CN107049371A - A kind of prostate biopsy art biopsy removing method and device - Google Patents

A kind of prostate biopsy art biopsy removing method and device Download PDF

Info

Publication number
CN107049371A
CN107049371A CN201710378802.XA CN201710378802A CN107049371A CN 107049371 A CN107049371 A CN 107049371A CN 201710378802 A CN201710378802 A CN 201710378802A CN 107049371 A CN107049371 A CN 107049371A
Authority
CN
China
Prior art keywords
point
puncture needle
metal probe
coordinate system
remote front
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN201710378802.XA
Other languages
Chinese (zh)
Other versions
CN107049371B (en
Inventor
叶慧
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Beijing Intelligent Top Gem Of A Girdle-Pendant Medical Science And Technology Of Dragon Development Co Ltd
Original Assignee
Beijing Intelligent Top Gem Of A Girdle-Pendant Medical Science And Technology Of Dragon Development Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Beijing Intelligent Top Gem Of A Girdle-Pendant Medical Science And Technology Of Dragon Development Co Ltd filed Critical Beijing Intelligent Top Gem Of A Girdle-Pendant Medical Science And Technology Of Dragon Development Co Ltd
Priority to CN201710378802.XA priority Critical patent/CN107049371B/en
Publication of CN107049371A publication Critical patent/CN107049371A/en
Priority to PCT/CN2018/087396 priority patent/WO2018214807A1/en
Application granted granted Critical
Publication of CN107049371B publication Critical patent/CN107049371B/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02Instruments for taking cell samples or for biopsy
    • A61B10/0233Pointed or sharp biopsy instruments
    • A61B10/0241Pointed or sharp biopsy instruments for prostate
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • A61B2017/3413Needle locating or guiding means guided by ultrasound

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Pathology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)

Abstract

The present invention provides one kind to doctor can accurately operate prostate biopsy pin to carry out biopsy removing method, and provide the computational methods of preoperative puncture needle locus.By being improved to traditional sextant biopsy, six parts will be integrally carried out to prostate in the past to divide equally (at the top of prostate, middle part and bottom, the left and right sides) it is improved to only puncture area-of-interest reconnaissance, it is entirely capable of being supplied to doctor clearly by preoperative image information, three-dimensional prostatic lesion region, by adding an angle adjustment indicating graduation disk auxiliary device, and calculate pin mark position on the basis of planning in the preoperative, path planning and the required puncture anglec of rotation, the puncturing kit after improving is enabled to realize accurately rotation process, with higher precision, and the individual specificity of height, realize venipuncture.

Description

A kind of prostate biopsy art biopsy removing method and device
Technical field
The invention belongs to medical Instrument field, a kind of local puncture side for prostatic lesion tissue is specifically related to Method, and preoperative puncture needle locus computational methods.
Background technology
Prostate cancer is one of most common cancer in males, and its fatal rate ranks in non-skin cancer Two.At present, the prostate cancer screening method of prevalence the most is serum PSA examination, next to that in real-time 2D warps Lower six times or more the biopsies carried out of endorectal ultrasonography guiding.As the part of this program, prostate is generally divided into 6 etc. The region of volume.It is one or many from each acquisition in this six regions in system but substantially direction-free mode Biopsy.This program is referred to as sextant biopsy.
Because sextant biopsy cost is low and relatively simple and extensive relative to the other method of detection prostate cancer Use.However, sextant biopsy has been shown with serious false negative rate, and may on biopsy actual position not Accurately.Sought ways to return sb.'s kindness usually using the primary standard of prostate and accuse the result of sextant biopsy, on the primary standard figure of prostate, disease Reason doctor manually explains biopsy results.This figure is substantially inaccurate, because the Pathology Doctors ' explained is not known The true position of biopsy.The systemic aspiration biopsy of TRUS (TRUS) guiding seems to solve above-mentioned technical barrier, Because of its real-time, radiationless, important indicator of the performance such as inexpensive and simple to operate as inspection diagnosis of prostate cancer is imaged. But, ultrasonic imaging speed is fast, although can in art real time imagery, but due to the limited resolution of ultrasonography, image Discrimination between middle soft tissue is not also high, though the position of energy real-time tracing sample conduit, can not be by image to pathological tissues Be accurately positioned, cause to be based purely on the method for sampling of ultrasound, the sensitivity to cancer detection is not high, only 60% to 85%.
The content of the invention
Improved and preoperative puncture needle it is an object of the invention to provide a kind of puncturing kit structure for prostate biopsy art The computational methods of locus so that puncture needle is rotated in art and is possibly realized, and the prompting of its work angle is more accurate, and provide one The computational methods of personalized preoperative puncture needle locus are planted, accurately sextant biopsy procedure is realized.The main pin of this method To following technical problem present in prior art:
(1) the angle prompting of rotation process is inaccurate
Because only pointing out the anglec of rotation by the tail tag coplanar with puncture needle needle point come sense organ, rotation process is not entered Row quantifies, with the operation indicating that the arrival in precision operation epoch, inevitable requirement quantify, so the operation set with accurate scale Part turns into inevitable.
(2) determination of sextant biopsy sites is completely by rule of thumb
Because prostate intervention operation is carried out under the guiding of 2D TRUSs, can only see prostata tissue profile and Soft tissue is can't see, then sensitive can not be distinguished to chronic prostatitis, hypertrophy of the prostate, with early prostate cancer, so six points Instrument biopsy is generally divided into six parts from prostate top, middle part and bottom, the left and right sides respectively, carries out representative sample and takes Go out, this random biopsy is without the prediction carried out when accurately grasping cancer position, it is impossible to ensure the high detection of cancer Top area in prostate occurs for rate, most cancer, although biopsy is guided via TURS, can not but puncture needle is possibly Target area is accurately arrived at, only doctor's skills and experience is positioned to puncture needle, it is impossible to accurate to determine whether accurately.
The present invention is exactly to provide one kind to doctor can accurately operate prostate biopsy pin to carry out biopsy removing method, and Provide the computational methods of preoperative puncture needle locus., will be in the past to preceding by being improved to traditional sextant biopsy Row gland, which integrally carries out six parts, to be divided equally (at the top of prostate, middle part and bottom, the left and right sides) and is improved to only select area-of-interest Point is punctured, and is entirely capable of being supplied to the prostatic lesion region of doctor clearly, three-dimensional by preoperative image information, is passed through addition one Individual angle adjustment indicating graduation disk auxiliary device, and in the preoperative plan on the basis of calculate pin mark position, path planning and The required puncture anglec of rotation so that the puncturing kit after improvement can realize accurately rotation process, with higher precision, with And the individual specificity of height, realize venipuncture.
The technical scheme is that:
A kind of method, it is characterised in that comprise the following steps:
Puncturing kit is inserted into the chamber in the body of person under inspection, the puncturing kit has epitheca, is embedded in institute Outer intrathecal puncture needle and flexible pipe are stated, the tail end outer rim of the epitheca connects first position sensor, and the puncture needle has for operating The hand-held handle tail end of person and contact are by the remote front-end for examining position;Contact force sensor, position positioned at the remote front-end portion Transmitter, receiver and ultrasonic transducer in the remote front-end portion, and second on rear side of the remote front-end portion Position sensor;
The puncture needle is manipulated to and contacted with the target detection point in the wall of the chamber;
The anterior and described target of the puncture needle remote front-end is set up in response to the reading of the contact force sensor to go out Desired contact force between pin mark;And
According to the desired contact force adjustment puncture needle handle tail end spatial attitude, until reaching desired first object Enter pin mark, taken out by the flexible pipe by inspection tissue substance A1;
Continue to adjust the spatial attitude of puncture needle handle tail end, reach the second, third, fourth, fifth planned in advance, the Six targets enter pin mark;Taken out by the flexible pipe by inspection tissue substance A2, A3, A4, A5, A6.
Further, the tail end outer rim of the epitheca also connects an angle prompting dial, and the angle points out dial Counterclockwise to arrange, the sagittal overlapping of axles of the direction of 0 scale and human body coordinate system in dial.
Further, including:
Point of puncture is delineated, and medical imaging modalities are obtained in advance in the preoperative to person under inspection, is carried out according on the image mode Path planning is operated, and
Using iterative threshold segmentation combining form operation carry out by inspection station diagram picture segmentation, after singulation by inspection position The extraction of target signature form is carried out in region using dual-threshold voltage, three-dimensional visualization is then carried out using iso-surface patch method, most Image will be visualized afterwards imports 3D Slicer by space anatomical position relation selection first of the operator based on target signature form Target enters pin mark to the 6th target and enters pin mark, so as to take out by inspection tissue substance A2, A3, A4, A5, A6.
Further, including,
The medical imaging modalities are one of following, Medical Resonance (MR) imagings;Computer tomography (CT) is imaged;Just Electronic emission spectrum (PET) is imaged;Or single photon emission computed tomography (SPECT) imaging.
Further, including, the calculating that ultrasonoscopy and tracking system coordinate system are calibrated,
The first step, medical imaging modalities equipment has customized coordinate system, is designated as the tracking system coordinate in methods described It is CT, voxel location parameter, voxel size parameter, layer in medical imaging modalities image DICOM file are obtained away from parameter The coordinate information of reference point;
Second step, will inject water or couplant, puncturing kit is put on fixed support, container one is affixed in calibrated vessel Side and fixation, the ultrasonoscopy in collection calibrated vessel, records the transition matrix T2 that now second place sensor is provided in real time;
3rd step, metal probe locator is fixed in probe clamp bracket, mobile metal probe locator space bit Put, when occurring bright spot on ultrasonoscopy, stop movement, now metal probe locator is fixed, metal probe needle point is located at super In acoustic imaging region, record now metal probe locator in tracking system coordinate system CTIn coordinate Pi, and record ultrasonoscopy Coordinate I of this upper bright spot on ultrasound image coordinates system Cusi
4th step, repeats aforesaid operations n times, obtains tracking system coordinate system CTIn point set Pi(i=1,2 ..., n), this n The coordinate of individual point is differed, and obtains the point set I in ultrasound image coordinates system Cus corresponding with this n pointi(i=1, 2,…,n);By coordinate relation, Pi=T2T1Ii, wherein Pi、Ii, T2 be, it is known that T1 waits to ask.
Further, including,
Make US coordinate systems (Cus) and tracking system coordinate system (CT) between transition matrix T=T2T1, then Pi= T·Ii;T is solved using one of following rigid point set method for registering, ICP (Iterative Closest Points) algorithm, CPR (coherent point drift) algorithm, RP (robust point match) algorithm;Obtain after T, T1=(T2) -1T.
As one embodiment of the present of invention, a kind of equipment is also provided, it is characterised in that including:Puncturing kit, mobile list Member, calibrated vessel and information process unit,
The puncturing kit has epitheca, is embedded in the outer intrathecal puncture needle and flexible pipe, the tail end outer rim of the epitheca First position sensor is connect, the puncture needle has for the hand-held handle tail end of operator and contact by the remote front-end for examining position; Contact force sensor positioned at the remote front-end portion, transmitter, receiver and ultrasonic transduction positioned at the remote front-end portion Device, and the second place sensor on rear side of the remote front-end portion;
The anterior and described target of the puncture needle remote front-end is set up in response to the reading of the contact force sensor to go out The processor of desired contact force between pin mark;And
The information process unit of ultrasonoscopy is set up in response to the processor and the ultrasonic transducer echo-signal,
The mobile unit is moved in real time on three-dimensional to clamping thing;
The calibrated vessel is the container of a top end opening.
Further, including,
The tail end outer rim of the epitheca also connects an angle prompting dial, and the angle prompting dial is side counterclockwise To arrangement, the direction of 0 scale and the sagittal overlapping of axles of human body coordinate system in dial.
Further, including,
Metal probe locator, the metal probe locator is made up of handle, pin, alignment sensor, and tracking system can Real-time coordinates of the alignment sensor in tracking system coordinate system are shown in real time.
Further, including,
The mobile unit is made up of base and some rod members and clamper, is connected between rod member by slide rail, slidably And geometrical clamp holder clamping metal probe locator, and can be allowed to be moved to target location and fixation, make metal probe locator Keep down vertical.
Brief description of the drawings
Accompanying drawing described herein is used for providing a further understanding of the present invention, constitutes the part of the application, this hair Bright schematic description and description is used to explain the present invention, does not constitute inappropriate limitation of the present invention.In the accompanying drawings:
Fig. 1 is 6 points of sampling schematic diagrames of the invention.
Fig. 2 illustrates the schematic diagram of map device for the angle dial of the present invention.
Fig. 3 calibrates numerical procedure flow chart for the ultrasonoscopy of the present invention with tracking system coordinate system.
Fig. 4 is US of the invention and tracking system coordinate system calibrating installation.
Embodiment
Below with reference to the accompanying drawings and in conjunction with the embodiments, the present invention is described in detail.
The invention mainly comprises two aspects:
One is that puncturing kit structure improves accurate cues anglec of rotation when to operate in art;Another is matingly Provide a kind of personalized anglec of rotation computational methods.
1) puncturing kit structure is improved
Operative process is analyzed:
During operation, patient is lain low, and the puncturing kit of per rectum is entered prostate, ultrasonic wave warp by intervention doctor by rectum Cross rectal wall, prostate and rectum interface and enter prostate from prostate side, energy is penetrated in order to ensure ultrasonic signal Power, working frequency is generally in 6.5MHz or so, because preoperative doctor has obtained lesion region in medical imaging modalities equipment Position, intervention doctor chooses area-of-interest and carries out to pin by rule of thumb, and that six parts are integrally carried out to prostate is equal by traditional The pathological tissues reconnaissance for dividing (prostate top, middle part and bottom, the left and right sides) to be improved to only to above-mentioned area-of-interest is punctured, Respectively to the previous-next of the pathological tissues, L-R, anterior-posterior six direction reconnaissance, such as Fig. 1;Because rectum and prostate is not Organ is connected, puncture needle can only be carried out in rectum, and puncturing kit can only be moved up and down in rectum, so if needing as far as possible In the case of reducing thorn points and depth that puncture needle enters prostate, puncture needle direction of advance need to be adjusted, i.e. hand Hold puncture needle handle tail end to carry out around axle itself rotation where handle so that puncture needle is in the situation to inserting needle of pathological tissues It is lower that 6 points of samplings are realized by turnover and rotation.
Puncturing kit is improved:
For the operation that assists a physician, the puncture needle handle tail end of puncturing kit is included to be carried to the processor in console For the position sensor of signal.Processor can fulfil some processing functions as described below, and contact force is introduced in puncturing kit Sensor and position sensor, an angle prompting dial is connect in the tail end outer rim of puncturing kit epitheca.Angle dial is set Meter such as Fig. 2:The sagittal overlapping of axles of the direction of 0 scale and human body coordinate system in dial;The direction of angle increase is side counterclockwise To;The hole in center is reserves hole, the epitheca for being nested in puncturing kit.Operation consent establishes the space bit by inspection position Put, and set up according to the reading of contact force sensor that puncture needle remote front-end is anterior and target go out it is desired between pin mark Contact force, the different stress values by inspection position (such as prostate, rectum, uterus) of normal conditions are different, for personalization For surgical navigational, experienced doctor can set up relation between force value and locus as auxiliary in advance, during operation The epitheca of disk with a scale is fixed, puncture needle and flexible pipe are embedded in outer intrathecal turnover rectum or rotation process, the arrow of puncture needle tail end Head reserve outside epitheca, by read arrow the instruction of dial and processor provide by force parameter come real-time read operation when The anglec of rotation.
2) calculating that personalized ultrasonoscopy is calibrated with tracking system coordinate system
Supporting ultrasonoscopy and tracking system coordinate system calibration numerical procedure flow chart such as Fig. 3:
The first step, medical imaging modalities equipment has customized coordinate system, is designated as the tracking system coordinate in methods described It is CT, voxel location parameter, voxel size parameter, layer in medical imaging modalities image DICOM file are obtained away from parameter The coordinate information of reference point;
Second step, puncturing kit (9) is put on fixed support (11) by injection water or couplant in calibrated vessel (4), Container (4) side and fixation are affixed on, the ultrasonoscopy (6) in calibrated vessel (4) is gathered in real time, now the second place is sensed record The transition matrix T2 that device (10) is provided;
3rd step, metal probe locator 5 (being made up of handle 5-1 and pin 5-2) is fixed in probe clamp bracket, mobile Metal probe locator (5) locus, when occurring bright spot on ultrasonoscopy, stops movement, now metal probe locator Fixed, metal probe needle point (5-2) is located in ultrasonic imaging field, record now metal probe locator (5) in tracking system Coordinate system CTIn coordinate (7) Pi, and record coordinate (8) I of this bright spot on ultrasound image coordinates system Cus on ultrasonoscopyi; 4th step, repeats aforesaid operations n times, obtains tracking system coordinate system CTIn point set Pi(i=1,2 ..., n), the seat of this n point Mark is differed, and obtains the point set I in ultrasound image coordinates system Cus corresponding with this n pointi(i=1,2 ..., n);By sitting Mark relation, Pi=T2T1Ii, wherein Pi、Ii, T2 be, it is known that T1 waits to ask.
Make US coordinate systems (Cus) and tracking system coordinate system (CT) between transition matrix T=T2T1, then Pi= T·Ii;T is solved using one of following rigid point set method for registering, ICP (Iterative Closest Points) algorithm, CPR (coherent point drift) algorithm, RP (robust point match) algorithm;Obtain after T, T1=(T2) -1T.
As shown in figure 4, the purpose of probe clamp bracket (1) is clamping metal probe locator (5), and metal probe can be made Locator (5) is moved to target location and fixation.Probe clamp bracket is by base and cradling piece (1), cross bar (2), vertical pole (3) group Into cradling piece (1), cross bar (2), vertical pole are connected between (3) by slide rail, slidably and fixed.Clamper is housed on vertical pole (3), The handle 5-1 of metal probe locator (5) can be clamped, pin 5-2 is kept down vertically.
The preferred embodiments of the present invention are the foregoing is only, are not intended to limit the invention, for the skill of this area For art personnel, the present invention can have various modifications and variations.Within the spirit and principles of the invention, that is made any repaiies Change, equivalent substitution, improvement etc., should be included in the scope of the protection.

Claims (10)

1. a kind of method, it is characterised in that comprise the following steps:
Puncturing kit is inserted into the chamber in the body of person under inspection, the puncturing kit has epitheca, is embedded in outside described Intrathecal puncture needle and flexible pipe, the tail end outer rim of the epitheca connects first position sensor, and the puncture needle has for operator's hand The handle tail end held and contact are by the remote front-end for examining position;Contact force sensor positioned at the remote front-end portion, positioned at institute State the transmitter, receiver and ultrasonic transducer in remote front-end portion, and the second place on rear side of the remote front-end portion Sensor;
The puncture needle is manipulated to and contacted with the target detection point in the wall of the chamber;
The anterior and described target of the puncture needle remote front-end is set up in response to the reading of the contact force sensor and goes out pin mark Between desired contact force;And
According to the desired contact force adjustment puncture needle handle tail end spatial attitude, until reaching desired first object enters pin Point, is taken out by inspection tissue substance A1 by the flexible pipe;
Continue the spatial attitude of adjustment puncture needle handle tail end, reach the second, third, fourth, fifth planned in advance, the 6th mesh Mark into pin mark;Taken out by the flexible pipe by inspection tissue substance A2, A3, A4, A5, A6.
2. according to the method described in claim 1, it is characterised in that the tail end outer rim of the epitheca also connects an angle prompting and carved Scale, the angle prompting dial is counterclockwise arranges, the direction of 0 scale and the sagittal of human body coordinate system in dial Overlapping of axles.
3. method according to claim 2, it is characterised in that including:
Point of puncture is delineated, and medical imaging modalities are obtained in advance in the preoperative to person under inspection, according to the enterprising walking along the street footpath of the image mode Program operation, and
Using iterative threshold segmentation combining form operation carry out by inspection station diagram picture segmentation, after singulation by inspection area Interior use dual-threshold voltage carries out the extraction of target signature form, then carries out three-dimensional visualization using iso-surface patch method, finally will Visualize image and import 3D Slicer by space anatomical position relation selection first object of the operator based on target signature form Enter pin mark to the 6th target and enter pin mark, so as to take out by inspection tissue substance A2, A3, A4, A5, A6.
4. method according to claim 3, it is characterised in that including,
The medical imaging modalities are one of following, Medical Resonance (MR) imagings;Computer tomography (CT) is imaged;Positive electron Emission spectrum (PET) is imaged;Or single photon emission computed tomography (SPECT) imaging.
5. method according to claim 4, it is characterised in that including the meter that ultrasonoscopy is calibrated with tracking system coordinate system Calculate,
The first step, medical imaging modalities equipment has customized coordinate system, is designated as the tracking system coordinate system C in methods describedT, Voxel location parameter, voxel size parameter, layer in medical imaging modalities image DICOM file are referred to away from parameter The coordinate information of point;
Second step, will inject water or couplant, puncturing kit is put on fixed support, container side is affixed on simultaneously in calibrated vessel Fixed, the ultrasonoscopy in collection calibrated vessel, records the transition matrix T2 that now second place sensor is provided in real time;
3rd step, metal probe locator is fixed in probe clamp bracket, mobile metal probe locator locus, when When there is bright spot on ultrasonoscopy, stop movement, now metal probe locator is fixed, metal probe needle point is located at ultrasonic imaging In region, record now metal probe locator in tracking system coordinate system CTIn coordinate Pi, and it is bright to record on ultrasonoscopy this Coordinate I of the point on ultrasound image coordinates system Cusi
4th step, repeats aforesaid operations n times, obtains tracking system coordinate system CTIn point set Pi(i=1,2 ..., n), this n point Coordinate differ, and obtain the point set I in ultrasound image coordinates system Cus corresponding with this n pointi(i=1,2 ..., n); By coordinate relation, Pi=T2T1Ii, wherein Pi、Ii, T2 be, it is known that T1 waits to ask.
6. method according to claim 5, it is characterised in that including,
Make US coordinate systems (Cus) and tracking system coordinate system (CT) between transition matrix T=T2T1, then Pi=TIi; T is solved using one of following rigid point set method for registering, ICP (Iterative Closest Points) algorithm, CPR (coherent point drift) algorithm, RP (robust point match) algorithm;Obtain after T, T1=(T2) -1T.
7. a kind of equipment, it is characterised in that including:Puncturing kit, mobile unit, calibrated vessel and information process unit,
The puncturing kit has epitheca, is embedded in the outer intrathecal puncture needle and flexible pipe, and the tail end outer rim of the epitheca connects One position sensor, the puncture needle has for the hand-held handle tail end of operator and contact by the remote front-end for examining position;It is located at The contact force sensor in the remote front-end portion, transmitter, receiver and ultrasonic transducer positioned at the remote front-end portion, with And the second place sensor on rear side of the remote front-end portion;
The anterior and described target of the puncture needle remote front-end is set up in response to the reading of the contact force sensor and goes out pin mark Between desired contact force processor;And
The information process unit of ultrasonoscopy is set up in response to the processor and the ultrasonic transducer echo-signal,
The mobile unit is moved in real time on three-dimensional to clamping thing;
The calibrated vessel is the container of a top end opening.
8. equipment according to claim 7, it is characterised in that including,
The tail end outer rim of the epitheca also connects an angle prompting dial, and the angle prompting dial is counter clockwise direction cloth Put, the sagittal overlapping of axles of the direction of 0 scale and human body coordinate system in dial.
9. equipment according to claim 8, it is characterised in that including,
Metal probe locator, the metal probe locator is made up of handle, pin, alignment sensor, and tracking system can be real-time Show real-time coordinates of the alignment sensor in tracking system coordinate system.
10. equipment according to claim 9, it is characterised in that including,
The mobile unit is made up of base and some rod members and clamper, is connected between rod member by slide rail, slidably and solid Determine gripper metal probe locator, and can be allowed to be moved to target location and fixation, keep metal probe locator Downward vertically.
CN201710378802.XA 2017-05-26 2017-05-26 A kind of prostate biopsy art biopsy removing method and device Active CN107049371B (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CN201710378802.XA CN107049371B (en) 2017-05-26 2017-05-26 A kind of prostate biopsy art biopsy removing method and device
PCT/CN2018/087396 WO2018214807A1 (en) 2017-05-26 2018-05-17 Removal method and apparatus for prostate puncture biopsy

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201710378802.XA CN107049371B (en) 2017-05-26 2017-05-26 A kind of prostate biopsy art biopsy removing method and device

Publications (2)

Publication Number Publication Date
CN107049371A true CN107049371A (en) 2017-08-18
CN107049371B CN107049371B (en) 2019-08-13

Family

ID=59609996

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201710378802.XA Active CN107049371B (en) 2017-05-26 2017-05-26 A kind of prostate biopsy art biopsy removing method and device

Country Status (2)

Country Link
CN (1) CN107049371B (en)
WO (1) WO2018214807A1 (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2018214807A1 (en) * 2017-05-26 2018-11-29 北京龙慧珩医疗科技发展有限公司 Removal method and apparatus for prostate puncture biopsy
CN109758213A (en) * 2019-01-11 2019-05-17 宋刚 A kind of magnetic resonance-ultrasound fusion prostate biopsy needle localization method and system

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4742829A (en) * 1986-08-11 1988-05-10 General Electric Company Intracavitary ultrasound and biopsy probe for transvaginal imaging
CN102056559A (en) * 2008-06-12 2011-05-11 皇家飞利浦电子股份有限公司 Biopsy device with acoustic element
US20120010512A1 (en) * 2010-07-12 2012-01-12 O'laughlin Michael Scanning Probe
CN203338648U (en) * 2013-05-20 2013-12-11 浙江大学 Simulation training system of ultrasonic guided needle puncture surgery
CN105188560A (en) * 2012-12-11 2015-12-23 生物机器人医疗有限公司 An apparatus and method for biopsy and therapy
CN205924126U (en) * 2016-06-26 2017-02-08 袁征 Visual guiding device is intervene to supersound

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107049371B (en) * 2017-05-26 2019-08-13 北京龙慧珩医疗科技发展有限公司 A kind of prostate biopsy art biopsy removing method and device

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4742829A (en) * 1986-08-11 1988-05-10 General Electric Company Intracavitary ultrasound and biopsy probe for transvaginal imaging
CN102056559A (en) * 2008-06-12 2011-05-11 皇家飞利浦电子股份有限公司 Biopsy device with acoustic element
US20120010512A1 (en) * 2010-07-12 2012-01-12 O'laughlin Michael Scanning Probe
CN105188560A (en) * 2012-12-11 2015-12-23 生物机器人医疗有限公司 An apparatus and method for biopsy and therapy
CN203338648U (en) * 2013-05-20 2013-12-11 浙江大学 Simulation training system of ultrasonic guided needle puncture surgery
CN205924126U (en) * 2016-06-26 2017-02-08 袁征 Visual guiding device is intervene to supersound

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2018214807A1 (en) * 2017-05-26 2018-11-29 北京龙慧珩医疗科技发展有限公司 Removal method and apparatus for prostate puncture biopsy
CN109758213A (en) * 2019-01-11 2019-05-17 宋刚 A kind of magnetic resonance-ultrasound fusion prostate biopsy needle localization method and system
CN109758213B (en) * 2019-01-11 2020-09-08 北京大学第一医院 Magnetic resonance-ultrasonic fusion prostate puncture needle positioning method and system

Also Published As

Publication number Publication date
WO2018214807A1 (en) 2018-11-29
CN107049371B (en) 2019-08-13

Similar Documents

Publication Publication Date Title
CN107028626B (en) Elastic registration method and device for prostatectomy
JP5543444B2 (en) Method and system for performing a biopsy
BR112014017369B1 (en) Ultrasonic imaging system that visually guides the insertion of an invasive device such as a needle
EP3013244B1 (en) System and method for mapping ultrasound shear wave elastography measurements
CN100591280C (en) Ultrasonic imaging system with body marker annotations
JP5627677B2 (en) System and method for image-guided prostate cancer needle biopsy
US9895135B2 (en) Freehand ultrasound imaging systems and methods providing position quality feedback
US20040106869A1 (en) Ultrasound tracking device, system and method for intrabody guiding procedures
US20110208052A1 (en) Breast ultrasound annotation user interface
US9113816B2 (en) System and method for prostate biopsy
CN106535774A (en) Intelligent real-time tool and anatomy visualization in 3D imaging workflows for interventional procedures
CN101259026A (en) Method and apparatus for tracking points in an ultrasound image
US20100172559A1 (en) System and method for prostate biopsy
EP3019088B1 (en) Imaging apparatus for biopsy or brachytherapy
WO2018214805A1 (en) Prostate puncture kit
KR20180066781A (en) Method and apparatus for displaying medical image
US20110230768A1 (en) Method and device for planning and performing a biopsy
CN107106128A (en) Supersonic imaging device and method for splitting anatomical object
US20150045648A1 (en) Integrated system for focused treatment and methods thereof
CN207855724U (en) A kind of tracking system coordinate system calibrating installation
CN107049371B (en) A kind of prostate biopsy art biopsy removing method and device
US20080130965A1 (en) Method and apparatus for parameter assisted image-guided surgery (PAIGS)
CN207855723U (en) A kind of prostate biopsy art biopsy withdrawing device
CN107280737A (en) A kind of computational methods for puncturing the anglec of rotation in traveling
CN116830210A (en) Three-dimensional prostate pathological image generation method and system thereof

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant
GR01 Patent grant