CN106890024A - A kind of preoperative servicing unit of liver neoplasm heating ablation operation - Google Patents

A kind of preoperative servicing unit of liver neoplasm heating ablation operation Download PDF

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Publication number
CN106890024A
CN106890024A CN201611242031.3A CN201611242031A CN106890024A CN 106890024 A CN106890024 A CN 106890024A CN 201611242031 A CN201611242031 A CN 201611242031A CN 106890024 A CN106890024 A CN 106890024A
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preoperative
liver
doctor
servicing unit
computer
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CN201611242031.3A
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Chinese (zh)
Inventor
李萌
段赟
李岩
王博
李骏
袁歌
袁一歌
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Priority to CN201611242031.3A priority Critical patent/CN106890024A/en
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Abstract

The present invention relates to a kind of preoperative servicing unit of liver neoplasm heating ablation operation, it is provided with and wears VR displays;It is described wear to be provided with VR displays wear In-Ear Headphones;At least one locator;At least one control handle;The connection of locator, control handle and computer wireless.The present invention using more convenient, doctor can under the auxiliary of system the different operation plan of multiple design planning, and carry out sham operated, select wherein relatively reasonable scheme, improve the success rate performed the operation;Compared to traditional bidimensional image picture, the medical image in virtual reality is more true, and doctor can be diagnosed and be analyzed from the image data to patient of Multi-angle omnibearing, meanwhile, virtual reality technology can realize the interaction between doctor and image data.

Description

A kind of preoperative servicing unit of liver neoplasm heating ablation operation
Technical field
Preoperative auxiliary the invention belongs to technical field of clinical medicine, more particularly to a kind of liver neoplasm heating ablation operation is filled Put.
Background technology
At present for clinically liver heating ablation operation, doctor when preoperative planning is carried out, often can only by ultrasound, Computerized tomography takes the photograph piece art (Computed tomography, CT), magnetic resonance imaging (Magnetic resonance Imaging, MRI) etc. two-D image information carry out the observation to liver lesion, and these two-D image informations provide simply A series of image of separation, doctor can only rely on itself clinical experience, and focus is constructed in brain with reference to two-D image information 3-dimensional image information, this method extremely relies on personal experience and the technical ability of doctor, and the mode of thinking of different doctors has unavoidably Deviation.Doctor's subjectivity prejudges the position of focus and focus deterioration and then carries out corresponding preoperative planning, lacks directly perceived, accurate Analysis.Once lesions position is prejudged wrong, or there is deviation to the judgement of focus deterioration, corresponding preoperative planning also will Error, and then cause surgical procedure not smooth, final surgical effect does not reach expection, and therapeutic effect is not good, and operation is carried out Do not affect the treatment thoroughly and severe complication even occurs, unnecessary pain is brought to patient.
In sum, the preoperative planning of current thermal ablation therapy relies on the technical ability of doctor, and subjective, this is existing skill The shortcoming of art, is primarily due to simple use bidimensional image, does not carry out three-dimensional modeling to it, directly affects heating ablation operation Curative effect.
The content of the invention
For problem above, the present invention proposes a kind of preoperative servicing unit of liver neoplasm heating ablation operation.The present invention A series of two dimensional images will process with the three-dimensional focus model display for obtaining in reality environment, by curing by computer Life is worn VR equipment and is entered in reality environment, omnibearing stereo observation focus threedimensional model, and can be by handle to mould Type carries out the operation such as displacement, amplification, diminution, rotation, so as to focus emphasis position is analyzed and be observed.The present invention is also provided Simulated surgical operation function, doctor in virtual reality space, using operation handle sham operated apparatus to three-dimensional focus model Operation technique is simulated, system can capture the operating process in sham operated, the operation to mistake is alerted and pointed out, And operating result is analyzed and assessed after the completion of sham operated.Auxiliary doctor carries out sufficiently operation and prepares in the preoperative.
The present invention is subjective to solve experience and technical ability that the preoperative planning of current thermal ablation therapy relies on doctor, Directly affect the technical problem of heating ablation operative effect and a kind of simple structure, easy to install, raising operating efficiency are provided Liver neoplasm heating ablation operation preoperative servicing unit.
The present invention is adopted the technical scheme that to solve technical problem present in known technology:
The preoperative servicing unit of the liver neoplasm heating ablation operation that the present invention is provided, the liver neoplasm heating ablation operation Preoperative servicing unit is provided with:
Wear VR displays;
It is described wear to be provided with VR displays wear In-Ear Headphones;
At least one locator;
At least one control handle;
The connection of locator, control handle and computer wireless.
Further, the USB interface for wearing VR displays is connected by USB line with the USB interface for being connected box;Wear VR The HDMI of display is connected by HDMI wire with the HDMI for being connected box;The power interface of VR displays is worn by electricity Source line is connected with the power interface for being connected box.
Further, the USB interface of the computer is connected by USB line with the USB interface for being connected box;The HDMI of computer Connected with the HDMI for being connected box by HDMI wire;The power interface of computer is connected by power line with the power interface for being connected box Connect.
Further, power supply is connected by power line with the power interface for being connected box and computer.
Further, the locator is connected by power line with power supply.
It is described another object of the present invention is to provide a kind of preoperative analysis method using above-mentioned preoperative servicing unit Preoperative analysis method is:
To be imported in Unity3D engines by the three-dimensional focus model obtained after computer disposal, via Unity3D engines pair Focus model is processed:
Firstth, to each part of focus:Liver outer surface, tumour, blood vessel, artery, gall-bladder are individually dyeed, and are added Plus material is showing close to real appearance;
Secondth, control program is added in Unity3D engines, the routine interface of VR handles is accessed in a program, to VR hands The pressing of button on handle, touch, pull operation and caught and defined;
3rd, the platform using unity3D engines structure surgery planning and sham operated is defeated by three-dimensional focus model data Enter in Unity3D engines, sham operated platform built using Unity3D engines, wherein to liver organ, liver in it is swollen Major Vessels, artery in knurl, liver individually add collision body, to detect the operation that VR handles are touched to it, and in void Intend being modeled operating theater instruments in space, the threedimensional model of operating theater instruments is constructed, to allow that doctor exists VR handles Operating theater instruments is modeled in virtual reality space to be operated, and then, the operation of VR handles is carried out in Unity3D engines Catch, and according to presetting, the operation to capturing is analyzed and provides feedback, just constitutes sham operated system; During sham operated, the operation that sham operated system can be carried out to doctor provides immediate feedback, to wrong or risky behaviour Warning prompting is carried out as step, while after surgery, the correct and faulty operation step according to doctor in operation, to the behaviour of equipment Make precise degrees, the operation deadline carries out synthesis, with reference to the every specification and requirement in true operation, to doctor's sham operated Effect be estimated.
The present invention has the advantages and positive effects that:Due to the computer software that the present invention is complicated compared to traditional operation, VR The use of equipment is more convenient, it is only necessary to grasp the simple operations of handle, you can realizes touching in reality environment, uses The function of the instruments such as sham operated knife, step is simple;The form that represents of the preoperative accessory system of liver cancer heating ablation operation is cardinar number Word, therefore for the image data of same patient, doctor can under the auxiliary of system multiple design planning it is different Operation plan, and sham operated is carried out, wherein relatively reasonable scheme is selected, improve the success rate of operation;Compared to traditional two Dimension image picture, the medical image in virtual reality is more true, and doctor can be from the image to patient of Multi-angle omnibearing Data are diagnosed and analyzed, meanwhile, virtual reality technology can realize the interaction between doctor and image data.
Brief description of the drawings
Fig. 1 is the preoperative assistant apparatus structure schematic diagram of liver neoplasm heating ablation operation provided in an embodiment of the present invention;
In figure:1st, VR displays are worn;2nd, In-Ear Headphones are worn;3rd, box is connected;4th, locator;5th, power supply;6th, computer; 7th, control handle.
Fig. 2 is the application method flow of the preoperative servicing unit of liver neoplasm heating ablation operation provided in an embodiment of the present invention Figure.
Specific embodiment
For the content of the invention of the invention, feature and effect can be further appreciated that, following examples are hereby enumerated, and coordinate accompanying drawing Describe in detail as follows.
Structure of the invention is explained in detail below in conjunction with the accompanying drawings.
As shown in figure 1, the preoperative servicing unit of liver neoplasm heating ablation operation provided in an embodiment of the present invention includes:Wear VR displays 1, wear In-Ear Headphones 2, connection box 3, locator 4, power supply 5, computer 6, control handle 7.
Wear to be provided with VR displays 1 and wear In-Ear Headphones 2, wear VR displays 1 and wear In-Ear Headphones 2 and lead to Crossfire box 3 is crossed to be connected with computer 6;The USB interface for wearing VR displays 1 is connected by USB line with the USB interface for being connected box 3, head The HDMI for wearing VR displays 1 is connected by HDMI wire with the HDMI for being connected box 3, and the power supply for wearing VR displays 1 connects Mouth passes through power line and is connected the power interface connection of box 3;The USB interface of computer 6 passes through USB line and the USB interface for being connected box 3 Connection, the HDMI of computer 6 is connected by HDMI wire with the HDMI for being connected box 3, and the power interface of computer 6 passes through power supply Line is connected with the power interface for being connected box 3, and power supply 5 is connected by power line with the power interface for being connected box 3 and computer 6, positioning Device 4 is connected by power line with power supply 5;Locator 4, control handle 7 are connected with computer wireless.
Target tracking is carried out by infrared ray between locator 4;Control handle 7 is using preceding charged in advance.As for tool Body position, two locators 4 are located on the diagonal of virtual room, and control handle 7 is operated by doctor and then controlled virtual Movement, rotation of liver in environment etc. are operated.
Doctor puts on wear-type device, in placing oneself in the midst of the virtual room of structure completely, by control handle, and can be to rebuilding Three-dimensional hepatic model the sequence of operations such as rotated, furthered, being amplified, closely observe patient's liver, find out tumour Accurate location, and then it is eliminated using heating ablation method.In the process, the inductor in control handle can also pass through Locator is followed the trail of and positions the current position in virtual room of doctor.At the same time, during sham operated, system can be right The operation that doctor is carried out provides immediate feedback, warning prompting is carried out to wrong or risky operating procedure, while to doctor's Sham operated effect is estimated.If Evaluated effect is general, show that the preoperative planning is unreasonable, it should re-start preoperative rule Draw;If Evaluated effect is good, show that the preoperative planning is reasonable.So far, can be carried out according to the state of an illness of patient rational preoperative Planning.
Idiographic flow of the invention is as shown in Fig. 2 comprise the following steps that:
(1) the incoming interface of medical image data:The system is cured using eFilm Workstation (Version 2.0.1) Learn image processing software to pre-process the data from CT or MRI, be manually partitioned into the two dimensional image of different reinforced foam plastics Data set, so that set up normal coordinate systems in image imports computer by the medical image of the scannings such as CT, MRI, PET.
(2) liver three-dimensional modeling:With computer image processing technology, the two-dimensional medical image that will be obtained, in three-dimensional space Between on reconstruct solid 3-D view.Three-dimensional modeling mainly divides four steps:First, data fit processing system is used for collection Two-dimensional image data carries out meeting treatment, the forward projection data needed for obtaining reconstruction;Second, using iterative reconstruction algorithm OSEM Data are rebuild, multigroup reconstruction data are obtained;3rd, the acquisition of system geometrical offset vector;4th, except initial angle weight Build outside result, the reconstruction data of other angles are rotated to an angle with inverse system direction of rotation.So far, three-dimensional modeling is realized.
(3) medical image model virtual realization output:A virtual room for three-dimensional is created first with Unity3D, Then the medical image of three-dimensional voxel rank is imported in Unity3D engines, by real-time dynamic the three of computer generation liver The three-dimensional photorealism of dimension.Various pieces are modeled and are optimized, be simultaneously provided in the interaction adjusted to path in 3-D view Formula method, including enter the translation combined along pin is axially adjustable, impact point rotates path adjustment, spininess of the withdraw of the needle and adjust, allows doctor It is raw not only image to be watched by display, more can in the environment of virtual reality truer observation image closely, And interacted with image.
(4) surgery planning and sham operated of real patient image:Surgery planning and simulation are built using unity3D engines The platform of operation, the patient data of virtual reality is input into, wherein, the virtual reality device that system is supported is HTC VIVE. HTC VIVE include two hand-held somatosensory handles, two handle for charging devices, two locators, two locator power lines, two Locator synchronous data line, a wear-type device for being equipped with Front camera and phone, USB data line, a signal connect Connect box, a connection box power line, and a HDMI connecting line.
Before surgical simulation is carried out, it is necessary first to build HTC VIVE experience platforms.Comprise the following steps that:
1st, determine locator position and install:Two locators are respectively placed in the right of the virtual room that step (3) is created Angle, two locators are arranged on liftoff more than 2 meters of position using two tripods, and by its downward-sloping 30 degree.Two Locator is connected to socket by locator power line respectively, locator synchronous data line only when locator synchronously goes wrong Need to use.
2nd, the connection of wear-type device and computer:The three-in-one connecting line of wear-type device is connected to the orange that signal connects box Color end, the black end of signal connection box includes power supply, USB, HDMI and Mini DisplayPort.Wherein, power port leads to Cross connection box power line and be connected to socket, USB interface is connected to the USB interface of computer by USB data line, and HDMI passes through HDMI Connecting line is connected to the HDMI ports of computer display card, if computer does not have available HDMI ports, can be by by Mini DisplayPort mouthfuls is connected to DisplayPort data wires, so as to signal connection box is connected into computer.
3rd, two hand-held somatosensory handles using preceding need charge.
4th, above-mentioned platform building is well later, it is necessary to enter the setting of line finder, it is ensured that a channel for locator is b, separately One is c, if the status indicator lamp of two locators is green, shows to set successfully.
The present invention will be imported in Unity3D engines by the three-dimensional focus model obtained after computer disposal, via Unity3D Engine is processed focus model:
1st, to each part of focus:Liver outer surface, tumour, blood vessel, artery, gall-bladder are individually dyeed, addition Material is showing close to real appearance;
2nd, control program is added in Unity3D engines, the routine interface of VR handles is accessed in a program, on VR handles The pressing of button, touch, pull operation and caught and defined.Doctor puts on VR head-mounted display apparatus and enters into virtual reality Behind space, operated by operating button on VR handles, touch pad, trigger that displacement, amplification, diminution, rotation etc. are carried out to model, So as to facilitate doctor to be analyzed and observe focus emphasis position;
3rd, the platform of surgery planning and sham operated is built using unity3D engines:By the input of three-dimensional focus model data To in Unity3D engines, sham operated platform is built using Unity3D engines, wherein to liver organ, liver in it is swollen Major Vessels, artery in knurl, liver individually add collision body, to detect the operation that VR handles are touched to it, and in void Intend being modeled operating theater instruments in space, the threedimensional model of operating theater instruments is constructed, to allow that doctor exists VR handles Operating theater instruments is modeled in virtual reality space to be operated, and then, the operation of VR handles is carried out in Unity3D engines Catch, and according to presetting, the operation to capturing is analyzed and provides feedback, so, just constitutes sham operated system System.During sham operated, the operation that sham operated system can be carried out to doctor provides immediate feedback, to wrong or risky Operating procedure carry out warning prompting, while after surgery, the correct and faulty operation step according to doctor in operation, to equipment Operation precise degrees, the operation deadline carries out synthesis, with reference to the every specification and requirement in true operation, doctor simulated The effect of operation is estimated.
The above is only the preferred embodiments of the present invention, and any formal limitation is not made to the present invention, It is every according to technical spirit of the invention to any simple modification made for any of the above embodiments, equivalent variations and modification are belonged to In the range of technical solution of the present invention.

Claims (6)

1. a kind of preoperative servicing unit that liver neoplasm heating ablation is performed the operation, it is characterised in that the liver neoplasm heating ablation operation Preoperative servicing unit be provided with:
Wear VR displays;
It is described wear to be provided with VR displays wear In-Ear Headphones;
At least one locator;
At least one control handle;
The connection of locator, control handle and computer wireless.
2. the preoperative servicing unit that liver neoplasm heating ablation as claimed in claim 1 is performed the operation, it is characterised in that described to wear VR The USB interface of display is connected by USB line with the USB interface for being connected box;The HDMI for wearing VR displays passes through HDMI Line is connected with the HDMI for being connected box;The power interface for wearing VR displays is connected by power line with the power interface for being connected box Connect.
3. the preoperative servicing unit that liver neoplasm heating ablation as claimed in claim 1 is performed the operation, it is characterised in that the computer USB interface is connected by USB line with the USB interface for being connected box;The HDMI of computer passes through HDMI wire and the HDMI for being connected box Interface is connected;The power interface of computer is connected by power line with the power interface for being connected box.
4. the preoperative servicing unit that liver neoplasm heating ablation as claimed in claim 1 is performed the operation, it is characterised in that power supply is by electricity Source line is connected with the power interface for being connected box and computer.
5. the preoperative servicing unit that liver neoplasm heating ablation as claimed in claim 1 is performed the operation, it is characterised in that the locator It is connected with power supply by power line.
6. the preoperative analysis method of the preoperative servicing unit described in a kind of utilization claim 1, it is characterised in that described preoperative point Analysis method is:
To be imported in Unity3D engines by the three-dimensional focus model obtained after computer disposal, via Unity3D engines to focus Model is processed:
Firstth, to each part of focus:Liver outer surface, tumour, blood vessel, artery, gall-bladder are individually dyeed, and add material Matter is showing close to real appearance;
Secondth, control program is added in Unity3D engines, the routine interface of VR handles is accessed in a program, on VR handles The pressing of button, touch, pull operation and caught and defined;
3rd, be input to for three-dimensional focus model data by the platform for building surgery planning and sham operated using unity3D engines In Unity3D engines, sham operated platform is built using Unity3D engines, wherein to the tumour in liver organ, liver, Major Vessels, artery in liver individually add collision body, to detect the operation that VR handles are touched to it, and virtual empty Between in operating theater instruments is modeled, the threedimensional model of operating theater instruments is constructed, to allow doctor by VR handles virtual Operating theater instruments is modeled in realistic space to be operated, and then, the operation of VR handles is caught in Unity3D engines Catch, and according to presetting, the operation to capturing is analyzed and provides feedback, just constitutes sham operated system;In mould Intend in surgical procedure, the operation that sham operated system can be carried out to doctor provides immediate feedback, to wrong or risky operation Step carries out warning prompting, while after surgery, the correct and faulty operation step according to doctor in operation, the operation to equipment Precise degrees, the operation deadline carries out synthesis, with reference to the every specification and requirement in true operation, to doctor's sham operated Effect is estimated.
CN201611242031.3A 2016-12-29 2016-12-29 A kind of preoperative servicing unit of liver neoplasm heating ablation operation Pending CN106890024A (en)

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CN109157284A (en) * 2018-09-28 2019-01-08 广州狄卡视觉科技有限公司 A kind of brain tumor medical image three-dimensional reconstruction shows exchange method and system
CN109171961A (en) * 2018-08-20 2019-01-11 绍兴文理学院附属医院 PKP surgical guidance system based on VR or AR technology
CN109223121A (en) * 2018-07-31 2019-01-18 广州狄卡视觉科技有限公司 Based on medical image Model Reconstruction, the cerebral hemorrhage puncturing operation navigation system of positioning
CN109247985A (en) * 2018-09-05 2019-01-22 北京数医科技有限公司 A kind of surgical assistant system and method based on 3D human body
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CN110522516A (en) * 2019-09-23 2019-12-03 杭州师范大学 A kind of multi-level interactive visual method for surgical navigational
CN110974426A (en) * 2019-12-24 2020-04-10 上海龙慧医疗科技有限公司 Robot system for orthopedic joint replacement surgery

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CN108335282A (en) * 2017-01-20 2018-07-27 浙江京新术派医疗科技有限公司 The cut surface generation method and generating means of operation on liver
CN107578434A (en) * 2017-08-25 2018-01-12 上海嘉奥信息科技发展有限公司 VR rendering intents and system based on 3D point cloud rapid registering
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WO2019061202A1 (en) * 2017-09-28 2019-04-04 Shenzhen United Imaging Healthcare Co., Ltd. System and method for processing colon image data
CN108310769A (en) * 2017-11-01 2018-07-24 深圳市创凯智能股份有限公司 Virtual objects adjusting method, device and computer readable storage medium
CN107978195A (en) * 2017-12-29 2018-05-01 福州大学 A kind of lateral cerebral ventricle puncture operative training system based on Virtual Reality Platform
CN109223121A (en) * 2018-07-31 2019-01-18 广州狄卡视觉科技有限公司 Based on medical image Model Reconstruction, the cerebral hemorrhage puncturing operation navigation system of positioning
CN109171961A (en) * 2018-08-20 2019-01-11 绍兴文理学院附属医院 PKP surgical guidance system based on VR or AR technology
CN109247985A (en) * 2018-09-05 2019-01-22 北京数医科技有限公司 A kind of surgical assistant system and method based on 3D human body
CN109157284A (en) * 2018-09-28 2019-01-08 广州狄卡视觉科技有限公司 A kind of brain tumor medical image three-dimensional reconstruction shows exchange method and system
CN110522516A (en) * 2019-09-23 2019-12-03 杭州师范大学 A kind of multi-level interactive visual method for surgical navigational
CN110522516B (en) * 2019-09-23 2021-02-02 杭州师范大学 Multi-level interactive visualization method for surgical navigation
CN110974426A (en) * 2019-12-24 2020-04-10 上海龙慧医疗科技有限公司 Robot system for orthopedic joint replacement surgery

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Inventor after: Shi Pengpeng

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Application publication date: 20170627