CN102764123A - Positioning mark for nuclear magnetic resonance of spinal segments - Google Patents

Positioning mark for nuclear magnetic resonance of spinal segments Download PDF

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Publication number
CN102764123A
CN102764123A CN2012102287492A CN201210228749A CN102764123A CN 102764123 A CN102764123 A CN 102764123A CN 2012102287492 A CN2012102287492 A CN 2012102287492A CN 201210228749 A CN201210228749 A CN 201210228749A CN 102764123 A CN102764123 A CN 102764123A
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China
Prior art keywords
magnetic resonance
nuclear magnetic
nmr
witness marker
spinal levels
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CN2012102287492A
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Chinese (zh)
Inventor
郑学胜
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XinHua Hospital Affiliated To Shanghai JiaoTong University School of Medicine
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XinHua Hospital Affiliated To Shanghai JiaoTong University School of Medicine
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Priority to CN2012102287492A priority Critical patent/CN102764123A/en
Publication of CN102764123A publication Critical patent/CN102764123A/en
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Abstract

The invention provides a positioning mark for nuclear magnetic resonance of spinal segments. The positioning mark comprises an adhesive film which is provided with a viscous surface, wherein a plurality of labeled lines which are mutually parallel are formed on the viscous surface of the adhesive film, and the viscous surface is covered by release paper in a paste mode; and display tubes in which oily liquid is filled are arranged on the other surface of the adhesive film and correspond to the positions of the labeled lines one by one, and the sections of the display tubes sequentially have shapes of Arabic numerals which are sequentially arranged. The invention has the advantages that the positioning mark can position an operative incision while the myeleterosis of a vertebral column is examined through magnetic resonance imaging (MRI); as far as a doctor is concerned, the using method is simple, can perform quick positioning, is time-saving and labor-saving, and particularly has an advantage when the pathological change of a thoracic segment of the vertebral column is positioned; as far as a patient is concerned, the X-ray radiation can be reduced, and the medical cost is saved; and meanwhile, the positioning mark can perform accurate and reliable positioning, has a simple structure, is low in cost, and can be generally popularized and used.

Description

A kind of spinal levels nuclear magnetic resonance, NMR witness marker
Technical field
The present invention relates to technical field of medical instruments, specifically, is a kind of spinal levels nuclear magnetic resonance, NMR witness marker.
Background technology
For the spine and spinal cord sufferer; Need before the art through nuclear magnetic resonance, NMR (nuclear magnetic resonance; NMR or MRI) technological means such as conventional sweep, enhanced ct scans and dynamic scan give accurately, show clearly, differentiate the situation such as good evil of disease extent of disease such as the wound of spine and spinal cord, tumor, infection, tuberculosis, degree, adjacent structure, tumor, and then the location that undergos surgery, approach are selected, confirmed modus operandi and select the treatment measure.Accurately the vertebral body sections of location pathological changes is the successful prerequisite of operation.As in the operation of deformity of spinal column implant plate,, can directly cause operative failure if insert wrong vertebral body; If in operation, in time find wrong correction of pathological changes vertebral body, also can increase patient's wound, be unfavorable for post-operative recovery.
How to carry out the art prelocalization quickly and accurately is puzzlement clinician's a difficult problem always.Several kinds of existing localization methods mainly contain crista iliaca positioning mode, rib positioning mode, sick vertebra form positioning mode, the sick vertebra positioning mode of paperclip, Kirschner wire positioning mode etc., but these methods all have in various degree limitation and deviation.For example, and Chinese periodical " the clinical orthopaedics journal, the 3rd phase the 3rd of JIUYUE in 2000 rolls up; Disclose in a kind of spinal operation the localized vertebral body sections of no X line and confirmed method; This method is conscientiously to study the anatomy of spine relation and examining on the basis of each vertebral body form, finds T through clinical repeatedly practice 12Anatomical features comparatively constant, can be used as the sign of this vertebral body of identification, and locate breast waist section and each vertebral body of waist section with this, this method is many because of doctor's subjective judgment factor, and if the pathological changes vertebral body apart from T 12Far away, and the distance of each vertebral body is very near, number or mistake number are leaked in regular meeting, and positioning result is unreliable.Chinese periodical " Chinese orthopedics journal; The article " a kind of development of new spinal positioning rule and application " that 2010 the 13rd periodicals go out; A kind of new spinal positioning rule is disclosed; The formation of positioning rule is: rectangular frame structure, long limit have scale and five pairs of L type Kirschner wires (L type tail end is used △, zero,, ◇, five kinds of different shape markers of ☆ respectively) of parallel sliding are up and down arranged, and are used for traversal marker pedicle of vertebral arch point of puncture; But the long Kirschner wire that 2 move left and right are arranged on the minor face is used for vertical labelling pedicle of vertebral arch point of puncture; Chinese patent document CN 200520021386.0; August 5 2005 applying date; A kind of spinal operation positioning rule is disclosed; It comprises strip flexible sheet, be fixed on flexible sheet one lip-deep metal film, stick at another lip-deep non-drying glue layer of flexible sheet, the digital calibration labelling that its length direction is evenly distributed with hollow hole and under the X-ray, develops in the flexible sheet upper edge, the corresponding setting of digital calibration labelling with hollow hole.But above-mentioned two kinds of localization methods all need be through radioscopy, and the easy error of positive bit slice of X ray, and positive bit slice and lateral projection display result condition of different usually appear; Be difficult to accurate location; This method is loaded down with trivial details simultaneously, and X-ray radiation quantity X is big, increases patient's damage; Also increase patient's financial burden and doctor's workload, expend medical resource.Therefore, if can in the state of an illness diagnostic procedure of MRI, undergo surgery the location simultaneously accurately, all be significant concerning patient and doctor.
Chinese periodical " Gannan Medical College's journal "; 2004 05 phases, the article of publishing " associating skin ink and vitamin AD soft gelatin capsule are marked at the application in vertebra and the myeleterosis MRI location " discloses a kind of Combined application skin ink and Concentratum A-vitamini D soft gelatin capsule labelling positioning mode; Concrete grammar is: before the MRI that the is expert at inspection; On the spinous process epidermis of the vertebral body sections scope that the patient will check, make " one " font temporal sign with blue marking pen, 7-8 of Concentratum A-vitamini D soft gelatin capsule wrapped in " one " font; Vitamin AD soft gelatin capsule and above-mentioned blue mark " " font are walked crosswise (promptly with the spinal column axis) overlapping placement, and blended rubber cloth cements fixing; After MRI has checked; On sagittal plain SE sequence T1WI image, measure the accurate distance of lesion segment mid point and top/bottom latitude and vitamin AD soft gelatin capsule; And according to above-mentioned measured distance; On patient's spinous process epidermis, measure the distance of vitamin AD soft gelatin capsule and lesion segment mid point and top/bottom latitude, thereby confirm lesion segment mid point and top/bottom latitude, on patient's spinous process epidermis, mark pathological changes mid point and top/bottom latitude then with red skin ink " ten " font.Directly undergo surgery or puncture then with the sections center and the top/bottom latitude of the red skin ink markings of " ten " font that is marked as pathological changes.Though this method just need not had an X-rayed and can be located, and has following defective: operate more loaded down with trivial details; Often there is error in hand dipping; The vitamin AD soft gelatin capsule may occurrence positions changes or comes off in MRI inspection front and back admittedly because of being pasted not strongly; Vitamin AD soft gelatin capsule (the MRI inspection is normal to be dorsal position) when the patient lies on the back is prone to be extruded and breaks; If the MRI sagittal plane is the gap between adjacent AD soft gelatin capsule just in time, then this aspect does not just have framing signal; More than these defectives all can influence final localized accuracy.Therefore, need a kind of ability badly and directly locate through MRI, and easy and simple to handle, accurate positioning reliable localization apparatus and method, but also do not see relevant report at present.
Summary of the invention
The objective of the invention is provides a kind of spinal levels nuclear magnetic resonance, NMR witness marker to deficiency of the prior art.
For realizing above-mentioned purpose, the technical scheme that the present invention takes is:
A kind of spinal levels nuclear magnetic resonance, NMR witness marker, it comprises the pad pasting that is provided with adhesive faces, the adhesive faces of described pad pasting is provided with some the mark lines that are parallel to each other, and described adhesive faces is pasted covering by release paper; The another side of described pad pasting is provided with the display tube that oil-based liquid is equipped with in inside, and described display tube is corresponding one by one with the position of described mark line;
Described mark line is to be processed by the oil colour of viscosity;
Described mark line is that equidistance is arranged;
The other numeral that is provided with of the side of described mark line;
The cross sectional shape of each described display tube is different;
The cross sectional shape of each described display tube is followed successively by tactic Arabic numerals;
The reverse side of described display tube and pad pasting contact surface is provided with protective layer;
Described protective layer is processed by plastics or silica gel;
Described oil-based liquid is a vegetable oil.
The invention has the advantages that:
1, the location that can when MRI checks pathological changes, undergo surgery; the lesion segment position can directly be read through display tube; in the operation can according to be imprinted on the human body skin with display tube one to one mark line directly confirm incision site, as far as the doctor, can effectively instruct the operative incision position choice; method for using is simple, and is time saving and energy saving; For patients, can reduce X-radiation, practice thrift medical expense;
2, compare with " associating skin ink and vitamin AD soft gelatin capsule labelling method " of the prior art, can avoid following defective: operate more loaded down with trivial details; Often there is error in hand dipping; The vitamin AD soft gelatin capsule may occurrence positions changes or comes off in MRI inspection front and back admittedly because of being pasted not strongly; Vitamin AD soft gelatin capsule (the MRI inspection is normal to be dorsal position) when the patient lies on the back is prone to be extruded and breaks; If the MRI sagittal plane is the gap between adjacent AD soft gelatin capsule just in time, then this aspect does not just have framing signal;
3, simple in structure, the prices of raw and semifnished materials are cheap, and cost is low, are suitable for generally promoting the use of.
Description of drawings
Accompanying drawing 1 is a kind of spinal levels nuclear magnetic resonance, NMR witness marker structural representation of the present invention.
Accompanying drawing 2 is explosive views of Fig. 1.
Accompanying drawing 3 is another kind of spinal levels nuclear magnetic resonance, NMR witness marker explosive views of the present invention.
The specific embodiment
Below in conjunction with accompanying drawing the specific embodiment provided by the invention is elaborated.
The Reference numeral and the ingredient that relate in the accompanying drawing are as follows:
1. pad pasting 11. adhesive faces
2. mark line 3. numeral
4. release paper 5. display tubes
6. protective layer
Embodiment 1
Please with reference to Fig. 1, Fig. 1 is a kind of spinal levels nuclear magnetic resonance, NMR witness marker structural representation of the present invention, the state when promptly normally not using.Please with reference to Fig. 2, Fig. 2 is the explosive view of Fig. 1.Described spinal levels nuclear magnetic resonance, NMR witness marker is provided with pad pasting 1; Described pad pasting 1 is a rectangle, is provided with adhesive faces 11, is printed on six mark lines 2 on the described adhesive faces 11; Each bar mark line 2 is parallel with the minor face of pad pasting 1; And the distance between each bar mark line 2 equates that the side of described each bar mark line 2 is other to be provided with numeral 3, and described numeral 3 is Arabic numerals " 1 ", " 2 ", " 3 ", " 4 ", " 5 ", " 6 " successively.The adhesive faces 11 of described pad pasting 1 is also pasted and is coated with release paper 4.The reverse side of the adhesive faces 11 of described pad pasting 1 is provided with six display tubes 5; Described display tube 5 is microscler lucite pipes; Its position is corresponding one by one with mark line 2; The inside of described display tube 5 is full of oil-based liquid, and the shape of cross section of six display tubes 5 is followed successively by tactic Arabic numerals " 1 ", " 2 ", " 3 ", " 4 ", " 5 ", " 6 ", and the height of each cross section numeral is divided equally by its pairing mark line 2.
The specification of spinal levels nuclear magnetic resonance, NMR witness marker of the present invention is following: the distance between two adjacent display tubes 5 is 1-4cm, preferred 2cm; The height of each display tube 5 (being the height of the numeral such as " 1 ", " 2 " of cross section) is 0.5-1cm, and the length of each display tube 5 is 8-12cm.
Need to prove that described pad pasting 1 can be hot melt adhesive film, and is softer, but deformation, to adapt to the physiology curvature of spinal column; Described mark line 2 can use the oil colour with viscosity, and Pasting also can not dyed by sweat is dizzy on skin and do not come off; The material and the structure of described pad pasting 1 and mark line 2 also can be with reference to the subsides of tatooing of the prior art; Described release paper 4 is meant that the protection of glued membrane, adhesive tape etc. uses paper, can suppress the chemical reaction of adhesive, and can prolong the material of adhesive storage period or working life, is easy to before use from glued membrane or adhesive tape throw off; The shape of cross section of described display tube 5 is not limited only to Arabic numerals, also can use other letters or sign, like English alphabet etc., as long as guarantee that the shape of cross section of each bar display tube 5 is different, is beneficial to resolution; Oil-based liquid in the described display tube 5 uses common vegetable oil to get final product, and it can show high signal when MRI, be beneficial to resolution, and simultaneously economical and practical, cost is low; The specification of spinal levels nuclear magnetic resonance, NMR witness marker of the present invention is not limited only to present embodiment; The height value of described each display tube 5 (being the height of the numeral such as " 1 ", " 2 " of cross section) can design more a little bit smallerly; Like 0.3cm; Distance between two adjacent display tubes 5 also can design more a little bit smallerly, like 0.5cm, can improve localized degree of accuracy.
Embodiment 2
Please with reference to Fig. 2, Fig. 2 is an another kind of spinal levels nuclear magnetic resonance, NMR witness marker explosive view of the present invention.The spinal levels nuclear magnetic resonance, NMR witness marker and the embodiment 1 of present embodiment are basic identical, and difference only is: described display tube 5 is coated with protective layer 6 with the reverse side of pad pasting 1 contact surface, and the shape of described protective layer 6 is consistent with pad pasting 1.The main effect of described protective layer 6 is not compressive deformations and do not punctured or crush of protection display tube 1, and it adopts MRI not manifest material preparation and gets final product, and like plastics or silica gel, preferably softer material such as silica gel can adapt to the physiology curvature of spinal column.
The method for using and the principle thereof of spinal levels nuclear magnetic resonance, NMR witness marker of the present invention are: make patient sit on one's sick bed, make spinal column keep naturalness, avoid firmly stretching spinal column in the wrong, avoid firmly passing and lifting skin simultaneously; The release paper 4 of tearing is pasted on the vertebral body sections scope that patient's tentative diagnosis is the disease vertebra to the one side that is printed on mark line 2 of pad pasting 1, pastes firmly, guarantees that simultaneously mark line 2 and this part vertebral body sections are vertical; Carry out MRI inspection, observe the sagittal plain image, each display tube 5 contained oil-based liquid and showed high signal owing to inside this moment; Promptly be shown as the shape of each Arabic numerals of its cross section; Find patient's pathological changes vertebral body,, directly confirm the position of pathological changes vertebral body with the numeral contrast of display tube 5 cross sections; The MRI inspection finishes, and takes pad pasting 1 off, and this moment, mark line 2 can remain on the patient skin, because display tube 5 is one-to-one relationships with mark line 2, therefore can directly confirm the position of pathological changes vertebral body through the numeral 3 on mark line 2 next doors, i.e. the operative incision position.
Spinal levels nuclear magnetic resonance, NMR witness marker of the present invention in use, MRI takes the scanning of arbitrary sagittal plain, it can both know the cross sectional shape that manifests display tube 5, is convenient to the location; The method for using of this spinal levels nuclear magnetic resonance, NMR witness marker is very simple, through the MRI inspection can realize synchronously making a definite diagnosis, location and labelling; Simultaneously, this localization method is accurately and reliably, can effectively avoid the vitamin AD soft gelatin capsule maintenance that is pasted not strongly in MRI inspection back to put and change, and hand dipping MRI image refers again to the situation that vitamin AD soft gelatin capsule labelling lesion segment is easy to generate error.
The above only is a preferred implementation of the present invention; Should be pointed out that for those skilled in the art, under the prerequisite that does not break away from the inventive method; Can also make some improvement and replenish, these improvement and replenish and also should be regarded as protection scope of the present invention.

Claims (9)

1. a spinal levels nuclear magnetic resonance, NMR witness marker is characterized in that it comprises the pad pasting that is provided with adhesive faces, and the adhesive faces of described pad pasting is provided with some the mark lines that are parallel to each other, and described adhesive faces is pasted covering by release paper; The another side of described pad pasting is provided with the display tube that oil-based liquid is equipped with in inside, and described display tube is corresponding one by one with the position of described mark line.
2. spinal levels nuclear magnetic resonance, NMR witness marker according to claim 1 is characterized in that described mark line is to be processed by the oil colour of viscosity.
3. spinal levels nuclear magnetic resonance, NMR witness marker according to claim 1 is characterized in that, described mark line is that equidistance is arranged.
4. spinal levels nuclear magnetic resonance, NMR witness marker according to claim 1 is characterized in that, the other numeral that is provided with of the side of described mark line.
5. spinal levels nuclear magnetic resonance, NMR witness marker according to claim 1 is characterized in that the cross sectional shape of each described display tube is different.
6. spinal levels nuclear magnetic resonance, NMR witness marker according to claim 1 is characterized in that the cross sectional shape of each described display tube is followed successively by tactic Arabic numerals.
7. spinal levels nuclear magnetic resonance, NMR witness marker according to claim 1 is characterized in that the reverse side of described display tube and pad pasting contact surface is provided with protective layer.
8. spinal levels nuclear magnetic resonance, NMR witness marker according to claim 7 is characterized in that described protective layer is processed by plastics or silica gel.
9. spinal levels nuclear magnetic resonance, NMR witness marker according to claim 1 is characterized in that described oil-based liquid is a vegetable oil.
CN2012102287492A 2012-07-04 2012-07-04 Positioning mark for nuclear magnetic resonance of spinal segments Pending CN102764123A (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107361857A (en) * 2017-08-08 2017-11-21 上海复匡生物科技有限公司 A kind of printing ink transfer method applied to human organ body surface location patch
CN108567500A (en) * 2018-05-16 2018-09-25 上海市第人民医院 The specific outer number visible system of general percutaneous needle
CN113813026A (en) * 2021-09-22 2021-12-21 贾旭东 CT guiding positioning net

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2850545Y (en) * 2005-09-05 2006-12-27 王文治 CT, MRI positioning plastered mark for body surface localization of intracranial focus
CN1935091A (en) * 2006-10-13 2007-03-28 邹杰 Intracranial pathological positioning scalp detecting net paster
CN202128547U (en) * 2011-07-04 2012-02-01 齐宏伟 Positioning ruler for puncture and drainage of hepatapostema and nephrapostasis under guidance of CT

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2850545Y (en) * 2005-09-05 2006-12-27 王文治 CT, MRI positioning plastered mark for body surface localization of intracranial focus
CN1935091A (en) * 2006-10-13 2007-03-28 邹杰 Intracranial pathological positioning scalp detecting net paster
CN202128547U (en) * 2011-07-04 2012-02-01 齐宏伟 Positioning ruler for puncture and drainage of hepatapostema and nephrapostasis under guidance of CT

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107361857A (en) * 2017-08-08 2017-11-21 上海复匡生物科技有限公司 A kind of printing ink transfer method applied to human organ body surface location patch
CN108567500A (en) * 2018-05-16 2018-09-25 上海市第人民医院 The specific outer number visible system of general percutaneous needle
CN113813026A (en) * 2021-09-22 2021-12-21 贾旭东 CT guiding positioning net

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Application publication date: 20121107