Anguelov Z
Department of Social Studies of Medicine, McGill University, Montreal, Canada.
Theor Med Bioeth. 1999 Dec;20(6):501-16. doi: 10.1023/a:1009924528151.
Positron emission tomography (PET) is a frontier medical technology that, in contrast to the other computer-assisted technologies providing anatomical pictures, produces functional images. I argue that PET also opens up an avenue for shifting from images (as a tool for representation of biomedical data) back to analysis of measurements (as a tool for quantification of physiology). Admittedly, quantification of function requires structural constraints. I coined the emerging interpretational framework quantitative anatomy in an attempt to conceptualize the PET merger between measuring and imaging, the two competing means medicine uses to examine the human body. Anatomy justifies interpretations that fit the existing knowledge of a larger clinical audience, while statistical data possess an unexplored potential to introduce mathematical rigor in the evaluation of function, but are still a black box for the majority of clinicians. This epistemological change is being carried out by PET users in action as well as in discourse.
正电子发射断层扫描(PET)是一项前沿医学技术,与其他提供解剖图像的计算机辅助技术不同,它能生成功能图像。我认为,PET还开辟了一条从图像(作为生物医学数据的呈现工具)回归到测量分析(作为生理学量化工具)的途径。诚然,功能量化需要结构约束。我创造了新兴的解释框架“定量解剖学”,试图将PET在测量与成像之间的融合概念化,这两种相互竞争的手段是医学用于检查人体的方式。解剖学为符合广大临床受众现有知识的解释提供依据,而统计数据在功能评估中引入数学严谨性方面具有未被探索的潜力,但对大多数临床医生来说仍是一个黑箱。这种认识论上的转变正在PET使用者的实践和话语中得以实现。