收藏！如何用手机翻拍X线片，磁共振片子，CT片子？

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                    <section><section><section><section><p><p><img src="image/20201014/86b79d371e9862b01189f0252a03b2cd_1.png" /></p></p></section><section><section><span><strong></strong></span></section><p><span>医疗器械第一新媒体</span></p><p><span>分享最专业的医疗器械知识</span></p></section><section><section><section>关注</section></section></section></section><section><section><section><section><section><section data-width="97%"><section><section data-width="96%"><span data-positionback="static"><span data-positionback="static"><p><img src="image/20201014/ebe8bcae9a0dfa332c55f17858228113_2.jpg" /></p></span></span></section></section><section><section><p><span>“热线直通车” +“微信直通车”</span><br  /></p></section></section><section data-width="100%"><section><section><p>点击查看</p></section></section></section><section><span data-positionback="static"><span data-positionback="static"><p><img src="image/20201014/7a475f3bb274f92efe0029aa482c5c8a_3.jpg" /></p></span></span></section><section><section><p><img src="image/20201014/1d4891ff5d047b0d8415166c401992c3_4.png" /></p></section></section></section></section></section></section></section></section></section></section><p><span><br  /></span></p><p><span><em><span>温馨提示：此篇文字即适合于网络求医的患者及家属，也适应于医生同行们保存资料以及远程会诊和病例讨论。</span></em></span></p><p><br  /></p><section data-role="outer" label="Powered by gulangu" data-mpa-powered-by="gulangu"><section data-role="paragraph"><p><span>现在基本上人人都有手机，患者通过手机微信，QQ, 各种医疗APP(比如好大夫在线、唯医互联网骨科医院、微医生、阿里健康、平安医生等)，寻找相应的医生给自己远程诊疗，越来越普遍。医生通过各种网络平台，比如微信群，电子邮件等，进行远程病例讨论和会怎也越来越普及。</span></p><p><span>&nbsp;&nbsp;</span></p><p><span>患者或者家属用手机翻拍自己检查的影像资料，通过上述方式发给医生进行咨询，或者医生用手机翻拍患者的影像资料，与其他同行进行远程会诊和讨论，经常有发出来的片子翻拍质量太差，无法使用。&nbsp;</span></p><p><br  /></p><p><span>下面几张病人翻拍后通过网上传来的图片，倾斜、反光，透亮能看到窗外的风景，没法看，属于废图，对于医生阅片是毫无意义的。</span></p><p><br  /></p><section data-role="outer" label="Powered by gulangu"><section data-id="93466" data-tools="gulangu"><section data-width="100%"><section><section><section data-width="100%"><p><img src="image/20201014/c8303c447921565dbf63933a53160536_5.jpg" /></p></section><section data-autoskip="1"><p><span>(图1)</span></p><p><span>这张片子拍的太倾斜了</span></p></section></section></section></section></section><section data-role="paragraph"><section data-role="outer" label="Powered by gulangu"><section data-id="93466" data-tools="gulangu"><section data-width="100%"><section><section><p><p><img src="image/20201014/a042190b79fb17607745cb7efbede428_6.jpg" /></p></p><section data-autoskip="1"><p><span>(图2)&nbsp;</span></p><p><span>&nbsp;片子反光，背景无透射光</span></p></section></section></section></section></section><section data-role="paragraph"><section data-role="outer" label="Powered by gulangu"><section data-id="93466" data-tools="gulangu"><section data-width="100%"><section><section><p><img src="image/20201014/553acaa41d835ad6483cb71dbd5681d2_7.jpg" /></p><p><span>(图3)</span></p><section data-autoskip="1"><p><span>&nbsp;&nbsp;拍倾斜了<br  /></span></p></section></section></section></section></section></section><section data-role="outer" label="Powered by gulangu"><section data-id="93466" data-tools="gulangu"><section data-width="100%"><section><section><section data-width="100%"><p><img src="image/20201014/c44dee12b7068a15205131f86f329989_8.jpg" /></p></section><section data-autoskip="1"><p><span>(图4)&nbsp;</span></p><p><span>&nbsp; &nbsp; &nbsp;把片子直接贴在窗户玻璃上拍，窗户外面的风景透过片子拍入了照片上，图片的下半部分，可以隐约看到窗户外面的建筑。影响医生阅片，不能获取有价值的磁共振信息</span></p></section></section></section></section></section><section data-role="paragraph"><section data-role="outer" label="Powered by gulangu"><section data-id="93376" data-tools="gulangu"><section data-width="100%"><section><p><br  /></p><p><br  /></p></section></section></section></section><p><span>下面介绍一种简单实用的翻拍方法</span></p><p><span>让你拍的图片质量大大提高</span></p><section data-role="outer" label="Powered by gulangu"><section data-role="paragraph"><section data-role="outer" label="Powered by gulangu"><section data-role="paragraph"><p><br  /></p></section></section><section data-role="outer" label="Powered by gulangu"><section data-id="89413" data-tools="gulangu"><section><section><section><section data-width="100%"><section><section><section><section><p><strong>01</strong></p></section></section></section></section></section></section></section><p><span><br  /></span></p><p><span>拍摄设备：像素较高的手机，或者数码相机，现在质量好一些的手机就可以的，切记切记切记： 关闭闪光灯，关闭闪光灯，关闭闪光灯！！！</span></p><p><span><br  /></span></p><section><section><section data-width="100%"><section><section><section><section><p><strong>02</strong></p></section></section></section></section></section></section></section><section><p><br  /></p></section><p><span>拍摄者着深色衣服(如图5)，以防浅色衣服在片子上反光成像。</span><span><br  /></span></p><section><section data-id="89413" data-tools="gulangu"><section><section><p><br  /></p><p><p><img src="image/20201014/f140fbd27e3975660a4e56dd598c4869_9.jpg" /></p></p><p><span>(图5)</span></p><p><br  /></p><section data-role="outer" label="Powered by gulangu"><section data-id="89413" data-tools="gulangu"><section><section><section><section data-width="100%"><section><section><section><section><p><strong>03</strong></p></section></section></section></section></section></section></section><section><p><br  /></p></section><section><p><span>白天拍摄，窗户外光亮，室内关灯。</span></p><p><span><br  /></span></p><section><section><section data-width="100%"><section><section><section><section><p><strong>04</strong></p></section></section></section></section></section></section></section></section></section></section><section data-id="89413" data-tools="gulangu"><section><p><br  /></p><section><p><span>如果能在医院找到医生专用的观片灯(图6、图7)，则最为最佳选择。</span></p><p><br  /></p><p><p><img src="image/20201014/76a135afa55b89f65ce2391bcf116be8_10.jpg" /></p></p><p><span>(图6：医生专用观片灯）</span></p><p><br  /></p><p><p><img src="image/20201014/7d5f11083391fe7f7ecc973721d7777f_11.jpg" /></p></p><p><span>（图7：医用观片灯）<br  /></span></p><p><br  /></p></section></section></section><section data-id="89413" data-tools="gulangu"><section><section><section><section data-width="100%"><section><section><section><section><p><strong>05</strong></p></section></section></section></section></section></section></section><section><p><br  /></p></section><section><p><span>如果没有观片灯，准备一张白纸(图8)。</span></p><p><br  /></p><p><p><img src="image/20201014/27e1729d48ff17726b339ccb80b0e5e9_12.jpg" /></p></p><p><span>(图8)</span></p></section></section></section><section data-id="89413" data-tools="gulangu"><section><section><section><section data-width="100%"><section><section><section><section><p><strong>06</strong></p></section></section></section></section></section></section></section><section><p><br  /></p></section><section><p><span>如果家里有电脑(台式机或笔记本电脑均可)，也可以使用电脑显示器调白色后进行拍摄。使用电脑拍摄的时候，在电脑打开幻灯软件Powerpoint (PPT)，新建一个空白文档，纯白色的，然后把该文档全屏播放模式下，即可实现全屏白色(图9，图10)。</span></p><p><br  /></p><p><p><img src="image/20201014/a869a331c1758dc707e5634bbdd46754_13.jpg" /></p></p><p><span>（图9）</span></p><p><br  /></p><p><p><img src="image/20201014/c7546c6f781cdc687047f4959ec3878d_14.jpg" /></p></p><p><span>（图10）</span></p></section></section></section><section data-id="89413" data-tools="gulangu"><section><section><section><section data-width="100%"><section><section><section><section><p><strong>07</strong></p></section></section></section></section></section></section></section><section><p><br  /></p></section><section><p><span>将白纸或白布贴于窗户玻璃上，然后将X光片或磁共振或CT片子贴于白纸或白布上(图11)。如果用的是电脑显示器翻拍片子，按照第6条将显示屏变白色后，将片子贴于显示器上(图12)进行拍照(图13，图14)。拍照时一定要正对着片子拍，注意横平竖直，拍端正了，不要拍歪斜了(图15，图16)。</span></p><p><p><img src="image/20201014/aa3e17aa2ddd6e0b3d84f4d5b4619783_15.jpg" /></p></p><p><span>(图11)</span></p><p><br  /></p><p><p><img src="image/20201014/1bd5344f6379881257e8685eabc18e68_16.jpg" /></p></p><p><span>(图12)</span></p><p><br  /></p><p><p><img src="image/20201014/4433000db8a4ead62ee91b7deaea5518_17.jpg" /></p></p><p><span>(图13)</span></p><p><br  /></p><p><p><img src="image/20201014/1f40f2d10438b74308e01ea6927a575c_18.jpg" /></p></p><p><span>(图14)</span></p><p><br  /></p><p><p><img src="image/20201014/ca864b65fc37a400366648653ad70a12_19.jpg" /></p></p><p><span>(图15)</span></p><p><br  /></p><p><p><img src="image/20201014/5460f5fec7788d10ff36b863e45bb75d_20.jpg" /></p></p><p><span>(图16)<br  /></span></p></section></section></section><section data-id="89413" data-tools="gulangu"><section><section><section><section data-width="100%"><section><section><section><section><p><strong>08</strong></p></section></section></section></section></section></section></section><section><p><br  /></p></section><section><p><span>拍片子时，如果一张片子上有两张图像的时候，合起来拍一张(图17)，分开再各拍一张(图18，图19)</span></p><p><br  /></p><p><p><img src="image/20201014/f871d22829840211c3bcb3607b90f9c9_21.jpg" /></p></p><p><span>(图17)</span></p><p><br  /></p><p><p><img src="image/20201014/14fcece8c8c1f48a2127193636d51b61_22.jpg" /></p></p><p><span>(图18)</span></p><p><br  /></p><p><p><img src="image/20201014/3ca5a9eea73040accf4612d40cda3669_23.jpg" /></p></p><p><span>(图19)<br  /></span></p></section></section></section><section data-id="89413" data-tools="gulangu"><section><section><section><section data-width="100%"><section><section><section><section><p><strong>09</strong></p></section></section></section></section></section></section></section><section><p><br  /></p></section><section><p><span>翻拍磁共振图像时，因为磁共振片子很大，而且一张片子上有很多图像，所以，单纯的拍一张片子(图20)，因为手机拍摄，像素以及翻拍质量不好，且放大后图像会发虚，细节看不清楚，所以，基本上是没用的，对于医生阅片来说，质量太差，不能获取图片上的有效信息。</span></p><p><p><img src="image/20201014/99beae35d2d1653fa0cc0e1b17db8d93_24.jpg" /></p></p><p><span>(图20)</span></p></section></section></section><section data-id="89413" data-tools="gulangu"><section><section><section><section data-width="100%"><section><section><section><section><p><strong>10</strong></p></section></section></section></section></section></section></section><section><p><br  /></p></section><section><p><span>因此需要将磁共振的一张片子，进行分区域局部放大拍摄，尽可能的将片子上的细节拍摄清楚，(如图21)，将一张磁共振片子进行分区。</span></p><p><br  /></p><p><p><img src="image/20201014/16185231848c9c69a4867c58d8b8b7b8_25.jpg" /></p></p><p><span>(图21)</span></p></section></section></section><section data-id="89413" data-tools="gulangu"><section><section><section><section data-width="100%"><section><section><section><section><p><strong>11</strong></p></section></section></section></section></section></section></section><section><p><br  /></p></section><section><p><span>将分区的磁共振图像，按顺序进行拍摄，即可获取如下比较有价值的清晰图片(图21-1，图21-2，图21-3，图21-4，图21-5，图21-6，图21-7，图21-8)</span></p></section></section></section><p><p><img src="image/20201014/aaac0bd7d8d33c74efc5629814d1f42e_26.jpg" /></p></p><p><span>(图21-1&nbsp; &nbsp;&nbsp;区域1)</span></p><p><p><img src="image/20201014/fec8e49e08d7b25abb668dab520ccac5_27.jpg" /></p><br  /></p><p><span>(图21-2&nbsp; &nbsp;&nbsp;区域2)</span></p><p><br  /></p><p><p><img src="image/20201014/a44ef41a9f98523c3d66cea6835068bb_28.jpg" /></p></p><p><span>(图21-3&nbsp; &nbsp;&nbsp;&nbsp;区域3)</span></p><p><br  /></p><p><p><img src="image/20201014/4ff1e1e6e331a2b6ecb0bbee9978ebb3_29.jpg" /></p><span>(图21-4&nbsp; &nbsp;&nbsp;&nbsp;区域4)<br  /></span></p><p><br  /></p><p><p><img src="image/20201014/35ed40e8fa1de85b2a2db4f309b52c83_30.jpg" /></p></p><p><span>(图21-5&nbsp; &nbsp;&nbsp;&nbsp;区域5)</span></p><p><br  /></p><p><p><img src="image/20201014/92e572ef10ba4b1f51591d21508b4c58_31.jpg" /></p></p><p><br  /></p><p><span>(图21-6&nbsp; &nbsp;&nbsp;区域6)</span></p><p><br  /></p><p><p><img src="image/20201014/c164129073a5f66fbc5e71983b5449db_32.jpg" /></p></p><p><span>(图21-7&nbsp; &nbsp; &nbsp;&nbsp;区域7)</span></p><p><br  /></p><p><p><img src="image/20201014/de0a5f5b9418f1bb721684c6c339728c_33.jpg" /></p></p><p><span>&nbsp;(图21-8&nbsp; &nbsp; &nbsp;区域8)</span></p><section data-id="89413" data-tools="gulangu"><section><section><section><section data-width="100%"><section><section><section><section><p><strong>12</strong></p></section></section></section></section></section></section></section><section><p><br  /></p></section><section><p><span>拍摄时，尽可能的将片子上的文字信息拍摄清楚，并将左右拍摄清楚(片子上有标R，表示右侧right，L, 表示左侧left的意思)，如图16, 图17，图18中的R, 每张片子上的文字都能按照阅读习惯拍正确，不要拍反了(图21-4，图22)。</span></p><p><br  /></p><p><p><img src="image/20201014/03ba959a89ba5114e45d73dad934cca4_34.jpg" /></p></p><p><span>(图21-4)</span></p><p><span>这张图片是图21一张完整磁共振片子上区域4的局部拍摄照片。拍摄时，必须要对着片子上的文字对焦, 方向正确，将文字拍摄清晰可视(图22)，尽可能多的保留片子上的所有信息。</span></p><p><br  /></p><p><p><img src="image/20201014/307af3d06be4c93279c9b3f255c2b451_35.jpg" /></p></p><p><span>&nbsp;(图22)</span></p><p><span>图21-4图片上的放大后的截图的文字，清晰可见</span></p><p><br  /></p></section></section></section><section data-id="89413" data-tools="gulangu"><section><section><section><section data-width="100%"><section><section><section><section><p><strong>13</strong></p></section></section></section></section></section></section></section><section><p><br  /></p></section><section><p><span>CT片子的翻拍，请参考磁共振片子的翻拍，道理是一样的，先拍一张整图，然后再分区域进行拍摄。</span></p><p><span><br  /></span></p></section></section></section><section data-id="89413" data-tools="gulangu"><section><section><section><section data-width="100%"><section><section><section><section><p><strong>14</strong></p></section></section></section></section></section></section></section><section><p><br  /></p></section><section><p><span>拍摄完毕后，进行编号，按顺序上传图片，记住，一定要原图上传，医学图像，切记不要PS, 不要用美颜相机模式，不要用美图秀秀等手机PS和美图软件，医学资料，曝光正确，拍摄方法正确即可，原图发送，原图发送，原图发送，重要话连说3遍。本文中的所有图片，除了遮盖患者的姓名以外，均未再做任何其他PS处理。</span></p></section></section></section><section data-id="89413" data-tools="gulangu"><section><p><br  /></p><section><section><section data-width="100%"><section><section><section><section><p><strong>15</strong></p></section></section></section></section></section></section></section><section><p><br  /></p></section><section><p><span>本篇文章中，所有片子上有患者姓名的地方，都进行了PS遮盖，这样做是为了保护患者的隐私。你给医生发的所有资料，包括片子，就不要PS遮盖了，也别羞答答的了。医生同行们，在用手机翻拍片子的时候，也要尽可能的将片子上的所有信息都拍全了。不要遗漏，否则后期整理图片的时候，就不知道这个片子是谁的了。</span></p></section></section></section><section data-id="89413" data-tools="gulangu"><section><p><br  /></p><section><section><section data-width="100%"><section><section><section><section><p><strong>16</strong></p></section></section></section></section></section></section></section><section><p><br  /></p></section><section><p><span>如果有可能的话，在做磁共振、CT等检查的时候，直接跟放射科医生说，需要原始数据光盘，一般的医院，都会提供，但需要单独另行付费，这个费用是非常值得掏的，因为光盘上的数据和图像，对于后期医生会诊及浏览图片来说，非常有价值，也便于保存，光盘里的图像质量也非常好，无需再翻拍，而直接可以使用网络传输和问诊及会诊的。</span></p></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section><p><br  /></p><p><strong><span>来源：刀客居</span></strong></p><section data-id="1658"><section><section><section data-id="1658"><section><section><section data-id="1658"><section><section><section data-id="1658"><section><section><p><span><strong>相关阅读</strong></span></p></section><p><p><img src="image/20201014/ec237188ae1e9c03eb4d9814f31b18ab_36.gif" 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