CN106955421A - The medical aid of radiotherapy - Google Patents
The medical aid of radiotherapy Download PDFInfo
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- CN106955421A CN106955421A CN201610013647.7A CN201610013647A CN106955421A CN 106955421 A CN106955421 A CN 106955421A CN 201610013647 A CN201610013647 A CN 201610013647A CN 106955421 A CN106955421 A CN 106955421A
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- medical aid
- individual
- portable plate
- sensor
- elongated
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N5/00—Radiation therapy
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- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Life Sciences & Earth Sciences (AREA)
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Abstract
A kind of medical aid is disclosed herein, and the treatment position of individual is correspondingly moved to sense with an individual at least position of a label in a radiation therapy process.The medical aid includes pedestal, driver, elongated portable plate, sensor and controller.The elongated portable plate is coupled on pedestal and with driver, and the sensor is for detecting the mark.The controller and driver and sensor electric property coupling, to drive elongated portable plate movable along base length direction.
Description
Technical field
The invention relates to a kind of medical aid, and in particular to a kind of applied to field of radiation therapy
Medical aid.
Background technology
Radiotherapy mainly uses the radioactive ray of high-energy to kill cancer cell induction cell death, therefore, as long as receiving
Either normal cell or cancer cell can all be destroyed the radioactive ray of high-energy.Therefore, it is accurate to be needed during radiotherapy
Positioning individual receives the scope of radioactive ray irradiation, to improve therapeutic efficiency and avoid the generation of side effect.However, in radiotherapy
During, diaphragm, which rises or falls, caused by the respiration of individual causes tumour meeting because of breathing causes tumour displacement, its
In it is again maximum to the displacement of (SI to) with individual head pin, this phenomenon carries out the influence of radiotherapy most for lung, liver tumour
To be serious, often result in tumour and miss the target so that the volume for the treatment of target volume will be enlarged by causing arround normal structure and organ put
Penetrate exposure increase.
To solve the above problems, the method for the existing a variety of compensation breathing displacements of currently available technology is respectively mobile to surround
Method (Motion-encompassing methods), breathing gate method (Respiratory gating methods), breathing are suppressed
Gas method (Breath-hold methods), upper abdomen oppress shallow formula Breathing Method (Forced shallow breathing with
Abdominal compression) and real-time knub position back tracking method (Real-time tumor-tracking methods).
The mobile encirclement method observes overall tumor target moving range using slow CT or 4DCT, by whole therapy area
To being surrounded, for the purpose of anti-avulsion target, but this method causes therapy area scope wider, causes the generation of side effect.
The breathing gate method is changed using the orthogonal image of X-ray or the individual off-balancesheet thorax of far infrared observation body, or in individual
The movement of et al. Ke metal flag , Zhui COPA metal flags.Just open and shine when being parked in a certain particular phases in the patient respiration cycle
Penetrate.The shortcoming of the method is that individual just opens irradiation only under specific breathing phases, and the total time of irradiation, and body is significantly increased
Biao Zhui COPA do not represent real tumor motion track, therefore, if individual has the phenomenon irregularly breathed, easily cause error.Exhale
The suction method of feeling suffocated is shared a common fate, and gate method need to thorax changes outside using the orthogonal image of X-ray or far infrared observation body surface, or
The movement of implanted metal mark , Zhui COPA metal flags in patient body.This method is also needed in addition to the shortcoming for sharing a common fate gate method
Will individual coordinate, compared with can not accurately lift therapeutic effect.Upper abdomen is oppressed shallow formula Breathing Method and need to exhaled via plate for forcing compressing reduction
The displacement of motion is inhaled, the individual that need to be adapted to could receive such a therapeutic modality.Finally, real-time knub position back tracking method needs to use
A variety of image-guided equipment follow the trail of the position of tumour in time, and the dosage needed for accurately being projected with the time is on treatment target.In real time
The shortcoming of knub position back tracking method is need to be implanted into invade interior property mark in tumor area, and the equipment of administration is complicated, expensive, and application
A large amount of manpowers and time need to be cast.
In view of this, current clinical practice all has its limitation in the method for radioactive ray irradiation treatment, in order to improve radioactive ray
The efficiency for the treatment of, reduces unnecessary exposure dose, this area needs a kind of medical aid of improvement badly, to improve existing skill
The deficiency of art.
The content of the invention
The content of the invention aims to provide simplifying for this disclosure and made a summary, so that reader possesses basic to this disclosure
Understand.The complete overview of this content of the invention not this disclosure, and its be not intended to point out the embodiment of the present invention it is important/
Key component defines the scope of the present invention.
To solve the above problems, this disclosure discloses a kind of medical aid, can compensate individual because respiratory movement is made
Into in-vivo tumour displacement, individual tumors is located at tumor target really, allow radiotherapy equipment accurately to cast appropriate put
Beta ray therapy dosage.On the other hand, because of the setting of medical aid of the present invention, tumour can be fixed on specific phase really
On, it is avoided that individual tumors surrounding normal tissue receives unnecessary exposure dose.
This disclosure is a kind of medical aid for assisting an individual to receive radiotherapy.The medical aid
The treatment of individual is correspondingly moved to sense with an individual at least position of a label in a radiation therapy process
Position, to allow individual to reach optimal the effect of radiation therapy.In structure, the medical aid drives comprising a pedestal, one
Dynamic device, an elongated portable plate and a sensor, wherein the elongated portable plate is located to the body for supporting individual on pedestal, and
Coupled with driver.Sensor is for detecting an at least label in radiation therapy process because of the position caused by individual breathing
Change.The controller respectively with driver and sensor electric property coupling, to receive and handle be based on from sensor it is described
At least the position variation signal of a label and produce a displacement signal.The driver can be according to the displacement signal, and driving should
Elongated portable plate is moved forward and backward along the length direction of pedestal, and then can be reached and correspondingly moved the individual treatment position.
In unrestricted embodiment, an at least label in actually used process be placed on individual chest,
Belly or its combination.In one embodiment, in actual use, two labels can be put in the chest of individual respectively
On belly.
In optional embodiment, the sensor is image sensor or laser sensor, and with controller electricity
Property coupling.
In one embodiment, this disclosure medical aid further includes a display device, with sensor and control
Device electric property coupling.
According to another embodiment of this disclosure, the display device of this disclosure can be according to the position produced by controller
Shifting signal shows a respiration range of the individual.In another embodiment, the display device can show that one feels suffocated scope.
In one embodiment, the display device can show the breathing amplitude of individual.
According to the embodiment of this disclosure one, the sensor further includes a first support and is located at elongated portable plate
On, and coupled with sensor.In structure, first support includes two side plates and a spanning member, wherein two side plates are respectively along length
The length direction of type portable plate is set, and has a first groove, width side of the spanning member along elongated portable plate respectively
To across setting and cross the elongated portable plate, and two first grooves of two sides respectively with above-mentioned two side plate of spanning member are coupled, wherein
Spanning member can be slided along the first groove of every side plate.
According to another embodiment of disclosure, the elongated portable plate is provided with two supporting parts, is lived respectively positioned at elongated
Two sides of dynamic plate and close to the middle of elongated portable plate, and a second groove is respectively equipped with each supporting part is used to and first
The side plate bottom coupling of support.
In an infinite embodiment, the controller includes a gain button, and itself and driver electric property coupling are used to
Adjust the displacement and displacement frequency of elongated portable plate.
In another embodiment, the medical aid of this disclosure further includes a fixture, located at elongated activity
On plate, to fix the individual trunk.
In optional embodiment, the display device can be pointer type display device or electronic display unit.
According to the embodiment of this disclosure one, medical aid of the present invention further includes a second support, located at driving
On device or pedestal.In addition, effect in order to lift medical aid of the present invention, medical aid of the present invention can be passed comprising two
Sensor, is respectively arranged in first support and second support.
After refering to following description, persond having ordinary knowledge in the technical field of the present invention, which works as, can will readily appreciate that this
The essence spirit of invention and other goals of the invention, and the technology used in the present invention means and embodiment.
Brief description of the drawings
For the above-mentioned of the present invention can be become apparent with other purposes, feature, advantage and embodiment, the explanation of accompanying drawing is such as
Under：
Figure 1A is the Organization Chart according to the medical auxiliary system 101 shown in an embodiment of the present invention；
Figure 1B is the schematic appearance according to the medical aid 100 shown in an embodiment of the present invention；
Fig. 1 C are the partial enlarged drawing according to the sensor 156 shown in an embodiment of the present invention；
Fig. 2A is the schematic appearance according to the medical aid 200 shown in another embodiment of the invention；
Fig. 2 B are the explosive view of the medical aid 200 shown in Fig. 2A；
Fig. 2 C are according to the medical aid pedestal 210 shown in an embodiment of the present invention and elongated portable plate 230
Schematic appearance；
Fig. 2 D are according to the medical aid pedestal 210 shown in an embodiment of the present invention, elongated portable plate 230 and consolidated
Determine the schematic appearance of part 270；
Fig. 3 A are the schematic appearance according to the medical aid 300 shown in another embodiment of this disclosure；
Fig. 3 B are the explosive view of the medical aid 300 shown in Fig. 3 A；
Fig. 4 A are the schematic appearance according to the medical aid 400 shown in the another embodiment of this disclosure；
Fig. 4 B are the picture view of screen 466 in the display device 460 shown in Fig. 4 A；
Fig. 4 C are the use schematic diagram of the medical aid 400 shown in Fig. 4 A；
Fig. 5 is the schematic appearance according to the medical aid 500 shown in an embodiment of the present invention；And
Fig. 6 is the structure according to the second support 680 shown in another embodiment of the invention and sensor 650A and 650B
Schematic diagram.
According to usual operating type, various features are not drawn to scale with component in figure, its drafting mode be in order to
Specific features and component related to the present invention are presented in optimal manner.In addition, between different accompanying drawings, with same or analogous
Element numbers censure similar component/part.
Symbol description：
100th, 200,300 medical aid
400、500
101 medical auxiliary systems
110th, 210,410 pedestal
120th, 220,420,520 driver
130th, 230,330,430 elongated portable plate
440A, 440B label
150th, 250,450, sensor
550A、550B、650A、650B
151 spanning members
153A, 153B, 353A, 353B side plate
155A, 155B first groove
156th, 256,356,456,556 first support
163 bolts
165th, 265 scale
169 calculator devices
232A, 232B slot
235A, 235B conductive material
242A, 242B base
260th, 460 display device
262nd, 462 gain button
266th, 466 screen
270 fixtures
275 screen cloths
331A, 331B supporting part
335A, 335B, 335C, 335D hole
355A, 355B, 455A, 455B second groove
478 scales
479 indexs
552nd, 652 sliding block
580th, 680 second support
582nd, the groove of 682A, 682B the 3rd
Embodiment
In order that the narration of this disclosure it is more detailed with it is complete, below for embodiments of the present invention with it is specific
Embodiment proposes illustrative description；But this is not implemented or with the unique forms of the specific embodiment of the invention.Embodiment party
Covered in formula multiple specific embodiments feature and to construction with operate these specific embodiments method and step and its
Sequentially.However, can also reach identical or impartial function and sequence of steps using other specific embodiments.
Although being all rough numerical value to the number range and parameter for defining wider range of the present invention, herein as far as possible
The correlation values in specific embodiment are accurately presented.However, any numerical value substantially inevitably contains because of indivedual tests
Standard deviation caused by method.Here, " about " typically refer to actual numerical value a special value or scope positive and negative 10%,
5%th, within 1% or 0.5%.Either, " about " word represents actual numerical value and fallen within the acceptable standard error of average value,
Depending on the consideration of persond having ordinary knowledge in the technical field of the present invention.In addition to experimental example, or unless otherwise clear and definite
Explanation, when being appreciated that all scopes used herein, quantity, numerical value and percentage (such as to describe material usage, time
Length, temperature, operating condition, quantitative proportion and other similar persons) by modification " about ".Therefore, unless otherwise opposite
Illustrate, the numerical parameter disclosed in this specification and subsidiary claim is all rough numerical value, and visual demand and more
It is dynamic.Number of significant digit pointed by should at least these numerical parameters being interpreted as is with applying mechanically the numerical value obtained by general transfer method.
Herein, number range is expressed as by end point to another section of point or between two end points；Unless otherwise indicated, it is described herein
Number range all include end points.
The word such as " individual " or " patient " refers to propose that medical aid carries out radiotherapy and controlled using the present invention
The animal for the treatment of, includes the mankind.Unless specifically stated otherwise, " individual " or " patient " covers male and jenny.It is preferably real one
Apply in mode, the use of the animal of medical aid of the present invention is the mankind.
" radiotherapy " one word refers to be treated using the radiation beams that radiotherapy equipment is produced.The radiation
Therapeutic equipment including but not limited to, the conformal radiotherapy in three-dimensional space (3D conformal radiotherapy, 3D-CRT),
IMRT (Intensity modulated radiotherapy, IMRT), image navigation radiotherapy
(Image Guided Radiotherapy, IGRT), circular knife (Tomotherapy) and arc IMRT machine
(ArcIMRT) etc..
Unless this specification is defined otherwise, the implication of science and technology vocabulary used herein is led with technology belonging to the present invention
Have usually intellectual in domain and understand identical with usual meaning.In addition, in the case of context conflict is got along well, this explanation
Singular noun used by book covers the complex number type of the noun；And also cover the odd number type of the noun during plural noun used.
The present invention is a kind of medical aid of improvement, to receive radiating irradiation in a patient to treat the mistake of tumour
Cheng Zhong, coordinates because of the displacement produced by patient respiratory synchronizing moving patient position so that radiating irradiation position can be fixed on original
The good tumor target of programming, will not offset.This feature can reduce the range of exposures of prior art radiation cure, it is to avoid tumour
The normal structure around target is treated by unnecessary radiating irradiation, therefore the degree of accuracy and the irradiation effect of radiotherapy can be lifted
Rate.
To reach above-mentioned purpose, medical aid of the present invention can be sensed with an individual in radiation therapy process
At least the position of a label and correspondingly move the individual treatment position, the medical aid in structure include one
Pedestal, an elongated portable plate, a driver, a sensor and a controller., can be by two marks during actually used
Thing is seated in individual chest and belly respectively, then by the way that the sensor of this at least marker location can be detected, and can be accurate
The individual respiratory rate of detecting and amplitude, then the elongated portable plate that correspondingly driving patient is couched move corresponding distance, with to
The patient's tumour to be irradiated caused by freely breathing that disappears departs from the influence of predetermined target position；In addition, also can be auxiliary via medical treatment of the invention
Device is helped, guiding individual coordinates the breathing technique scheme (method for example, breathing is felt suffocated) that clinical radiotherapy is drafted, is greatly reduced individual
Body freely breathes the interference caused, the defect not good to improve the known clinical radiotherapy degree of accuracy.
Figure 1A is the Organization Chart according to the medical auxiliary system of the present invention 101 shown in an embodiment of the present invention, and it is included
One medical aid 100 and one with the calculator device 169 of this medical aid 100 wireless connection each other.User is (such as
Doctor or clinical manipulation personnel) amount of movement of the medical aid 100 can be manipulated through thus calculator device 169, and then
Improve the phenomenon that tumour is missed the target in tumour target therapy.Suitable calculator device 169 can be for example, computer, individual number
Word assistant (Personal Digital Assistant), intelligent mobile phone or Wearable device (e.g., intelligent glasses or intelligence
Type wrist-watch) etc..
In another embodiment, it is also direct using the configuration of hardware in the case where being not provided with calculator device 169
The amount of movement of the medical aid 100 is manipulated via control device 160 on medical aid 100.
The medical aid 100 includes a pedestal 110, a driver 120, an elongated portable plate 130, a sensor
150 and a controller 160, the surface structure and concrete configuration mode of each component refer to the content disclosed in Figure 1B and 1C.
Figure 1A and 1B is referred to, during actual operation, first allows patient to lie position in the elongated portable plate 130 supported by pedestal 110
On, two labels (not illustrated in figure) are then placed on patient chest and belly respectively, the position of two labels can be with patient
Exhale or air-breathing and change, this change in location can be perceived and measured by sensor 150, be resent to controller 160, by place
A displacement signal is produced after reason, then makes driver 120 drive the elongated edge of portable plate 130 according to this displacement signal by controller 160
The length direction for pedestal 110 moves corresponding distance, to compensate with patient tumour because of the displacement caused by breathing, that is, deviates
The irradiation position (or missing the target) of original radiation beam setting.
As shown in Figure 1B, in structure, elongated portable plate 130 of the invention on the pedestal 110, and with the coupling of driver 120
Connect.Elongated portable plate 130 is a bed board, is lain low for being intended to treat individual (that is, patient), therefore, the size of elongated portable plate 130 needs foot
To support the trunk for being intended to treat individual.The driver 120 is a linear motion drive, to drive elongated portable plate 130
Length direction relative to pedestal 110 slides back and forth.
Above-mentioned two label is preferably as made by reflectorized material (such as reflective fabric), and can be attached to tested individual chest
Or on belly.The sensor 150 can be an image sensor or a laser sensor, can be reflected based on light and refraction principle
And the bright spot produced by two label is detected, and accurately record its position.This position signalling is transferred into controller again
160, it includes microprocessor and internal storage location (not shown), can handle the position that sensor 150 transmits the above-mentioned label come
Confidence number, and a displacement signal is produced according to this, to make driver 120 drive the length of the elongated portable plate 130 along pedestal 110
Spend direction and move a corresponding distance, to keep the tumour with tested individual to depart from the treatment position of former setting.
In a non-essential embodiment, medical aid 100 of the invention further includes a first support 156, its
Mainly it is made up of a spanning member 151 and two side plates (153A and 153B), wherein respectively being set respectively on the side plate (153A and 153B)
There is a first groove (155A and 155B), width of the spanning member 151 along elongated portable plate 130 is across setting and cross elongated work
The dynamic top of plate 130 is set, and the two ends of spanning member 151 with respectively with two first grooves (155A and 155B) on two side plate
Coupling.In unrestricted embodiment, spanning member 151 is using snap-in structure or passed through with first groove (155A and 155B)
One screw rod and be coupled to each other.In actual use, spanning member 151 can be along the first groove (155A and 155B) on side plate
Slide, user can fit actually used demand and adjust the position of spanning member 151, then be fixed with snap-in structure or screw rod.
In the present embodiment, the sensor 150 is to be set up on the spanning member 151 of the first support 156 and be located at
Middle, to detect the label on individual chest and belly.In other embodiments, the sensor 150 can be also located at
The other positions of this medical aid 100, for example, on elongated portable plate 130.Here, the present embodiment sensor 150 is matched somebody with somebody
Put only illustratively, be not used to limit the actual setting position of sensor 150.In unrestricted embodiment, sensor 150
Any one can be located at, as long as the signal of label can be detected, for example, can fill sensor 150 located at medical treatment auxiliary
Put on 100, or be independently disposed to outside medical aid 100.Similar, the controller (figure of medical aid 100 of the present invention
In do not illustrate) also can be located at any place of described device bell, as long as can be with driver 120 and the electric property coupling of sensor 150.
Controller described in non-essential embodiment further includes a gain button, allows user according to actually used situation, voluntarily adjusts
Elongated the portable plate amount of moving forward and backward or frequency.
Fig. 1 C are the partial enlarged drawing of the first support 156 of the invention described above medical aid 100.This figure purpose be for
User is allowed to better understand the specific thin portion structure of above-mentioned first support 156.As illustrated, side plate 153A is provided with one the
One groove 155A, and the one end of spanning member 151 is fixed on first groove 155A by a bolt 163.Furthermore, it is inessential one
Embodiment in, a scale 165 can be additionally provided with any side plate (153A or and 153B) (referring to Fig. 1 C).
Fig. 2A is according to the medical aid 200 shown in another embodiment of the invention.Medical aid of the present invention
200 component is generally identical with the medical aid 100 shown in Figure 1B -1C, therefore, identical component is not repeated separately herein.
Medical aid 200 of the present invention is characterised by different from above-mentioned medical aid 100, present embodiment
First support 256 is dismountable component, and it is sticked on elongated portable plate 230.This feature makes clinical technician exist
Using upper more convenient.
Fig. 2 B are the exploded perspective view of Fig. 2A medical aids 200.As illustrated, the elongated portable plate 230 is more set
Have two slots (232A, 232B), to house first support 256 base (242A, 242B), and in slot (232A and
Conductive material (235A, 235B) is respectively equipped with 232B), to make sensor 250, controller (not illustrated in figure) and driver
220 electric property couplings.Similar, the bottom of the base (242A, 242B) of the first support 256, which is also respectively equipped with to correspond to, leads
The sheet metal (not illustrated in figure) of electric material (235A, 235B), to reach electric property coupling.
In non-essential embodiment, between first support 256 of the present invention and elongated portable plate 230, engaging is further provided with
Structure, makes first support 256 to be fixedly combined on elongated portable plate 230.For example, inserting on elongated portable plate 230
Groove (232A and 232B) is provided with corresponding concavo-convex snap-in structure with the base 242A and 242B of first support 256.The engaging
Structure is not limited to particular form, and those of ordinary skill in the art can be changed using its experience and configure suitable
Snap-in structure, so that successfully first support 256 is fixed on elongated portable plate 230.
Fig. 2 C show the pedestal 210 of medical aid 200 of the present invention and a kind of embodiment party of elongated portable plate 230
Formula.Same the respective embodiments described above, the pedestal 210 and elongated portable plate 230 electric property coupling each other, elongated portable plate 230 can be with
Length direction of the mode of linear movement along elongated portable plate 230 is moved forward and backward.
In addition, medical aid 200 of the present invention can be further provided with a display device 260 in (referring to figure on pedestal 210
2C).The display device 260 includes a screen 266, wherein the screen 266 can show tested individual respiratory rate, amplitude
And cycle period.Furthermore, the gain button 262 of the present embodiment controller is provided in display device 260, and it is with controller (in figure
Do not illustrate) and the electric property coupling of display device 260, user can voluntarily change via gain button 262 before elongated portable plate 230
Displacement or frequency afterwards.
In another embodiment, the display device 260 can also wireless mode and controller coupling (is not illustrated) in figure
Connect, to show the signal that sensor 250 is detected, for example, utilizing WiFi, bluetooth, infrared ray or other known communication
Mode.
Fig. 2 D show the pedestal 210 of medical aid of the present invention and the another embodiment of elongated portable plate 230.
In this embodiment, the side of the elongated portable plate 230 is further provided with scale 265, and elongated portable plate 230 is observed for operator
Relative to the displacement of pedestal 210.Furthermore, medical aid 200 of the present invention can further include a fixture 270.The fixation
Part 270 is to be provided with a screen cloth 275 to fixed individual buttocks, and in top, to cover the body of individual and it is really solid
Due on fixture 270, making physical efficiency really as elongated portable plate 230 is moved forward and backward.
Fig. 3 A and Fig. 3 B are according to the medical aid 300 shown in another embodiment of the invention.Medical treatment of the invention is auxiliary
Help the component of device 300 generally identical with the medical aid 100 shown in Fig. 1, therefore, identical component is not gone to live in the household of one's in-laws on getting married separately herein
State.
Medical aid 300 of the present invention is characterised by different from above-mentioned medical aid 100, except this embodiment party
The first support 356 of formula is that outside dismountable component, the configuration of the elongated portable plate 330 is also aided in the medical of Fig. 1 or Fig. 2
Device is different.
As illustrated, two long sides of the elongated portable plate 330 are respectively equipped with two supporting parts (331A and 331B), respectively with
Two side plates (353A and 353B) bottom coupling of the first support 356.Specifically, on two supporting part (331A and 331B)
It is respectively equipped with second groove (355A and 355B).Being configured as side plate (353A and 353B) bottom of first support 356 it is one similar "
The structure of ㄈ fonts ", can supporting part described in clamping (331A and 331B), and side plate is worn by a bolt (not illustrated in figure)
The second groove (355A and 355B) of (353A and 353B) bottom and elongated portable plate 330, and can be by screwing bolts by described in
First support 356 is fixed on elongated portable plate 330.
In addition, referring to Fig. 3 B, this is the explosive view of the medical aid 300 shown in Fig. 3 A.Implement infinite
In mode, the elongated portable plate 330 can be provided with least one pair of hole on elongated portable plate.As illustrated, present embodiment
Elongated portable plate 330 provided with two pairs of holes (335A and 335B) (335C and 335D), its Hole 335A and 335B are correspondences
Treated individual abdominal region and set, and hole 335C and 335D are then the individual leg positions of correspondence and are set.Unrestricted
Embodiment in, described hole 335A and 335B, or hole 335C and 335D are worn using a band, by individual
It is fixed on elongated portable plate 330, allows individual in using can be with elongated work during medical aid 300 of the present invention
Dynamic plate 330 is swung, and actually reaches bit shift compensation effect.
Fig. 4 A are according to the medical aid 400 shown in another embodiment of the invention.Medical aid of the present invention
400 component is generally identical with the medical aid 300 shown in Fig. 3, therefore, identical component is not repeated separately herein.
Medical aid 400 of the present invention is characterised by present embodiment different from above-mentioned medical aid 300
Medical treatment device 400 is further provided with a display device 460 and (does not illustrate) electric property coupling in figure with controller.
In optional embodiment, the display device 460 can be located at any of medical aid 400 of the present invention
Side.In the present embodiment, the display device 460 is provided on the long side of medical aid 400 and close individual head
Portion position, is not only operated beneficial to clinical technician, can also allow treated individual to be watched.
In a specific embodiment, the display device 460 is electronic display unit.In actually used process
In, via label (not illustrated in figure) as individual is exhaled and the chest of breathing process, the change of the fluctuating physical quantity of belly, together
When with the actual displacement situation of continuous label of the detecting on individual chest and belly of sensor 450, by the original detected
Beginning signal is sent to controller (not illustrated in figure), and is in synchronously by the fluctuating physical quantity of chest, belly after being handled via controller
Now on the screen 466 of the display device 460.
Specifically, the signal that the display device 460 can actually detect sensor 450 is synchronously converted into cartoon
Schematic diagram, allows user to be apparent from breathing physical quantity variation scope.
Fig. 4 B are referred to, this figure is the picture view of 460 screen of display device 466.As illustrated, on the picture of screen 466
Mainly there are a scale 478 and index 479, the index 479 can be movable along scale 478 according to individual respiratory.
For example, individual thorax abdomen venting one's pent-up feelings is when low level, and the index 479 is located at the leftmost of scale 478, with individual air-breathing chest
When portion and belly swell upwards, the index 479 can be moved accordingly to the right along scale 478；Then, individual is felt elated and exultant
When, index 479 is accordingly moved to the left along scale 478 again, is constantly circulated with this.
In addition, in optional embodiment, this screen 466 can show other different information, for example, individual breathing
Scope, scope of feeling suffocated and breathing amplitude.As illustrated, in individual respiration range can be shown on the picture of screen 466, i.e. in figure with
Dotted line represents A-A.Furthermore, can also show that one feels suffocated scope on the picture of screen 466, i.e. B-B is represented by dotted lines in figure.Furthermore,
In the present embodiment, the gain button 462 of controller is on the screen 466 of display device 460, user (e.g., clinical technology people
Member) can be according to treated individual physiological condition difference, displacement and the position of elongated portable plate 430 are adjusted by gain button 462
Shifting rate.
For example, during actually used, the reality that clinical technician can be venting one's pent-up feelings according to treated individual expiration
Border situation sets a respiration range (that is, A-A), and treated individual controls it to breathe chest via the sign of the respiration range (A-A)
The situation that belly rises and falls.Furthermore, clinical technician can also set one and feel suffocated scope (that is, B-B) so that over the course for the treatment of can
The treated individual of guiding is felt suffocated under ad-hoc location.
Fig. 4 C are the operation chart of the medical aid 400 shown in Fig. 4 A.Referring to Fig. 4 A and Fig. 4 C, Yu Shi
During the use of border, it individual please first lie low on elongated portable plate 430, first support 456 be sticked in elongated portable plate 430
On second groove 455A and 455B.Then, label 440A and 440B are respectively arranged on the belly and chest of individual, wherein
Label 440A and 440B are fixed using the mode pasted.In optional embodiment, the label (440A and
Shape 440B) can be any configuration that can be detected by sensor 450, include, but are not limited to, sheet, spheroid, square or
Gengon etc..
The displacement of the detecting label of sensor 450 440A and 440B, monitor in real time and continuously individual individual and exhale
With the process of air-breathing, a respiration range is defined via the displacement, is shown on the screen 466 of display device 460.Individual can be through
By the respiration range indicated, coordinate the instruction of clinical technician, the depth of self-contr ol breathing enables the fluctuating of thorax abdomen to control
In the indicated respiration range of system, also apply breathing gate method using the guiding patient of display device 460 if necessary or breathing is suppressed
Gas method, to reach more preferably therapeutic effect.During actually used, when individual breathing or it is venting one's pent-up feelings when, sensor 450 via
Label 440A and 440B displacement, can monitor the situation that individual thorax abdomen rises and falls, and can be synchronously aobvious by actual breath state
It is shown on the screen 466 of display device 460；Meanwhile, label 440A and 440B that controller is detected via sensor 450
Mobile primary signal produces a displacement signal, drives elongated portable plate 430 relative via driver 420 according to the displacement signal
Slid back and forth in the length direction of pedestal 410, risen with compensating individual respiratory diaphragm, decline and cause tumour phase to change
Become.
The analysis of institute's displacement signal can cause individual splanchnocoel to swell or reseting procedure for individual air-breathing or exhale
Fluctuating quantity, the displacement for the knub position that converts.The controller drives elongated portable plate 430 to carry out with swelling for displacement signal
The linear movement of the opposite direction of knurl displacement, for example, when tumour is toward during the displacement of individual's head direction, controller drives elongated activity
The direction of plate 430 toward individual foot carries out corresponding displacement, and therefore, transfixion is fixed on to put by individual tumour sets treatment
Target area in, this advantage can significantly lift the illumination efficiency of radiotherapy, can also avoid surrounding normal tissue from receiving
Unnecessary radioactive ray irradiation.
In addition, clinical technician also can utilize gain button to finely tune elongated portable plate according to individual different physiological condition
The amount of moving forward and backward, frequency or the radian for adjusting the beat of pointer, to compensate the displacement that individual respiration is caused really.
Fig. 5 is according to the medical aid 500 shown in another embodiment of the invention.Medical aid of the present invention
500 component is generally identical with the medical aid 100 shown in Figure 1B, therefore, identical component is not repeated separately herein.
Here, the medical aid 500 of present embodiment and the device difference of other embodiment are, it is of the invention
Medical aid 500 further includes a second support 580 in addition to former first support 556, and provided with two sensor (550A
And 550B) be respectively arranged in first support 556 and second support 580.Here, this medical aid 500 utilizes multipoint sensing
Technology, to lift the efficiency of this medical aid 500.
As illustrated, first support 556 of the present invention set be closely located to driver 520, corresponding tested individual knee
To the position of foot.The second support 580 is that vertical rod-shaped structure is located at the top of driver 520, and two component can be one
Body formed component, but not limited to this.Second support 580 is set in structure provided with one the 3rd groove 582 along its length direction
Put, to receive the sensor 550B.The sensor 550B is provided with a sliding block 552 to be fastened on the 3rd ditch
It can slide on groove 582 and along the 3rd groove 582, to adjust sensor 550B in the height in second support 580.Unrestricted
Embodiment in, the sliding block 552 can be changed according to actual practical situation it is other it is known in the art can be with groove phase
With reference to component.In other embodiments, the sliding block 552, which can be further provided with a rotating mechanism (not illustrated in figure), makes sensor
550B can be rotated, and adjust the angle of its ornament.
In unrestricted embodiment, the second support can be an elongated rod shape structure, and art has
Usual skill can change the configuration of second support according to its usual experience.
Fig. 6 is the structure according to the second support 680 shown in another embodiment of the invention and sensor 650A and 650B
Schematic diagram.
As illustrated, second support 680 of the present invention is provided with 2 the 3rd groove 682A and 682B.Sensor 650A and 650B
It is respectively equipped with a sliding block 652 with the 3rd groove 682A and 682B to connect so that sensor 650A and 650B can be along the 3rd grooves
682A and 682B are slided and are fixed on the 3rd groove 682A and 682.In addition, the sliding block 652 can be provided with a rotating mechanism
654 so that sensor 650A and 650B can 360 degree of upsets.As illustrated, sensor 650A and 650B can be according to actually used
Demand adjusts appropriate angles.
A Quick Release component can be further provided with respectively in non-limiting embodiments, on the sensor 650A and 650B (in figure
Do not illustrate) coupled with the sliding block 652, sensor 650A and 650B is separated with the sliding block 652 in second support 680.Another
In one unrestricted embodiment, those of ordinary skill in the art, demand that can be actually used according to its changes
3rd groove 682A and 682B length and depth.
Although disclosing the specific embodiment of the present invention in embodiment above, so it is not limited to the present invention, this
Has usually intellectual in technical field that the present invention belongs to, in the case of the principle of the present invention is not departed from spirit, when can be to it
Various changes and modification are carried out, therefore protection scope of the present invention by those as defined in claim when being defined.
Claims (15)
1. a kind of medical aid, to sense with an individual at least position of a label in a radiation therapy process
And the individual treatment position is correspondingly moved, the medical aid is included：
One pedestal；
One elongated portable plate, to support the individual body on the pedestal；
One driver, is coupled with the elongated portable plate；
One sensor, becomes to detect the position caused by an at least label is breathed in the radiation therapy process because of the individual
Change；And
One controller, respectively with the driver and the sensor electric property coupling, is based on to receive and handle from the sensor
This at least the position variation signal of a label and produce a displacement signal；
Wherein, the driver can drive the elongated portable plate according to the displacement signal, make before its length direction along the pedestal
Displacement afterwards, and then can reach and correspondingly move the individual treatment position.
2. medical aid as claimed in claim 1, it is characterised in that an at least label is placed on the chest of individual
In portion, belly or its combination.
3. medical aid as claimed in claim 1, it is characterised in that the sensor is an image sensor, and with this
Controller electric property coupling.
4. medical aid as claimed in claim 1, it is characterised in that the sensor is a laser sensor, and with this
Controller electric property coupling.
5. medical aid as claimed in claim 1, it is characterised in that further include a display device, with the sensor and
The controller electric property coupling.
6. medical aid as claimed in claim 5, it is characterised in that the display device shows this according to the displacement signal
One respiration range of individual.
7. medical aid as claimed in claim 5, it is characterised in that the display device shows that one feels suffocated scope.
8. medical aid as claimed in claim 5, it is characterised in that the display device can be used to show the one of the individual
Breathing amplitude.
9. medical aid as claimed in claim 1, it is characterised in that further include a first support and be located at the elongated work
Coupled on dynamic plate and with the sensor, wherein the first support is included：
Two side plates, the side of elongated portable plate two is respectively arranged at along the length direction of the elongated portable plate, and has one respectively
First groove；And
One spanning member, the elongated portable plate is crossed across setting along the width of the elongated portable plate, and secondly side respectively with this
Each first groove coupling of two side plates, the wherein spanning member can be slided along each first groove of two side plate.
10. medical aid as claimed in claim 9, it is characterised in that the elongated portable plate is provided with two supporting parts, respectively
Positioned at two sides of the elongated portable plate, and close to the elongated portable plate middle, and each supporting part is provided with a second groove,
To be coupled with the side plate bottom of the first support.
11. medical aid as claimed in claim 1, it is characterised in that the controller includes a gain button and the driving
Device electric property coupling, a displacement and displacement frequency to adjust the elongated portable plate.
12. medical aid as claimed in claim 1, it is characterised in that further include a fixture, located at the elongated activity
On plate, to fix the individual trunk.
13. medical aid as claimed in claim 9, it is characterised in that further include a second support, located at the driver
Or on pedestal.
14. medical aid as claimed in claim 13, it is characterised in that the second support has a groove along the length
Direction is spent to set.
15. medical aid as claimed in claim 14, it is characterised in that comprising two sensors, its respectively with this first
Support and the second support are coupled.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610013647.7A CN106955421A (en) | 2016-01-08 | 2016-01-08 | The medical aid of radiotherapy |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610013647.7A CN106955421A (en) | 2016-01-08 | 2016-01-08 | The medical aid of radiotherapy |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN106955421A true CN106955421A (en) | 2017-07-18 |
Family
ID=59481205
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610013647.7A Pending CN106955421A (en) | 2016-01-08 | 2016-01-08 | The medical aid of radiotherapy |
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| Country | Link |
|---|---|
| CN (1) | CN106955421A (en) |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108404299A (en) * | 2018-02-07 | 2018-08-17 | 郭振能 | Posture radiotherapy foot fixed frame |
| WO2019091199A1 (en) * | 2017-11-10 | 2019-05-16 | 深圳市奥沃医学新技术发展有限公司 | Position monitoring system and radiotherapy device |
| CN112022348A (en) * | 2020-09-11 | 2020-12-04 | 杭州微引科技有限公司 | Puncture ablation intraoperative navigation system under CT and AI dual guidance |
| CN112263786A (en) * | 2020-10-26 | 2021-01-26 | 中国人民解放军空军军医大学 | Positioning device for treating esophageal cancer |
| CN112604188A (en) * | 2020-12-31 | 2021-04-06 | 陈文俊 | Lifting device for radiotherapy equipment in tumor and radiotherapy equipment |
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| JP2000354638A (en) * | 1999-06-16 | 2000-12-26 | Hitachi Medical Corp | Treatment table of radiotherapy apparatus |
| CN101355984A (en) * | 2005-12-28 | 2009-01-28 | 神经毫微股份公司 | Method and system for compensating a self-caused displacement of tissue |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2000354638A (en) * | 1999-06-16 | 2000-12-26 | Hitachi Medical Corp | Treatment table of radiotherapy apparatus |
| CN101355984A (en) * | 2005-12-28 | 2009-01-28 | 神经毫微股份公司 | Method and system for compensating a self-caused displacement of tissue |
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2019091199A1 (en) * | 2017-11-10 | 2019-05-16 | 深圳市奥沃医学新技术发展有限公司 | Position monitoring system and radiotherapy device |
| CN108404299A (en) * | 2018-02-07 | 2018-08-17 | 郭振能 | Posture radiotherapy foot fixed frame |
| CN112022348A (en) * | 2020-09-11 | 2020-12-04 | 杭州微引科技有限公司 | Puncture ablation intraoperative navigation system under CT and AI dual guidance |
| CN112263786A (en) * | 2020-10-26 | 2021-01-26 | 中国人民解放军空军军医大学 | Positioning device for treating esophageal cancer |
| CN112263786B (en) * | 2020-10-26 | 2022-11-25 | 中国人民解放军空军军医大学 | Positioning device for esophageal cancer treatment |
| CN112604188A (en) * | 2020-12-31 | 2021-04-06 | 陈文俊 | Lifting device for radiotherapy equipment in tumor and radiotherapy equipment |
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