Medical Innovation Hubei Experience: 'Black Technology' | How to switch to clinical application?

Medical Network July 20th In recent years, the conversion rate of basic medical research results in China is less than 10%. How to transform medical research results into clinical application?

Recently, 21st Century Business Herald reporters followed the National Health and Wellness Committee and came to Wuhan, Hubei Province to find out that high-tech technologies such as rehabilitation robots, AI, MR, 3D printing, etc., are being applied to the clinic and play a unique role in improving the quality of medical care. .

Tongji, affiliated to Tongji Medical College, Huazhong University of Science and Technology hospital Inside, the reporter saw an exoskeleton rehabilitation robot, which can help stroke patients to perform upper limb rehabilitation training. This robot has shifted from the original sporadic application to the clinical large-scale application. It is not easy to make scientific research results into clinical transformation. The development of this technology has been explored for 10 years.

The reporter learned that within the hospital, through a series of institutional design, such as different funding schemes, to guide doctors to participate in scientific research and encourage transformation. At the level of Hubei Province, through the integration of resources, to build a medical science and technology innovation platform, has been preliminary Realize the scientific research cluster effect in related fields.

Li Hui, deputy director of the Science and Education Department of the Hubei Provincial Health Planning Commission, told the 21st Century Economic Reporter health Fields and creatures medicine There is a disconnect between industrial innovation subjects and the lack of innovation and vitality. The Provincial Health and Family Planning Commission is currently coordinating the Donghu High-tech and Optics Valley Biomedical Industrial Park, and planning to build a public service platform for the transfer of scientific and technological achievements in the health and health fields of Hubei Province.

In Tongji Hospital, the staff showed the reporter how to use the above-mentioned rehabilitation robot. The patient only needs to sit and perform the rehabilitation of the upper limb with the help of the robot.

Xu Tao, chief physician of the Rehabilitation Medicine Department of Tongji Hospital, told the reporter that the ultimate goal of rehabilitation equipment research and development is to serve the clinic and patients. This robot is aimed at the high incidence of Chinese people - stroke.

Xiong Caihua, a professor at the School of Mechanical Science and Engineering at Huazhong University of Science and Technology, who participated in the above-mentioned robot research and development, told reporters that since 2006, they have established a long-term cooperative relationship with Tongji Hospital to study the rehabilitation of patients with motor function and disorders.

'Huazhong University of Science and Technology has strong engineering and medical sciences. We have been advocating medical and medical integration, doing more medical equipment, serving the society and the masses. 'Wang Wei, the president of Tongji Hospital, told the reporter.

Xu Tao believes that the one-to-one rehabilitation training for stroke patients is low, the patient compliance is poor, and the recovery effect is not ideal. The advantage of the robot is that, based on the patient's specific condition, combined with the active and passive rehabilitation training mode, virtual reality Game environment, 痉挛 automatic monitoring and disease assessment, etc., develop a personalized rehabilitation training program to effectively solve the rehabilitation problems of different stages of different patients, to make up for the lack of artificial rehabilitation training.

In addition to robots, the application of AI reading has greatly improved the efficiency of medical services. The results of AI readings are mutually confirmed by the newly diagnosed doctors, and are reviewed by the superior doctors. The rate of misdiagnosis is reduced. For the doctors at the grassroots county hospitals, AI can empower it.

In the Department of Radiology of Tongji Hospital, the reporter observed that it takes only 5 seconds for AI to read a lung CT. It can also identify all lesions, giving quantitative parameters such as position, diameter, volume, nodule type, etc. Grading. Finally, a diagnosis report will be formed for the doctor's reference. It is recommended that the patient should also make a diagnosis.

'A skilled doctor takes 5 minutes to see a lung CT. The speed of AI is several times that of humans. For small lesions within 3 mm, the human eye is easy to miss, and AI is easy to identify. 'Director of Radiology Department, Tongji Hospital Xia Liming told reporters.

In the Department of Orthopaedics, Wuhan Union Hospital, the reporter experienced mixed reality technology (MR). MR reads the patient's CT and other data to generate a 3D holographic image model, and puts on the MR glasses at a glance. The doctor can move the stereoscopic virtual lesions to the surgical field of vision. , adjust parameters, combined with real lesions, provide reference information for intraoperative.

It is understood that the clinical application research of orthopedics of mixed reality technology is a major project of technological innovation in Hubei Province. In January 2018, Wuhan Union Hospital passed the remote consultation system to guide the Xinjiang Bozhou People's Hospital, successfully implementing the world's first mixed reality technology. Teleconsultation surgery. In the future, MR technology will bring new changes to precision surgery and telemedicine scenarios.

Tongji Hospital has adjusted the scientific research incentive policy four times, from focusing on quantity to emphasizing quality, guiding doctors to participate in scientific research and encouraging transformation. Among them, financial support is a big move.

Since 2013, the hospital has implemented the TOP strategy for scientific research and development. It faces the international medical frontier and the country's major needs, and selects about 10 disciplines. Each year, each discipline supports 3 million to 5 million yuan and supports for three consecutive years. It also encourages young doctors to set up each year. The research fund, granting 1 million yuan to fund 30-40 studies, supporting young scientists and technicians to carry out research activities.

At the same time, strengthen the superior disciplines, carry out the evaluation of key laboratories, and each time 15 laboratories are selected, each funded 1.5 million yuan, has been reviewed twice; to improve the service capacity and level of the public scientific research platform, for the hospital public scientific research platform, such as experiment The Medical Research Center, the Biomedical Research Center, etc. increased investment and improved the ability and level of scientific research services; the relatively late start of the discipline, each laboratory funded 300,000 yuan, and currently 10 laboratories have been selected.

In addition to increasing scientific research investment, Tongji Hospital also strives for funding from various channels, such as the state, provincial and ministerial levels. Wang Wei emphasizes that clinical work itself is 'scientific research'. Hospital research platform, capital investment, Talent The introduction is centered around clinical research, and the return to the patient-centered. The hospital's institutional policy is to help doctors combine scientific research and clinical work, making a major breakthrough in clinical research.

At the level of Hubei Province, clear basic research, clinical transformation, evidence-based evaluation, and demonstration application integration. In recent years, we have supported medical and health institutions and research institutes, universities, enterprise In-depth cooperation, the project has been planned to establish a large database project such as cancer, oral cavity, hepatobiliary and pancreatic diseases, and provide an auxiliary innovation platform for medical science and technology.

In addition, we will build a transformation and transformation platform for the results, and plan to build a public service platform for the transfer of scientific and technological achievements in the health and health fields of Hubei Province. In 2017, we established five provincial-level 'health and health appropriate technology breeding bases' to actively promote technology transfer in the field of health and health. In the transfer of scientific and technological achievements, the main body of enterprises and the main body of medical and health institutions will be highlighted, and a collaborative innovation model for medical research and enterprise will be created.

For different levels of medical institutions, Li Hui said that provincial medical institutions should focus on tracking frontiers, original innovation, and integrated innovation, focusing on the cultivation and incubation of scientific and technological achievements, and developing and promoting the application of new technologies. Introduce digestion, absorption and innovation, focus on the transformation of scientific and technological achievements, introduce, apply and promote new technologies to solve difficult problems. County-level medical institutions introduce digestion and absorption of innovation results, pay attention to the introduction, promotion and application of appropriate technologies at the grassroots level. Division of labor.