胃X線造影：精査（発泡剤法）—胃X線検査の守・破・離

Use of Syu・Ha・Ri in Stomach X-ray Examination：Radiography and Reading Method Study Aids

要旨●これまでの胃X線検査には，スクリーニング検査と精密検査のスタンスに乖離があった．そのため，両者に共通する到達目標を設定し，撮影と読影の技能をシンクロさせながら検査精度を高めていく必要がある．また，検査プロセスには被検者因子，環境因子，検査側のハード因子・ソフト因子が介在し，それらの影響によって難易度の差が生じる．難易度による検査精度のばらつきを少なくするためには，日本の武道や伝統芸能などの分野における師弟関係や技術伝承のあり方である“守・破・離”の概念がポイントとなる．筆者らはこれらを総合的に踏まえた胃X線検査の段階的な技能修得指針として，胃X線撮影法虎の巻と読影法虎の巻を構築したので概要を述べる．

　For past stomach X-ray examination, the stance of screening examination and the detailed examination included estrangement.

　Therefore, a common arrival target was set to both and inspection precision was increased while synchronizing radiography and the skill of reading.

　Test person factor, environmental factor, and hard and soft factor can affect the inspection process, and various degrees of difficulty occur under such influence.

　The concept of “Syu, Ha, Ri,” which is a way of master and pupil relations and the technical tradition in the Japanese martial arts and field of traditional arts, can reduce discrepancies in inspection precision according to the degree of difficulty.

　Radiography and reading method study aids were developed as a graded skill acquirement guidance of stomach radiography.