CN107693133A - A kind of brainpan location of operation method based on Image-aided - Google Patents
A kind of brainpan location of operation method based on Image-aided Download PDFInfo
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- CN107693133A CN107693133A CN201711116037.0A CN201711116037A CN107693133A CN 107693133 A CN107693133 A CN 107693133A CN 201711116037 A CN201711116037 A CN 201711116037A CN 107693133 A CN107693133 A CN 107693133A
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- pad pasting
- positioning
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- scan
- points
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- 238000000034 method Methods 0.000 title claims abstract description 12
- KRQUFUKTQHISJB-YYADALCUSA-N 2-[(E)-N-[2-(4-chlorophenoxy)propoxy]-C-propylcarbonimidoyl]-3-hydroxy-5-(thian-3-yl)cyclohex-2-en-1-one Chemical group CCC\C(=N/OCC(C)OC1=CC=C(Cl)C=C1)C1=C(O)CC(CC1=O)C1CCCSC1 KRQUFUKTQHISJB-YYADALCUSA-N 0.000 claims abstract description 13
- 238000002591 computed tomography Methods 0.000 claims abstract description 12
- 210000004556 brain Anatomy 0.000 claims abstract description 11
- 239000010410 layer Substances 0.000 description 9
- 239000003795 chemical substances by application Substances 0.000 description 6
- 210000003128 head Anatomy 0.000 description 3
- 238000010586 diagram Methods 0.000 description 2
- 238000007917 intracranial administration Methods 0.000 description 2
- 230000003902 lesion Effects 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 210000004761 scalp Anatomy 0.000 description 2
- 101000579646 Penaeus vannamei Penaeidin-1 Proteins 0.000 description 1
- 239000004820 Pressure-sensitive adhesive Substances 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000008676 import Effects 0.000 description 1
- 230000004807 localization Effects 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/02—Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
- A61B6/03—Computed tomography [CT]
- A61B6/032—Transmission computed tomography [CT]
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Surgery (AREA)
- Medical Informatics (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Pathology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Pulmonology (AREA)
- Theoretical Computer Science (AREA)
- Physics & Mathematics (AREA)
- Biophysics (AREA)
- High Energy & Nuclear Physics (AREA)
- Optics & Photonics (AREA)
- Radiology & Medical Imaging (AREA)
- Robotics (AREA)
- Apparatus For Radiation Diagnosis (AREA)
Abstract
The present invention relates to a kind of brainpan location of operation method based on Image-aided,Include and be affixed on positioning pad pasting A and B that patients head estimates aura position both sides,Developer is printed on positioning pad pasting,There is the aperture for setting-out positioning on developer,CT machines scan the maximum two-dimensional planar layers of aura,According to line length of developing on image,It is corresponding positioning pad pasting on the basis of Y-axis line,Corresponding development line length is measured with medical tape,The correspondence position on triangular ramp,There is individual aperture beside correspondence position on pad pasting,With the position of 3 bright spots under the aperture mark of skin marking pen AB pad pastings on brains,According to 1 point on 2 points on A films and B films,Totally 3 points,With circular medical positioning rule,A circle is drawn on brains,This circle is the maximum two-dimensional planar layers of CT scan,The aura center point M points of CT scan are as punctured to the position K of lower knife point along the intersection of X-axis and circular positioning rule,The present invention has significant cost advantage.
Description
Technical field
The present invention relates to Image-aided surgical field, and in particular to a kind of brainpan location of operation side based on Image-aided
Method.
Background technology
Whether brainpan location of operation is accurate rationally, is the key of operation success.Positioning of the intracranial lesion on scalp
Typically using iconography guiding localization method, a kind of brain swells as disclosed in the Chinese patent of Publication No. " 2015104197653 "
Knurl operative incision and approach planing method.The equipment and instruments such as the surgical navigational position indicator using these methods are that import is set mostly
Standby, troublesome in poeration, expensive, quantity is seldom, does a brain aura positioning all at 7000 to 10000 yuan or so, domestic
There are a small number of hospitals to have such equipment, and it is seldom, start takes expensive.
The content of the invention
In order to solve the above problems, the present invention provides a kind of brainpan location of operation method based on Image-aided.
Technical scheme is as follows:
A kind of brainpan location of operation method based on Image-aided, include and be affixed on the aura position both sides that patients head estimates
Pad pasting A and positioning pad pasting B are positioned, positions and is printed on locating development agent on pad pasting, has in locating development agent for skin marking pen and determines
The aperture of position tape setting-out positioning, CT machines scan the maximum two-dimensional planar layers of aura, have positioning to paste in the CT images after scanning
Leave 2 development bright lines of film A and 1 development bright line that pad pasting B leaves are positioned, according to the length of the developing line in CT images,
On corresponding positioning pad pasting A and positioning pad pasting B on the basis of Y-axis line, measured with medical tape and developed accordingly on AB pad pastings
Line length, the correspondence position on triangular ramp, there is individual aperture beside correspondence position on pad pasting, with skin marking pen in brains
The aperture of upper AB pad pastings marks the position of lower 3 bright spots, totally 3 points, medical with circle according to 1 point on 2 points on A films and B films
Positioning rule, a circle is drawn on brains, this circle is the maximum two-dimensional planar layers of CT scan.By the aura center of CT scan
Point M points as puncture the position K of lower knife point along the intersection of X-axis and circular positioning rule.
The present invention realizes positioning of the intracranial lesion on scalp well based on CT images auxiliary, and compares current operation
The positioning of the equipment such as navigation position instrument is with the low advantage of cost.
Brief description of the drawings
Accompanying drawing 1 is positioning pad pasting A schematic diagram.
Accompanying drawing 2 is positioning pad pasting A cross-sectional view.
Accompanying drawing 3 is positioning pad pasting B schematic diagram.
Accompanying drawing 4 is positioning pad pasting B cross-sectional view.
In figure, 1 lattice Racine paper, 2 pu film layers, 3 pressure-sensitive adhesive layers, 4 off-style paper layers.
Embodiment
The present invention is further described with reference to specific embodiment.
Embodiment 1
In the embodiment, brainpan location of operation suit includes:Positioning pad pasting 2 is opened(Position A pad pastings and positioning B pad pastings), skin
Marking pen 1, positioning tape 1.As Figure 1-4, position on pad pasting and be printed on locating development agent, have in locating development agent small
Hole, for skin marking pen and tape setting-out positioning.
The application method of suit is positioned in the embodiment:
Pad pasting A will be positioned and positioning pad pasting B is attached to the both sides for the general aura position that patients head estimates respectively, make positioning pad pasting
Upper long side generally remains horizontality with the basal part of the ear;
The patient of film will be posted, be scanned to CT machines, scan the maximum two-dimensional planar layers of aura, now due to positioning pad pasting A
And have developer on B, therefore AB pad pastings can also leave three bright development bright lines in CT images after scanning, according to CT images
On developing line length, with Y-axis on corresponding positioning pad pasting A and B(Triangle straight flange)On the basis of line, with medical tape amount
Go out line length of developing accordingly on AB pad pastings, the correspondence position on triangular ramp is individual small having beside correspondence position on pad pasting
Hole, with the position of 3 bright spots under the aperture mark of skin marking pen AB pad pastings on brains(A, B films totally 3 aperture mark points);
According to 1 point on 2 points on A films and B films, totally 3 points, with circular medical positioning rule, a circle is drawn on brains, this circle
That is the maximum two-dimensional planar layers of CT scan;
By the aura center point M points of CT scan along X-axis(Horizontal compile of triangular form developing line is X-axis)With the friendship of circular positioning rule
Line is the position K for puncturing lower knife point.
Operation principle:
1. it is printed on developer above positioning pad pasting A and positioning pad pasting B(Triangular form, the vertical edge of triangle is Y-axis, triangle
Horizontal sides are X-axis);
2. developer can be shinny after image CT scan(2 lines can be shown on pad pasting A on CT, can be shown on pad pasting B on CT
Show 1 line);
3. it can be become clear on the sectional layer at aura position display, and root according to positioning pad pasting A developers and positioning pad pasting B developers
It can be marked on corresponding positioning pad pasting according to the position of bright display;
4. according to a bright line on two bright lines on positioning pad pasting A and positioning pad pasting B, the point of bright line end, these three are bright
Point one plane of composition, this plane is also the plane of scanning slice(Puncture the plane where lower knife point);
5. connecting two bright spot positions on A films, linked up on head with skin marking pen, by the aura central point M of CT scan layer,
A line, knife point K under the puncture that line is looked for descending the intersection point of knife point plane to seek in step 4 are drawn along X-direction;
6. connecting KM, the length of KM line segments is lower knife depth, and KM extended lines and the intersection point C of point of puncture plane, KC are to puncture
Direction.
The effect of each part:
Position pad pasting A:There is locating development agent on positioning pad pasting, after CT scan, the scanning aspect at aura position can be in CT images
On leave a bright developing line, by the aperture on film, skin marking pen can leave mark, mark;
Position pad pasting B:There is locating development agent on positioning pad pasting, after CT scan, the scanning aspect at aura position can be in CT images
On leave a bright developing line, by the aperture on film, skin marking pen can leave mark, mark;
Skin marking pen:Make marks positioning on brains skin;
Tape:It is supporting with skin marking pen, mark positioning is drawn in positioning and puts use.
Obviously, the explanation of above example is only intended to help the method and its core concept for understanding the present invention.It should refer to
Go out, under the premise without departing from the principles of the invention, can also be to this hair for the those of ordinary skill of the technical field
Bright to carry out some improvement and modification, these are improved and modification is also fallen into the protection domain of the claims in the present invention.
Claims (1)
1. a kind of brainpan location of operation method based on Image-aided, is characterised by:It is in the aura position that patients head estimates
Both sides patch positioning pad pasting A and positioning pad pasting B, described position are printed on locating development agent on pad pasting, had in locating development agent for skin
Marking pen and the aperture for positioning tape setting-out positioning, CT machines scan the maximum two-dimensional planar layers of aura, the CT images after scanning
On have leave 2 development bright lines of positioning pad pasting A and position 1 development bright line that pad pasting B leaves, according to the development in CT images
The length of line, on corresponding positioning pad pasting A and positioning pad pasting B on the basis of Y-axis line, measure positioning pad pasting A with medical tape
It is individual having beside correspondence position on pad pasting with corresponding development line length, the correspondence position on triangular ramp on positioning pad pasting B
Aperture, the position of 3 bright spots under pad pasting A and positioning pad pasting B aperture mark is positioned on brains with skin marking pen, according to fixed
Position upper 2 points of pad pasting A and positioning upper 1 point of pad pasting B, totally 3 points, with circular medical positioning rule, a circle is drawn on brains, this
Circle is the maximum two-dimensional planar layers of CT scan;By intersection of the aura center point M points of CT scan along X-axis and circular positioning rule
As puncture the position K of lower knife point.
Priority Applications (1)
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CN201711116037.0A CN107693133A (en) | 2017-11-13 | 2017-11-13 | A kind of brainpan location of operation method based on Image-aided |
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CN201711116037.0A CN107693133A (en) | 2017-11-13 | 2017-11-13 | A kind of brainpan location of operation method based on Image-aided |
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN109259869A (en) * | 2018-10-12 | 2019-01-25 | 西南医科大学附属口腔医院 | A kind of CTA body surface marking auxiliary device and its application method |
CN112043355A (en) * | 2020-09-04 | 2020-12-08 | 田世芹 | Intracranial puncture positioning device and positioning method thereof |
CN115054368A (en) * | 2021-05-25 | 2022-09-16 | 陈新治 | Collimation guide system |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN103300925A (en) * | 2013-05-29 | 2013-09-18 | 亓立国 | Rapid stereoscopic positioning fixing system |
CN204033365U (en) * | 2014-06-30 | 2014-12-24 | 张建党 | A kind of simple and fast intracranial hematoma telltale mark system |
CN106473816A (en) * | 2015-09-01 | 2017-03-08 | 广东体达康医疗科技有限公司 | A kind of pad pasting for lesion localization |
-
2017
- 2017-11-13 CN CN201711116037.0A patent/CN107693133A/en active Pending
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN103300925A (en) * | 2013-05-29 | 2013-09-18 | 亓立国 | Rapid stereoscopic positioning fixing system |
CN204033365U (en) * | 2014-06-30 | 2014-12-24 | 张建党 | A kind of simple and fast intracranial hematoma telltale mark system |
CN106473816A (en) * | 2015-09-01 | 2017-03-08 | 广东体达康医疗科技有限公司 | A kind of pad pasting for lesion localization |
Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN109259869A (en) * | 2018-10-12 | 2019-01-25 | 西南医科大学附属口腔医院 | A kind of CTA body surface marking auxiliary device and its application method |
CN109259869B (en) * | 2018-10-12 | 2024-05-03 | 西南医科大学附属口腔医院 | CTA body surface marking auxiliary device and use method thereof |
CN112043355A (en) * | 2020-09-04 | 2020-12-08 | 田世芹 | Intracranial puncture positioning device and positioning method thereof |
CN115054368A (en) * | 2021-05-25 | 2022-09-16 | 陈新治 | Collimation guide system |
CN115054368B (en) * | 2021-05-25 | 2024-04-09 | 陈新治 | Collimation guiding system |
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