CN104274175A - Large-aperture, short-cavity and superconducting magnetic resonance imaging minimally invasive surgery platform system - Google Patents

Large-aperture, short-cavity and superconducting magnetic resonance imaging minimally invasive surgery platform system Download PDF

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CN104274175A
CN104274175A CN201310285801.2A CN201310285801A CN104274175A CN 104274175 A CN104274175 A CN 104274175A CN 201310285801 A CN201310285801 A CN 201310285801A CN 104274175 A CN104274175 A CN 104274175A
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mri
minimally invasive
invasive surgery
magnetic resonance
resonance imaging
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郑加生
王为民
胡堃
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/05Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/055Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves  involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging

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Abstract

The invention relates to a large-aperture, short-cavity and superconducting magnetic resonance imaging (MRI) minimally invasive surgery platform system. Through the system, minimally invasive surgery treatment can be performed by means of the navigation of magnetic resonance imaging. By the adoption of the large-aperture, short-cavity and high-magnetic-field superconducting MRI technology, the bottleneck problems that in MRI minimally invasive surgery treatment, the quality of images is poor, the real time performance is poor, and the surgical space is narrow are solved. Through the short-cavity MRI technology, bidirectional minimally invasive surgery operation can be performed on the two sides of an MRI magnet, and the range of application of MRI to the minimally invasive surgery treatment is expanded. The large-aperture, short-cavity and superconducting magnetic resonance imaging (MRI) minimally invasive surgery platform system further has the fast blood flow imaging function, the diffusion coefficient imaging function, the temperature distribution imaging function, the MR perspective function and the MR endoscopy function besides the intraoperative sub-second super-fast imaging function. Compared with the existing X-CT, the large-aperture, short-cavity and superconducting magnetic resonance imaging (MRI) minimally invasive surgery platform system has the same minimally invasive surgery capacity as the X-CT, and moreover radiation hazards to medical staff and patients caused by X-rays are fundamentally eliminated.

Description

A kind of large aperture, short cavity, superconducting magnetic resonance imaging Minimally Invasive Surgery plateform system
Technical field
The present invention relates to a kind of large aperture, short cavity, superconducting magnetic resonance imaging (MRI) Minimally Invasive Surgery medical platform device systems, this plateform system can carry out minimal invasive operation under the navigation of nuclear magnetic resonance, under the condition endangered without X-ray, as X-CT, carry out minimal invasive operation.
Background technology
Image-guided Minimally Interventional Therapy carries out image check and intervene operation with irradiation image technology for leading, and specifies the diagnosis of disease, reach the object of accurate treatment.Image-guidedly be not limited to anatomical surface, the anatomical map at contiguous position can be seen in operation process, the operating position of monitoring operating theater instruments and direction, coordinate surgical planning and navigation system, substantially increase operation levels of precision, decrease uncertain factor, reduce the requirement to operation doctors experience, ensure that safety and the concordance of operation.
At present in clinical the multiple imaging mode such as existing X-ray, CT, ultrasonic, MRI for getting involved guiding.Compare with other modes, MRI has obvious advantage as intervention guidance means: without ionizing radiation, can avoid the radiation injury caused patient and medical personnel; Multiple plane imaging ability, imaging plane is not subject to the restriction of direction and position; Organize resolution clearly, focus is differentiated and defines the advantage of having more; The exclusive Temperature Distribution imaging of magnetic resonance can show the scope of thermotherapy and cold therapy; Multiparameter many contrasts imaging capability and blood flow, disperse, perfusion and other functional imagings have widened the scope of clinical practice.Therefore, the interventional therapy of guided by magnetic resonance has very high clinical universal value, is day by day subject to the extensive concern of insider.
But, the magnetic resonance compatibility of the operation openness of magnetic resonance system, the real-time of imaging, the uniformity of fast imaging and resolution, precision navigation ability and operating equipment equipment all has much room for improvement, the popularization of the surgery systems of the 'bottleneck' restrictions of these aspects magnetic resonance navigation and development, make operation only be confined to limited universe.
The tumor intervention therapeutic plateform system that the present invention guides with MRI is for goal in research, adopt heavy caliber, short cavity, highfield superconducting MRI technology, a whole set of the magnetic resonance realtime imaging for Wicresoft's intervene operation and navigation system are provided, compared with existing Permanent Magnet MRI Minimally Interventional Therapy system, significantly will promote MRI interfere treatment system real-time, accuracy, enable the Minimally Interventional Therapy of the various ways being widely used in each position of whole body.Compared with existing X-CT, patient space is more than or equal to the patient space of CT, and most Minimally Invasive Surgery that can carry out on CT can realize in device systems of the present invention, but fundamentally eliminates the radiation hazard of X-ray to medical worker and patient.
Summary of the invention
The object of the present invention is to provide a kind of minimally-invasive treatment plateform system for being guided by MRI, for promoting real-time, the accuracy of MRI for minimally-invasive treatment, enable the Minimally Interventional Therapy of the various ways being widely used in each position of whole body, substitute the operation of most of X-CT minimally-invasive treatment, reduce the radiation hazard to medical worker and patient.
The present invention relates to a kind of large aperture, short cavity, superconducting magnetic resonance imaging (MRI) Minimally Invasive Surgery plateform system, this system can carry out minimal invasive operation under the navigation of nuclear magnetic resonance, comprises large aperture, short cavity, superconducting magnet; Two-way operation removing patient bed; The removable receiving coil of MRI; Optical-fibre multi-channel numeral MRI controls spectrometer; Optical navigation device; MRI scanning software; MRI compatible surgical and custodial care facility.
Further, large aperture, short cavity, field intensity 1.5T, possess in real time and the superconducting MRI equipment of functional imaging ability, solve the bottleneck problem that MRI is used for minimally-invasive treatment.
Further, optical navigation device with strong points, realizes the good fusion of MRI and optical navigation information, improves efficiency and the precision of location of operation.
Further, the operation of MRI compatibility and custodial care facility, abatement apparatus, on the impact of MRI imaging, improves MRI image quality in art.
Further, multi-channel digital optical fiber spectrometer, improves capacity of resisting disturbance and the image taking speed of MRI system.
Below in conjunction with Figure of description, the specific embodiment of the present invention is described.
Accompanying drawing explanation
Fig. 1 is the structure chart of large aperture, short cavity, superconducting magnetic resonance imaging Minimally Invasive Surgery plateform system.
Detailed description of the invention
Be illustrated in figure 1 the structure chart of large aperture of the present invention, short cavity, superconducting magnetic resonance imaging (MRI) Minimally Invasive Surgery medical platform device systems, comprise large aperture, short cavity, superconducting magnet 1; Self-shielded gradient coils 2; Radio-frequency sending coil 3; Magnetic resonance signal receiving coil 5; Infrared optical positioner 6; Patient's physiological signal monitoring device and navigation display 7 in real time; The removable operation table 8 in the left side; The removable operation table 9 in limit, left and right; Computer workstation 10; Nuclear magnetic resonance electronic unit 11 (comprising multi-channel digital optical fiber spectrometer, radio frequency amplifier, gradient amplifier, power supply etc.); Water cooling unit 12; Between electromagnetic shielding 13.In Fig. 11,2,3,4,5,6,7,8,9 is placed on 13 inside between magnetic shield.
MRI magnet 1 of the present invention has cylinder type, superconductor is adopted to realize magnet excitation, field homogeneity be distributed in magnet geometric center be the centre of sphere, radius is in the diameter of Spherical Volume of 50 centimetres, magnets magnetic fields intensity is more than or equal to 1.5T, magnet room temperature interior diameter is greater than but is not limited to 1000 millimeters, fails to grow up in but be not limited to 1600 millimeters in the chamber of MRI superconducting magnet.
In the present invention, patient's operation table can run to the other end from one end of magnet, and doctor can carry out operation technique at the two ends of magnet, does not limit by magnetic field intensity 5 gaussian line.
In the present invention, MRI imaging and optical 3-dimensional space orientation technique are combined, adopt diverse ways to carry out quick position for human body different parts.Simultaneously, for human body different parts and different treatment methods, adopting the dismountable MRI coils special of different structure (magnetic resonance signal receiving coil 5) to carry out MRI scanning imagery, when performing the operation, described coil being pulled down, when scanning, described coil being loaded onto.
The present invention adopts wireless transmission method to send the MRI signal of MRI coils special collection to control spectrometer, reduce line and the joint of coil, adopt multi-channel parallel acquisition technique to carry out the collection of MRI signal, multi-channel digital optical fiber carries out collection and the transmission of MRI signal.
MRI Minimally Invasive Surgery plateform system of the present invention is furnished with the surgical apparatus of MRI compatibility, as sub-helium cutter, radio-frequency (RF) ablation, seeds implanted etc.; Meanwhile, native system is equipped with the custodial care facility of MRI compatibility as electrocardio, breathing etc., and surgical apparatus and custodial care facility do not limit by magnetic field intensity 5 gaussian line, can use at two of a magnet port.
Below for head argon helium knife (but being not limited to argon helium knife) Minimally Invasive Surgery (but being not limited to head), describe the work process of large aperture of the present invention, short cavity, superconducting magnetic resonance imaging (MRI) Minimally Invasive Surgery medical platform device systems in detail.
Step 1), patient location is put: according to patient head Minimally Invasive Surgery position, patient is placed on the suitable position of the removable operation table in the left side (8 in Fig. 1).
Step 2), the installation of receiving coil: dismountable MRI head Minimally Invasive Surgery coils special is arranged on head operation support.
Step 3), MRI scanning imagery: patient head is placed into magnet center by removable operation table (in Fig. 1 8).According to different diseases, choose suitable formation method, under the control of computer workstation (10 in Fig. 1), start nuclear magnetic resonance electronic unit (in Fig. 1 10) and carry out MRI image scanning, obtain preoperative patient head MRI image.
Step 4), dismounting receiving coil: patient head is turned back to step 1 by removable operation table (in Fig. 1 8)) position, remove receiving coil, remove step and step 3) process contrary.
Step 5), navigator fix: argon helium knife is equipped with infrared reflecting ball, is undertaken registering and mating by the position of argon helium knife and MRI image by infrared optical positioner (in Fig. 1 6).
Step 6), surgical navigational: computer (in Fig. 1 10) navigation software instructs doctor to carry out operation technique, in operation process, the position of argon helium knife is presented at step 3 in real time) in obtain MRI image on, above-mentioned image is presented on the inner display of screened room (in Fig. 1 13) (in Fig. 1 7), and the physiology monitor parameter of patient is also shown in (in Fig. 1 7) on this display simultaneously.
Step 7), surgical effect confirms: after having performed the operation, and repeats step 2) dismountable MRI head Minimally Invasive Surgery coils special is arranged on head operation support.Repeat step 3) carry out MRI scanning imagery, obtain postoperative patient head MRI image.
Step 8), the confirmation of further operation: doctor is according to step 7) result that obtains judges that whether first time surgical effect reaches requirement, if meet expected results, stops operation, patient is shifted out, complete MRI navigate under Minimally Invasive Surgery.If do not meet expected results, repeat above-mentioned steps 4), step 5), step 6), step 7), until meet expected results.
Described superconducting MRI Minimally Invasive Surgery plateform system has following characteristics:
Adopt the bottleneck problems such as large aperture superconductor technology solves poor image quality in traditional MRI minimal invasive operation, real-time is bad, operative space is too little, make superconducting MRI can carry out various minimally-invasive treatment as existing many row X-CT, eliminate the radiological hazard of X-ray simultaneously.
Adopt short cavity MRI technology to realize the two-way Minimally Invasive Surgery operation on MRI magnet both sides, greatly expand the scope of application that MRI is used for minimally-invasive treatment.
According to human body different parts, different treatment methods, design dismountable MRI coils special, acquired signal wireless transmission, greatly facilitate the Minimally Invasive Surgery of human body multiple location to operate.
Real time MRI imaging and optical 3-dimensional space orientation technique combine by native system, for different parts development method for rapidly positioning, improve efficiency and the precision of MRI Minimally Invasive Surgery navigation.
Adopt multi-channel digital optical fiber technology, significantly improve the capacity of resisting disturbance of MRI system, realize can placing various operation and custodial care facility in magnetic field intensity 5 gaussian line; Improve image taking speed 4-8 doubly; Improve signal noise ratio (snr) of image 20%-40%.
Native system, except having the supper-fast imaging of submicrosecond level, also provides functional imaging in multiple art, comprises the imaging function peeping clinical needs with other in rapid flow imaging, dispersion coefficient imaging, Temperature Distribution imaging, MR perspective, MR.

Claims (9)

1. a large aperture, short cavity, superconducting magnetic resonance imaging (MRI) Minimally Invasive Surgery plateform system, this system can carry out minimal invasive operation under the navigation of nuclear magnetic resonance, it is characterized in that described MRI Minimally Invasive Surgery plateform system comprises large aperture, short cavity, superconducting magnet; Two-way operation removing patient bed; The removable receiving coil of MRI; Optical-fibre multi-channel numeral MRI controls spectrometer; Optical navigation device; MRI scanning software; MRI compatible surgical and custodial care facility.
2. large aperture according to claim 1, short cavity, superconducting magnetic resonance imaging (MRI) Minimally Invasive Surgery plateform system, it is characterized in that MRI magnet has cylinder type, superconductor is adopted to realize magnet excitation, field homogeneity be distributed in magnet geometric center be the centre of sphere, radius is in the diameter of Spherical Volume of 50 centimetres, described magnets magnetic fields intensity is more than or equal to 1.5T, magnet room temperature interior diameter is greater than but is not limited to 1000 millimeters, fails to grow up in but be not limited to 1600 millimeters in the chamber of MRI superconducting magnet.
3. large aperture according to claim 1, short cavity, superconducting magnetic resonance imaging (MRI) Minimally Invasive Surgery plateform system, it is characterized in that patient's operation table can run to the other end from one end of magnet, doctor can carry out operation technique at the two ends of magnet, does not limit by magnetic field intensity 5 gaussian line.
4. large aperture according to claim 1, short cavity, superconducting magnetic resonance imaging (MRI) Minimally Invasive Surgery plateform system, it is characterized in that for human body different parts and different treatment methods, the dismountable MRI coils special of different structure is adopted to carry out MRI scanning imagery, when performing the operation, described coil being pulled down, when scanning, described coil being loaded onto.
5. the large aperture according to claim 1 and 4, short cavity, superconducting magnetic resonance imaging (MRI) Minimally Invasive Surgery plateform system, it is characterized in that adopting wireless transmission method to send the MRI signal of MRI coils special collection to control spectrometer, reduce line and the joint of coil.
6. large aperture according to claim 1, short cavity, superconducting magnetic resonance imaging (MRI) Minimally Invasive Surgery plateform system, it is characterized in that MRI imaging and optical 3-dimensional space orientation technique combine by described system, adopt diverse ways to carry out quick position for human body different parts.
7. the large aperture according to claim 1,4 and 5, short cavity, superconducting magnetic resonance imaging (MRI) Minimally Invasive Surgery plateform system, is characterized in that adopting multi-channel parallel acquisition technique to carry out the collection of MRI signal.
8. the large aperture according to claim 1,4 and 5, short cavity, superconducting magnetic resonance imaging (MRI) Minimally Invasive Surgery plateform system, its spy is to adopt multi-channel digital optical fiber to carry out collection and the transmission of MRI signal.
9. large aperture according to claim 1, short cavity, superconducting magnetic resonance imaging (MRI) Minimally Invasive Surgery plateform system, is characterized in that described system is furnished with the surgical apparatus of MRI compatibility, as sub-helium cutter, radio-frequency (RF) ablation, seeds implanted etc.; Described system disposition has the custodial care facility of MRI compatibility as electrocardio, breathing etc., and described surgical apparatus and custodial care facility do not limit by magnetic field intensity 5 gaussian line, can use at two of a magnet port.
CN201310285801.2A 2013-07-09 2013-07-09 Large-aperture, short-cavity and superconducting magnetic resonance imaging minimally invasive surgery platform system Pending CN104274175A (en)

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Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107137147A (en) * 2017-06-26 2017-09-08 苏州安术医疗科技有限公司 Based on real-time multimode integrated positioning diagnosis and therapy system
CN108014428A (en) * 2018-01-31 2018-05-11 安徽锐捷信息科技有限公司 A kind of radiotherapy system of guide of magnetic resonant image
CN108714047A (en) * 2018-06-15 2018-10-30 安徽大中润科技有限公司 A kind of neural interventional treatment system of guided by magnetic resonance
CN110464354A (en) * 2019-09-06 2019-11-19 安徽硕金医疗设备有限公司 A kind of large aperture intervention magnetic resonance system
CN111505549A (en) * 2019-01-31 2020-08-07 中加健康工程研究院(合肥)有限公司 Movable MRI system
CN111493867A (en) * 2019-01-31 2020-08-07 中加健康工程研究院(合肥)有限公司 Imaging method for surgical operation
CN111700613A (en) * 2020-06-24 2020-09-25 北京阳光易帮医疗科技有限公司 Cryosurgery system used under magnetic resonance
CN111870826A (en) * 2020-07-14 2020-11-03 杜兴林 Real-time analytic system of minimal access surgery index

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107137147A (en) * 2017-06-26 2017-09-08 苏州安术医疗科技有限公司 Based on real-time multimode integrated positioning diagnosis and therapy system
CN108014428A (en) * 2018-01-31 2018-05-11 安徽锐捷信息科技有限公司 A kind of radiotherapy system of guide of magnetic resonant image
CN108714047A (en) * 2018-06-15 2018-10-30 安徽大中润科技有限公司 A kind of neural interventional treatment system of guided by magnetic resonance
CN111505549A (en) * 2019-01-31 2020-08-07 中加健康工程研究院(合肥)有限公司 Movable MRI system
CN111493867A (en) * 2019-01-31 2020-08-07 中加健康工程研究院(合肥)有限公司 Imaging method for surgical operation
CN111610476A (en) * 2019-01-31 2020-09-01 中加健康工程研究院(合肥)有限公司 Mobile MRI system for surgical operation
CN110464354A (en) * 2019-09-06 2019-11-19 安徽硕金医疗设备有限公司 A kind of large aperture intervention magnetic resonance system
CN111700613A (en) * 2020-06-24 2020-09-25 北京阳光易帮医疗科技有限公司 Cryosurgery system used under magnetic resonance
CN111700613B (en) * 2020-06-24 2023-10-27 北京阳光易帮医疗科技有限公司 Low-temperature operation system used under magnetic resonance
CN111870826A (en) * 2020-07-14 2020-11-03 杜兴林 Real-time analytic system of minimal access surgery index

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Application publication date: 20150114