CN103735254A - Triple-inspection comprehensive breast neoplasm diagnosis apparatus utilizing infrared thermography, guide pressure-sensitive palpation and ultrasonography and inspection method of apparatus - Google Patents
Triple-inspection comprehensive breast neoplasm diagnosis apparatus utilizing infrared thermography, guide pressure-sensitive palpation and ultrasonography and inspection method of apparatus Download PDFInfo
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- CN103735254A CN103735254A CN201410025202.1A CN201410025202A CN103735254A CN 103735254 A CN103735254 A CN 103735254A CN 201410025202 A CN201410025202 A CN 201410025202A CN 103735254 A CN103735254 A CN 103735254A
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Abstract
The invention belongs to the technical field of medical diagnosis, and particularly discloses a triple-inspection comprehensive breast neoplasm diagnosis apparatus utilizing infrared thermography, guide pressure-sensitive palpation and an ultrasonic detector to perform local precise inspection and an inspection method utilizing the diagnosis apparatus. The diagnosis apparatus comprises a working platform, an infrared thermography acquisition device, a pressure-sensitive palpation detector and the ultrasonic detector are arranged on the working platform and all connected with a computer and an image display, and the pressure-sensitive palpation detector is used for performing accurate checking to find out whether neoplasms or abnormal deformations are formed in the breasts locally. The infrared thermography acquisition device, the pressure-sensitive palpation detector and the ultrasonic detector are connected with the computer through a digital interface. The diagnosis apparatus makes full use of advantages of infrared thermography, pressure-sensitive palpation and ultrasonography, and quickly and effectively makes a more accurate judgment whether local breast lesions structurally change or not.
Description
Technical field
The invention belongs to medical diagnostic techniqu field, particularly a kind of breast tumor comprehensive diagnostic instrument and detection method thereof of utilizing infrared thermal imagery to guide pressure-sensitive palpation and ultrasonic triple inspections.
Background technology
Thermal infrared imager (photoelectricity class spectrum heat picture), pressure-sensitive palpation instrument (mechanics type bit structure image) and ultrasonic examination instrument (comprising B ultrasonic, color doppler ultrasonography) have corresponding medical examination instrument at present.In clinical practice, the former belongs to functional image equipment (ANOMALOUS VARIATIONS that just can distribute by body surface thermal field when tissue function generation abnormal physiology changes diagnoses the illness), the latter two all belong to structural image documentation equipment (by pressure-sensitive palpation observer soma, stress reaction is changed and checks disease when tissue recurring structure changes, and by ultrasonic examination observable tissue the information to ultrasonic reflections).Thermal infrared imager, pressure-sensitive palpation instrument and ultrasonic examination instrument three belong to undamaged detection methods.This is relatively independent, mutual onrelevant for these three kinds of technology in clinical practice, like this to the technological means of medical diagnosis on disease with regard to single limitation, not comprehensive.The international and domestic medical diagnostic equipment that does not also have infrared thermal imagery, pressure-sensitive palpation and three kinds of technology of ultrasonic examination to combine together at present.
These two kinds of inspection apparatus feature is separately as follows:
The first, far infrared checkout facility
The thermal infrared imager of invention adopts non-refrigeration focal surface to sweep soon technology more in recent years, has higher temperature resolving power simultaneously, can detect >=temperature change of 0.05 ℃.What domestic current clinical practice was more is auxiliary diagnosis and the subhealth state inspection of human body thermometric, breast carcinoma examination, pain relevant disease, the application of its related clinical medicine lay particular emphasis on angiopathy examination, cancer early screening and with the diagnostic application of temperature correlation disease.
Conventionally by Infrared Thermography Technology, be that patient does a body scan and only needs just can observe for 1～3 minute whole body surface thermal field distribution, then according to relatively just energy timely early warning subhealth state and the early discovery of the temperature height of thermal field changes in distribution and feature, abnormal area, temperature difference size with diagnose the illness.
But its shortcoming is as follows:
(1) using separately the quantitative information of the local suspicious lesions that Infrared Thermography Technology inspection obtains, often can not make accurate diagnosis with this, can only be that indicative diagnosis is for doctor's reference.
(2) affect that body surface thermal field distributes and the factor of variations in temperature is a lot, thermal imagine analysis doctor needs other information of close combination with clinical to get rid of many interference factors, just can provide alert or diagnose.
(3) because the functional pathological changes of tissue is ahead of organic disease (can find in advance pathological changes 3-6 month) greatly, so the positive findings checking out with infrared thermal imagery can not reflect in time on structure image, when patient does not have corresponding symptom, tend to the positive of thermal imagery prompting to report the result and be mistaken for clinically " false positive ", such result can delay treatment and treatment.
The second, pressure-sensitive palpation equipment
On pressure-sensitive palpation equipment clinical, existing application, is mainly used for complementary inspection item relevant to palpation in clinical medicine; Known application at present has:
(1) the surgical clinical palpation of breast tumor, for checking form and the quality of paraplasm of mammary gland tissue.
(2) celiac disease physical palpation checks, for checking whether patient's abdominal part has enclosed mass, spasm to occur.
Above-mentioned application is difficult to form independent check means, in conjunction with other image check means, is not difficult to promote clinically.If the two combines and carries out inspection by infrared inspection equipment and pressure-sensitive palpation equipment, the two brings out the best in each other.First after locating by infrared quick inspection, then implement pressure-sensitive palpation, observe whether in a organized way form change of body local; So can obtain complementary inspection message from different visual angles, thereby carry out clearer and more definite analyzing and diagnosing.Three, supersonic inspection device
Three, supersonic inspection device is applied very universally clinically, is widely used in the Checking and diagnosis of the relevant diseases such as parenchymal viscera (liver, gallbladder, spleen, pancreas, kidney) and heart internal medicine, department of obstetrics and gynecology and Urology Surgery.Current B ultrasonic/color ultrasound examination can clearly be described and diagnose for 1 centimetre of above structure pathological changes of diameter, but its shortcoming is:
(1) for minimal disease, be particularly less than the tumor of 0.5 centimetre, patient, be often left in the basket without any symptom in the situation that or helpless.
(2) test mode of B ultrasonic can not resemble thermal map scan simple and fast, positive map as very clear.Such as with B ultrasonic to the inspection of limbs thrombosis or general tumour not only waste time and energy (review time is the more than 10 times of thermal map review time), also require the more rich clinical experience of having of examiner, particularly to less pathological changes slightly half-hearted just easily cause fail to pinpoint a disease in diagnosis, mistaken diagnosis.So ultrasound diagnosis is unsuitable for the human body formula that is found everywhere and surveys inspection.
(3) somewhat expensive, as moving in limbs/phlebothrombosis is detected 700～800 yuan/person-time (because of wasting time and energy, manually/equipment cost is high); To exceed 3～4 times more than compared with thermal imagery inspection fee.
In prior art, also infrared inspection technology, pressure-sensitive palpation Detection Techniques and supersonic sounding technology are not carried out to organic combination, therefore, research and develop a kind of effectively extremely urgent in conjunction with infrared inspection technology, pressure-sensitive palpation technology and ultrasonic triple comprehensive diagnostic instruments.
Summary of the invention
The object of the invention is to overcome above-mentioned the deficiencies in the prior art, a kind of breast tumor comprehensive diagnostic instrument that utilizes infrared thermal imagery to guide pressure-sensitive palpation and ultrasonic triple inspections is disclosed, this comprehensive diagnostic instrument makes full use of the advantage of Infrared Thermography Technology, pressure-sensitive palpation technology and ultrasound, utilize the feature of infrared thermal imagery to minute lesion sensitivity, first detect breast lesion approximate state and position, recycle pressure-sensitive palpation and ultrasonic examination the configuration of diseased region is carried out further accurately checking, thereby fast and effeciently diagnose; Particularly health examination and asymptomatic patient are made diagnosis and the early warning of mutual evidence, make patient's being treated timely in early days in disease; Reduce medical treatment cost, greatly reduce misdiagnosis rate, rate of missed diagnosis and the mortality rate of this type of disease.
In order to reach above-mentioned technical purpose, the present invention realizes by following technical scheme:
The breast tumor comprehensive diagnostic instrument that utilizes infrared thermal imagery to guide pressure-sensitive palpation and ultrasonic triple inspections of the present invention, comprise workbench, described workbench is provided with and carries out the infrared thermal imagery harvester of general physical checkup, pressure-sensitive palpation sniffer and the ultrasonic sensor that carries out mammary gland part and whether form the accurate inspection of swollen thing or abnormal deformation, and the computer and the image display that are all connected with aforementioned three kinds of devices; Described infrared thermal imagery harvester, pressure-sensitive palpation sniffer are connected with computer by digital interface with ultrasonic sensor.
As the further improvement of above-mentioned technology, described infrared thermal imagery harvester is far infrared non-refrigeration focal surface photographic head, described far infrared non-refrigeration focal surface photographic head comprises infrared optical lens, non-refrigeration type focus planardetector, servo circuit and digital-control circuit and carries out the circuit of data communication with computer, described non-refrigeration type focus planardetector is passive receive formula infrared sensor, response wave length scope is 8 μ m～14 μ m, just in time covers 9.64 μ m～9.67 mum wavelength scopes of thermal radiation of body.
As the further improvement of above-mentioned technology, on described far infrared non-refrigeration focal surface photographic head, be connected with the gimbal arm that can freely turn to, described gimbal arm is connected with workbench by elevating lever, so just make far infrared photoelectricity remote sensing camera lens can do the adjustment of arbitrary height and angle and direction, be applicable to the patient with severe symptoms that lies in bed, improve the convenience of using.
In the present invention, described pressure-sensitive palpation sniffer is presser sensor detector, and described presser sensor detector comprises array presser sensor sensor and carries out the pressure-sensitive detection communicating circuit of data communication with computer.
In the present invention, described ultrasonic sensor comprises ultrasonic transducer, transmitter/receiver unit, digital scan converter and carries out the ultrasound detection communicating circuit of data communication with computer.
In the present invention, described computer comprises the data acquisition unit that red described infrared thermal imagery harvester, pressure-sensitive palpation sniffer and ultrasonic sensor collect; The data storage unit of the data acquisition data that described infrared thermal imagery harvester, pressure-sensitive palpation sniffer and ultrasonic sensor collect, infrared, the pressure-sensitive palpation collecting and ultrasonic examination data message are converted to the information converting unit of image information, also comprise the data message analytic unit that processing unit that infrared, pressure-sensitive palpation and ultrasonic examination image are processed and infrared, pressure-sensitive palpation and ultrasonic examination data message are analyzed.
In addition, in the present invention, in described computer, also include the infrared thermal imagery control unit corresponding to infrared thermal imagery harvester, pressure-sensitive palpation sniffer and ultrasonic sensor, pressure-sensitive palpation detection control unit and supersonic sounding control unit.
The detection method of utilizing infrared thermal imagery to guide the breast tumor comprehensive diagnostic instrument of pressure-sensitive palpation and ultrasonic triple inspections of the present invention, its concrete steps are:
(1) start infrared thermal imagery harvester target body mammary gland is checked, obtain its thermal imagery and temperature information;
(2) find that thermal imagery is abnormal, lock this position, region;
(3) start pressure-sensitive palpation device and detect this abnormal area portion structure form quality information;
(4) startup ultrasonic sensor is detected the accurate measurement data information of this abnormal area portion structure form;
(5) analyze the thermal imagery information of obtaining the ANOMALOUS VARIATIONS of its temperature is made to analysis;
(6) whether the analysis of morphology and tumor properties is made in recurring structure change (as formed swollen thing or abnormal deformation) to part for the pressure-sensitive palpation information that analysis is obtained and ultrasound information;
(7) analyze the corresponding relation of abnormal structural information and thermal imagery information;
(8) in conjunction with infrared thermal imagery information, pressure-sensitive palpation and ultrasonic structural images information and many-sided information such as clinical, machine data storehouse is comprehensive as calculated provides indicative diagnosis report after analyzing.
Compared with prior art, the invention has the beneficial effects as follows:
The present invention finds out structure and the functional pathological changes (breast carcinoma, cyclomastopathy, mammitis and breast duct pathological changes etc.) of mammary gland tissue with quick detection.This comprehensive diagnostic instrument combines infrared thermal imagery inspection, pressure-sensitive palpation and ultrasonic examination, pressure-sensitive palpation and ultrasonic examination means are attached among infrared thermal imagery check system, quick Dynamic Thermal imaging by infrared thermal imagery inspection to patient's mammary gland, the quantitative information that obtains local anomaly region and temperature correlation also locks and points out this diseased region, then guides pressure-sensitive palpation and ultrasonic examination and immanent structure is carried out in this position further surveys and provide and accurately measure data locking.By software, infrared thermal imagery, pressure-sensitive palpation and ultrasonographic triple check result are comprehensively analyzed according to the diagnostic rule in data base again, generation is about more complete by breast lesion position internal structure and function, more comprehensive pathological changes diagnosis information reliably, thereby improved checking efficiency and accuracy, patient is treated in early days timely in disease; Reduce medical treatment cost, greatly reduce misdiagnosis rate, rate of missed diagnosis and the mortality rate of this type of disease.
Accompanying drawing explanation
Below in conjunction with the drawings and specific embodiments, the present invention is described in detail:
Fig. 1 is the breast tumor comprehensive diagnostic instrument structural representation that utilizes infrared thermal imagery to guide pressure-sensitive palpation and ultrasonic triple inspections of the present invention;
Fig. 2 is the breast tumor comprehensive diagnostic instrument structure principle chart that utilizes infrared thermal imagery to guide pressure-sensitive palpation and ultrasonic triple inspections of the present invention;
Fig. 3 utilizes infrared thermal imagery to guide the detection method flow chart of the breast tumor comprehensive diagnostic instrument of pressure-sensitive palpation and ultrasonic triple inspections.
The specific embodiment
As shown in Figure 1, the breast tumor comprehensive diagnostic instrument that utilizes infrared thermal imagery to guide pressure-sensitive palpation and ultrasonic triple inspections of the present invention, comprise workbench 10, described workbench 10 is provided with and carries out the infrared thermal imagery harvester 1 of general physical checkup and carry out pressure-sensitive palpation device 2 and the ultrasonic sensor 7 that regional area accurately checks.
Described infrared thermal imagery harvester 1, local pressure-sensitive palpation device 2 and ultrasonic sensor 7 are integrated in computer 3 by data-interface, and the data that described infrared thermal imagery harvester 1, local pressure-sensitive palpation device 2 and ultrasonic sensor 7 the collect image information display that machine 3 generates after changing is as calculated on image display 4.
In addition, described infrared thermal imagery harvester 1 is far infrared non-refrigeration focal surface photographic head, described far infrared non-refrigeration focal surface photographic head comprises infrared optical lens, non-refrigeration type focus planardetector, servo circuit and digital-control circuit and carries out the circuit of data communication with computer, described non-refrigeration type focus planardetector is passive receive formula infrared sensor, response wave length scope is 8 μ m～14 μ m, just in time covers 9.64 μ m～9.67 mum wavelength scopes of thermal radiation of body.As shown in Figure 1, on described far infrared non-refrigeration focal surface photographic head, be connected with the gimbal arm 5 that can freely turn to, described gimbal arm 5 is connected with workbench 10 by elevating lever 6, so just make far infrared non-refrigeration focal surface photographic head can do the adjustment of arbitrary height and angle and direction, be applicable to the patient with severe symptoms that lies in bed, improve the convenience of using.
Described pressure-sensitive palpation device 2 comprises array presser sensor detector, digital scan converter and carries out the pressure-sensitive palpation communicating circuit of data communication with computer.
Described ultrasonic sensor 7 comprises ultrasonic transducer, transmitting and receiving element, digital scan converter and carries out the supersonic sounding circuit of data communication with computer 3.
As shown in Figure 2, described computer 3 comprises the data storage unit of the data acquisition unit of infrared and pressure-sensitive palpation equipment, infrared and pressure-sensitive palpation image data, infrared and pressure-sensitive palpation data message is converted to the information converting unit of image information; The analytic unit that the processing unit that infrared and pressure-sensitive palpation image is processed, infrared and pressure-sensitive palpation data message are analyzed, also includes the infrared thermal imagery control unit corresponding to infrared thermal imagery harvester, pressure-sensitive palpation sniffer and ultrasonic sensor, pressure-sensitive palpation detection control unit and supersonic sounding control unit.In addition the diagnostic rule in, can also application data base is made learning again of complementary diagnosis and DBD database diagnostics rule to the analysis result of infrared and pressure-sensitive palpation data message.
The detection method of utilizing infrared thermal imagery to guide the breast tumor comprehensive diagnostic instrument of pressure-sensitive palpation and ultrasonic triple inspections of the present invention is below described, as shown in Figure 3, its concrete steps are:
S10: start infrared thermal imagery harvester target body mammary gland is checked, obtain its thermal imagery and temperature information;
S20: find that thermal imagery is abnormal, lock this position, region;
S30: start pressure-sensitive palpation device and detect this abnormal area portion structure form quality information;
S40: startup ultrasonic sensor is detected the accurate measurement data information of this abnormal area portion structure form;
S50: analyze the thermal imagery information of obtaining the ANOMALOUS VARIATIONS of its temperature is made to analysis;
S60: whether the analysis of morphology and tumor properties is made in recurring structure change (as formed swollen thing or abnormal deformation) to part for the pressure-sensitive palpation information that analysis is obtained and ultrasound information;
S70: the corresponding relation of analyzing abnormal structural information and thermal imagery information;
S80: machine data storehouse is comprehensive as calculated provides indicative diagnosis report after analyzing in conjunction with infrared thermal imagery information, pressure-sensitive palpation and ultrasonic structural images information and many-sided information such as clinical.
The present invention finds out auxiliary diagnosis and the Differential Diagnosis (breast carcinoma, cyclomastopathy, mammitis and breast duct pathological changes etc.) of the structure of mammary gland tissue and functional pathological changes, breast tumor nature and extent with quick detection.This comprehensive diagnostic instrument combines infrared thermal imagery inspection, pressure-sensitive palpation and ultrasonic examination, pressure-sensitive palpation and ultrasonic examination means are attached among infrared thermal imagery check system, quick Dynamic Thermal imaging by infrared thermal imagery inspection to patient's mammary gland, the quantitative information that obtains local anomaly region and temperature correlation also locks and points out this diseased region, then guides pressure-sensitive palpation and ultrasonic examination and immanent structure is carried out in this position further surveys and provide precise positioning.By software, infrared thermal imagery, pressure-sensitive palpation and ultrasonographic triple check result are comprehensively analyzed according to the diagnostic rule in data base again, more complete about breast lesion position internal structure and function, the more comprehensive pathological changes diagnosis information reliably of generation, thereby improved checking efficiency and accuracy, patient is treated in early days timely in disease; Reduce medical treatment cost, greatly reduce misdiagnosis rate, rate of missed diagnosis and the mortality rate of this type of disease.
The present invention is not limited to above-mentioned embodiment, every various changes of the present invention or modification are not departed to the spirit and scope of the present invention, if these are changed and within modification belongs to claim of the present invention and equivalent technologies scope, the present invention also means and comprises these changes and modification.
Claims (8)
1. utilize infrared thermal imagery to guide the breast tumor comprehensive diagnostic instrument of pressure-sensitive palpation and ultrasonic triple inspections, comprise workbench, it is characterized in that: described workbench is provided with and carries out the infrared thermal imagery harvester of general physical checkup, pressure-sensitive palpation sniffer and the ultrasonic sensor that carries out mammary gland part and whether form the accurate inspection of swollen thing or abnormal deformation, and the computer and the image display that are all connected with aforementioned three kinds of devices; Described infrared thermal imagery harvester, pressure-sensitive palpation sniffer are connected with computer by digital interface with ultrasonic sensor.
2. the breast tumor comprehensive diagnostic instrument that utilizes infrared thermal imagery to guide pressure-sensitive palpation and ultrasonic triple inspections according to claim 1, it is characterized in that: described infrared thermal imagery harvester is far infrared non-refrigeration focal surface photographic head, described far infrared non-refrigeration focal surface photographic head comprises infrared optical lens, non-refrigeration type focus planardetector, servo circuit and digital-control circuit and carry out the circuit of data communication with computer, described non-refrigeration type focus planardetector is passive receive formula infrared sensor, response wave length scope is 8 μ m～14 μ m, just in time cover 9.64 μ m～9.67 mum wavelength scopes of thermal radiation of body.
3. the breast tumor comprehensive diagnostic instrument that utilizes infrared thermal imagery to guide pressure-sensitive palpation and ultrasonic triple inspections according to claim 2, it is characterized in that: on described far infrared non-refrigeration focal surface photographic head, be connected with the gimbal arm that can freely turn to, described gimbal arm is connected with workbench by elevating lever.
4. according to the infrared thermal imagery that utilizes described in claims 1 to 3 any one, guide the breast tumor comprehensive diagnostic instrument of pressure-sensitive palpation and ultrasonic triple inspections, it is characterized in that: described pressure-sensitive palpation sniffer is presser sensor detector, described presser sensor detector comprises array presser sensor sensor and carries out the pressure-sensitive detection communicating circuit of data communication with computer.
5. the breast tumor comprehensive diagnostic instrument that utilizes infrared thermal imagery to guide pressure-sensitive palpation and ultrasonic triple inspections according to claim 1, is characterized in that: described ultrasonic sensor comprises the ultrasonic transducer, transmitter/receiver unit, digital scan converter of electrical connection and carries out the ultrasound detection communicating circuit of data communication with computer.
6. the breast tumor comprehensive diagnostic instrument that utilizes infrared thermal imagery to guide pressure-sensitive palpation and ultrasonic triple inspections according to claim 1, is characterized in that: described computer comprises the data acquisition unit that red described infrared thermal imagery harvester, pressure-sensitive palpation sniffer and ultrasonic sensor collect; The data storage unit of the data acquisition data that described infrared thermal imagery harvester, pressure-sensitive palpation sniffer and ultrasonic sensor collect, infrared, the pressure-sensitive palpation collecting and ultrasonic examination data message are converted to the information converting unit of image information, also comprise the data message analytic unit that processing unit that infrared, pressure-sensitive palpation and ultrasonic examination image are processed and infrared, pressure-sensitive palpation and ultrasonic examination data message are analyzed.
7. the breast tumor comprehensive diagnostic instrument that utilizes infrared thermal imagery to guide pressure-sensitive palpation and ultrasonic triple inspections according to claim 6, is characterized in that: in described computer, also include the infrared thermal imagery control unit corresponding to infrared thermal imagery harvester, pressure-sensitive palpation sniffer and ultrasonic sensor, pressure-sensitive palpation detection control unit and supersonic sounding control unit.
8. the detection method of utilizing infrared thermal imagery to guide the breast tumor comprehensive diagnostic instrument of pressure-sensitive palpation and ultrasonic triple inspections according to claim 1, its concrete steps are:
(1) start infrared thermal imagery harvester the mammary gland of target body is checked, obtain its thermal imagery and temperature information;
(2) find that thermal imagery is abnormal, lock this position, region;
(3) start pressure-sensitive palpation device and detect this abnormal area portion structure form quality information;
(4) startup ultrasonic sensor is detected the accurate measurement data information of this abnormal area portion structure form;
(5) analyze the thermal imagery information of obtaining the ANOMALOUS VARIATIONS of its temperature is made to analysis;
(6) whether recurring structure changes the analysis of making morphology and tumor properties to part for the pressure-sensitive palpation information that analysis is obtained and ultrasound information;
(7) analyze the corresponding relation of abnormal structural information and thermal imagery information;
(8) in conjunction with infrared thermal imagery information, pressure-sensitive palpation and ultrasonic structural images information and many-sided information such as clinical, machine data storehouse is comprehensive as calculated provides indicative diagnosis report after analyzing.
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| CN106491095A (en) * | 2016-12-14 | 2017-03-15 | 江阴市中医院 | A kind of traditional Chinese medical science abdominal examination instrument |
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