seeped to the diagnosis, treatment, and review each link, including emergency and outpatient department, interventional therapy, radiation therapy, positioning, etc. Application of various imaging techniques represented by CT, to enhance the level of grassroots medical institutions disease diagnosis and build "the first option at the grass-roots level, two-way referral, acute slow partition, the upper and lower linkage" mode of hierarchical diagnosis effect is remarkable. 

 

Yongping county of yunnan province people's hospital, Sue the glorious said: "at this stage large imaging equipment such as CT, grassroots medical institutions is not outdated equipment, or because they do not understand the choose and buy, the configuration and the hospital business development does not match the low performance of the equipment, hardware does not reach the designated position for image classification, diagnosis and treatment is based on either the government, or of the parties, including hospital, first of all to help grassroots hospital scientific equipment configuration image." 

 

It is understood that the use of CT devices is more than 10 years old, and hospitals need to consider the role of CT machines for at least five to 10 years when investing. Usually, hospitals need to combined with the feature of areas the population of residents and economic characteristics, the high incidence of disease, concluded the development trend of medical needs, combining hospital resource and make plans for the development of the hospital, including specialized subject construction, scale, etc., and then according to these information, and then to scientific configuration of the equipment. 

 

"Grassroots medical CT equipment should never be used products eliminated large hospital, its use environment, use of personnel, use condition is a challenge for CT equipment companies." The CT that the basic hospital needs can be summarized in an English word, CARE. C refers to the capable, the primary hospital needs a full-body application-level device, and the patient is more likely to have an overall impact diagnosis requirement. "A" means affordable, the basic hospital has limited financial resources and must be affordable; "R" means "Reliable" and "basic hospitals are no more than big hospital CT machines", and the equipment must be Reliable and durable. It is Easy to use, because there are not so many experts at the basic hospital. 

 

The cloud platform results in mutual recognition 

 

Through excellent imaging diagnostic promote grass-roots hospital diagnosis and treatment ability, is a very effective breakthrough, but in the process of advance, also faces many difficulties. Senor via product marketing director Peter zhou pointed out that "the realization of image classification diagnosis system, must break through the difficulties of the mutual recognition, this is the key to realize image classification diagnosis. Specifically, is to realize two: one is the grass-roots hospital scan scheme to tertiary hospitals to achieve consistently; the second is the image of basic-level hospitals quality to achieve the requirement of the tertiary hospitals for disease diagnosis." 

 

Results from the present situation, the hardware in place is the premise of mutual recognition, the equipment should have the ability to support the superior hospital commonly used to enhance, for dynamic imaging, high load angiographic examination, make sure you are able to implement standardized inspection scheme, and get high quality image. At the same time, the implementation of the standardized examination also need the support of application software system, software system should not only realize the 2 d and 3 d image processing and analysis, to provide more various scanning solutions for different disease, also need to make all kinds of complex operation simplification. 

 

Insight to primary care is widely applied Vision diagnosis system as an example, in addition to the configuration of the mainstream of image processing and analysis software, more important is the built-in system the function of network consultation, grassroots image operator check finished, you can directly point network consultation tools. The image doctor professional level lacking of basic-level hospitals are very helpful, this platform has been set up for basic-level hospital and tertiary hospital expert resources interconnectivity of Bridges. 

 

Peter zhou admitted that CT equipment companies have to develop basic image doctor at present stage as a starting point, with the aid of its own network system and the superiority resources, help basic-level hospitals image department and clinical departments enhance the level of diagnosis and treatment, including online and offline, such as remote different forms. 

 

"Future CT research will develop in three directions." Farmers pay poetry explained, "is the first professional. Don't rely on overseas custom cooperation ball tube technology, high voltage generator, etc. At present, the ministry of science and technology also has project investment funds, we will also use some support of the country, a breakthrough the limitation of these technologies, realize the goal of localization of key components. The second is intelligent. We hope we can better provide auxiliary diagnosis of CT equipment, better realize the interconnection between manufacturers and hospitals, intelligently in monitoring machine running condition timely maintenance, and combined with other equipment, take the initiative to provide clinical solution, etc. The third is the network. On the basis of the cloud platform, using the local area PACS solutions that help medical institutions at all levels to realize resources circulation of up and down."