医学上的超宇宙

Dawei Yang , Jian Zhou , Yuanlin Song , Mengting Sun , Chunxue Bai
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摘要

医疗物联网(MIoT)的出现为这些问题提供了一个合适的解决方案,它提供了有效的技术支持。基于目前的物联网理论,通过大医院医生(“云专家”)与小医院医生(“终端医生”)的联动,实现高效、准确的分级诊疗是可行的,并有助于相关技术的研发,提高中国的分级诊疗水平。然而,在临床实践中仍然存在以下问题:(1)云专家不能在任何时间和任何环境下致力于科普教育或进行专业讲座。(2)云专家不能在任何时候、任何情况下为终端医生提供诊断和治疗方面的指导。(3)在临床试验中,主要研究人员并不是在任何时候、任何情况下都能监督研究或指导团队。(4)由于缺乏随时随地的实时质量控制,在相当程度上仍然存在具有手工艺作坊特征的非标准诊疗。真正的原因在于互联网技术本身的局限性,无法实现云专家与参与分级诊疗的终端医生之间随时随地的沟通。因此,基于工业物联网的数字平台需要进一步完善,特别是人与计算机之间的通信与交互,虚拟世界与现实世界的融合与联动。令人欣慰的是,元宇宙概念的提出为这些问题提供了可能的解决方案,并为医学中元宇宙的提出和发展奠定了基础。
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Metaverse in medicine

The emergence of the Medical Internet of Things (MIoT) has presented an opportune solution to these problems, as it provides effective technological support. Based on the current MIoT theory, it is feasible to realize efficient and accurate graded diagnosis and treatment through the linkage between doctors in large hospitals (the ‘Cloud Experts’) and doctors in small hospitals (the ‘Terminal Doctors’), and to contribute to the research and development of related technologies to improve graded diagnosis and treatment in China. Nevertheless, the following issues remain in clinical practice: (1) The Cloud Experts are not available to dedicate themselves to popular science education, or to give professional lectures, at all times and in all settings. (2) The Cloud Experts are not available to provide guidance for the Terminal Doctors on diagnosis and treatment at all times and in all settings. (3) In clinical trials, the main researchers are not available to monitor the research or guide the team at all times and in all settings. (4) Due to the lack of real-time quality control at all times and in all settings, non-standard diagnosis and treatment, with the features of a handicraft workshop, still exist to a considerable degree. The real cause lies in the limitations of the Internet technology itself, which cannot facilitate communication at all times and in all settings between the Cloud Experts and the Terminal Doctors involved in graded diagnosis and treatment. Therefore, the MIoT-based digital platforms need to be further improved, especially concerning the communication and interactions between humans and computers, and the integration and linkage between the virtual and real worlds. It is gratifying that the concept of the metaverse has been introduced, which provides a possible solution to all these problems, and serves as a foundation for the proposal and development of the Metaverse in Medicine.

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