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Yesterday, today, and tomorrow of metaverse in medicine

白春学 * 

复旦大学附属中山医院呼吸与危重症医学科,上海 200032


[作者简介] 白春学, 博士,教授,主任医师. 

* 通信作者(Corresponding author). Tel: 021-64041990, E-mail: bai.chunxue@zs-hospital.sh.cn

[收稿日期] 2024-02-08 [接受日期] 2024-03-25 [发表日期] 2024-03-28

[基金项目] 上海市健康科普人才能力提升专项 (JKKPYC-2023-A20),上 海市科学技术委员会上海工程技术研究中心建设计划 (20DZ2254400), 上海市科技创新行动计划 (21DZ2200600), 上海市市级科技重大专项 (ZD2021CY001), 上海市临床重点专科建设项目 (shslczdzk02201). Supported by Project of Promoting Ability of Medical Science Popularization for Young Talents in Shanghai (JKKPYC-2023-A20), Establishment of Shanghai Engineering Technology Research Center of Science and Technology Commission of Shanghai Municipality (20DZ2254400), Shanghai Action Plan for Science, Technology and Innovation (21DZ2200600), The Shanghai Municipal Science and Technology Major Project (ZD2021CY001), Shanghai Municipal Key Clinical Specialty (shslczdzk02201).


伦理声明    无。

利益冲突    所有作者声明不存在利益冲突。 

作者贡献    白春学:论文选题、撰写、修改。

DOI: https://doi.org/10.61189/254340fowzza

专家述评 |Published on: 28 March 2024

[Metaverse in Medicine] Volume 1, Number 1, 3-12

DOI: https://doi.org/10.61189/254340fowzza
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How to build a meta-hospital?

宋振举,顾建英,白春学 * 

复旦大学附属中山医院,上海 200032


[作者简介] 宋振举, 博士, 主任医师. E-mail: song.zhenju@zs-hospital.sh.cn 

* 通信作者(Corresponding author). Tel: 021-64041990, E-mail: bai.chunxue@zs-hospital.sh.cn


[收稿日期] 2024-03-15 [接受日期] 2024-03-25 [发表日期] 2024-03-28 

[基金项目] 上海市健康科普人才能力提升专项 (JKKPYC-2023-A20),上海市科学技术委员会上海工程技术研究中心建设计划 (20DZ2254400), 上海市科技创新行动计划 (21DZ2200600), 上海市市级科技重大专项 (ZD2021CY001), 上海市临床重点专科建设项目 (shslczdzk02201). Supported by Project of Promoting Ability of Medical Science Popularization for Young Talents in Shanghai (JKKPYC-2023-A20), Establishment of Shanghai Engineering Technology Research Center of Science and Technology Commission of Shanghai Municipality (20DZ2254400), Shanghai Action Plan for Science, Technology and Innovation (21DZ2200600), The Shanghai Municipal Science and Technology Major Project (ZD2021CY001), Shanghai Municipal Key Clinical Specialty (shslczdzk02201).


伦理声明    无。 

利益冲突    所有作者声明不存在利益冲突。 

作者贡献    宋振举:撰写论文;顾建英:修改论文;白春学:论文选题、修改。

DOI:  https://doi.org/10.61189/578055kpdxhd

专家述评 |Published on: 28 March 2024

[Metaverse in Medicine] Volume 1, Number 1, 13-21

DOI: https://doi.org/10.61189/578055kpdxhd
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Difficult airway management in patients with laryngeal tumor: Case series and systematic review

Chenglong Zhu1,3*, Miao Zhou1,4*, Yongchu Hu2, Wenyun Xu2, Zui Zou1,2


1School of Anesthesiology, Naval Medical University, Shanghai 200433, China. 2Department of Anesthesiology, Second Affiliated Hospital of Naval Medical University, Shanghai 200003, China. 3Faculty of Anesthesiology, Changhai Hospital, Naval Medical University, Shanghai 200433, China. 4Department of Anesthesiology, the Affiliated Cancer Hospital of Nanjing Medical University, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, Nanjing Medical University, Nanjing 210009, Jiangsu, China. 

*The authors have contributed equally to this work. 


Address correspondence to: Zui Zou, School of Anesthesiology, Naval Medical University, 168 Changhai Road, Yangpu District, Shanghai 200433, China. Email: zouzui@smmu.edu.cn. Wenyun Xu, Second Affiliated Hospital of Naval Medical University, 415 Fengyang Road, Huangpu District, Shanghai 200003, China. Email: xuwenyun@ smmu.edu.cn.


Acknowledgement: This study was funded by the National Natural Science Foundation of China (81670072), the Shanghai Municipal Committee of Science and Technology (20XD1434400) and Special Project on Incubation of Civil-Military Integration Achievements of the Naval Medical University (2022-RH10). Declaration of conflict of interest: None. 


Ethics approval and consent to participate: Chinese Clinical Trial Registry approved this study (ChiCTR2200060783). All procedures and research activities performed in the study were in accordance with the ethical standards of the institutional research committee. Consent was obtained from a legally authorized representative. 


DOI: https://doi.org/10.61189/109678mkmeds


Received November 29, 2023; Accepted January 16, 2024; Published June 30, 2024


Highlights 

● SEEKflex (Safe Easy Endotracheal Kit-flexible) is a modified introducer, which provides a simple and rapid way for intubating patients with laryngeal tumors. 

● With its non-invasive and gentle approach, SEEKflex minimizes patient discomfort, enhancing the overall patient experience. 

● Flexible fiberoptic bronchoscope remains the most frequently used tool for managing difficult airways.

Case Report |Published on: 29 June 2024

[Perioperative Precision Medicine] 2024; 2 (2): 36-43

DOI: https://doi.org/10.61189/109678mkmeds
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Research progress of sphingosine 1-phosphate receptor 3 in the cardiovascular system

Yangmengna Gao1,2, Ran Yuan1,2, Kecheng Zhai1,2, Hui Su1,2, Renke Sun1,2, Shangping Fang1,2 


1School of Anesthesiology, 2Anesthesia Laboratory and Training Center, Wannan Medical College, Wuhu 241002, Anhui, China. 


Address correspondence to: Shangping Fang, Anaesthesiology Experimental Training Center, College of Anesthesiology, Wannan Medical College, No.22 Wenchang West Road, Yijiang District, Wuhu 241002, Anhui, China. Tel:+86-19855362767. E-mail: 20180041@wnmc.edu.cn.


Acknowledgement: Key Project Research Fund of Wannan Medical College (WK2022Z10); National College Student Innovation and Entrepreneurship Project (202310368016); Anhui Province College Student Innovation and Entrepreneurship Project (S202210368107, S202210368108); Student Research Funding Project of Wannan Medical College (WK2023XS10).


DOI: https://doi.org/10.61189/076009mwdtns


Received January 25, 2024; Accepted March 19, 2024; Published Jane 30, 2024


Highlights 

● Sphingosine 1-phosphate receptor 3 (S1PR3) promotes the proliferation of vascular endothelial cells and enhances barrier function. 

● S1PR3 is a promising target for clinical treatment of cardiac ischemia-reperfusion, cardiac fibrosis and atherosclerosis. 

● Fingolimod and other modulators of S1PR3 have shown therapeutic efficacy in phase I and II clinical trials for cardiovascular diseases. 

● S1PR3 play crucial roles in the perioperative evaluation and treatment of the cardiovascular system, as well as in sepsis.

Review Article |Published on: 28 June 2024

[Perioperative Precision Medicine] 2024; 2 (2): 64-72

DOI: https://doi.org/10.61189/076009mwdtns
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Progress of end-tidal carbon dioxide monitoring in non-intubated patients

Review Article |Published on: 30 June 2023

[Perioperative Precision Medicine] 2023; 1 (1): 15-23.

DOI: https://doi.org/10.61189/343605tjncke
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Optimizing electrode design to minimize thermal spread in radiofrequency-induced colonic anastomosis

Lin Mao1, Hanxiao Xue1, Zhongxin Hu1, Zhengyue Zhou1, Junxian Li1, Alfred Cuschieri2, Chengli Song1


1Shanghai Institute for Minimally Invasive Therapy, School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China. 2Institute for Medical Science and Technology, University of Dundee, DD21FD, UK.


Acknowledgements: The authors would like to acknowledge the support from the National Natural Science Foundation of China (No. 51901137, No. 51735003) and Shanghai Science and Technology Committee (No. 18441900200).


Address correspondence to: Chengli Song, Shanghai Institute for Minimally Invasive Therapy, School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China. Email: csong@usst.edu.cn.


Received March 17, 2023; Accepted May 18, 2023; Published June 30, 2023


DOI: https://doi.org/10.61189/716520irvmwh


Highlights

Three electrodes with the structure of oncave-convex, rail coupled concave-convex, and cross rail coupled concave-convex feature were designed for radiofrequency-induced colonic anastomoses.

The electrode with concave-convex design produced similar temperature between ‘gap’ and ‘compressed’ areas,whereas the rail coupled concave-convex exhibited the highest temperature at 'gap' and 'compressed' areas.

The cross rail coupled concave-convex electrode, by tightly occluding upper and lower electrodes, could create uniform compression and temperature variation.

Research Article |Published on: 30 June 2023

[Progress in Medical Devices] 2023; 1 (1): 42-54.

DOI: https://doi.org/10.61189/716520irvmwh
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Advances on ultrasound-guided radial artery catheterization

Zhezhe Fan1, Zhanheng Chen2, Saluj Dev Luitel3,4, Bing Xu2


1College of Basic Medicine, Second Military Medical University/Naval Medical University, Shanghai 200433, China. 2School of Anesthesiology, Second Military Medical University/Naval Medical University, Shanghai 200433, China. 3Foreign Training Group, Second Military Medical University/Naval Medical University, Shanghai 200433, China. 4College of Medicine, Nepalese Army Institute of Health Sciences, Kathmandu 44600, Nepal.


Address correspondence to: Bing Xu, School of Anesthesiology, Naval Medical University, 800 Xiangyin Road, Shanghai 200433, China. Tel: +86 21 81872030. E-mail: mzxubing1992@163.com.


Received February 27, 2023; Accepted March 31, 2023; Published June 30, 2023

DOI: https://doi.org/10.61189/298294zwziab


Highlights

Ultrasound-guided radial artery catheterization can effectively improve the success rate of first-time puncture and reduce the total puncture time and the incidence of complications.

Ultrasound-guided radial artery catheterization methods should be selected based on the specific characteristics of individual patients.

Review Article |Published on: 30 June 2023

[Perioperative Precision Medicine] 2023; 1 (1): 2-14.

DOI: https://doi.org/10.61189/298294zwziab
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Electromagnetic induction detection techniques for craniocerebral injury: A review

Ruoyu Song1, Tao Xu2, Tingting Shi1, Xinrui Gui1, Rongguo Yan1


1School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, P. R. China; 2Department of Neurosurgery, Changzheng Hospital, Naval Medical University, Shanghai 200003, P. R. China. 


Address correspondence to: Rongguo Yan, Department of Biomedical Engineering, School of Health Science and Engineering, University of Shanghai for Science and Technology, No. 516 Jungong Road, Yangpu, Shanghai 200093, P. R. China. Tel: 13370260817. E-mail: yanrongguo@usst.edu.cn.


Received January 5, 2022; Accepted May 7, 2023; Published June 30, 2023


DOI: https://doi.org/10.61189/729316upqdwc


Highlights

An induced current occurs in a conductor as a result of electromagnetic induction. 

The use of a magnetic field to generate induced current is known as electromagnetic induction, which can be used to detect craniocerebral injury. 

Induced current electrical impedance tomography, magneto-acoustic tomography, and eddy current damping sensors for imaging and detection are reviewed in the paper.

Review Article |Published on: 30 June 2023

[Progress in Medical Devices] 2023; 1 (1): 19-26.

DOI: https://doi.org/10.61189/729316upqdwc
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Research progress of frontier image processing in medical endoscopes

Jinjing Wu1,*, Yang Yuan2,*, Long Liu1, Haipo Cui1, Tianying Xu3, Miao Zhou4, Zhanheng Chen3, Bing Xu3


1School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China. 2School of Computer Science and Artificial Intelligence, Changzhou University, Jiangsu 213164, China. 3School of Anesthesiology, Second Military Medical University/Naval Medical University, Shanghai 200433, China. 4Department of Anesthesiology, the Affiliated Cancer Hospital of Nanjing Medical University, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, Nanjing Medical University, Nanjing 210009, Jiangsu, China. 

*The authors contribute equally.


Address correspondence to: Haipo Cui, School of Health Science and Engineering, University of Shanghai for Science and Technology, NO.516, Jungong Road, Shanghai 200093, China. E-mail: h_b_cui@163.com, Tel: +86-21-55271290; Bing Xu, School of Anesthesiology, Second Military Medical University/Naval Medical University, 800 Xiangyin Road, Shanghai 200433, China. E-mail: mzxubing1992@163.com, Tel: +86-21-81872030; Zhanheng Chen, School of Anesthesiology, Second Military Medical University/Naval Medical University, 800 Xiangyin Road, Shanghai 200433, China. E-mail: chenzhanheng17@mails.ucas.ac.cn, Tel: +86 21 81872034. 


Received July 19, 2023; Accepted September 6, 2023; Published September 30, 2023


DOI: https://doi.org/10.61189/663074tcakcn


Highlights

Medical endoscopic images can provide doctors with more accurate, visualized, and three-dimensional views of various internal tissues.

Image processing techniques such as image denoising, image deblurring, image enhancement, and image segmentation can improve the imaging quality of endoscopes.


Review Article |Published on: 30 September 2023

[Perioperative Precision Medicine] 2023; 1 (2): 62-77.

DOI: https://doi.org/10.61189/663074tcakcn
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MicroRNAs: Regulators of the host antifungal immune response

Yanchen Lin1, Ping Li2, Jinliang Teng3,#, Chunhua Liao4,# 


1Graduate School, Hebei North University, Hebei 075000, China. 2Graduate School, Wannan Medical College, Anhui 241000, China. 3Department of Anesthesiology, the First Affiliated Hospital of Hebei North University, Hebei 075000, China. 4School of Anesthesiology, Second Military Medical University/Naval Medical University, Shanghai 200433, China.


#Address correspondence to: Chunhua Liao, School of Anesthesiology, Second Military Medical University/Naval Medical University, Shanghai, 200433, China. E-mail: liaochh7@smmu.edu.cn; Jinliang Teng, Department of Anesthesiology, the First Affiliated Hospital of Hebei North University, Hebei 075000, China. E-mail: tengjinliang@126. com.


Received April 6, 2023; Accepted May 18, 2023; Published June 30, 2023


DOI: https://doi.org/10.61189/595412fcjdhw


Highlights

Patients are at a high risk of fungal infection during perioperative period. 

MicroRNAs are involved in inflammatory responses, pyroptosis and autophagy in antifungal immunity. 

MicroRNAs modulate the activation of Th cells during fungal infection, thereby regulating the adaptive immune response. 

Differentially expressed miRNAs could be used as fungal infection biomarkers.

Review Article |Published on: 30 June 2023

[Perioperative Precision Medicine] 2023; 1 (1): 37-47.

DOI: https://doi.org/10.61189/595412fcjdhw
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Impact of central venous pressure measurement on the prognosis of patients with septic shock: A retrospective analysis of the MIMIC- IV database

Yanchen Lin1, Jing Huang2, Ying Zhang1, Houfeng Li1, Huixiu Hu1, Li Tan3


1Graduate School, Hebei North University, Zhangjiakou 075000, Hebei, China. 2Graduate School, Wannan Medical College, Wuhu 241002, Anhui, China. 3Department of Anesthesiology, Chongqing University Cancer Hospital, Chongqing 400030, China.


Address correspondence to: Li Tan, Department of Anesthesiology, Chongqing University Cancer Hospital, No.181 Hanyu Road, Chongqing 400030, China. E-mail: tanlihh@163.com.


Received August 24, 2023; Accepted September 7, 2023; Published September 30, 2023


DOI: https://doi.org/10.61189/377184mkfywu


Highlights

The measurement of central venous pressure in patients diagnosed with septic shock does not yield prognostic improvements.

Central venous pressure measurement in patients with septic shock is associated with prolonged ICU stay. 

Central venous pressure measurement is not advised for patients diagnosed with septic shock.  

Research Article |Published on: 30 September 2023

[Perioperative Precision Medicine] 2023; 1 (2): 92-100.

DOI: https://doi.org/10.61189/377184mkfywu
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Progress on Kirschner wire insertion techniques for patellar fractures

Yan Zhang, Xudong Guo, Rui Yang, Jun Wang, Haipo Cui 


School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China.


Address correspondence to: Haipo Cui, School of Heath Science and Engineering, Yangpu District, Shanghai 200093, China. Tel: +86-21-55271290. E-mail: h_b_cui@163.com.


 Acknowledgments: This work was supported by the Shanghai Municipal Science and Technology Major Project (No. 2021SHZDZX), Shanghai Industrial Collaborative Innovation Project (No. 2021-cyxt1-kj07), Shanghai Science and Technology Innovation Action Plan (No. 22S31902200), and Cooperation Fund of the Eighth Research Institute of China Aerospace Science and Technology Corporation (No. SAST2022-094), PR China. 


Received February 18, 2023; Accepted April 13, 2023; Published June 30, 2023


DOI: https://doi.org/10.61189/550253gnnvtv


Highlights 

Distance and position of Kirschner wires influence the stability of tension band wiring. 

Kirschner wire guiding device can improve the accuracy of Kirschner wire placement. 

Designing an optimal guide device is the primary development direction to improve the accuracy of Kirschner wire placement.

Review Article |Published on: 30 June 2023

[Progress in Medical Devices] 2023; 1 (1): 27-32.

DOI: https://doi.org/10.61189/550253gnnvtv
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Impact of tissue-electrode contact force on irreversible electroporation for atrial fibrillation in potato models

Tiantian Hu, Yingfan Yuan, Mengying Zhan, Binyu Wang, Lin Mao, Yu Zhou


School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China. 


Address correspondence to: Yu Zhou, School of Health Science and Engineering, University of Shanghai for Science and Technology, NO.516, Jungong Road, Shanghai 200093, China. Tel: 18021042556, E-mail: zhouyu@usst.edu.cn.


Acknowledgements: This work was financially supported by National Natural Science Foundation of China (51901137).


DOI: https://doi.org/10.61189/061485jysfwu


Received August 22, 2023; Accepted November 28, 2023; Published December 31, 2023


Highlights

● A strong positive correlation was identified in the investigation of the relationship between contact force and irreversible electroporation (IRE) efficacy for tissue ablation. 

● This research conducted on potato models highlights the importance of optimizing electrode contact force in IRE for applications in atrial fibrillation treatment.

● Our findings provide insights into the design of advanced IRE ablation protocols and facilitate the clinical development and translation of this technology for effective atrial fibrillation treatment.

Research Article |Published on: 31 December 2023

[Progress in Medical Devices] 2023; 1 (3): 163-174.

DOI: https://doi.org/10.61189/061485jysfwu
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Design and simulation of a multi-functional radiofrequency tissue welding electrode

Wanwen Yang, Lin Mao, Yilong Chen, Chengli Song


Shanghai Institute for Minimally Invasive Therapy, School of Health Science and Engineering, University of Shanghai for Science and Technology, China, 200093


Address correspondence to: Lin Mao, Shanghai Institute for Minimally Invasive Therapy, School of Health Science and Engineering, NO.516, Jungong Road, Yangpu District, Shanghai 200093, China. Tel: +86-21-55572159. E-mail: linmao@usst.edu.cn.


DOI: https://doi.org/10.61189/299269sghbqx


Received August 21, 2023; Accepted December 6, 2023; Published December 31, 2023


Highlights

● Two novel electrodes (one with circle surface and the other with square and arched surface) were designed for radiofrequency intestinal anastomosis, and their effects were compared to a control electrode (smoot surface).

● The temperature and thermal damage to tissue produced by the two designed electrodes during welding are lower than those by the control electrode. 

● The electrode with square and arched surface has a smaller effective welding area and better effect on intestinal anastomosis.

Research Article |Published on: 31 December 2023

[Progress in Medical Devices] 2023; 1 (3): 155-162.

DOI: https://doi.org/10.61189/299269sghbqx
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Research advances in understanding the role and mechanism of pyroptosis in myocardial ischemia-reperfusion injury

Ziyue Li1, Bailong Hu2, Xiaohua Zou2


1College of Anesthesiology, Guizhou Medical University, Guizhou 550004, China. 2Department of Anesthesiology, the Affiliated Hospital of Guizhou Medical University, Guizhou 550004, China. 


Address correspondence to: Bailong Hu, Department of Anesthesiology, the Affiliated Hospital of Guizhou Medical University, NO. 28 Guiyi Street, Guiyang 550004, Guizhou, China. Phone number: +86-15185184309; E-mail: hubailong@gmc.edu.cn. Xiaohua Zou, Department of Anesthesiology, the Affiliated Hospital of Guizhou Medical University, NO. 28 Guiyi Street, Guiyang 550004, Guizhou, China. Tel: +86-13809416036; Fax: +86-851-86771013; E-mail: zouxiaohuazxh@gmc.edu.cn.


Acknowledgement: This work was supported by the National Natural Science Foundation of China (No. 82160951, 82160224), the project of Guiyang Science and Technology Plan (zhukehe[2024]-2-27), the Cultivate project 2021 for National Natural Science Foundation of China, the Affiliated Hospital of Guizhou Medical University (gyfynsfc-2021-35, gyfynsfc-2021-49).


DOI: https://doi.org/10.61189/434706ysltap


Received December 5, 2023; Accepted February 4, 2024; Published June 30, 2024


Highlights 

Currently, ischemic heart disease ranks as the most prevalent form of primary heart disease. The risk of myocardial ischemia-reperfusion injury, along with its associated mortality, is notably rising among perioperative patients. Recognizing the underlying mechanisms of myocardial ischemia-reperfusion injury and identifying suitable treatments are crucial. Inhibitors targeting the key molecules involved in pyroptosis hold promise as potential therapeutic options for managing myocardial ischemia-reperfusion injury


Review Article |Published on: 29 June 2024

[Perioperative Precision Medicine] 2024; 2 (2): 52-63

DOI: https://doi.org/10.61189/434706ysltap
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Thyroid disease-related sleep disorders and its diagnostic and therapeutic recommendations: A literature review

Qin Yin1,*, Jinfeng Wang2,*, Shu Wang3, Yu'e Sun4, Wei Cheng1,5, Yinming Zeng1


1Department of Pain Clinic, The Affiliated Hospital of Xuzhou Medical University, Xuzhou 221000, China. 2Department of Anesthesiology, Xuzhou Central Hospital, Xuzhou 221000, China. 3Department of Anesthesiology, Yancheng Third People's Hospital, Yancheng 224000, China. 4Department of Anesthesiology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210000, China. 5Department of Anesthesiology, Huai'an First People's Hospital Affiliated to Nanjing Medical University, Huai'an 223000, China.

*The authors contribute equally.


Address correspondence to: Yinming Zeng, Department of Anesthesiology, The Affiliated Hospital of Xuzhou Medical University, No.99 West Huaihai Road, Xuzhou 221000, China. E-mail: xzkj2297@163.com. Wei Cheng, Department of Anesthesiology, Huai’an First People’s Hospital Affiliated to Nanjing Medical University, No.1 West Yellow River Road, Huai’an 223000, China/Department of Anesthesiology, The Affiliated Hospital of Xuzhou Medical University, No.99 West Huaihai Road, Xuzhou 221000, China. E-mail: hayyyzxx@163.com. 


DOI: https://doi.org/10.61189/657934sjvovo


Received August 12, 2023; Accepted November 28, 2023; Published December 31, 2023


Highlights

● Complains of sleepless and tinnitus are common in sleep clinics, which is a different type of sleep disorder. In this article, we first summarize this disorder, which is defined as thyroid disease-related sleep disorder (TSD), and propose to categorize it as insomnia secondary to a somatic disorder.

● We have attempted to provide some preliminary diagnostic and therapeutic recommendations for TSD.

● In the treatment of TSD, we suggest relying on the theory of integrating Chinese and Western medicine, emphasizing holistic diagnosis and treatment, and precise medication.

Review Article |Published on: 31 December 2023

[Perioperative Precision Medicine] 2023; 1 (3): 101-118.

DOI: https://doi.org/10.61189/657934sjvovo
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Research progress of oxidative stress in sepsis-associated liver injury
Hui Su1,2,Tianying Xu3, Renke Sun1,2, Yu Xiang1,2, Yangmengna Gao1,2, Kecheng Zai1,2, Shangping Fang1,2 


1School of Anesthesiology, 2Anesthesia Laboratory and Training Center, Wannan Medical College, Wuhu 241002, China. 3School of Anesthesiology, Department of Anesthetic Pharmacology, Second Military Medical University/Naval Medical University, Shanghai 200433, China. 


Address correspondence to: Shangping Fang, Anesthesia Laboratory and Training Center, School of Anesthesiology, Wannan Medical College, No. 22, Wenchang West Road, Lugang Street, Yijiang District, Wuhu 241002, Anhui, China. Tel: 19855362767; E-mail: 20180041@wnmc.edc.cn.


Acknowledgements: This work was supported by Key Project Research Fund of Wannan Medical College (WK2022Z10) and Research Grant for College Students of Wannan Medical College (WK2022XS26). 


DOI: https://doi.org/10.61189/270899wnwlnz 


Received September 17, 2023; Accepted November 28, 2023; Published March 31, 2024


Highlights 

● The approaches of antioxidant therapy to alleviate sepsis-associated liver injury are summarized from the per spective of oxidative stress in different cells of the liver. 

● Reactive oxygen species, one of the main substances that induce oxidative stress, affects the molecular mecha nism of the relevant signaling pathways. 

 ● Antioxidant therapy is helpful for the recovery of various liver cells in sepsis-associated liver injury and is expect- ed to advance basic and clinical research.

Review Article |Published on: 31 March 2024

[Perioperative Precision Medicine] 2024; 2 (1): 11-19.

DOI: https://doi.org/10.61189/270899wnwlnz
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Effects of general anesthetics on the cognitive function of pediatric patients: A review

Yunfei Hao1,*, Haoyan Lou1,*, Jingnuo Jiang1, Wenhui Guo2,  Zhanheng Chen2, Bing Xu2


1College of Basic Medicine, Second Military Medical University/Naval Medical University, Shanghai 200433, China. 2School of Anesthesiology, Second Military Medical University/Naval Medical University, Shanghai 200433, China. 

*The authors contribute equally.


Address correspondence to: Wenhui Guo, School of Anesthesiology, Second Military Medical University/Naval Medical University, No.800 Xiangyin Road, Shanghai 200433, China. E-mail: wendyguo17@outlook.com; Zhanheng Chen, School of Anesthesiology, Second Military Medical University/Naval Medical University, No.800 Xiangyin Road, Shanghai 200433, China. E-mail: chenzhanheng17@mails.ucas.ac.cn; Bing Xu, School of Anesthesiology, Second Military Medical University/Naval Medical University, No.800 Xiangyin Road, Shanghai 200433, China. E-mail: xubing1992@smmu.edu.cn.


DOI: https://doi.org/10.61189/284605tsowfy


Received September 26, 2023; Accepted November 28, 2023; Published December 31, 2023


Highlights

● General anesthetics may cause neurotoxicity.

● Single general anesthesia before 3 years of age does not affect cognitive function in pediatric patients.

● The effect of general anesthetics on the cognitive function of pediatric patients is related to the number of anesthesia sessions, duration and the depth of anesthetic exposure.


Review Article |Published on: 31 December 2023

[Perioperative Precision Medicine] 2023; 1 (3): 119-132.

DOI: https://doi.org/10.61189/284605tsowfy
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The interaction of Candida albicans with C-type lectin receptors

Lindong Cheng1, Ping Li2, Duy Khanh La3,4, Zhen Xing5,#, Chunhua Liao6,# 


1Graduate School, Hebei North University, Hebei 075000, China. 2Graduate School, Wannan Medical College, Anhui 241000, China. 3Foreign Training Group, Naval Military Medical University, Shanghai 200433, China. 4Faculty of Medicine, Vietnam Military Medical University, Hanoi 100000, Vietnam. 5Department of Anesthesiology, the First Affiliated Hospital of Hebei North University, Hebei 075000, China. 6School of Anesthesiology, Second Military Medical University/Naval Medical University, Shanghai 200433, China. 

 

 #Address correspondence to: Chunhua Liao, School of Anesthesiology, Second Military Medical University/Naval Medical University, Shanghai 200433, China. E-mail: liaochh7@smmu.edu.cn; Zhen Xing, Department of Anesthesiology, the First Affiliated Hospital of Hebei North University, Hebei 075000, China. E-mail: xingzhen@sina.com.


Received March 19, 2023; Accepted May 16, 2023; Published June 30, 2023


DOI: https://doi.org/10.61189/863627autews


Highlights

Candidiasis is a substantial cause of perioperative mortality in immunocompromised and immunodeficient patients. 

β-glucan and α-mannan are two major pathogen-associated molecular patterns in the Candida albicans cell walls recognized by C-type lectin receptors (CLRs). 

CLRs, such as Dectin-1 and Dectin-2, as β-glucan and α-mannan receptors, are essentially involved in recogni tion of Candida albicans

CLRs are promising drug targets for treating chronic candidiasis.

Review Article |Published on: 30 June 2023

[Perioperative Precision Medicine] 2023; 1 (1): 24-36.

DOI: https://doi.org/10.61189/863627autews
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Progress of artificial intelligence in anesthesia and perioperative medicine

Wen-Hui Guo1,*, Qing-Lai Zang2,*, Bing Xu1, Tian-Ying Xu1, Zhan-Heng Chen1, Miao Zhou3


1School of Anesthesiology, Second Military Medical University/Naval Medical University, Shanghai 200433, China. 2Department of Anesthesiology, Second Affiliated Hospital of Naval Medical University, Shanghai 200003, China. 3Department of Anesthesiology, the Affiliated Cancer Hospital of Nanjing Medical University, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, Nanjing Medical University, Nanjing 210009, Jiangsu, China.

*The authors contribute equally.


Address correspondence to: Zhan-Heng Chen, School of Anesthesiology, Second Military Medical University/Naval Medical University, 800 Xiangyin Road, Shanghai 200433, China. Tel: +86 21 81872034. E-mail: chenzhanheng17@mails.ucas.ac.cn; Miao Zhou, Department of Anesthesiology, the Affiliated Cancer Hospital of Nanjing Medical University, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, Nanjing Medical University, Nanjing 210009, Jiangsu, China. Tel: +86 18217567295. E-mail: zhoumiao@jszlyy.com.cn.


Acknowledgment: This work was supported by the National Natural Science Foundation of China (62002297, 62073225, and 61836005), the Science and Technology Commission of Shanghai Municipality (20XD1434400), the Talent Development Fund of Shanghai (2020075), the Medical-Engineering Cross Fund of Shanghai Jiao Tong University (YG2022QN043), and the Guangxi Science and Technology Base and Talent Special Project (2021AC19394). The authors would like to thank all the guest editors and anonymous reviewers for their constructive advice.


DOI: https://doi.org/10.61189/536468bkwzzn


Received July 21, 2023; Accepted November 15, 2023; Published March 31, 2024


Highlights

● This review introduces the core concepts of artificial intelligence (AI) and describes the most commonly encountered computerized functioning of AI in anesthesiology.

● This survey systematically presents the main clinical applications of AI in anesthesia and perioperative medicine according to the perioperative phases.

● The advantages and disadvantages of introducing AI into the medical field are also discussed to explore the career development direction of anesthesiologists in the future.

Review Article |Published on: 28 March 2024

[Perioperative Precision Medicine] 2024; 2(1): 1-10

DOI: https://doi.org/10.61189/536468bkwzzn
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Medical image processing using graph convolutional networks: A review

Long Liu1, Xiaobo Zhu3, Jinjing Wu1, Qianyuan Hu1, Haipo Cui1, Zhanheng Chen2, Tianying Xu2


1School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China. 2School of Anesthesiology, Second Military Medical University/Naval Medical University, Shanghai 200433, China. 3College of Electronic and Information Engineering, Tongji University, Shanghai 201804, China.


Address correspondence to: Haipo Cui, School of Health Science and Engineering, University of Shanghai for Science and Technology, NO.516, Jungong Road, Shanghai 200093, China. Tel: +86-21-55271290, E-mail: h_b_cui@163.com; Zhanheng Chen, School of Anesthesiology, Second Military Medical University/Naval Medical University, 800 Xiangyin Road, Shanghai 200433, China. Tel: +86 21 81872034, E-mail: chenzhanheng17@mails.ucas.ac.cn; Tianying Xu, School of Anesthesiology, Second Military Medical University/Naval Medical University, 800 Xiangyin Road, Shanghai 200433, China. Tel: +86 21 81872029, E-mail: xty7910@163.com.


Received July 19, 2023; Accepted September 7, 2023; Published September 30, 2023


DOI: https://doi.org/10.61189/803479emewvv


Highlights

The development history of convolutional neural networks and the transition to graph convolutional networks are introduced, as well as the evolution of network layers.

Graph convolutional networks have been widely demonstrated to be applicable in various perioperative medical image processing scenarios.

This is the first comprehensive review of the applications of graph convolutional networks in image segmentation, image reconstruction, disease prediction, lesion detection and localization, disease classification and diagnosis, and surgical interventions.

Review Article |Published on: 30 September 2023

[Perioperative Precision Medicine] 2023; 1 (2): 79-92.

DOI: https://doi.org/10.61189/803479emewvv
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Perioperative care in hypoadrenalism: A narrative review

Mayura Thilanka Iddagoda1,2, Seng Gan1,2, Leon Flicker1,2


1Perioperative Medical Service, Royal Perth Hospital, Perth, Western Australia 6000, Australia. 2School of Medicine, University of Western Australia, Perth, Western Australia 6000, Australia.


Address correspondence to: Mayura Thilanka Iddagoda, Perioperative Medical Service, Royal Perth Hospital, Wellington Street, Perth, Western Australia 6000, Australia. Phone: +61 8 9224 2244;  Email: Mayura.Iddagoda@health.wa.gov.au.


Acknowledgement: RACP Research Entry Scholarship 2022.


DOI: https://doi.org/10.61189/496028bkubbs


Received October 12, 2023; Accepted November 10, 2023; Published December 31, 2023


Highlights

● Amongst the many causes of adrenal insufficiency, primary adrenal failure or Addison’s disease is an important cause of hypoadrenalism.

● Adreanl insufficiency is a common medical problem in surgical patients and can cause preventable major adverse events.

● It is important to identify patients at high-risk of adrenal insufficiency and to give appropriate replacements perioperatively.

● Current guidelines clearly outline the required amount of steroid dose during the intraoperative and postoperative period in patients with insufficient adrenal function.

Review Article |Published on: 31 December 2023

[Perioperative Precision Medicine] 2023; 1 (3): 141-147.

DOI: https://doi.org/10.61189/496028bkubbs
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Application of electroencephalography in the management of postoperative cognitive dysfunction

Guangkuo Ma1,2, Ziwei Xia1,2, Huanjia Xue1,2, Hui Wu1,2, Congyou Wu2, Liwei Wang1,2, Kai Wang1,2

1Graduate School, Xuzhou Medical University, Xuzhou 221004, Jiangsu, China. 2Department of Anesthesiology, Xuzhou Central Hospital, Xuzhou 221009, Jiangsu, China.

Address correspondence to: Kai Wang, Department of Anesthesiology, Xuzhou Central Hospital, No. 199 Jiefang South Road, Quanshan District, Xuzhou 221009, Jiangsu, China. Tel: 18112012729. E-mail: wangkaistream99@ xzhmu.edu.cn.

Acknowledgement: This work was supported by the Department of Anesthesiology of Xuzhou Central Hospital. 

DOI: https://doi.org/10.61189/526064kphcum

Received November 1, 2023; Accepted November 28, 2023; Published March 31, 2024

Highlights
● Maintaining anesthesia depth within speciffc ranges, as indicated by electroencephalography monitors, may reduce the risk of postoperative cognitive dysfunction.
● Quantitative analysis of electroencephalography data can provide insights into the characteristics of postoperative cognitive dysfunction, aiding in its early detection and diagnosis.
● Combining electroencephalography with functional magnetic resonance imaging may enhance the assessment of brain function and improve the accuracy of monitoring devices.

Review Article |Published on: 29 March 2024

[Perioperative Precision Medicine] 2024; 2 (1): 29-35

DOI: https://doi.org/10.61189/526064kphcum
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Roles of post-translational modifications of C-type lectin receptor-induced signaling cascades in innate immune responses against Candida albicans

Ping Li1, Lindong Cheng2, Chunhua Liao3, Jianhua Xia4, Li Tan5


1Graduate School, Wannan Medical College, Anhui 241000, China. 2Graduate School, Hebei North University, Hebei 075000, China. 3School of Anesthesiology, Naval Medical University, Shanghai 200433, China. 4Department of Anesthesiology, Shanghai Pudong New District People's Hospital, Shanghai 200433, China. 5Department of Anesthesiology, Chongqing University Cancer Hospital, Chongqing 400030, China.


Address correspondence to: Li Tan, Department of Anesthesiology, Chongqing University Cancer Hospital, No.181 Hanyu Road, Chongqing 400030, China. E-mail: tanlihh@163.com.


Received July 18, 2023; Accepted September 11, 2023; Published September 30, 2023


DOI: https://doi.org/10.61189/550782gbbqxs


Highlights

Risk of invasive candida infection and its related mortality are increasing significantly in perioperative patients.

C-type lectin receptors are the primary pattern-recognition receptors for fungi-induced host defense and innate immune activation.

Protein post-translational modifications are one of the core factors in host innate immune regulation.

Post-translational modifications sites on proteins are anticipated to serve as potential targets for modulating anti-fungal immunity.


Review Article |Published on: 30 September 2023

[Perioperative Precision Medicine] 2023; 1 (2): 48-61.

DOI: https://doi.org/10.61189/550782gbbqxs
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Research progress on the pharmacological activity and mechanism of chlorogenic acid in alleviating acute kidney injury in sepsis patients

Renke Sun1,2, Hui Su1,2, Kecheng Zhai1,2, Yangmengna Gao1,2, Shangping Fang1,2


1School of Anesthesiology, 2Anesthesia Laboratory and Training Center, Wannan Medical College, Wuhu 241002, China.


Address correspondence to: Shangping Fang, Anaesthesiology Experimental Training Center, College of Anesthesiology, Wannan Medical College, No.22 Wenchang West Road, Yijiang District, Wuhu 241002, Anhui, China. Tel:+86-19855362767; E-mail: 20180041@wnmc.edc.cn.


Acknowledgements: This work was supported by Wannan Medical College emphasis scientific research fund (WK2022Z10) and Anhui University Students’ innovation and entrepreneurship fund (S202210368107).


DOI: https://doi.org/10.61189/955623wnfjqd


Received September 28, 2023; Accepted November 14, 2023; Published December 31, 2023


Highlights

● The pharmacological action of chlorogenic acid was summarized. 

● The mechanism of acute kidney injury (AKI) was investigated.

● The signaling pathways through which chlorogenic acid plays its role in AKI were summarized for the first time.

● A possible new drug for treating a common perioperative complication, namely sepsis-induced AKI, is revealed.

Review Article |Published on: 31 December 2023

[Perioperative Precision Medicine] 2023; 1 (3): 133-140.

DOI: https://doi.org/10.61189/955623wnfjqd
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The application of mammography imaging in the diagnosis and prediction of breast diseases

Siyan Liu1,*, Guihua Wu2,*, Changjiang Zhou2,#, Shiju Yan1,#, Haipo Cui


1School of Health Sciences and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China. 2Department of Sonography, People's Hospital Affiliated to Shandong First Medical University, Jinan 271100, Shandong, China. 

*The authors contribute equally. 


#Address correspondence to: Changjiang Zhou, Department of Sonography, People's Hospital Affiliated to Shandong First Medical University, Changshao North Road, Laiwu District, Jinan 271100, China. E-mail: 390585866@ qq.com/jnsrmyybgs@jn.shandong.cn. Shiju Yan, School of Health Science and Engineering, University of Shanghai for Science and Technology, No.516 Jungong Road, Yangpu District, Shanghai 200093, China. Tel: 18217617984. E-mail: yanshiju@usst.edu.cn.


DOI: https://doi.org/10.61189/295735bbiagx


Received September 22, 2023; Accepted December 6, 2023; Published March 31, 2024


Highlights 

Computer-assisted detection, diagnosis, and prediction systems have played an effective role in diagnosing and treating female breast diseases and monitoring the course of disease. Especially in mammography imaging, they provide key support for the early diagnosis of breast cancer. This highlights the significance of modern technology in enhancing breast disease management and improving women's health.

Review Article |Published on: 29 March 2024

[Progress in Medical Devices] 2024; 2 (1): 1-11.

DOI: https://doi.org/10.61189/295735bbiagx
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Progress of near-infrared spectroscopy in cerebral blood oxygenation detection: A mini review

Xinrui Gui, Tingting Shi, Ruoyu Song, Rongguo Yan


School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093,  China.


Address correspondence to: Rongguo Yan, Department of Biomedical Engineering, School of Health Science and Engineering, University of Shanghai for Science and Technology, No. 516 Jungong Road, Yangpu District, Shanghai 200093, China. E-mail: yanrongguo@usst.edu.cn.


DOI: https://doi.org/10.61189/578860ievbid


Received October 19, 2023; Accepted November 28, 2023; Published December 31, 2023


Highlights

● Near-infrared spectroscopy (NIRS) technology transmits a beam of near-infrared light through a transmitter to the brain. 

● The changes in hemoglobin concentration and cerebral blood oxygen levels can be estimated using near-infrared light, by comparing the changes in light attenuation over time.

● This paper introduces the basic concept of measuring blood oxygen levels in brain tissue using NIRS technology, and presents the potential applications of the most recent developments in this field of study.

Review Article |Published on: 31 December 2023

[Progress in Medical Devices] 2023; 1 (3): 175-182.

DOI: https://doi.org/10.61189/578860ievbid
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Brief introduction of digital OSA specialist BAIMGPT 1· 0

陆俊羽 

重庆市第五人民医院呼吸与危重症医学科,重庆 400062


1 背景 

       因为阻塞性睡眠呼吸暂停综合征(OSA)患病率高,各级学会也越来越重视其诊治。2003年白教授牵头制定了全球第1部物联网辅助OSA诊治的专家共识[1] 。目前中国呼吸科、神经科、耳鼻喉科、全科、内分泌科、心血管科和儿科等都积极参加了OSA诊疗[2] ,并制定了不同的共识指南。但是,仍有很多患者得不到及时诊断和治疗。其主要原因是OSA患病率高,专业的睡眠呼吸医学从业者有限, 缺乏强基层广覆盖的医疗模式。白教授近来的研究表明,可通过元宇宙医学平台提高OSA同质化诊疗水平,并组织专家制定了相关专家共识[2] ,旨在实现 “名元医治未病,元医惠众生”的愿景。 


2 技术创新点 

       为实现上述目标,白教授团队研发了全球首个OSA专病BAIMGPT 1.0,含全球首个赋能OSA评估管理,语音文字交互兼容的咨询系统,赋能问诊、咨询和管理等。该专病数字人GPT可以提高OSA 教育获益率、知晓率、筛查率、咨询解答获益率,并可改善培训获益率。将OSA筛查、初评和数字人咨询普及到一级医院、体检中心,甚至患者家庭,进而大幅度降低延误诊断率,改善防治效果,助力实践健康中国规划的强基层广覆盖愿景[3-4] 。 


3 发明人及团队简介 

       白春学教授为国际元宇宙医学协会(IAMM)和联盟主席,主编元宇宙医学为主的英文杂志 Clinical eHealth 和中文杂志《元宇宙医学》,带领团队成功研发OSA专病 BAIMGPT 1.0,并成功装备在“HZ 元宇宙诊疗管理OSA一体机”之中。 


参考文献 

[1] 物联网在睡眠呼吸疾病诊治中的应用专家组. 物联网在睡眠呼吸疾病诊治中的应用专家共识[J]. 国际呼吸杂志,2013,33(4):241-244. 

[2] 肖 毅,张晓菊,杨达伟,等. 云加端物联网辅助诊治睡眠呼吸暂停(OSA)专家共识(2022 版)[J]. 复旦学报(医学版),2023,50(4):613-619,632. 

[3] 白春学. 元宇宙医学之我见[J]. 中国医药导刊,2023,25(1):1-6. 

[4] 白春学. 未来已来——我们需要的元宇宙医学[M]. 上海:上海科学技术出版社,2022.

前沿资讯 |Published on: 28 March 2024

[Metaverse in Medicine] Volume. 1, Number. 1, 95

Current status and application prospect of medical GPT

张宇鸣1,白春学2*

1. 中国信息通信研究院,北京 100191

2. 复旦大学附属中山医院呼吸及危重症医学科,上海 200032

[作者简介] 张宇鸣, 硕士. E-mail: 13901725500@139.com

* 通信作者(Corresponding author). Tel: 021-64041990, E-mail: bai.chunxue@zs-hospital.sh.cn

[基金项目] 上海市健康科普人才能力提升专项(JKKPYC-2023-A20), 上海市科学技术委员会上海工程技术研究中心建设计划(20DZ2254400), 上海市科技创新行动计划(21DZ2200600), 上海市市级科技重大专项(ZD2021CY001), 上海市临床重点专科建设项目(shslczdzk02201). Supported by Project of Promoting Ability of Medical Science Popularization for Young Talents in Shanghai (JKKPYC-2023-A20), Establishment of Shanghai Engineering Technology Research Center of Science and Technology Commission of Shanghai Municipality (20DZ2254400), Shanghai Action Plan for Science, Technology and Innovation (21DZ2200600), The Shanghai Municipal Science and Technology Major Project (ZD2021CY001), Shanghai Municipal Key Clinical Specialty (shslczdzk02201).

[收稿日期] 2024-03-15 [接受日期] 2024-03-25 [发表日期] 2024-03-28


伦理声明    无。

利益冲突    所有作者声明不存在利益冲突。

作者贡献    张宇鸣:论文撰写、修改;白春学:文章选题。

DOI: https://doi.org/10.61189/957409nduxxq

综述 |Published on: 28 March 2024

[Metaverse in Medicine] Volume 1, Number 1, 52-58

DOI: https://doi.org/10.61189/957409nduxxq
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Current status and prospects of digital human GPT in medicine

韦 球 1,蒋维芃 2,杨超勉 1,白春学 2

1. 南宁市第一人民医院呼吸与危重症医学科,南宁 530022

2. 复旦大学附属中山医院呼吸与危重症医学科,上海 200032



[作者简介] 韦  球, 博士, 副主任医师. E-mail: weiqiu2017@163.com 

* 通信作者(Corresponding author). Tel: 021-64041990, E-mail: bai.chunxue@zs-hospital.sh.cn

[收稿日期] 2024-02-28 [接受日期] 2024-03-25 [发表日期] 2024-03-28

[基金项目] 上海市健康科普人才能力提升专项 (JKKPYC-2023-A20), 上海市科学技术委员会上海工程技术研究中心建设计划 (20DZ2254400), 上海市科技创新行动计划 (21DZ2200600), 上海市市级科技重大专项 (ZD2021CY001), 上海市临床重点专科建设项目 (shslczdzk02201), 南宁市公立医院高质量发展项目 (南宁市呼吸系统疾病防治体系建设项目). Supported by Project of Promoting Ability of Medical Science Popularization for Young Talents in Shanghai (JKKPYC-2023-A20), Establishment of Shanghai Engineering Technology Research Center of Science and Technology Commission of Shanghai Municipality (20DZ2254400), Shanghai Action Plan for Science, Technology and Innovation (21DZ2200600), The Shanghai Municipal Science and Technology Major Project (ZD2021CY001), Shanghai Municipal Key Clinical Specialty (shslczdzk02201), High-quality Development Projects of Public Hospitals in Nanning (Construction of Respiratory Disease Prevention and Control in Nanning).


伦理声明    无。 

利益冲突    所有作者声明不存在利益冲突。 

作者贡献    韦球:论文撰写;蒋维芃:论文修改;杨超勉: 论文修改;白春学:文章选题。

DOI:https://doi.org/10.61189/059703zeipzv


综述 |Published on: 28 March 2024

[Metaverse in Medicine] Volume 1, Number 1, 43-51

DOI: https://doi.org/10.61189/059703zeipzv
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CITE
A method for identifying pleural lines in B-mode ultrasound images

Tingting Zhou1, Haozhe Zhuang1, Shiju Yan1, Erze Xie1, Yibo Ma2, Tao Zhang1, Tianxiang Yu1, Shuang Deng


1School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China. 2Department of Ultrasound, the Third Affiliated Hospital of Soochow University, Changzhou 213000, Jiangsu, China.


Address correspondence to: Shiju Yan, School of Health Science and Engineering, University of Shanghai for Science and Technology, No.516 Jungong Road, Shanghai 200093, China. Email: yanshiju@usst.edu.cn; Yibo Ma, Department of Ultrasound, the Third Affiliated Hospital of Soochow University, No.185 Juqian Street, Changzhou 213000, Jiangsu, China. Email: mayibo@czfph.com.


DOI: https://doi.org/10.61189/594641kmfbkw


Highlights

● Automated pleural line identification: A method was introduced to automatically identify pleural lines in lung ultrasound images, ensuring diagnosis speed and accuracy.

● High reliability: An average of 90.45% identification rate of pleural lines was achieved in a comprehensive experiment on 890 ultrasound videos, highlighting its broad applicability and reliability.

● Efficient integration: The algorithm's rapid processing (1.36 seconds for a 5-second video) makes it suitable for seamless integration into ultrasound instrument software, aiding clinicians in diagnosing conditions like pneumo-thorax more efficiently.

Review Article |Published on: 30 September 2023

[Progress in Medical Devices] 2023; 1 (2): 84-91.

DOI: https://doi.org/10.61189/594641kmfbkw
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Medical research assistant based on LLM technology

顾佳跃,须晨光 

上海弼马温软件技术有限公司,上海 201400


       在医学科研领域,每1次技术的突破都可能为人类健康带来革命性的改善。近期,上海弼马温软件技术有限公司(以下简称“弼马温”)与复旦大学附属中山医院共同宣布,1款名为“医界智圣”的 创新医疗研究助手正式问世。基于最新的大语言模型(LLM)技术,“医界智圣”不仅标志着医疗研究方法的革新,更是智能科技在医疗领域应用的重要里程碑。 


1 背景 

       在信息爆炸的时代,医学数据的复杂性和庞大性对研究人员提出了前所未有的挑战。为了有效应对这一挑战,国家强调了探索人工智能在医疗等领域应用的重要性。在这样的背景下,“医界智圣”应运而生,旨在推动医疗研究向智能化、高效化的方向迈进。

      “医界智圣”的研发背后,是复旦大学附属中山医院丰富的数据资源、先进的计算基础设施以及医学与 AI 领域的专家团队的共同努力。这一跨学科的合作模式,不仅加速了产品的创新研发,也为医 疗科研的智能化转型提供了强有力的支持。 


2 技术创新点 

      “医界智圣”的核心在于LLM的技术实现。通过预训练大模型,系统在广泛的文本数据上捕捉语言的通用模式和结构,为专业化训练奠定基础。行业特定微调阶段,模型通过专业医学数据集学习医学特有的术语和概念。多专家模型融合技术进一步提升了预测的准确性和鲁棒性,尤其在处理复杂和多变的医学数据时表现出色。

       在性能评估方面,“医界智圣”采用的“ensemble + 评估调优”模式,在标准测试集中的准确率达到了 85%以上(图 1),远超传统 AI 和通用大模型。模型将持续优化和实时更新,保证了医学研究的前沿性和时效性。

      “医界智圣”在智能文献分析和质量评估方面的能力同样令人瞩目。系统能够准确识别关键主题、疾病和方法论,其文献质量评估能力可与人工审查相媲美。这不仅极大地提高了研究效率,也为科研质量提供了有力保障。

       此外,为了满足医学研究的多样性和个性化需求,“医界智圣”提供了定制化的订阅服务。研究人员可以根据自己的研究兴趣定制系统,确保接收到最相关、最及时的信息,从而始终站在科研领域的最前沿。 


3 展望 

       弼马温和复旦大学附属中山医院的开发团队致力于“医界智圣”的持续改进和优化。未来的更新将包括扩展数据集和改进算法,以适应医学科学和 技术的快速进步。我们相信,“医界智圣”将成为医学研究者的得力助手,推动科研工作的高效进行。“医界智圣”的推出,不仅是弼马温和中山医院合作的成果, 更是医疗科研领域智能化转型的重要一步。它不仅为医疗临床研究人员提供了 1 个深入理解医学科学的工具, 还极大地提升了科研和临床决策的效率。随着“医界智圣”的应用,我们有理由相信,医学研究的未来将更加光明,新的发现和创新将不断涌现,为全人类的健康福祉做出更大的贡献。


image.png



前沿资讯 |Published on: 28 March 2024

[Metaverse in Medicine] Volume. 1, Number. 1, 96

Role of intravenous iron therapy for management of perioperative anaemia: A narrative review

Mayura Thilanka Iddagoda1,2, Christopher Etherton-Beer1,2, Leon Flicker1,2

1Perioperative Medical Service, Royal Perth Hospital, Perth, Western Australia 6000, Australia. 2School of Medicine, University of Western Australia, Perth, Western Australia 6000, Australia.

Address correspondence to: Mayura Thilanka Iddagoda, Perioperative Medical Service, Royal Perth Hospital, Wellington Street, Perth, Western Australia 6000, Australia. Phone: +61 8 9224 2244; Email: Mayura.Iddagoda@ health.wa.gov.au.


Acknowledgement: Royal Australasian College of Physicians (Research Entry Scholarship).

DOI: https://doi.org/10.61189/956852bomilz

Received October 23, 2023; Accepted November 21, 2023; Published March 31, 2024

Highlights
● Iron deffciency is the commonest cause for anaemia in patients undergoing surgeries, and this review summarizes its implications.

● Intravenous iron is a better treatment option for iron deffciency than other iron preparations.
● Body iron metabolism is a complex process, and evidence is confficting on iron supplementation in surgical patients.
● Intravenous iron replacement, as a part of patient blood management, has shown benefft in perioperative anaemia.

Review Article |Published on: 29 March 2024

[Perioperative Precision Medicine] 2024; 2 (1): 20-28

DOI: https://doi.org/10.61189/956852bomilz
PDF
CITE
A brief report on the study of BAIMGPT 1· 0

韦球 

南宁市第一人民医院呼吸与危重症医学科,南宁530022


1  背景 

       2022年中国最新肺癌发病例数增至106.06万,肺癌死亡例数73.3万[1] 。就肺癌患者的5年存活率而言,在2019年中国为19.7%[2] ,远低于2010至2014年亚洲国家中日本(33%)和韩国(25%)的5年存活率[3] 。为什么中国肺癌5年存活率低于全球发达国家,在亚洲也低于日本和韩国水平?究其原因,主要是一、二级预防工作做得不够,知晓率不够,发现早期肺癌水平不够,5年存活率不足 20%。亟需要研发简便易行的智能评估和管理技术,融入共识指南中广泛推广[4-6] 。为了解决这些问题,亟需要牵头共识指南和有丰富临床经验的著名专家作为模型,应用GPT来辅助咨询, 以便起1个颠覆性强基层、广覆盖的作用。 


2  技术创新点 

       为实现上述目标,白教授团队研发了全球首个肺结节专病BAIMGPT1.0,含全球首个赋能肺结节评估管理,语音文字交互兼容的咨询系统,赋能问诊、咨询和管理等。这一专病数字人GPT可以提高肺结节教育获益率、知晓率、筛查率、咨询解答获益率,并可改善培训获益率。将肺结节筛查、初评和数字人咨询普及到一级医院、体检中心,甚至患者家庭,进而大幅度降低延误诊断率,改善防治效果、助力实现健康中国规划的强基层广覆盖的愿景[3-4]

 

3  发明人及团队简介 

       白春学教授为国际元宇宙医学协会(IAMM)主席,牵头多项国内外肺结节共识指南,主编元宇宙医学为主的英文杂志Clinical eHealth和中文杂志《元宇宙医学》,带领团队成功研发肺结节专 病BAIMGPT 1.0,并装备在“HZ 元宇宙肺结节评估管理一体机”中。 


参考文献 

[1] ZHENG R S, CHEN R, HAN B F, et al. Cancer incidence and mortality in China, 2022[J]. Chin J Oncol, 2024, 46(3): 221-231. 

  [2]   ZENG H M,CHEN W Q,ZHENG R S, et al. Changing cancer survival in China during 2003-15:a pooled analysis of 17 population-based cancer registries[J]. Lancet Glob Health, 2018, 6(5): e555-e567. 

[3] SUNG H, FERLAY J,SIEGEL R L, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries [J]. CA Cancer J Clin, 2021, 71(3): 209-249. 

[4] 中华医学会呼吸病学分会肺癌学组, 中国肺癌防治联盟专家组. 肺结节诊治中国专家共识(2018年版)[J]. 中华结核和呼吸杂志, 2018, 41(10): 763-771. 

[5] 白春学. 元宇宙医学之我见[J]. 中国医药导刊202325(1): 1-6.

[6] 白春学. 未来已来——我们需要的元宇宙医学[M]. 上海: 上海科学技术出版社2022.

前沿资讯 |Published on: 28 March 2024

[Metaverse in Medicine] Volume. 1, Number. 1, 94

How to generate consensuses and guidelines for metaverse in medicine?

白春学*

复旦大学附属中山医院呼吸与危重症医学科,上海 200032

[作者简介] 白春学, 博士, 教授, 主任医师.

* 通信作者(Corresponding author). Tel: 021-64041990, E-mail: bai.chunxue@zs-hospital.sh.cn

[基金项目] 上海市健康科普人才能力提升专项(JKKPYC-2023-A20), 上海市科学技术委员会上海工程技术研究中心建设计划(20DZ2254400), 上海市科技创新行动计划(21DZ2200600), 上海市市级科技重大专项(ZD2021CY001), 上海市临床重点专科建设项目(shslczdzk02201). Supported by Project of Promoting Ability of Medical Science Popularization for Young Talents in Shanghai (JKKPYC-2023-A20), Establishment of Shanghai Engineering Technology Research Center of Science and Technology Commission of Shanghai Municipality(20DZ2254400), Shanghai Action Plan for Science, Technology and Innovation (21DZ2200600), The Shanghai Municipal Science and Technology Major Project (ZD2021CY001), Shanghai Municipal Key Clinical Specialty (shslczdzk02201).

[收稿日期] 2024-03-15 [接受日期] 2024-03-24 [发表日期] 2024-03-28


伦理声明    无。

利益冲突    所有作者声明不存在利益冲突。

作者贡献    白春学:文章选题、撰写、修改。

DOI: https://doi.org/10.61189/062641zhpxns

方法学研究 |Published on: 28 March 2024

[Metaverse in Medicine] Volume 1, Number 1, 66-72

DOI: https://doi.org/10.61189/062641zhpxns
PDF
CITE
Metareverse medical digital human GPT research bulletin

胡洁 

复旦大学附属中山医院,上海 200032


       2024年4月10日下午 2 点,在上海市老年医学中心 2 号楼 5 楼报告厅召开了上海市闵行区医学会元宇宙医学专委会成立大会。复旦大学附属中山医院终身荣誉教授、上海呼吸物联网医学工程技术研究中心主任,国际元宇宙医学协会主席白春学博士做了题为《元宇宙医疗——梦想还是现实》的报告,并演示了他设计研发的BAIMGPT1.0(图 1)。这是全球首个元宇宙医学数字人 GPT 正式亮相,将为大众提供更便捷、高效的医疗服务。BAIMGPT 1.0 具备丰富的医学知识和智能诊断辅助能力,特别是可为肺结节和阻塞性睡眠呼吸暂停综合征患者提供准确、及时的诊治建议。同时,它还能够与医生进行高效的沟通和协作,提高医疗效率和质量。 

       元宇宙医学数字人 BAIMGPT 1.0 的成功,无疑为医学领域带来了全新的变革。这一成果主要基于专病共识指南、教科书和被广泛认可的专著作为知识库,使其具备了丰富的医学知识和专业的诊断能力基础。 基于这些知识库,GPT 在临床诊断和治疗方面将具有重要的参考意义。它能够辅助医生进行疾病诊断,提供个性化治疗方案,提高医疗服务的质量和效率。同时,GPT 还能够提供健康咨询,全时空便捷地帮助大众了解疾病、预防疾病,助力大健康。随着技术的发展,GPT 还能够装载元宇宙技术,为医生和患者提供虚拟的诊疗环境,帮助医生进行远程诊断和治疗,患者也可以在家中接受便捷的医疗服务,实现了医疗资源的优化配置。 

       元宇宙医学数字人 BAIMGPT 1.0 的出现为大众提供了更多的医疗选择和便利,有望成为未来医疗服务的重要发展方向。我们相信,随着技术的不断发展,GPT将在医学领域发挥更大的作用,为人 类的健康事业做出更大的贡献。然而,需要注意的是,元宇宙医学数字人 BAIMGPT 1.0 虽然具有强大的功能,但仍需要不断完善和优化。在使用过程中,大众应保持理性态度,遵循专业医生的指导和建议。同时,也应注意保护个人隐私和数据安全。


image.png


图 1    白春学教授展示元宇宙医学数字人 BAIMGPT 1.0


前沿资讯 |Published on: 28 March 2024

[Metaverse in Medicine] Volume. 1, Number. 1, 2

The inauguration of Metaverse in Medicine

白春学

复旦大学附属中山医院呼吸与危重症医学科,上海 200032


尊敬的全球读者和同行们:


健康长寿是自人类诞生在这颗星球上便有的永恒追求。为满足这种追求,人类花费了大量时间和精力开展相关研究。现在,人类研发出了大量医疗器械和药物,以实施精准医疗。我们不但对人体微环境有了相当透彻的了解,而且也已经对开展分子水平诊疗游刃有余。目前,人类的平均寿命已经明显延长,健康状况也得到了根本改善。


但是,从2000年至2019年,全球非传染性疾病死亡人数占比从60.8%增加到73.6%。其中,四大慢性疾病——癌症、心血管疾病、糖尿病和慢性呼吸系统疾病,仅在2019年就夺走了 3 320 万人的生命,较2000年增加了28%。2019 年,中国居民整体预期寿命为77.4 岁(男性74.7岁,女性80.5岁),健康预期寿命为68.5岁(男性67.2岁,女性70.0岁)。虽然相较于2016年,健康寿命有所延长,但主要体现在女性数据的改善上,男性整体预期寿命和健康预期寿命甚至还都略有“倒退”。


这一反常状况的出现,既有人类生活环境变差、生活节奏加快、生活不规律、缺少锻炼等方面的原因,也是因为个人寿命的延长,增加了共患病的可能性。尽管人类研发出许多现代化诊疗设备和药物,但相应医疗资源仍然短缺,能诊断和治疗类别越来越多、演变越来越复杂的疾病的医生仍是有限的。传统的“以专家为中心、医院为重点”的医疗模式可以使医院越建越大,药物越来越多,但无法从根本上解决顶尖专家稀缺的问题,因而很难实现现代医疗“强基层、广覆盖”的初衷。因此,在当前快速变化的时代中,我们需要以更开放、更包容的态度来面对医学领域的诸多挑战。


物联网、大数据、人工智能等数字技术的发展,以及这些数字技术与医学的结合,正在催化医学科学和医疗模式的范式变革。将积累数千年的人类医学知识数字化,并基于大医名医的医学专长和智慧,通过人工智能技术生成元宇宙医生(元医),采用物联网技术采集、传输患者身体健康数据,构建元宇宙虚实相生场景,让每位患者在任何时间、任何地点都能得到精准的诊断和治疗,最大程度发挥和扩展元医的作用,力求从根本上解决优质医疗资源短缺的问题。


在元宇宙医疗环境下,“以专家为中心、医院为重点”的医疗模式将从根本上转变为“以患者为中心,以专病为抓手,以元医为重点,以质控为保障”的新型医疗模式。也只有元宇宙医学,才能“做他人不会做的,做他人做不好的,做对大众最有利的”,实现“名医治未病,元医惠众生”的愿景。白春学教授洞察了数字技术与医学技术结合的发展趋势, 引领时代发展潮流, 于2022年牵头制定了《元宇宙医学专家共识》(Expert consensus on the metaverse in medicine)。截至2024年2月,该共识已被下载超过3万次,引用136次。


在此背景下,复旦大学附属中山医院创办了《元宇宙医学》中文期刊。该期刊在国家医学中心(筹)、上海呼吸物联网医学工程技术研究中心、上海心肺疾病人工智能工程技术研究中心和复旦大学附属中山医院期刊中心的支持下,将同广大医药卫生和信息技术人员一道,深入、全面地探究如何应用强大的数字技术促进医学和医疗技术发展,以更好地服务医疗和大健康。


《元宇宙医学》的创办不仅是对数字技术与医疗融合发展趋势的回应,更推动了全球医学产业的进步与发展。该期刊将全面报道国内外元宇宙医学和数字医学的最新科研成果,紧密追踪并努力引领元宇宙医学科技发展趋势,理论与实践结合,提高与普及并重,以提高广大医疗从业人员的数字意识和数字医疗的应用水平为己任,深化信息技术在医学领域的应用,推动元宇宙医学知识创新和科技进步,为提高国家医学科技整体能力,实现“健康中国2030”的战略目标做出最大的贡献。


我们相信,只有通过开放合作、共享资源,才能真正推动全球医学产业的进步。因此,《元宇宙医学》将致力于打破地域和文化的界限,积极倡导国际交流与合作,为全球医学领域的发展注入新的活力与动力,为全球医学科技的进步贡献力量。


让我们携手并肩,共同探索医学的未来,为全人类的健康福祉而努力奋斗!


2024年3月1日于上海

       DOI: https://doi.org/10.61189/643606jmpyyp    


主编寄语 |Published on: 28 March 2024

[Metaverse in Medicine] Volume 1, Number 1, 1

DOI: https://doi.org/10.61189/643606jmpyyp
PDF
CITE
Exploration and practice of teaching rounds in metaverse in medicine

薛新颖1, 2,杨达伟3,白春学3*

1. 首都医科大学附属北京世纪坛医院呼吸与危重症医学科,北京 100038

2. 首都医科大学附司北京世纪坛医院危急重症医学中心,北京 100038

3. 复旦大学附属中山医院呼吸与危重症医学科,上海 200032


[作者简介] 薛新颖, 博士, 副主任医师. E-mail: xuexinying2988@bjsjth.cn

* 通信作者(Corresponding author). Tel: 021-64041990, E-mail: bai.chunxue@zs-hospital.sh.cn

[基金项目] 首都医科大学杰出青年项目(A2310),首都医科大学附属北京世纪坛医院学科带头人项目(2023DTRXXY),上海市健康科普人才能力提升专项(JKKPYC-2023-A20), 上海市科学技术委员会上海工程技术研究中心建设计划(20DZ2254400), 上海市科技创新行动计划(21DZ2200600),上海市市级科技重大专项(ZD2021CY001),上海市临床重点专科建设项目(shslczdzk02201). Supported by Science Fund for Distinguished Young Scholars of Capital Medical University (A2310), Program of Subject Leader in Beijing Shijitan Hospital, Capital Medical University (2023DTRXXY), Project of Promoting Ability of Medical Science Popularization for Young Talents in Shanghai (JKKPYC-2023-A20), Establishment of Shanghai Engineering Technology Research Center of Science and Technology Commission of Shanghai Municipality (20DZ2254400), Shanghai Action Plan for Science, Technology and Innovation (21DZ2200600), The Shanghai Municipal Science and Technology Major Project (ZD2021CY001), Shanghai Municipal Key Clinical Specialty (shslczdzk02201).

[收稿日期] 2024-03-15 [接受日期] 2024-03-23 [发表日期] 2024-03-28


伦理声明    无。

利益冲突    所有作者声明不存在利益冲突。

作者贡献    薛新颖:论文撰写、修改;杨达伟:论文撰写、修改;白春学:论文选题、撰写、修改。

DOI: https://doi.org/10.61189/458246xolelz

医学教育 |Published on: 28 March 2024

[Metaverse in Medicine] Volume 1, Number 1, 73-81

DOI: https://doi.org/10.61189/458246xolelz
PDF
CITE
Applying BRM to tobacco control

郑郁婕1,孙梦婷1,白春学1,2,3,杨达伟1,2,3*

1. 复旦大学附属中山医院呼吸与危重症医学科,上海 200032

2. 上海呼吸物联网医学工程技术研究中心,上海 200032

3. 上海市呼吸病研究所,上海 200032


[作者简介] 郑郁婕. E-mail: zyj7320@163.com

* 通信作者(Corresponding author). Tel: 021-64041990. E-mail: yang.dawei@zs-hospital.sh.cn

[基金项目]国家自然科学基金(82170110),福建省杰出青年科学基金项目(2022D014),上海市浦江人才计划(20PJ1402400),上海市科学技术委员会上海工程技术研究中心建设计划(20DZ2254400),上海市科技创新行动计划(21DZ2200600, 20DZ2261200),上海市市级科技重大专项(ZD2021CY001),上海市临床重点专科建设项目(shslczdzk02201),上海市健康科普人才能力提升专项(JKKPYC-2023-A20). Supported by National Natural Science Foundation of China (82170110), Fujian Science Fund for Distinguished Young Scholars (2022D014), Shanghai Pujiang Project (20PJ1402400), Establishment of Shanghai Engineering Technology Research Center of Science and Technology Commission of Shanghai Municipality (20DZ2254400), Shanghai Action Plan for Science, Technology and Innovation (21DZ2200600, 20DZ2261200), Shanghai Municipal Science and Technology Major Project (ZD2021CY001), Shanghai Municipal Key Clinical Specialty (shslczdzk02201), Project of Promoting Ability of Medical Science Popularization for Young Talents in Shanghai (JKKPYC-2023-A20).

[收稿日期] 2024-03-10 [接受日期] 2024-03-26  [发表日期] 2024-03-28


伦理声明    无。

利益冲突    所有作者声明不存在利益冲突。

作者贡献    郑郁婕:论文选题、撰写、修改;孙梦婷:论文修改;杨达伟:整体架构、撰写思路设计。

DOI: https://doi.org/10.61189/379779ioemkb

产学研融合 |Published on: 28 March 2024

[Metaverse in Medicine] Volume 1, Number 1, 82-88

DOI: https://doi.org/10.61189/379779ioemkb
PDF
CITE
Application of metaverse technology in medical quality control

宋元林 1,2 ,宋振举 3 ,钱菊英 4 ,蒋维芃 1 ,白春学 1,2,5,6* 

1. 复旦大学附属中山医院呼吸与危重症医学科,上海 200032 

2. 上海市呼吸病研究所,上海 200032 

3. 复旦大学附属中山医院急诊科,上海 200032 

4. 复旦大学附属中山医院心内科,上海 200032 

5. 上海呼吸物联网医学技术工程研究中心,上海 200032 

6. 国际元宇宙医学联盟,苏州 215163


[作者简介] 宋元林,主任医师 . E-mail:song.yuanlin@zs-hospital.sh.cn 

* 通信作者(Corresponding author). Tel:021-64041990, E-mail:bai.chunxue@zs-hospital.sh.cn

[收稿日期] 2024-06-18 [接受日期] 2024-06-23   [发表日期]   2024-06-28


伦理声明  无。 

利益冲突  所有作者声明不存在利益冲突。

作者贡献  宋元林、宋振举、钱菊英、蒋维芃:调研和检 索文献、撰写论文、修改论文;白春学:选题、撰写论文、修改 论文。

DOI:https://doi.org/10.61189/280960cuidjz

专家述评 |Published on: 28 June 2024

[Metaverse in Medicine] Volume 1, Number 2, 1-8

DOI: https://doi.org/10.61189/280960cuidjz
PDF
CITE
Methods for formulating consensus and guidelines for the application of metaverse technology in traditional Chinese medicine diagnosis and treatment

苏士成 1,梁 冰 1 ,蒋维芃 2,李 红 1*,白春学 2,3* 

1. 昆山市中医医院呼吸与危重症医学科,昆山 215300 

2. 复旦大学附属中山医院呼吸与危重症医学科,上海 200032 

3. 上海市呼吸病研究所,上海 200032


[作者简介] 苏士成,博士,主任医师 . E-mail: sushicheng2003@163.com 

* 通信作者(Corresponding author). Tel: 0512-55031711, E-mail: lhong_56@163.com;Tel: 021-64041990. E-mail: bai.chunxue@zs-hospital.sh.cn

[收稿日期] 2024-06-17 [接受日期] 2024-06-26 [发表日期] 2024-06-28 

[基金项目] 苏州市“临床医学专家团队”引进项目 . Supported by “Team of Clinical Medical Experts” in Suzhou.


伦理声明 无。 

利益冲突 所有作者声明不存在利益冲突。 

作者贡献 苏士成、梁冰、蒋维芃:撰写,查核参考文献; 李红、白春学:选题、撰写、修改。

DOI:https://doi.org/10.61189/505172zyiizr

方法学研究 |Published on: 28 June 2024

[Metaverse in Medicine] Volume 1, Number 2, 46-52

DOI: https://doi.org/10.61189/505172zyiizr
PDF
CITE
Revolution in medical education via metaverse in medicine

杨达伟1,2,3,4,5*

1. 复旦大学附属中山医院呼吸与危重症医学科,上海 200032

2. 复旦大学附属中山医院厦门医院呼吸与危重症医学科,厦门 361015

3. 上海呼吸物联网医学工程技术研究中心,上海 200032

4. 上海市呼吸病研究所,上海 200032

5. 中国肺癌防治联盟,上海 200032


[作者简介] 杨达伟,博士,副主任医师,副研究员.

* 通信作者(Corresponding author). Tel: 021-64041990, E-mail: yang.dawei@zs-hospital.sh.cn

[收稿日期] 2024-06-02 [接受日期] 2024-06-25 [发表日期] 2024-06-28

[基金项目] 国家自然科学基金(82170110),上海市浦江人才计划(20PJ1402400),上海市健康科普人才能力提升专项(青年英才)(JKKPYC-2023-A20),2020年度上海工程技术研究中心建设项目(20DZ2254400),福建省自然科学基金项目(2022D014). Supported by National Natural Science Foundation of China (82170110), Shanghai Pujiang Talent Program (20PJ1402400), Project of Promoting Ability of Medical Science Popularization for Young Talents in Shanghai (JKKPYC-2023-A20), Project of Establishment of Shanghai Engineering Technology Research Center in 2020 (20DZ2254400), Natural Science Foundation of Fujian Province (2022D014).


伦理声明 无。

利益冲突 所有作者声明不存在利益冲突。

作者贡献 杨达伟:撰写、修改论文。

DOI: https://doi.org/10.61189/875889kkotkg

医学教育 |Published on: 28 June 2024

[Metaverse in Medicine] Volume 1, Number 2, 33-38

DOI: https://doi.org/10.61189/875889kkotkg
PDF
CITE
Application of Apple Vision Pro in metaverse in medicine

王源1,杨达伟1,2,3,4,5*

1. 复旦大学附属中山医院呼吸与危重症医学科,上海 200032

2. 复旦大学附属中山医院厦门医院呼吸与危重症医学科,厦门 361015

3. 上海呼吸物联网医学工程技术研究中心,上海 200032

4. 上海市呼吸病研究所,上海 200032

5. 中国肺癌防治联盟,上海 200032


[作者简介] 王 源, 硕士生. E-mail: wangyuan011022@163.com

* 通信作者(Corresponding author). Tel: 021-64041990, E-mail: yang.dawei@zs-hospital.sh.cn

[收稿日期] 2024-06-02 [接受日期] 2024-06-25 [发表日期] 2024-06-28

[基金项目] 国家自然科学基金(82170110),上海市浦江人才计划(20PJ1402400),上海市健康科普人才能力提升专项(青年英才)(JKKPYC-2023-A20),2020年度上海工程技术研究中心建设项目(20DZ2254400),福建省自然科学基金项目(2022D014). Supported by National Natural Science Foundation of China (82170110), Shanghai Pujiang Talent Program (20PJ1402400), Project of Promoting Ability of Medical Science Popularization for Young Talents in Shanghai (JKKPYC-2023-A20), Project of Establishment of Shanghai Engineering Technology Research Center in 2020 (20DZ2254400), Natural Science Foundation of Fujian Province (2022D014).


伦理声明 无。

利益冲突 所有作者声明不存在利益冲突。

作者贡献 王源:撰写论文;杨达伟:修改论文。

DOI: https://doi.org/10.61189/769612hdtofy

综述 |Published on: 28 June 2024

[Metaverse in Medicine] Volume 1, Number 2, 27-32

DOI: https://doi.org/10.61189/769612hdtofy
PDF
CITE
Efficacy of metaverse technology in mental health

傅文杰1,孙梦婷2,杨达伟2,3,4,5,6*

1. 复旦大学计算机科学技术学院,上海 200438

2. 复旦大学附属中山医院呼吸与危重症医学科,上海 200032

3. 复旦大学附属中山医院厦门医院呼吸与危重症医学科,厦门 361015

4. 上海呼吸物联网医学工程技术研究中心,上海 200032

5. 上海市呼吸病研究所,上海 200032

6. 中国肺癌防治联盟,上海 200032


[作者简介] 傅文杰. E-mail: 22300240028@m.fudan.edu.cn

* 通信作者(Corresponding author). Tel: 021-64041990, E-mail: yang.dawei@zs-hospital.sh.cn

[收稿日期] 2024-06-02 [接受日期] 2024-06-25[发表日期] 2024-06-28

[基金项目] 国家自然科学基金(82170110),上海市浦江人才计划(20PJ1402400),上海市健康科普人才能力提升专项(青年英才)(JKKPYC-2023-A20),2020年度上海工程技术研究中心建设项目(20DZ2254400),福建省自然科学基金项目(2022D014). Supported by National Natural Science Foundation of China (82170110), Shanghai Pujiang Talent Program (20PJ1402400), Project of Promoting Ability of Medical Science Popularization for Young Talents in Shanghai (JKKPYC-2023-A20), Project of Establishment of Shanghai Engineering Technology Research Center in 2020  (20DZ2254400), Natural Science Foundation of Fujian Province (2022D014).


伦理声明 无。

利益冲突 所有作者声明不存在利益冲突。

作者贡献 傅文杰:撰写论文;孙梦婷、杨达伟:修改论文。

DOI: https://doi.org/10.61189/147257tqeuoq

综述 |Published on: 28 June 2024

[Metaverse in Medicine] Volume 1, Number 2, 23-26

DOI: https://doi.org/10.61189/147257tqeuoq
PDF
CITE
Lung cancer screening and management in the metaverse era

王 源 1 ,杨达伟 1,2,3,4,5 ,白春学 1,2,3,4,6* 

1. 复旦大学附属中山医院呼吸与危重症医学科,上海 200032 

2. 复旦大学附属中山医院厦门医院呼吸与危重症医学科,厦门 361015 

3. 上海呼吸物联网医学工程技术研究中心,上海 200032 

4. 上海市呼吸病研究所,上海 200032 

5. 中国肺癌防治联盟,上海 200032 6. 国际元宇宙医学协会,苏州 215163


[作者简介] 王 源,硕士生 . E-mail:wangyuan011022@163.com 

* 通信作者(Corresponding author). Tel:021-64041990, E-mail:bai.chunxue@zs-hospital.sh.cn

[收稿日期] 2024-06-10 [接受日期] 2024-06-20 [发表日期] 2024-06-28

[基金项目]国家自然科学基金(82170110),上海市浦江人才计划(20PJ1402400),上海市健康科普人才能力提升专项(青年英才)(JKKPYC- 2023-A20),2020年度上海工程技术研究中心建设项目(20DZ2254400),福建省自然科学基金项目(2022D014). Supported by National Natural Science Foundation of China (82170110), Shanghai Pujiang Talent Program (20PJ1402400), Project of Promoting Ability of Medical Science Popularization for Young Talents in Shanghai (JKKPYC-2023-A20), Project of Establishment of Shanghai Engineering Technology Research Center in 2020(20DZ2254400), Natural Science Foundation of Fujian Province(2022D014).


伦理声明  无。 

利益冲突  所有作者声明不存在利益冲突。 

作者贡献  王源:撰写论文,杨达伟、白春学:修改论文。

DOI: https://doi.org/10.61189/023188wptjms

专家述评 |Published on: 28 June 2024

[Metaverse in Medicine] Volume 1, Number 2, 13-15

DOI: https://doi.org/10.61189/023188wptjms
PDF
CITE
Exploration and innovation of metaverse technology: metaverse in medicine

郭仕薪 1* ,孙大伟 2,3,4 

1. 中国科学技术出版社,北京 100054 

2. 天津市中医药研究院附属医院,天津 300120 

3. 天津中医药大学第二附属医院,天津 300150 

4. 天津中医药大学,天津 301617


[作者简介] 郭仕薪 . 

*通信作者(Corresponding author). Tel: 010-63581271, E-mail: guosx0118@126.com

[收稿日期] 2024-06-10 [接受日期] 2024-06-25 [发表日期] 2024-06-28

[基金项目] 2023 年天津市中医药研究院附属医院青年人才助力培养项目—“青苗”计划;天津市卫生健康委员会中医中西医结合科研课题 — 重 点 项 目(2023041). Supported by 2023 Young Talent Development Program of Tianjin Academy of Traditional Chinese Medicine Affiliated  Hospital - “Qingmiao” Plan; Scientific Research Key Project on Traditional Chinese Medicine and Western Medicine Integration of Tianjin municipal  health and Health Committee (2023041).


伦理声明  无。 

利益冲突  所有作者声明不存在利益冲突。 

作者贡献  郭仕薪:撰写论文;孙大伟:修改论文。

DOI:  https://doi.org/10.61189/443129uoysjn

专家述评 |Published on: 28 June 2024

[Metaverse in Medicine] Volume 1, Number 2, 9-12

DOI: https://doi.org/10.61189/443129uoysjn
PDF
CITE
CONTENTS IN BRIEF

主编寄语

《元宇宙医学》创刊词………………………………....白春学(1)

专家述评 

元宇宙医学的昨天、今天与明天………………………白春学(3)

如何建设元宇宙医院?………………………宋振举,顾建英,白春学(13)

元宇宙医院的现况与未来 ………………张纪阳,于佳婕,周宸彬,等(22)

人工智能的发展及其在元宇宙医学中的应用前景………………高承实(28)

元宇宙医学数智医疗装备的监管政策研究……………………………………

……………………………………………张宇鸣,张培茗,赵阳光,等(35)

综    述 

医学数字人GPT的研究现状及展望 ……  韦   球,蒋维芃,杨超勉,等(43) 

医学GPT的研发现状和应用前景 ………………………张宇鸣,白春学(52) 

论    著 

基于专家系统和神经常微分方程的延迟混合模型构建……………………………

………………………………………………………徐成喜,张  健,姚佳烽(59) 

方法学研究 

如何制定元宇宙医学共识指南?  ……………………………………白春学(66)

医学教育 

元宇宙医学教学查房的实践与探索 ……………薛新颖,杨达伟,白春学(73) 

产学研融合 

BMR一体机应用于控烟 ……………………郑郁婕,孙梦婷,白春学,等(82) 

伦理与法规 

元宇宙医学的法律法规完善进路——以数字孪生的医学应用为例…………

……………………………………………………吴静萱,孙梦婷,杨达伟(89) 

前沿资讯 

元宇宙医学数字人GPT研究快报 ……………………………………胡   洁 (2) 

数字人肺结节专病BAIMGPT 1.0简介 ………………………………韦   球(94) 

数字人OSA专病 BAIMGPT 1.0简介…………………………………陆俊羽(95) 

医界智圣:基于LLM技术的医疗科研助手 ……………… 顾佳跃,须晨光(96)


具体目次请下载PDF查看。

Please download the PDF to check the CONTENTS IN BRIEF.


《元宇宙医学》(Metaverse in Medicine;ISSN: 3006-4236)由复旦大学附属中山医院

期刊中心与Zentime出版社联合出版。

|Published on: 28 March 2024

CONTENTS IN BRIEF

专家述评 

元宇宙技术在医疗质量控制中的应用 ⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅宋元林,宋振举,钱菊英,等(1) 

元宇宙技术的探索与创新:元宇宙医学⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅郭仕薪,孙大伟(9) 

元宇宙时代的肺癌筛查与管理⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅ 王 源,杨达伟,白春学(13) 

构建未来医疗体验:元宇宙医学平台的创新硬件与交互技术⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅ 甘舜轩(16) 

综 述 

元宇宙技术在心理健康领域的应用有效性⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅ 傅文杰,孙梦婷,杨达伟(23) 

Apple Vision Pro在元宇宙医学中的应用 ⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅ 王 源,杨达伟(27) 

医学教育 

元宇宙医学对医学教育的颠覆⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅杨达伟(33) 

元宇宙教学查房的研究进展与展望⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅ 白 莉,宋元林,童 琳,等(39)

方法学研究 

元宇宙技术在中医诊疗中应用的共识指南制定方法⋅⋅⋅⋅苏士成,梁 冰,蒋维芃,等(46) 

伦理与法规 

元宇宙医学法律规范与合规监管问题 ⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅张 烽(53) 

元宇宙时代卫生经济学研究的新变化 ⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅谭宝滢,陈丽萍,宣建伟(60)


目次具体目次请下载PDF查看。
Please download the PDF to check the CONTENTS IN BRIEF.

《元宇宙医学》(Metaverse in Medicine;ISSN: 3006-4236)由复旦大学附属中山医院

期刊中心与Zentime出版社联合出版。

|Published on: 28 June 2024