CN107045257B - A kind of bone and soft tissue x-ray developed image production method - Google Patents
A kind of bone and soft tissue x-ray developed image production method Download PDFInfo
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- CN107045257B CN107045257B CN201710097413.XA CN201710097413A CN107045257B CN 107045257 B CN107045257 B CN 107045257B CN 201710097413 A CN201710097413 A CN 201710097413A CN 107045257 B CN107045257 B CN 107045257B
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- G—PHYSICS
- G03—PHOTOGRAPHY; CINEMATOGRAPHY; ANALOGOUS TECHNIQUES USING WAVES OTHER THAN OPTICAL WAVES; ELECTROGRAPHY; HOLOGRAPHY
- G03B—APPARATUS OR ARRANGEMENTS FOR TAKING PHOTOGRAPHS OR FOR PROJECTING OR VIEWING THEM; APPARATUS OR ARRANGEMENTS EMPLOYING ANALOGOUS TECHNIQUES USING WAVES OTHER THAN OPTICAL WAVES; ACCESSORIES THEREFOR
- G03B42/00—Obtaining records using waves other than optical waves; Visualisation of such records by using optical means
- G03B42/02—Obtaining records using waves other than optical waves; Visualisation of such records by using optical means using X-rays
- G03B42/026—Obtaining records using waves other than optical waves; Visualisation of such records by using optical means using X-rays for obtaining three-dimensional pictures
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- G—PHYSICS
- G09—EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
- G09B—EDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
- G09B5/00—Electrically-operated educational appliances
- G09B5/02—Electrically-operated educational appliances with visual presentation of the material to be studied, e.g. using film strip
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Abstract
A kind of bone and soft tissue x-ray developed image production method, belong to medical operating and medical teaching image technique field, for making the x-ray developed image that can show Bone and soft tissue mutual alignment relation.Its technical solution is: the present invention is using the development under x-ray and can cover muscle, tendon, ligament, the joint capsule for needing to develop through the metal foil or wire mesh of x-ray, simultaneously by medical barium line docile on blood vessel, nerve, x-ray camera shooting is carried out to developing regional according to projection angle common in Minimally Invasive Surgery, can be obtained bone and muscle, tendon, ligament, joint capsule, blood vessel, between nerve spatial position imaging data.The present invention is medical and medical teaching pioneering, it solves the problems, such as long-term insurmountable by x-ray display human body soft tissue, direct reference standard is provided for operation under Minimally Invasive Surgery x-ray, scientific and technological support is provided for the development of orthopaedics Minimally Invasive Surgery, and can be used in medical educational, it improves the quality of teaching.
Description
Technical field
The present invention relates to the sides that a kind of production can show the x-ray developed image of Bone and soft tissue mutual alignment relation
Method belongs to medical operating and medical teaching image technique field.
Background technique
Minimal invasive operation fracture is that orthopaedics develops irresistible trend.It is familiar with the anatomical structure of surrounding bone, such as
Muscle, tendon, ligament, joint capsule and neurovascular distribution are to ensure that the essential condition that Minimally Invasive Surgery is completed safely.With bone
The range that section's Minimally Invasive Surgery uses constantly expands, partes corporis humani is divided the anatomical structure between Bone and soft tissue clearly
The importance of solution increasingly shows, to prevent in operative process since doctor does not recognize important anatomy structure sufficiently
Know, and then cause its unnecessary iatrogenic injury, such case young doctor less for experience is particularly important.
Currently, there are many means for understanding the anatomy relationship of bone and human body soft tissue, is such as observed, used by corpse
Nuclear magnetic resonance technique, roentgen radiation x of C-arm etc..But these methods have certain use limitation, such as making for super visum corporis
It is very limited with range, it is impossible to be used in daily medical procedure；Nuclear magnetic resonance technique is although can be usually used in observing soft group day
Situation is knitted, but cannot effectively observe its spatial relation with bone, directive significance is limited, and is not available in art；
And common C-arm perspective, O shape arm CT are only able to display the image of bone and inner matter during surgery, cannot show soft tissue.Through
Cross analysis, in above-mentioned multiple means, X-ray image technology help doctor understand each position of human body Bone and soft tissue it
Between spatial relation on most possibly accomplish something.If being able to observe that muscle, tendon, tough by X-ray image
Band, joint capsule and neurovascular distribution, it will help the relationship for more fully understanding fracture and surrounding soft tissue structures facilitates
The position and direction of reasonable operative approach, inside-fixture implantation are selected in art, it is ensured that operation safety is particularly suitable for performing the operation
Prepare.X image can also carry out teaching use in medical educational simultaneously, and student is made to intuitively understand the bone at each position of human body
Spatial relation between bone and soft tissue is familiar with the muscle of various pieces, tendon, ligament, joint capsule and neurovascular
Distribution, improves the quality of teaching.
With the development of computer software technology, the X-ray image of production, which is fabricated to three-dimensional image, not to have been had to appoint
What technical problem, the three-dimensional image of production can be in all directions with angle to the spatial position of Bone and soft tissue
Relationship is observed, to achieve the purpose that have a clear understanding of the mutual alignment between them.But presently, there are root problem be,
X-ray cannot develop to soft tissues such as muscle, tendon, ligament, blood vessel, nerves when having an X-rayed irradiation, can only develop to bone,
Therefore the image that the Bone and soft tissue spatial position at the display each position of human body can not be made by X-ray examination, so that people
This imagination be difficult to it is accomplished.How by x-ray display human body soft tissue, and then make the display each position of human body
Bone and soft tissue spatial position image become long-standing problem technical staff problem, be not resolved so far.And with
The development of orthopaedics Minimally Invasive Surgery, solve the problems, such as that this is the important topic put in face of doctor and technical staff.
Summary of the invention
Technical problem to be solved by the invention is to provide a kind of bone and soft tissue x-ray developed image production method, this
Kind method can make soft tissue develop under x-ray, clearly show the distribution and traveling feature of soft tissue structure, show bone
Spatial relation between soft tissue, and then three-dimensional image is produced, it is provided directly for operation under Minimally Invasive Surgery x-ray
Reference standard, and can be used in medical educational, it improves the quality of teaching.
The technical solution for solving above-mentioned technical problem is:
A kind of bone and soft tissue x-ray developed image production method, it uses following steps:
A. completely by the muscle of cadaver sample, tendon, ligament tissue the dissection exposure for needing to develop, simultaneous selection can be
Metal foil or wire mesh, are covered on the flesh for needing to develop by the metal foil or wire mesh that develops and can penetrate x-ray under x-ray
Meat, tendon, ligament, on joint capsule, close docile；
B. the muscle that develops along needs, tendon, ligament, joint capsule shape cut metal foil or wire mesh,
Muscle, tendon, ligament, the joint capsule firm pasting that metal foil or wire mesh and needs are developed；
C. the good wire of soft surrender degree itself or medical barium line are chosen as the silk that develops, by the blood vessel that need to develop,
After neural sufficiently dissection exposure, take the development silk docile of corresponding width on blood vessel, nerve, with plastic strapping tape or nonvisualized
Adhesive tape is together with blood vessel, neurofixation；
D. after completing label, x-ray camera shooting is carried out to developing regional according to projection angle common in Minimally Invasive Surgery, obtains bone
Bone and muscle, tendon, ligament, joint capsule, blood vessel, between nerve spatial position imaging data；
E. according to the iconography of spatial position between the bone of acquisition and muscle, tendon, ligament, joint capsule, blood vessel, nerve
Data makes 3 D stereo X-ray image using computer software, shows the Bone and soft tissue spatial position at each position of human body
Relationship.
Above-mentioned bone and soft tissue x-ray developed image production method are evenly equipped with fine and closely woven micropore in the metal foil, cut out gold
It is carried out when belonging to foil along micropore, or engraves text on metal foil along micropore, show the pasted muscle title of metal foil.
Above-mentioned bone and soft tissue x-ray developed image production method, the grid of the wire mesh have square net respectively
Lattice, Rectangular grid, network, for the grid of same shape there are also fine and close grid and sparse grid, selection has different shape net
The wire mesh of lattice is respectively overlay in muscle, tendon, ligament, distinguishes different soft tissues on joint capsule, and simultaneous selection has not
With the same shape grid of sparse degree wire mesh be covered on it is adjacent or overlapping muscle on distinguish different musculature.
Above-mentioned bone and soft tissue x-ray developed image production method are marked after step C with development wire on the skin
Remember the knife-edge positions for commonly using operative approach out, the relationship of display operative approach and deep layer dissection.
The beneficial effects of the present invention are:
The present invention is using the development under x-ray and can cover the flesh for needing to develop through the metal foil or wire mesh of x-ray
Meat, tendon, ligament, joint capsule, while medical barium line docile being shone on blood vessel, nerve according to throwing common in Minimally Invasive Surgery
Angle carries out x-ray camera shooting to developing regional, can be obtained bone and muscle, tendon, ligament, joint capsule, blood vessel, empty between nerve
Between position imaging data.
The present invention provides a kind of bone and soft tissue x-ray developed image production method, this method can make under x-ray
Soft tissue development, clearly shows the distribution and traveling feature of soft tissue structure, shows the space between Bone and soft tissue
Positional relationship, and then produce three-dimensional image provides direct reference standard for operation under Minimally Invasive Surgery x-ray, and can be
It uses, improves the quality of teaching in medical educational.
The present invention is the pioneering of medical treatment and medical teaching, solves and long-term insurmountable shows soft group of human body by x-ray
The problem knitted provides scientific and technological support for the development of orthopaedics Minimally Invasive Surgery, also provides the teaching aid of modernization for medical teaching, tool
There is significant social benefit, is worthy of popularization.
Detailed description of the invention
Fig. 1 is schematic diagram of the present invention using metal foil covering brachialis；
Fig. 2 is the schematic diagram that the present invention marks arteria brachialis, radial artery, ulnar artery using development silk.
It is marked in figure as follows: metal foil 1, medical barium line 2, humerus 3, radius 4, ulna 5, brachialis 6, arteria brachialis 7, radial artery
8, ulnar artery 9.
Specific embodiment
The present invention is a kind of method for the x-ray developed image that production can show Bone and soft tissue mutual alignment relation,
The meaning of this method is can to clearly show the distribution and traveling feature of soft tissue structure, display Bone and soft tissue it
Between spatial relation, and then produce three-dimensional image, provide direct reference standard for operation under Minimally Invasive Surgery x-ray,
And can be used in medical educational, it improves the quality of teaching.
The core of this method is the technology for making soft tissue develop under x-ray, which should meet claimed below:
Develop firstly, muscle, tendon, ligament, joint capsule and neural blood vessel group can be made to be woven under x-ray, the x-ray shot
Piece can clearly show the distribution and traveling feature of soft tissue structure, can clearly show the mutual pass of soft tissue and bone
System；
Secondly, anatomical position is accurate, there is directive significance to clinic；
Again, it is easy to understand, is easy memory, image clearly has teaching significance to young doctor；
Finally, this technology is mainly used in cadaver sample, by dissecting and shooting muscle, tendon, ligament, joint capsule and mind
Intravascular, with the positional relationship of bone, provides direct reference standard under x-ray for operation under Minimally Invasive Surgery x-ray.
According to above-mentioned technical requirements, the technical solution adopted by the present invention is that:
A kind of bone and soft tissue x-ray developed image production method, it uses following steps:
A. completely by the muscle of cadaver sample, tendon, ligament tissue the dissection exposure for needing to develop, simultaneous selection can be
Metal foil or wire mesh, are covered on the flesh for needing to develop by the metal foil or wire mesh that develops and can penetrate x-ray under x-ray
Meat, tendon, ligament, on joint capsule, close docile；
B. the muscle that develops along needs, tendon, ligament, joint capsule shape cut metal foil or wire mesh,
Muscle, tendon, ligament, the joint capsule firm pasting that metal foil or wire mesh and needs are developed；
C. the good wire of soft surrender degree itself or medical barium line are chosen as the silk that develops, by the blood vessel that need to develop,
After neural sufficiently dissection exposure, take the development silk docile of corresponding width on blood vessel, nerve, with plastic strapping tape or nonvisualized
Adhesive tape is together with blood vessel, neurofixation；
D. after completing label, x-ray camera shooting is carried out to developing regional according to projection angle common in Minimally Invasive Surgery, obtains bone
Bone and muscle, tendon, ligament, joint capsule, blood vessel, between nerve spatial position imaging data；
E. according to the iconography of spatial position between the bone of acquisition and muscle, tendon, ligament, joint capsule, blood vessel, nerve
Data shows that the Bone and soft tissue at each position of human body is empty using the 3 D stereo X-ray image of computer software production rotation
Between positional relationship.
In the above-mentioned methods, metal foil 1 is intermetallic composite coating into very thin metal foil paster, and metal foil paster has not on one side
Dry glue, attach with base stock on.The thickness of metal foil paster will allow metal foil paster to develop under x-ray, while make X
Line can penetrate metal foil paster.Fine and closely woven micropore is equipped on metal foil paster, so that metal foil paster is cut out or torn along micropore,
Or text is engraved on metal foil paster along micropore.In actual use, metal foil paster is processed into spool, is arranged to difference
The model of width specification.When operation, muscle, tendon, the ligament tissue that first needs develop dissect exposure completely, take suitable length
Metal foil paster cover the region to be developed, close docile depicts development tissue along micropore on metal foil paster
Profile, and it is cut into the shape for meeting the muscle, tendon shape, the organization name of developing regional can be engraved in paster as needed
Metal foil paster after moulding is removed base stock by central area, is pasted on development tissue, and label is completed.Then according to
Common projection angle carries out x-ray camera shooting to developing regional in Minimally Invasive Surgery.Due to the very thin thickness of metal foil paster, Ke Yi
Develop under x-ray, while x-ray can develop to bone through metal foil, can obtain soft tissue position opposite with bone simultaneously
Set the imaging data of relationship.
Fig. 1 shows that one embodiment of the present of invention is covered on brachialis 6 with metal foil 1, shows brachialis 6 and humerus 3
Relative tertiary location relationship.
In the above-mentioned methods, the grid of wire mesh has square net, Rectangular grid, network respectively, identical
There are also fine and close grid and sparse grids for the grid of shape.In use, selection has the wire mesh of different shape grid to distinguish first
Be covered on muscle, tendon, ligament, on joint capsule, to distinguish different soft tissues.Simultaneously because there is muti-piece at one position of human body
Muscle is overlapped mutually, it is therefore desirable to select the wire mesh of the same shape grid with different sparse degree be covered on it is adjacent or
Different musculature is distinguished on the muscle of overlapping.It, can be from the area that different shape grid covers in this way after obtaining X-ray image
The different types of soft tissue such as muscle, tendon, ligament, joint capsule is told in domain, can also be from the sparse journey of same shape grid
The soft tissues such as adjacent or overlapping muscle, tendon, ligament are distinguished on degree.
In the above-mentioned methods, it is contemplated that the suppleness of blood vessel, nerve, the biggish metal material of tension are not suitable as developing
Material is pasted on neural blood vessel, because the shape of metal material itself will affect neurovascular natural traveling, chooses itself
The good wire of softness surrender degree or medical barium line 2 are used as developing material.By medical barium line 2 be processed into more it is connected in parallel
Wide ribbon can tear to form the connected narrow strips in parallel of 1 single line or more along seam crossing, and single diameter is need to develop
Subject to minimum blood vessel, neural size.After the blood vessel that need to develop, nerve sufficiently dissection exposure, the medical barium of corresponding width is taken
Line 2 band with row docile on blood vessel, nerve, with plastic strapping tape or nonvisualized adhesive tape together with blood vessel, neurofixation,
Band width corresponding with branch is torn at nerve, vascular arborization to extend along blood vessel, nervous ramification with row.For having saved
Whole, development can also be marked by the method that sticky contrast agent is perfused in unabroken blood vessel.After completing label, according to micro-
Common projection angle carries out x-ray camera shooting, the i.e. imaging data of acquisition blood vessel, nerve to developing regional in invasive procedures.
Fig. 2 shows that one embodiment of the present of invention is that arteria brachialis 7, radial artery 8, ulnar artery 9 are covered on medical barium line 2
On, show the relative tertiary location relationship of arteria brachialis 7, radial artery 8, ulnar artery 9 and humerus 3, radius 4, ulna 5.
In the above-mentioned methods, can also with development silk, mark often uses the knife-edge positions of operative approach on the skin, display
The relationship of operative approach and deep layer dissection, so that doctor is in the position for carrying out operation consent research operative approach.
Claims (4)
1. a kind of bone and soft tissue x-ray developed image production method, it is characterised in that: it uses following steps:
A. completely by the muscle for the cadaver sample for needing to develop, tendon, ligament, joint capsule dissection exposure, simultaneous selection can be in X
It is aobvious to be covered on needs by the metal foil (1) or wire mesh that develops and can penetrate x-ray under line for metal foil (1) or wire mesh
The muscle of shadow, tendon, ligament, on joint capsule, close docile；
It b., will along needing the muscle to develop, tendon, ligament, joint capsule shape to cut metal foil (1) or wire mesh
Muscle, tendon, ligament, the joint capsule firm pasting that metal foil (1) or wire mesh and needs develop；
C. it chooses good wire of softness surrender degree itself or medical barium line (2) is used as development silk, blood vessel, the mind that will need to develop
After sufficiently being dissected exposure, the development silk docile of corresponding width is taken on blood vessel, nerve, with plastic strapping tape or nonvisualized glue
Band is together with blood vessel, neurofixation；
D. complete label after, according to projection angle common in Minimally Invasive Surgery to developing regional carry out x-ray camera shooting, obtain bone with
Muscle, tendon, ligament, joint capsule, blood vessel, nerve between spatial position imaging data；
E. it is provided according to the iconography of spatial position between the bone of acquisition and muscle, tendon, ligament, joint capsule, blood vessel, nerve
Material shows the Bone and soft tissue space at each position of human body using the 3 D stereo X-ray image of computer software production rotation
Positional relationship.
2. bone according to claim 1 and soft tissue x-ray developed image production method, it is characterised in that: the metal
Foil is evenly equipped with fine and closely woven micropore on (1), carries out when cutting out metal foil (1) along micropore, or engrave text on metal foil (1) along micropore
Word shows metal foil (1) pasted muscle title.
3. bone according to claim 1 and soft tissue x-ray developed image production method, it is characterised in that: the metal
The grid of silk screen has square net, Rectangular grid, a network respectively, and there are also fine and close grids and dilute for the grid of same shape
Dredge grid, selection have the wire mesh of different shape grid be respectively overlay in muscle, tendon, ligament, distinguish on joint capsule it is different
Soft tissue, there is simultaneous selection the wire mesh of the same shape grid of different sparse degree to be covered on adjacent or overlapping flesh
Different musculature is distinguished on meat.
4. bone according to claim 1 and soft tissue x-ray developed image production method, it is characterised in that: in step c
Afterwards, the knife-edge positions of common operative approach are marked on the skin with development wire, what display operative approach and deep layer were dissected
Relationship.
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Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101370445A (en) * | 2005-10-03 | 2009-02-18 | 诺里蒂恩·弗里德 | Radiopaque endoprostheses |
| CN102024367A (en) * | 2009-09-15 | 2011-04-20 | 上海交通大学医学院附属新华医院 | Heart and surrounding large vascular cavity internal dissection three-dimensional perspective model and preparation method thereof |
| CN103908348A (en) * | 2014-03-28 | 2014-07-09 | 南国新 | Human organ body surface marking sticker |
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2017
- 2017-02-22 CN CN201710097413.XA patent/CN107045257B/en active Active
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101370445A (en) * | 2005-10-03 | 2009-02-18 | 诺里蒂恩·弗里德 | Radiopaque endoprostheses |
| CN102024367A (en) * | 2009-09-15 | 2011-04-20 | 上海交通大学医学院附属新华医院 | Heart and surrounding large vascular cavity internal dissection three-dimensional perspective model and preparation method thereof |
| CN103908348A (en) * | 2014-03-28 | 2014-07-09 | 南国新 | Human organ body surface marking sticker |
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