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2018年8月11日 星期六

醫療系統的規劃、新科技: da Vinci Surgical System、 'AI hospitals




我這幾天,都經歷胡適之先生約在60年前對日本的規劃力之讚美。
這幾天,我幾次夜間走過舊臺大醫院到兒童醫院這一block,這也許是昔日規劃的台大醫院的十分之一 (確實數字待查):管線之處理,也許很醜陋,然而它們白天"門庭若市"........。這40年來,多少親友都一樣走過磨石子路,看過同樣的庭園。
據說,現在化療是一人一間,不像20年前,一間十來位......
"胡適到台灣大學演講, 就說
日本帝國大學的規劃多了不起。
醫學院的佔地,選大於總督府;
圖書館的書的編號是從一號開始累積....."
圖書館的故事,類似,諸舉一例,兩位台大校友的捐輸,重要的是選書,而非書價:
葉渭渠/譯,《川端康成小說選》,人民文學出版社,1985年。印數32900;定價3.85人民幣
台大圖書館收藏版由郭松棻和李渝所贈,2016.2.24,標價 $ 27.00


da Vinci Surgical System

http://hcsstt.blogspot.com/2018/08/da-vinci-surgical-system.html


Japan plans 10 'AI hospitals' to ease doctor shortages

Computers will fill in patient records and analyze blood tests
Artificial intelligence could take on some hospital tasks and free doctors to focus on surgery and other important work.   © ReutersTOKYO -- The Japanese government is teaming up with businesses and academia to set up hospitals enhanced by artificial intelligence, seeking to allow short-handed doctors to spend more time on patient care while curbing medical spending.
The government is expected to invest more than $100 million in the effort over half a decade, with a target of establishing 10 model hospitals by the end of fiscal 2022. AI will help with tasks from updating patients' charts to analyzing tests and parsing images to help with diagnoses.
The effort aims to address structural challenges to health care, including the chronic lack of doctors and nurses in some areas and rising medical expenses. The initiative will also help make Japan more competitive on the world stage, giving AI development a shot in the arm and helping boost exports of medical equipment.
Three ministries central to the effort -- the education, industry and health ministries -- will recruit participating companies and hospitals this month, targeting AI specialists and medical equipment makers. A basic working framework will be established as early as September, with initial efforts set to focus on cancer patients.
Participants will develop AI-assisted programs that will automatically enter information into patients' medical records based on their conversations with doctors during examinations. That is expected to free doctors to focus on patients and give more time for discussing their conditions.
AI will also be used to parse magnetic resonance imaging and endoscopic imaging, as well as analyze blood tests and other information. It will even study patients' DNA to help pick the most appropriate methods of treatment.
This computerized assistance is geared to ease some burdens for doctors and nurses and help address the labor shortfall. It is also expected to prevent doctors from failing to diagnose cancer. Yet, AI will remain in a supporting role, leaving final diagnoses up to doctors.
To improve AI's accuracy, participants will develop equipment for gathering data from blood pressure meters, electrocardiographs and other devices. The accumulation of data on Japanese patients will help refine AI's diagnostic capability.
Optimizing treatment with the help of AI is expected to cut down on unnecessary treatment, with the government counting on savings to the tune of hundreds of billions of yen per year.
While Japan had an all-time high of about 319,000 doctors as of the end of 2016, up 2.7% year on year, they tended to be highly concentrated in certain areas.
The international race to develop AI-equipped medical equipment is heating up. Competitors like General Electric of the U.S. and Siemens of Germany are strong in the diagnostic device field.
Japan's domestic market for medical devices is estimated at about 2.8 trillion yen. But imports surpass exports by 800 billion yen as doctors rely on foreign-made treatment equipment.
Domestic makers are trying to catch up. Hitachi is researching programs for having AI analyze images from computerized tomography, or CT scanning. Canon Medical Systems uses AI to refine CT imaging, reducing the doses of radiation needed.
Japan's market related to AI-enhanced treatment is set to reach 15 billion yen by 2025, about four times the 2016 tally, according to research firm Fuji Keizai.


日本政府期望藉由 AI 的幫助,讓醫生可以花更多時間照顧患者,同時可抑制醫療支出。
TECHNEWS.TW|作者:TECHNEWS 科技新報

日本也打國家隊,政府領頭建 10 家 AI 醫院
面對 AI、大數據分析、機器人等新技術,各國政府都在想盡辦法提升產業價值,在製造端提倡企業之間的合作、補貼新技術導入成本,盡全力的宣導工業 4.0 好處,而在應用端,政府扮演需求領頭羊的角色。日本政府為協助國內....



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