CN103945769A - A novel device for extremely marking the location of organs on skin during a CAT scan - Google Patents

A novel device for extremely marking the location of organs on skin during a CAT scan Download PDF

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Publication number
CN103945769A
CN103945769A CN201380003361.5A CN201380003361A CN103945769A CN 103945769 A CN103945769 A CN 103945769A CN 201380003361 A CN201380003361 A CN 201380003361A CN 103945769 A CN103945769 A CN 103945769A
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China
Prior art keywords
cat scan
flexible sheet
vertical line
line
roentgenopaque
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CN201380003361.5A
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Inventor
甘沙姆·达斯·阿加瓦尔
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Individual
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/12Arrangements for detecting or locating foreign bodies
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966Radiopaque markers visible in an X-ray image
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3991Markers, e.g. radio-opaque or breast lesions markers having specific anchoring means to fixate the marker to the tissue, e.g. hooks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/02Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
    • A61B6/03Computed tomography [CT]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/04Positioning of patients; Tiltable beds or the like
    • A61B6/0492Positioning of patients; Tiltable beds or the like using markers or indicia for aiding patient positioning
    • GPHYSICS
    • G03PHOTOGRAPHY; CINEMATOGRAPHY; ANALOGOUS TECHNIQUES USING WAVES OTHER THAN OPTICAL WAVES; ELECTROGRAPHY; HOLOGRAPHY
    • G03BAPPARATUS OR ARRANGEMENTS FOR TAKING PHOTOGRAPHS OR FOR PROJECTING OR VIEWING THEM; APPARATUS OR ARRANGEMENTS EMPLOYING ANALOGOUS TECHNIQUES USING WAVES OTHER THAN OPTICAL WAVES; ACCESSORIES THEREFOR
    • G03B42/00Obtaining records using waves other than optical waves; Visualisation of such records by using optical means
    • G03B42/02Obtaining records using waves other than optical waves; Visualisation of such records by using optical means using X-rays
    • G03B42/04Holders for X-ray films
    • G03B42/047Holders for X-ray films provided with marking means

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Optics & Photonics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Apparatus For Radiation Diagnosis (AREA)
  • Radiation-Therapy Devices (AREA)

Abstract

This invention relates to a novel device for marking location of organs on skin as per CAT scan comprising of a sheet having a plurality, of vertical, horizontal and oblique lines wherein the sheet is provided in the form of a mesh. The device of the proposed application can be used for radiotherapy of head to localize point of radiotherapy, for other parts of body to localize/ mark organs on skin after CAT scan and also for surgery of Brain to localize tumors.

Description

For during cat scan from outside on skin the new equipment of the position of labelling organ
Technical field
The present invention relates to a kind of during cat scan from outside on skin the new equipment of the position of labelling organ.
Background technology
In current medical circle, the research method that known computer tomographic scan (CT or cat scan) right and wrong are usually advised, it provides the viewgraph of cross-section of human body.Cat scan is used for locating organ and dissection feature or abnormal, for example intraorganic pathological changes and tumor.Conventional X ray only produces the two dimensional surface view of organ.But, use cat scan also to provide with three dimensional constitution and observe organ.
In order to design such as surgical operation or radiocurable medical procedures, the position on reference man surface (skin) and to identify such as the position of the anatomical structure of organ, defect, pathological changes or tumor be very important.
Existing many methods for from outside on skin the position of labelling organ.The earliest and modal method comprise identification people body mark, calculate organ and its distance, subsequently this position of labelling.But himself there is the probability of error in this method.
Another kind method is included on skin and uses radiopaque labelling, carries out subsequently cat scan.But it may need Multiple-Scan to describe organ, and may have error.This is because can not only accurately locate the accurate location of organ by placing labelling randomly.Thereby, obviously there is the chance that comprises error.
Other method comprise with comprise inclination radiopaque line plate and carry out cat scan.In the method, synthetic image must be by special computer programs process, and is sent to the instrumentation that is called as stereotaxis device.Thereby the shortcoming being associated with the method comprises the specific computer program of its needs and stereotactic frame (instrument), it is very expensive and need professional training.
Thereby, need to develop a kind of new equipment, its according to cat scan on skin the position of labelling organ, to assist medical worker, this can solve the above problems.Especially, this device should be without using expensive instrumentation, thereby it is easier to obtain.These apparatus and method should also form accurate and reproducible cat scan.By means of this device, medical worker can be easily according to cat scan on skin the position of labelling organ.
goal of the invention
Main purpose of the present invention be to provide a kind of during cat scan from outside on skin the new equipment of the position of labelling organ.
Another object of the present invention be to provide a kind of during cat scan from outside on skin the new equipment of the position of labelling organ, it is efficient and reliable.
Summary of the invention
According to the present invention, provide a kind of new equipment, for be marked at organ that cat scan identifies and the position of anatomical features on skin.This device is the flexible sheet with multiple lines, and wherein plate comprises roentgenopaque material, for example barium sulfate, and be the form of grid.Plate can be made up by flexible plastics of the softness such as Low Density Polyethylene.Line can be the line of a series of vertical, levels and/or inclination.Vertical line and/or parallax can be thicker than horizontal line.Vertical line can be arranged to the pattern of thickness line regular intervals, and for example every the 5th vertical line is thicker than vertical line therebetween.Roentgenopaque material can inject in flexible sheet or apply thereon.
The skull drawing apparatus (craniomapper) that the invention also discloses another kind of type, it is called crown skull drawing apparatus.This is for obtaining head cross section.Thereby, lesion locations that can labelling calvarium region.
The invention still further relates to and a kind ofly comprise flexible sheet is arranged on human body surface for identify the method for position of internal anatomy feature during cat scan, carry out cat scan; Identification is by the internal anatomy feature of location; And with reference to the position of the location recognition anatomical features in flexible sheet.
Anatomical features can be for example organ, defect, pathological changes or tumor.The human body surface that plate applies thereon can be head.
The present invention thus provide a kind of common medical worker wieldy according to cat scan on skin the device of labelling organ site.
The invention has the advantages that can cost effectively according to the position of cat scan labelling organ on skin.In addition, this device is easy to use, and is convenient to produce.
invention statement
According to the present invention, provide a kind of for during cat scan by from outside on skin labelling identify the device of the position of internal anatomy feature, it comprises the flexible sheet with multiple lines, and wherein plate comprises roentgenopaque material, and is the form of grid.
Brief description of the drawings
In the time understanding in conjunction with the accompanying drawing of instruction exemplary embodiments of the present invention, from description subsequently, other objects of the present invention and advantage will be more obvious, and wherein:
Fig. 1 shows according to the front view of the device of one embodiment of the invention.
Fig. 2 shows according to the level cross-sectionn of the device of one embodiment of the invention.
Fig. 3 shows according to the vertical cross-section of the device of one embodiment of the invention.
Fig. 4 shows the cat scan of the head that utilizes the device of head both sides and obtain.
Fig. 5 shows: with the cat scan of the line inclination of installing.
Fig. 6 shows: crown skull drawing apparatus of the present invention.
Fig. 7 shows: utilize according to the cat scan of crown skull drawing apparatus of the present invention.
Detailed description of the invention
The present invention relates to a kind of device of the position of labelling organ on skin for cat scan.In the exemplary embodiment, this device can be for the cat scan of head, for example, for neurosurgery.As shown in fig. 1, this device is made up of flexible material, such as plastics, but can use other apparent to those skilled in the art suitable materials.Flexible material is injected with or is coated with roentgenopaque material, and such as barium sulfate, bismuth subcarbonate, bismuth oxychloride, zirconium oxide, wherein barium sulfate is the most frequently used material.The present invention is not limited to and uses given example, and is to be understood that other roentgenopaque materials of using in this area within the scope of the invention.Exemplary flexible material is any flexible or soft plastics, for example Low Density Polyethylene.In a kind of illustrative methods of preparing device of the present invention, can will be such as the roentgenopaque heavy metal substance injection flexible material of barium sulfate, so that radiation impermeability is provided by mixing with plastics before molded.In other embodiments, after molded, by roentgenopaque coated materials on flexible material.
In one embodiment, device provides grid, and it forms multiple horizontal lines, vertical line and parallax.According to exemplary embodiment, horizontal line (in the accompanying drawings by shown in alphabetical A-L) is interval evenly, and relatively thin.Vertical line (being indicated by numeral) is even interval also, but thicker than horizontal line.In order to improve the ability that limits reference point in the scanning forming using this device, thicker vertical line can form the interval of rule.For example, in the exemplary embodiment shown in Fig. 1-3, every the 5th vertical line is thicker than four lines therebetween.For example, vertical line can arrange with the interval of 1cm, and thicker line arranges with the interval of 5cm.Can also there is parallax, and as shown in the figure, can be set to thicker line (with respect to horizontal line), be similar to the rugosity of vertical line.Can create other patterns, it provides the placement of the accurate rule of reference unit.For example, parallax can have different angles, and can use the various patterns of thickness line.Can utilize any pattern that improves labelling and recognizing site in CAT.
Same as shown in Fig. 1-3, device can be rectangle, has band.But, can use such as circular or oval-shaped other shapes.Can use various shapes, for being applied to the different piece of human body.As shown in the figure, this device is smooth substantially.But the present invention is not limited to this flat device, and can be according to using and apply the shape that is molded as any appropriate.
In use, before obtaining cat scan, by device from applications in by obtaining the position of human body of cat scan part, for example, around head.The labelling accuracy of this device is in the scope of +/-5mm.
Figure 4 illustrates the cat scan that utilizes device according to the present invention to obtain, indicated following content:
1: parallax (O)
2. thick vertical line (T)
3. vertical line (V)
4. horizontal line (H)
5. parallax (O)
6. calcification choroid plexus (C).
As can be seen, identification and mark position are obvious, and are very easy to.The instruction upright position, position of parallax (O), and the combination of thin vertical line (V) and thick vertical line (T) shows horizontal level.The intersection of these two positions shows the accurate location of organ.
For such as surgical operation and radiocurable program, on skin, the position of location and labelling Different Organs is extremely important.Cat scan has provided the viewgraph of cross-section of organ, but after cat scan, is difficult to the position of labelling organ on skin.But the present invention contributes to accurately to locate and be marked at visible organ in cat scan.
Device of the present invention is made up of radiopaque canopy lattice.This grid is visible as the point around head with circular pattern in cat scan.These points, little interval 1cm, large interval 5cm.In addition, in a ring, there are multiple points.These points are parallaxs.The point of parallax shows upright position.The upright position of section has been indicated in the position of the point of parallax.Sometimes, cat scan may tilt with the line of device.In this case, as shown in Figure 5, following content, by difference, has been indicated in the upright position of previous section and aft section:
1. point-the P of parallax
2.5 boundary-D
3. horizontal A-A
4. horizontal B-B
5. horizontal C-C
the explanation of application apparatus
1. device is applied around head.
2. loop fasteners (or other suitable securing members) is passed to hole.
3. strain lightly and will make it press self, and being locked.
4. in front side, it should be in the level place of frontal bone lower protrusion.
5. at middle part, it should be positioned on ear-lobe.
6. accurately relevant in order to make, can be on skin the position of labelling apparatus.
7. forehead and sidepiece labelling.
Described crosscut skull drawing apparatus above, it does not wherein well define the top of skull for the cross section of skull.Front portion, rear portion and the sidepiece of skull are only covered.In crosscut CR scanning, the pathological changes that is present in skull calvarium region is not clearly visible.In order to observe this region, need crown cross section.Thereby, another kind of skull drawing apparatus is provided, it is called crown skull drawing apparatus.It is for the lesion locations in labelling calvarium region.
Described crown skull drawing apparatus is also made up of radiopaque canopy lattice.Now can be with reference to figure 6, wherein crown skull drawing apparatus is structurally identical with crosscut skull drawing apparatus.But, provide otch at two ends, in use, for being held on ear.
In described crown skull drawing apparatus, well define skull top and sidepiece, wherein CT scan is parallel to face cutting section.
In addition, as shown in Figure 6, skull drawing apparatus is provided with multiple bands.Band comprises rear headband and sizing band.
apply the explanation of crown skull drawing apparatus
-skull drawing apparatus is put on head, cover top and the sidepiece of head.
Headband after-fastener connects.
-loop fasteners is passed to bracelet and securing member
Before and after-connection, the sizing of side is with the shape to maintain skull drawing apparatus
-in front side, use Special ruler to measure the sidepiece of skull drawing apparatus apart from the height of nose.
-to guarantee to maintain skull drawing apparatus identical in head both sides apart from the position of ear-lobe.
-accurately relevant in order to make, can be on sidepiece the position of labelling skull drawing apparatus.
Now, can, with reference to figure 7, indicate the cat scan that uses crown skull drawing apparatus, wherein show the level (L in 5 boundary (D) and instruction cross section 1) line.
These canopy lattice are visible as the point around head with circular pattern in cat scan.These points, little interval 1cm, large interval 5cm.Wired between point.These lines are position difference in each cross section.
Every width image of CT scan is two dimensional image.The Location quantization of the line between some three-dimensional.This means, in two dimensional image, also exist three-dimensional.
application
-for the radiotherapy of head, the point of located irradiation treatment.
-for other positions of human body: after cat scan, location/labelling organ on skin.For example: device is fixed on to chest, with labelling on skin and location lung tumor.At this, by means of adhesive tape, device is fixed on human body.Usage flag device is its position of labelling on skin.Thereby, can after cat scan, be correlated with.
-for brain operation, positioning tumor:
This device contributes to accurately to locate pathological condition at intra-operative.
It should be noted that to those skilled in the art, the present invention is easy to modify, adjusts and changes.Adopt these different embodiment of theory of the present invention and feature to be all intended to drop within the scope of the invention, this scope is further illustrated in the claim of enclosing.

Claims (17)

  1. For during cat scan by from outside on skin labelling identify the device of the position of internal anatomy feature, it comprises the flexible sheet with multiple lines, wherein plate comprises roentgenopaque material, and is the form of grid.
  2. 2. device according to claim 1, wherein plate is made up of the flexible plastics of softness.
  3. 3. device according to claim 1, comprises vertical and horizontal line.
  4. 4. device according to claim 3, also comprises parallax.
  5. 5. device according to claim 3, wherein vertical line is thicker than horizontal line.
  6. 6. device according to claim 4, wherein parallax is thicker than horizontal line.
  7. 7. device according to claim 3, wherein vertical line is arranged to the mode of thick line and fine rule regular intervals.
  8. 8. device according to claim 7, wherein every the 5th vertical line is thicker than vertical line therebetween.
  9. 9. device according to claim 1, wherein roentgenopaque material injects in flexible sheet.
  10. 10. device according to claim 1, wherein roentgenopaque coated materials is in flexible sheet.
  11. 11. devices according to claim 1, the wherein all barium sulfate in this way of roentgenopaque material.
  12. 12. devices according to claim 2, wherein soft flexible plastics comprise Low Density Polyethylene.
  13. 13. devices according to claim 1, wherein flexible sheet is configured to have otch at two ends, is shelved on ear when using on head and sidepiece.
  14. 14. devices according to claim 13, wherein provide the multiple bands that comprise rear headband and sizing band.
  15. During cat scan, identify the method for the position of internal anatomy feature, comprising for 15. 1 kinds:
    Place flexible sheet, it comprises multiple lines and roentgenopaque material, and on human body surface, is the form of grid;
    On human body, carry out cat scan;
    Identification is by the internal anatomy feature of location; And
    Identify the position of anatomical features by reference to the position of flexible sheet.
  16. 16. methods according to claim 15, wherein anatomical features is organ, defect, pathological changes or tumor.
  17. 17. methods according to claim 15, wherein human body surface is for example head.
CN201380003361.5A 2012-07-10 2013-07-08 A novel device for extremely marking the location of organs on skin during a CAT scan Pending CN103945769A (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
IN764/KOL/2012 2012-07-10
IN764KO2012 2012-07-10
PCT/IN2013/000414 WO2014009967A1 (en) 2012-07-10 2013-07-08 A novel device for extremely marking the location of organs on skin during a cat scan

Publications (1)

Publication Number Publication Date
CN103945769A true CN103945769A (en) 2014-07-23

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WO (1) WO2014009967A1 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106456090A (en) * 2014-12-11 2017-02-22 甘沙姆·达斯·阿加瓦尔 An improved device for externally marking the location of organs on skin during a cat scan.

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DE102014104800A1 (en) * 2014-04-03 2015-10-08 Aesculap Ag Medical fastening device and referencing device and medical instruments
DE102014104802A1 (en) * 2014-04-03 2015-10-08 Aesculap Ag Medical referencing device, medical navigation system and method
GB2527505A (en) * 2014-06-20 2015-12-30 Kirintec Ltd X-ray imaging method and apparatus

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US5052035A (en) * 1989-11-02 1991-09-24 Webb Research Ii Corporation Image location marking devices for radiographs, method of making and methods of use
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US7853311B1 (en) * 1999-04-23 2010-12-14 3M Innovative Properties Company Surgical targeting system
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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Application publication date: 20140723