CN109663223A - A kind of positioning marked ruler for head positioning in radiation therapy - Google Patents

A kind of positioning marked ruler for head positioning in radiation therapy Download PDF

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Publication number
CN109663223A
CN109663223A CN201910022707.5A CN201910022707A CN109663223A CN 109663223 A CN109663223 A CN 109663223A CN 201910022707 A CN201910022707 A CN 201910022707A CN 109663223 A CN109663223 A CN 109663223A
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CN
China
Prior art keywords
positioning
telltale mark
bar
radiation therapy
fixing groove
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CN201910022707.5A
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Chinese (zh)
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CN109663223B (en
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余柳霏
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Individual
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/103Treatment planning systems
    • A61N5/1039Treatment planning systems using functional images, e.g. PET or MRI
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1048Monitoring, verifying, controlling systems and methods
    • A61N5/1049Monitoring, verifying, controlling systems and methods for verifying the position of the patient with respect to the radiation beam
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N2005/1092Details

Abstract

The present invention provides a kind of positioning marked ruler for head positioning in radiation therapy, which includes: telltale mark bar, and the telltale mark bar is the horizontal straight-bar that inside sets cavity, is filled with filler in the cavity;The telltale mark bar is symmetrically arranged with annular groove by two close end surface, and telltale mark bar surface is circumferentially uniformly provided with the fixing groove extended along its length, each fixing groove is connected to two annular grooves, and each fixing groove is perpendicular with described two annular grooves.The beneficial effects of the present invention are: telltale mark ruler position accurate positioning proposed by the present invention, improves the accuracy of CT/MRI image registration and fusion, due to being provided with fixing groove, convenient for being adhesively fixed, since multiple fixing grooves are arranged, may be reused.

Description

A kind of positioning marked ruler for head positioning in radiation therapy
Technical field
The present invention relates to technical field of medical instrument more particularly to a kind of positioning of radiation therapy head to use telltale mark Ruler.
Background technique
CT/MRI positioning image co-registration is remarkably improved the identification of tumor target and delineates for radiotherapy treatment planning system Accuracy, but since CT/MRI image scanning parameter is inconsistent, the repeatability of patient posture is difficult to grasp, and scans acquisition Image is often difficult to find consistent position, this brings very big difficulty and uncertainty to subsequent image registration and fusion. Approximation position characteristic point is mostly used to be registrated greatly currently based on the Study of Registration of characteristic point, and the image of approximate registration is for melting It closes, result will have a greatly reduced quality in clinical application value.Previous research in, nearly all using anatomical structure mark point as Reference marker point carry out position determination and fusion accuracy analysis, the registration of image is inaccurate, fusion and evaluation procedure compared with To be many and diverse, to limit blending image in clinical practical application.Labeled in vitro point subplan can relatively efficiently solve CT/MRI image volume bit integrity problem, handmarking's point can image on CT/MRI image.In same tag point location item MRI T1WI enhancing sequence and CT positioning scanning are carried out under part, are obtained MRI image and CT image, are then looked for according to external markers To the image of the same level of CT/MRI, rapid registering and fusion are carried out.But it this rely solely on limited labeled in vitro point and deposits In fatal weakness, that is, be difficult to realize and be shown to a certain handmarking's point on CT/MRI image, position consistency there are still It is uncertain.And be equipped with plastics positioning plate using foundation ring and positioned, it can be preferably imaged in CT image scanning, but Since the position line of foundation ring and plastics positioning plate is all metal when MRI image scans, then artifact is larger, and positioning image can not make With.
Summary of the invention
The purpose of the present invention is to provide a kind of positioning marked ruler for head positioning in radiation therapies, to solve above-mentioned background skill The problem of being proposed in art.
The present invention is achieved through the following technical solutions:
The present invention provides a kind of positioning marked ruler for head positioning in radiation therapy, a kind of radiation therapy head positioning use Telltale mark ruler includes: telltale mark bar, and the telltale mark bar is the horizontal straight-bar that inside sets cavity, filling in the cavity There is filler;The telltale mark bar is symmetrically arranged with annular groove by two close end surface, and telltale mark bar surface is circumferentially It is uniformly provided with the fixing groove extended along its length, each fixing groove is connected to two annular grooves, and each fixing groove is equal It is perpendicular with described two annular grooves.
Preferably, the telltale mark bar is duroplasts bar.
Preferably, telltale mark bar section is circle.
Preferably, the diameter range of the telltale mark bar is 3mm-5mm.
Preferably, the filler is vegetable fat.
Preferably, the width of each fixing groove and described two annular groove aperture positions is greater than the width of trench bottom.
Compared with prior art, the beneficial effects of the present invention are: telltale mark ruler position accurate positioning proposed by the present invention, The accuracy for improving CT/MRI image registration and fusion, it is multiple due to being arranged convenient for being adhesively fixed due to being provided with fixing groove Fixing groove may be reused.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of positioning marked ruler for head positioning in radiation therapy provided in an embodiment of the present invention;
Fig. 2 is CT/MRI scanning pendulum position schematic diagram provided in an embodiment of the present invention;
Fig. 3 is CT/MRI Scout scan image provided in an embodiment of the present invention.
In figure: 1- telltale mark bar;2- annular groove;3- fixing groove;4- moulds;The head 5-;6- puts position cross laser line; 7- tomoscan point;8-CT positions scanning figure;9-MRI positions scanning figure.
Specific embodiment
Following will be combined with the drawings in the embodiments of the present invention, and technical solution in the embodiment of the present invention carries out clear, complete Site preparation description, it is clear that described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments.It is based on Embodiment in the present invention, it is obtained by those of ordinary skill in the art without making creative efforts every other Embodiment shall fall within the protection scope of the present invention.
Fig. 1-Fig. 3 is please referred to, Fig. 1 is the knot of positioning marked ruler for head positioning in radiation therapy provided in an embodiment of the present invention Structure schematic diagram;Fig. 2 is CT/MRI scanning pendulum position schematic diagram provided in an embodiment of the present invention;Fig. 3 is provided in an embodiment of the present invention CT/MRI Scout scan image.
The embodiment of the invention provides a kind of positioning marked ruler for head positioning in radiation therapy, radiation therapy head positioning It include: telltale mark bar 1 with telltale mark ruler, the telltale mark bar 1 is that inside sets the horizontal straight-bar of cavity, in the cavity Filled with filler;The telltale mark bar 1 is symmetrically arranged with annular groove 2, and 1 surface of telltale mark bar by two close end surface It is circumferentially uniformly provided with the fixing groove 3 extended along its length, each fixing groove 3 is connected to two annular grooves 2, and described each Fixing groove 3 is perpendicular with described two annular grooves 2.
In the above-described embodiments, telltale mark ruler position accurate positioning proposed by the present invention, improves CT/MRI image and matches Quasi- and fusion accuracy, convenient for being adhesively fixed, since multiple fixing grooves are arranged, can repeat to make due to being provided with fixing groove With.
To facilitate understanding of the present embodiment of the invention a kind of positioning marked ruler for head positioning in radiation therapy provided, is tied below Specific embodiment is closed it is described in detail.
- 3 are continued to refer to figure 1, which includes telltale mark bar 1, telltale mark Bar 1 is the horizontal straight-bar that inside sets cavity, and filler is filled in the cavity, and the filler is vegetable fat.Positioning mark Note bar 1 is duroplasts bar, and 1 section of telltale mark bar is circle.The diameter range of telltale mark bar 1 is 3mm-5mm.Specifically set When setting, as shown in Figure 1, telltale mark bar 1 is symmetrically arranged with annular groove 2 by two close end surface, and 1 surface of telltale mark bar is circumferentially It is uniformly provided with the fixing groove 3 extended along its length, each fixing groove 3 is connected to two annular grooves 2, and each fixing groove 3 is equal It is perpendicular with two annular grooves 2.The width of each fixing groove 3 and two 2 aperture positions of annular groove is greater than the width of trench bottom.
Use principle: patient takes dorsal position, as shown in Fig. 2, thermoplastic head mould 4 shapes and is fixed on patients head 5, makes a mould 4 can not arbitrarily move, but entire head mould 4 is without being fixed on the fixtures such as foundation ring.Before positioning starts, first with pendulum position Cross laser line 6 determines 4 left and right sides position of a mould, then tightly pastes respectively and places a telltale mark ruler 1, specific method It is that patient takes dorsal position to lie, pendulum position cross laser line 6 projects at left and right sides of patients head 5 respectively, to put a cross laser On the basis of 6 horizontal line of line, telltale mark ruler 1 is allowed to be overlapped with it, and make the annular groove 2 of 1 end surface of telltale mark ruler with It is overlapped at the square crossing of one of fixing groove 3 with pendulum 6 right-angled intersection point of position cross laser line.Before radiotherapy, positioning mark Note ruler 1 will no longer move position, and when radiotherapy also carries out pendulum bit manipulation using the telltale mark ruler 1.Under identical location condition, benefit MRI T1WI enhancing sequence and CT positioning scanning are carried out with magnetic resonance machine, CT positioning scanning figure is obtained and MRI positions scanning figure, CT Positioning scanning figure be marked shown in Fig. 38, MRI position scanning figure be to mark 9 shown in Fig. 3.Magnetic resonance machine be equipped with For the computer of image registration and fusion software by network connection, telltale mark ruler 1 can be with when carrying out CT/MRI positioning scanning Imaging, as shown in figure 3, and positioning in scanning figure and MRI positioning scanning figure in CT with the display of tomoscan point 7, CT positioning scanning Figure and MRI positioning scanning figure are supplied directly to image registration and fusion software by network, image registration and fusion software according to Whether telltale mark ruler 1 positions the relative distance between the tomoscan point 7 shown in scanning figure and MRI positioning scanning figure in CT Unanimously, the consistency of position is determined, to realize the autoregistration of CT/MRI positioning image, and on this basis to being registrated Image is merged.
By foregoing description, telltale mark ruler position accurate positioning proposed by the present invention improves CT/MRI image registration It, convenient for being adhesively fixed, since multiple fixing grooves are arranged, may be reused with the accuracy of fusion due to being provided with fixing groove.
It although an embodiment of the present invention has been shown and described, for the ordinary skill in the art, can be with A variety of variations, modification, replacement can be carried out to these embodiments without departing from the principles and spirit of the present invention by understanding And modification, the scope of the present invention is defined by the appended.

Claims (6)

1. a kind of positioning marked ruler for head positioning in radiation therapy characterized by comprising telltale mark bar, the positioning mark Note bar is the horizontal straight-bar that inside sets cavity, is filled with filler in the cavity;The telltale mark bar leans on two close end surface It is symmetrically arranged with annular groove, and telltale mark bar surface is circumferentially uniformly provided with the fixing groove extended along its length, each Fixing groove is connected to two annular grooves, and each fixing groove is perpendicular with described two annular grooves.
2. positioning marked ruler for head positioning in radiation therapy according to claim 1, which is characterized in that the telltale mark Bar is duroplasts bar.
3. positioning marked ruler for head positioning in radiation therapy according to claim 2, which is characterized in that the telltale mark Bar section is circle.
4. positioning marked ruler for head positioning in radiation therapy according to claim 3, which is characterized in that the telltale mark The diameter range of bar is 3mm-5mm.
5. positioning marked ruler for head positioning in radiation therapy according to claim 4, which is characterized in that the filler is Vegetable fat.
6. positioning marked ruler for head positioning in radiation therapy according to claim 5, which is characterized in that each fixation The width of slot and described two annular groove aperture positions is greater than the width of trench bottom.
CN201910022707.5A 2019-01-10 2019-01-10 Positioning mark ruler for positioning head in radiotherapy Expired - Fee Related CN109663223B (en)

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CN201910022707.5A CN109663223B (en) 2019-01-10 2019-01-10 Positioning mark ruler for positioning head in radiotherapy

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021114147A1 (en) * 2019-12-11 2021-06-17 Shanghai United Imaging Healthcare Co., Ltd. Radiotherapy treatment table and systems and methods using the same

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2302023Y (en) * 1997-03-06 1998-12-30 胡彬 Precision body position fixing device for treating diseases of head and neck
CN102179008A (en) * 2011-04-26 2011-09-14 徐州医学院 Positioning marking gauge for head positioning in radiotherapy
CN108174541A (en) * 2017-11-30 2018-06-15 维沃移动通信有限公司 A kind of metal shell and preparation method thereof, mobile terminal
WO2018136868A1 (en) * 2017-01-20 2018-07-26 Thomas Jefferson University Head neck immobilization wrap

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2302023Y (en) * 1997-03-06 1998-12-30 胡彬 Precision body position fixing device for treating diseases of head and neck
CN102179008A (en) * 2011-04-26 2011-09-14 徐州医学院 Positioning marking gauge for head positioning in radiotherapy
WO2018136868A1 (en) * 2017-01-20 2018-07-26 Thomas Jefferson University Head neck immobilization wrap
CN108174541A (en) * 2017-11-30 2018-06-15 维沃移动通信有限公司 A kind of metal shell and preparation method thereof, mobile terminal

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021114147A1 (en) * 2019-12-11 2021-06-17 Shanghai United Imaging Healthcare Co., Ltd. Radiotherapy treatment table and systems and methods using the same

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