CN110123249B - Nasosinusitis detection device and use method thereof - Google Patents
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Abstract
The invention relates to the technical field of nasosinusitis diagnosis, in particular to a nasosinusitis detection device and a use method thereof, aiming at solving the problems that the diagnosis and monitoring method of nasosinusitis in the prior art are complicated, the diagnosis is different according to the judgment of doctors, and the time and cost for diagnosing the nasosinusitis are higher; a light source located at a distal end of the oral optical component and connected by an optical fiber for transmitting light from the light source to soft tissue at the top of the patient's mouth; a detector for receiving an optical signal through a patient's paranasal sinus and away from patient tissue; the analyzer is electrically connected with the detector and is used for carrying out data comparison, analysis and grading reference on the electrical signals provided by the detector so as to obtain a diagnostic data report. The nasosinusitis detection device is more portable, high in applicability, wide in audience, simple to operate and capable of detecting nasosinusitis at any time without special diagnosis conditions and operation training.
Description
Technical Field
The invention relates to the technical field of nasosinusitis diagnosis, in particular to a nasosinusitis detection device and a use method thereof.
Background
As is well known, sinusitis is commonly called cerebral hemorrhage, called nasosinusitis in traditional Chinese medicine. It is a common nasal disease in clinic, and can occur independently in one nasal sinus or simultaneously in several nasal sinuses. Most of the acute nasosinusitis is caused by severe cold, and is characterized in that the systemic resistance is poor, and the local reasons cause the obstruction of the nasal sinuses and the nasal cavity, so that germs invade the nasal sinuses to cause acute inflammation of nasal sinus mucosa, even form nasal sinus purulence, and the symptoms of the nasal sinusitis are nasal obstruction, purulent nasal discharge, hyposmia and the like, and are sometimes accompanied with obvious headache.
Chronic sinusitis is now one of the more common chronic diseases, usually evolved from unresolved acute sinusitis, the main reason for which is the early failure to provide an accurate diagnosis and complete treatment. The main prior art methods for diagnosing and monitoring sinusitis include: x-ray; 2. ultrasonic scanning; CT and MRT, where the use of X-ray images can vary greatly depending on the judgment of the operator and do not provide accurate results; lack of sensitivity and specificity using ultrasound scanning, symptom-based observations do not provide consistent or standardized measurements; in addition, the use of CT and MRT is relatively expensive, difficult to use for follow-up examinations, and unsuitable for children or pregnant populations due to the presence of radiation or contrast agents.
Therefore, there is a need for a simple and feasible nasosinusitis detecting device and method of use that can accurately diagnose and reduce the time and cost associated with detecting nasosinusitis.
Disclosure of Invention
Therefore, the invention aims to overcome the defects that the diagnosis and monitoring method for nasosinusitis in the prior art is complex and tedious, diagnosis is different according to judgment of doctors, and the time and cost for diagnosing nasosinusitis are high, thereby providing a nasosinusitis detection device and a using method thereof.
The first scheme of the invention provides a nasosinusitis detecting device, which comprises:
an oral optical component for insertion within an oral cavity of a patient;
a light source located at a distal end of the oral optical component and connected by an optical fiber for transmitting light from the light source to soft tissue at the top of the patient's mouth;
a detector for receiving an optical signal through a patient's paranasal sinus and out of the patient's tissue, the detector converting the optical signal into an electrical signal;
and the analyzer is electrically connected with the detector and is used for carrying out data comparison, analysis and grading reference on the electrical signals provided by the detector so as to obtain a diagnostic data report.
Optionally, the arc-shaped surface of the oral cavity optical component is provided with through holes which are symmetrically arranged and correspond to the nasal sinuses of the patient, and the diameter of each through hole is 2 mm.
Optionally, a glass plug is arranged in the through hole.
Optionally, the oral cavity optical component is provided with a handle near one end of the optical fiber, and a shutter for preventing light from overflowing from the oral cavity of the patient is arranged between the handle and the oral cavity optical component.
Optionally, the light source comprises a mixed light source and a dual wavelength light source.
Optionally, the wavelength of light transmitted by the dual wavelength light source through the optical fiber is between 650nm and 1050 nm.
Optionally, the detector is a camera.
Optionally, the analyzer comprises:
an image selecting unit that selects any one of the output signals obtained by the m detectors as a reference image signal and selects the output signal obtained by the m-1 detectors as a superimposed image signal;
an image synthesizing unit that superimposes the m-1 superimposed image signals on the reference image signal;
an image difference unit that separately images m-1 of the superimposed image signals from the reference image signal;
and the analysis part acquires the data of the image synthesis part and the image difference part and performs statistical analysis to obtain a diagnosis data report.
Optionally, a host is disposed outside the light source, the detector, and the analyzer, and a diagnostic data display interface and an operation key are disposed on a side surface of the host.
The second scheme of the invention also provides a use method of the nasosinusitis detection device, which comprises the following steps:
s1: inserting the oral optical component into the oral cavity of a patient to enable the arc-shaped surface of the oral optical component to be attached to the top of the oral cavity of the patient, and ensuring that the through hole corresponds to the nasal sinus part of the patient;
s2: capturing an image by the detector that is not exposed when the light source is turned off, thereby receiving an optical signal through the patient's sinuses and away from the patient's tissue, and converting the optical signal into an electrical signal, which is then transmitted to the analyzer for storage;
s3: turning on the light source and selecting a mixed light source, transmitting radiation directly towards the nasal sinus part of the patient through the optical fiber, and illuminating the maxillary sinus of the patient in a diffusion mode;
s4: shooting an image irradiated by the light source selected from the mixed light source through the detector, so as to receive an optical signal which passes through the paranasal sinus of the patient and leaves the tissue of the patient, convert the optical signal into an electrical signal, and then send the electrical signal to the analyzer for storage;
s5: turning on the light source and selecting a dual-wavelength light source, adopting a combination with a wavelength range of 650nm-1050nm, transmitting through the optical fiber and radiating directly towards the nasal sinus part of the patient at least twice, and illuminating the maxillary sinus of the patient in a diffusion mode;
s6: shooting an image irradiated by the light source with the dual-wavelength light source through the detector, so as to receive an optical signal which passes through the paranasal sinus of the patient and leaves the tissue of the patient, convert the optical signal into an electrical signal, and then send the electrical signal to the analyzer for storage;
s7: selecting, by an image selection unit inside the analyzer, any one of output signals obtained by m of the detectors as a reference image signal, and simultaneously selecting output signals obtained by m-1 of the detectors as a superimposed image signal;
superimposing the m-1 superimposed image signals with the reference image signal by the image synthesizing section;
separating and imaging m-1 of the superimposed image signals from the reference image signal by the image difference section;
s8: and acquiring data of the image synthesis part and the image difference part through the analysis part, and performing statistical analysis to obtain a diagnosis data report.
The technical scheme of the invention has the following advantages:
1. the sinusitis detecting apparatus of the present invention, because light can be easily transmitted to the facial tissues of a patient through the paranasal sinuses, and because the intra-sinus fluid caused by infection can reduce the intensity of transmitted light and change the pattern of transmitted light, a doctor can infer the health status of the paranasal sinuses by means of the image taken by the detector and processed by the analyzer for the purpose of diagnosis and monitoring the progress of treatment, so, in order to accurately measure the health status of the paranasal sinuses, first inserts the above oral optical member into the oral cavity of the patient, in which the light transmission point is placed toward the palate area under the paranasal sinuses, the oral optical member is pushed by the patient or the doctor to be in close contact with the paranasal sinus portion at the top of the oral cavity, then turns on the light source, thereby transmitting the light signal to the light transmission point of the oral optical member through the optical fiber, illuminates the soft tissues at the top of the oral cavity of the patient in a diffused manner, and then allows the detector to perform image acquisition at a fixed time node, the light transmitted through the patient's sinuses and cheek is captured, the optical signal is converted into electrical signal, the analyzer compares, analyzes and grade-refers the data according to the electrical signal provided by the detector, namely, the tissue spectrum technique is used to separate the absorption spectrum of the fluid or biological membrane in the sinuses, and the absorption spectrum is processed by various imaging algorithms to form an imaging database, which allows the doctor to compare the target data to identify the effusion and swelling degree of the inflamed mucosa in the sinuses, so as to obtain the diagnosis data report.
2. According to the nasosinusitis detecting device, the arc-shaped surface of the oral cavity optical part is provided with the through holes which are symmetrically arranged and correspond to the nasal sinuses of a patient, and the through holes are used for light transmission, so that the oral cavity optical part is prevented from being obliquely arranged after being plugged into the oral cavity, and asymmetric irradiation is prevented.
3. The nasosinusitis detecting device is characterized in that the glass plug is arranged to prevent liquid in the oral cavity from permeating into the oral cavity optical component to cause unnecessary errors, and meanwhile, the light emitted from the light source can illuminate soft tissues at the top of the oral cavity of a patient in a diffusion mode, so that the illumination uncertainty and variability generated when the oral cavity optical component is in direct contact with the top of the oral cavity are reduced.
4. The nasosinusitis detecting device is provided with the handle, so that a patient or a doctor can conveniently insert the oral optical component into the oral cavity and push the oral optical component to be in close contact with the nasal sinus part at the top of the oral cavity; the shutter is arranged to prevent light from escaping from the patient's mouth.
5. The nasosinusitis detecting device comprises a light source, a light source control circuit and a light source control circuit, wherein the light source comprises a mixed light source and a dual-wavelength light source, in the multispectral imaging setting, a common biomedical spectral method can be used for quantitatively measuring endogenous chromophores and fluorophores (namely liquid in paranasal sinuses), switching is carried out between white light and dual-wavelength light, and data measured for multiple times are used for comparison, so that the imaging quality is better, and the influence of external light on images can be eliminated.
6. The nasosinusitis detecting device and the analyzer are arranged, when a light source is changed, the detector is used for carrying out image acquisition at a fixed angle by a fixed time node for multiple times, then the important area is superposed and separated according to a pixel method or a regional analysis method, the illumination pattern of a patient can be obtained to clearly see the result of fluid in the sinus, the shapes of the patterns can display the anatomical structure and physiological blockage condition of the patient, for example, a thin bone layer can transmit more light at a zygomatic bone, the image display is thicker, the light field intensity of a maxillary sinus of a bottom effusion is weaker, and the shape of the illumination pattern can be changed when the fluid or a biomembrane is superposed on the maxillary sinus, so that the fine quantitative comparison between normal and diseased nasal sinuses can be carried out based on a typical isoparametric shape pattern.
7. According to the nasosinusitis detection device, the host is arranged, and the diagnosis data display interface and the operation keys are arranged on the side face of the host, so that the nasosinusitis detection device is more portable, high in applicability, wide in audience, simple to operate, and capable of detecting nasosinusitis at any time without special diagnosis conditions and operation training.
8. The using method of the nasosinusitis detecting device fills the technical blank between CT and ultrasonic diagnosis, can be used as an effective supplement of the existing diagnosis method, does not need to expose patients to radiation, does not need a special examination room, is more easily accepted by a non-invasive method and simple operability, does not need special training of medical staff, and can be used as an effective and accurate auxiliary support and supplement for first diagnosis and follow-up examination.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, and it is obvious that the drawings in the following description are some embodiments of the present invention, and other drawings can be obtained by those skilled in the art without creative efforts.
Fig. 1 is a schematic overall structure view of a sinusitis detecting apparatus according to an embodiment of the present invention;
fig. 2 is a rear view of a sinusitis detection apparatus according to an embodiment of the present invention;
FIG. 3 is a schematic view of a portion of a sinusitis detecting apparatus according to an embodiment of the present invention;
fig. 4 is a schematic connection diagram of internal modules of the sinusitis detecting apparatus according to an embodiment of the present invention.
Description of reference numerals:
1. an oral optical component; 11. a through hole; 13. a glass plug; 14. a handle; 15. a shutter; 2. a light source; 21. an optical fiber; 3. a detector; 4. an analyzer; 41. an image selection unit; 42. an image synthesizing unit; 43. an image difference section; 44. an analysis unit; 5. a host; 51. a diagnostic data display interface; 52. the keys are operated.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more apparent, the present invention is described in further detail below with reference to the accompanying drawings and embodiments. It should be understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.
A sinusitis detecting device, as shown in fig. 1 and 4, comprises an oral optical component 1 for insertion into a patient's mouth, a light source 2 connected to a distal end of the oral optical component 1 via an optical fiber 21, and a light source 2 for transmitting light from the light source 2 to the oral optical component 1 to diffusely illuminate soft tissues at the top of the patient's mouth, such as a maxillary sinus region; the light source 2 is provided with a detector 3 on one side, the detector 3 is used for receiving optical signals which pass through the patient's nasal sinuses and leave the patient's tissues and converting the optical signals into electrical signals, meanwhile, the detector 3 is also electrically connected with an analyzer 4, and the analyzer 4 carries out data comparison, analysis and grading reference according to the electrical signals provided by the detector 3 so as to obtain a diagnosis data report. Since light can easily travel through the sinuses to the patient's facial tissue, and intra-sinus fluids due to infection can reduce the intensity of transmitted light and alter the pattern of transmitted light, the health of the sinuses can be inferred by the physician from the images taken by the detector 3 and processed by the analyzer 4 for diagnostic purposes and to monitor the progress of the treatment. Therefore, in order to accurately measure the health condition of the sinuses, the above oral optical member 1 is first inserted into the oral cavity of the patient, in which a light transmission point is placed toward the palate region below the maxillary sinus, the present oral optical member 1 is pushed by the patient or doctor to be in close contact with the sinus portion at the top of the oral cavity, then the light source 2 is turned on, thereby transmitting a light signal to the light transmission point of the oral optical member 1 through the optical fiber 2, the soft tissue at the top of the oral cavity of the patient is illuminated in a diffused manner, then the detector 3 is allowed to perform image acquisition at a fixed time node, i.e., light transmitted through the patient's sinuses and cheeks is captured, and this optical signal is converted into an electrical signal, finally the analyzer 4 performs data comparison, analysis and hierarchical reference according to the electrical signal provided by the detector 3, i.e., the absorption spectrum of the fluid or biofilm in the sinuses is separated using a tissue spectroscopy technique (e., diffusion spectroscopy), and processed by various imaging algorithms to form an imaging database, allowing a doctor to identify the degree of hydrops and inflamed mucosa swelling in the sinuses by comparing with target data to obtain a diagnostic data report.
As shown in fig. 3 and 4, the surface of the oral cavity optical component 1 is formed with an arc surface matched with the top of the oral cavity of the patient so as to conform to the change of the palate curvature of the oral cavity and effectively reduce the illumination error. Simultaneously, because left upper jaw sinuses and right upper jaw sinuses are parted by nasal cavity and nasal conch, when oral cavity optical component 1 was placed at the central line of nasal cavity below, the light field produced asymmetric illumination pattern easily, light through the diffuse emittance is partial to one side or opposite side very easily, so for solving this problem, it has the through-hole 11 that the symmetry set up and correspond with patient's sinuses position to open on oral cavity optical component 1's arcwall face, the diameter of through-hole 11 is 2mm, carry out optical transmission through-hole 11, thereby avoid the slope of oral cavity optical component 1 after stuffing the oral cavity to place, with this asymmetric irradiation of preventing.
As shown in fig. 3, a glass plug 13 is disposed in the through hole 11, and the glass plug 13 is disposed to prevent liquid in the oral cavity from penetrating into the oral cavity optical component 1, causing unnecessary errors, and at the same time, light emitted from the light source 2 can illuminate soft tissues at the top of the oral cavity of the patient in a diffused manner, thereby reducing the illumination uncertainty and variability occurring when the oral cavity optical component 1 is in direct contact with the top of the oral cavity.
As shown in fig. 3, a handle 14 is provided at one end of the oral optical component 1 near the optical fiber 12, so that the patient or doctor can insert the oral optical component 1 into the oral cavity and push the oral optical component 1 to be in close contact with the sinus part at the top of the oral cavity; in addition, a shielding plate 15 for preventing light from overflowing from the oral cavity of the patient is arranged between the handle 14 and the oral cavity optical part 1, and meanwhile, after the oral cavity optical part 1 is accurately positioned, the shielding plate 15 is just positioned at the outer side of the lip for blocking the light leakage position, so that the positioning effect is achieved.
As shown in fig. 4, the light source 2 includes a mixed light source and a dual wavelength light source, and a white diode, a light emitting diode or a laser may be used as the light source 2 to guide light to a specific region of the paranasal sinus for detection. In this embodiment of the present invention, the light emitting diode is preferably capable of generating light in the NIR spectrum, the wavelength range is 650nm-1050nm, and the type, wavelength and number are not limited. Since white light covers all relevant wavelengths from 600 to 1000nm, all relevant information about the sinusitis disease can be obtained, on the other hand at discrete wavelengths the intensity is much higher and the resulting image quality is higher. Therefore, in a multispectral imaging setting, the commonly used biomedical spectroscopic method can be used to quantitatively determine endogenous chromophores and fluorophores (i.e., fluids in the sinuses), and switch between white light and dual wavelength light, using the data of multiple measurements for comparison, resulting in better imaging quality and the ability to reject the effects of ambient light on the image.
As shown in fig. 4, the detector 3 is a camera, the type of camera is not limited, and in some embodiments, the camera is wifi-compatible, and automatically transmits data, for example, a mobile device with a built-in camera can be used for image capturing, displaying and storing. In addition, the camera is configured to capture images at all wavelengths and has a high ISO setting, enabling fast acquisition of data.
When a bare LED array light source directly contacting the palate of the oral cavity is used, since one part of the LEDs is in close contact with the tissue of the paranasal sinus of the human body and the other part is not in close contact with the tissue of the paranasal sinus, the degree of clarity of the illumination image may vary depending on the location position of the illuminator, and thus it is difficult to generate a uniform square when the bare LEDs are used, so that the arrangement of the oral optical member 1 is necessary. Meanwhile, when the light source 2 is arranged inside the oral cavity optical component 1, the structure cannot provide enough safety guarantee between the mouth and the electronic element, and the light source 2 can generate heat transfer after being opened for a long time to influence the detection experience of a patient, so that the light source 2 is arranged outside the body as shown in fig. 1, and optical signals are transmitted through the optical fiber 21, thereby effectively solving the problem.
As shown in fig. 4, the analyzer 4 includes an image selecting section 41 that selects any one of the output signals obtained by the m detectors 3 as a reference image signal and selects the output signal obtained by the m-1 detectors 3 as a superimposed image signal; an image synthesizing section 42 for superimposing the m-1 superimposed image signals and the reference image signal; an image difference section 43 that separately images the m-1 superimposed image signals from the reference image signal; and an analysis unit 44 for collecting data from the image synthesis unit 42 and the image difference unit 43 and performing statistical analysis to obtain a diagnostic data report. In this embodiment of the present invention, m is 4, that is, when the exposure is not performed, the light source 2 uses white light, the light source 2 uses light with a wavelength of 650nm, and the light source 2 uses light with a wavelength of 1050nm, the detector 3 performs image acquisition at a fixed angle at a fixed time node, and then the important regions are superimposed and separated according to a pixel method or a region analysis method, so that the illumination pattern of the patient can be obtained to clearly see the result of the fluid in the sinus. These pattern shapes may indicate the patient's anatomy and physiological blockage, e.g., the thin bone layer may transmit more light at the zygomatic bone, the image is shown thicker, the light field intensity of the maxillary sinus of the underlying effusion is weaker, and the fluid or biofilm stacking in the maxillary sinus may change the shape of the illumination pattern, thereby enabling a fine quantitative comparison between normal and diseased sinuses based on typical isoparametric shape patterns.
As shown in fig. 1 and 2, the main unit 5 is disposed outside the light source 2, the detector 3 and the analyzer 4, and the diagnostic data display interface 51 and the operation keys 52 are disposed on the side surface of the main unit 5, so that the nasosinusitis detection device is more portable, highly applicable, widely popular, and simple to operate, and can detect nasosinusitis at any time without special diagnostic conditions and operation training.
The invention also discloses a use method of the nasosinusitis detection device, which comprises the following steps:
s1: the oral optical component 1 is inserted into the oral cavity of a patient, so that the arc surface of the oral optical component is attached to the top of the oral cavity of the patient, and the through hole 11 is ensured to correspond to the nasal sinus part of the patient;
s2: the detector 3 is used for shooting an image which is not exposed when the light source 2 is switched off, so as to receive an optical signal which passes through the nasal sinuses of the patient and leaves the tissues of the patient, convert the optical signal into an electrical signal and then send the electrical signal to the analyzer 4 for storage;
s3: turning on the light source 2 and selecting a mixed light source, transmitting radiation directly towards the patient's paranasal sinus part through the optical fiber 21, and illuminating the patient's maxillary sinus in a diffused manner;
s4: the detector 3 is used for shooting an image irradiated by the light source 2 with the mixed light source, so that an optical signal which penetrates through the paranasal sinus of the patient and leaves the tissue of the patient is received, the optical signal is converted into an electrical signal, and then the electrical signal is sent to the analyzer 4 for storage;
s5: turning on the light source 2 and selecting a dual-wavelength light source, adopting the combination of the wavelength range of 650nm-1050nm, transmitting through the optical fiber 21 and directly radiating towards the nasal sinus part of the patient at least twice, and illuminating the maxillary sinus of the patient in a diffusion mode;
s6: the detector 3 is used for shooting an image irradiated by the light source 2 with a dual-wavelength light source, so that an optical signal which penetrates through the paranasal sinus of a patient and leaves the tissue of the patient is received, the optical signal is converted into an electrical signal, and then the electrical signal is sent to the analyzer 4 for storage;
s7: selecting, by an image selecting section 41 inside the analyzer 4, any one of the output signals obtained by the m detectors 3 as a reference image signal, and selecting the output signal obtained by the m-1 detectors 3 as a superimposed image signal;
superimposing the m-1 superimposed image signals with the reference image signal by the image synthesizing section 42;
the m-1 superimposed image signals are separately imaged from the reference image signal by the image difference section 43;
s8: the data of the image synthesizing unit 42 and the image difference unit 43 are collected by the analyzing unit 44, and statistically analyzed to obtain a diagnostic data report.
In order to accurately measure the health condition of the paranasal sinuses, the oral cavity optical part 1 is firstly inserted into the oral cavity of a patient, wherein a light transmission point is placed towards the upper jaw area below the paranasal sinuses, the oral cavity optical part 1 is pushed by the patient or doctor to be in close contact with the nasal sinus part at the top of the oral cavity, then the oral cavity optical part 1 is switched when the exposure is not carried out, the light source 2 adopts white light, the light source 2 adopts 650nm wavelength and the light source 2 adopts 1050nm wavelength, so that a light signal is transmitted to the light transmission point of the oral cavity optical part 1 through the optical fiber 2, the soft tissue at the top of the oral cavity of the patient is illuminated in a diffusion mode, and then the detector 3 is allowed to carry out image acquisition at a fixed angle at a fixed time node, the method comprises the steps of capturing light rays penetrating through a patient's paranasal sinuses and cheeks, converting the optical signals into electrical signals, separating absorption spectra of fluid or biological membranes in the paranasal sinuses by using a tissue spectroscopy technology (such as diffuse spectroscopy), processing the absorption spectra through various imaging algorithms to form an imaging database, and superposing and separating important regions according to a pixel method or a region analysis method to obtain an illumination pattern of the patient so as to clearly see results of the fluid in the paranasal sinuses, so that a fine quantitative comparison between normal and diseased paranasal sinuses can be performed based on a typical isoparametric shape pattern, and a doctor can identify hydrops and the swelling degree of inflamed mucosa in the paranasal sinuses by comparing the illumination pattern with target data so as to obtain an accurate diagnosis data report.
It should be understood that the above examples are only for clarity of illustration and are not intended to limit the embodiments. Other variations and modifications will be apparent to persons skilled in the art in light of the above description. And are neither required nor exhaustive of all embodiments. And obvious variations or modifications therefrom are within the scope of the invention.
Claims (10)
1. A sinusitis detection apparatus, comprising:
an oral optical member (1) for insertion into the oral cavity of a patient;
a light source (2) located at the distal end of the oral optical component (1) and connected by an optical fiber (21) for transmitting light from the light source (2) to soft tissue at the top of the patient's mouth;
a detector (3) for receiving an optical signal through a patient's paranasal sinus and out of the patient's tissue, the detector (3) converting the optical signal into an electrical signal;
the analyzer (4) is electrically connected with the detector (3) and is used for carrying out data comparison, analysis and grading reference on the electrical signals provided by the detector (3) so as to obtain a diagnostic data report;
the surface of the oral cavity optical component (1) is provided with an arc surface matched with the top of the oral cavity of a patient; the arc-shaped surface of the oral cavity optical component (1) is provided with through holes (11) which are symmetrically arranged and correspond to the nasal sinuses of the patient.
2. Sinusitis detecting arrangement according to claim 1, characterized in that the diameter of the through-hole (11) is 2 mm.
3. The sinusitis detecting device according to claim 2, characterized in that a glass plug (13) is disposed in the through hole (11).
4. The sinusitis detection device according to claim 1, characterized in that said oral optical component (1) has a handle (14) near one end of said optical fiber (21), and a shutter (15) is disposed between said handle (14) and said oral optical component (1) for preventing light from escaping from the patient's mouth.
5. The sinusitis detecting device according to claim 1, wherein said light source (2) comprises a mixed light source and a dual-wavelength light source.
6. The sinusitis detection apparatus according to claim 5, wherein the wavelength of light transmitted by said dual-wavelength light source through said optical fiber (21) is between 650nm and 1050 nm.
7. The sinusitis detection device according to claim 1, wherein said detector (3) is a camera.
8. Sinusitis detection device according to claim 1, characterized in that said analyzer (4) comprises:
an image selection unit (41) for selecting any one of the output signals obtained by the m detectors (3) as a reference image signal and selecting the output signal obtained by the m-1 detectors (3) as a superimposed image signal;
an image synthesizing unit (42) that superimposes the m-1 superimposed image signals on the reference image signal;
an image difference unit (43) that separates and images m-1 superimposed image signals from the reference image signal;
and an analysis unit (44) which acquires data of the image synthesis unit (42) and the image difference unit (43) and performs statistical analysis to obtain a diagnostic data report.
9. The sinusitis detection device according to any of claims 1-8, characterized in that a host (5) is disposed outside the light source (2), the detector (3), and the analyzer (4), and a diagnostic data display interface (51) and an operation button (52) are disposed on the side of the host (5).
10. The use method of the sinusitis detection device according to claim 9, wherein the method comprises:
s1: the oral cavity optical component (1) is inserted into the oral cavity of a patient, so that the arc surface of the oral cavity optical component is attached to the top of the oral cavity of the patient, and the through hole (11) is ensured to correspond to the nasal sinus part of the patient;
s2: -taking an image by means of the detector (3) that is not exposed when the light source (2) is switched off, so as to receive an optical signal that passes through the patient's sinuses and leaves the patient's tissue, and converting said optical signal into an electrical signal, which is then sent to the analyzer (4) for storage;
s3: turning on said light source (2) and optionally a mixed light source, transmitting radiation directly towards the patient's sinuses via said optical fibers (21), illuminating the patient's maxillary sinuses in a diffuse manner;
s4: capturing an image of the light source (2) illuminated with the mixed light source by the detector (3), thereby receiving an optical signal passing through the patient's sinuses and exiting the patient's tissue, and converting the optical signal into an electrical signal, which is then transmitted to the analyzer (4) for storage;
s5: turning on said light source (2) and selecting a dual wavelength light source, adopting a combination of wavelengths ranging from 650nm to 1050nm, transmitting and radiating directly towards the patient's sinuses at least twice through said optical fiber (21), illuminating the patient's maxillary sinuses in a diffuse manner;
s6: capturing an image of the light source (2) illuminated with a dual wavelength light source by the detector (3) to receive an optical signal passing through the patient's paranasal sinuses and away from the patient's tissue and convert the optical signal into an electrical signal which is then transmitted to the analyzer (4) for storage;
s7: selecting, by an image selection unit (41) inside the analyzer (4), any one of the output signals obtained by the m detectors (3) as a reference image signal, and selecting the output signal obtained by the m-1 detectors (3) as a superimposed image signal;
superimposing the m-1 superimposed image signals with the reference image signal by the image synthesizing section (42);
separately imaging m-1 of the superimposed image signals from the reference image signal by the image difference section (43);
s8: the analysis unit (44) collects data of the image synthesis unit (42) and the image difference unit (43), and performs statistical analysis to obtain a diagnostic data report.
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| CN111631675A (en) * | 2020-06-02 | 2020-09-08 | 深圳市中之梦智能科技有限公司 | Rhinitis detection device and detection analysis method thereof |
| CN113034489B (en) * | 2021-04-16 | 2022-11-01 | 南方医科大学第五附属医院 | Artificial intelligence nasal sinus CT image processing system based on degree of deep learning |
Citations (14)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101002670A (en) * | 2006-01-20 | 2007-07-25 | 奥林巴斯医疗株式会社 | Method and apparatus for analyzing characteristic information of object,endoscope device |
| CN102048559A (en) * | 2009-11-05 | 2011-05-11 | 久米伸治 | Processing device for ultrasonic tomographic image |
| JP2011182993A (en) * | 2010-03-09 | 2011-09-22 | Panasonic Electric Works Co Ltd | Dental plaque detector |
| CN202086454U (en) * | 2011-02-23 | 2011-12-28 | 陈少明 | Infrared cavity intelligent pill |
| CN105852784A (en) * | 2016-04-22 | 2016-08-17 | 深圳先进技术研究院 | Multi-spectral medical endoscope lens and system |
| CN106235995A (en) * | 2016-08-31 | 2016-12-21 | 北京大学 | A kind of endoscopic system |
| WO2016210322A1 (en) * | 2015-06-24 | 2016-12-29 | The Regents Of The University Of Colorado, A Body Corporate | Pediatric nasal endoscope, gastroscope and aerodigestive scope |
| CN106709917A (en) * | 2017-01-03 | 2017-05-24 | 青岛海信医疗设备股份有限公司 | Neural network model training method, device and system |
| CN107409232A (en) * | 2015-03-05 | 2017-11-28 | 索尼公司 | Image processing equipment and image processing method |
| CN107708523A (en) * | 2015-05-19 | 2018-02-16 | 泰拓卡尔有限公司 | System and method for throat imaging |
| CN208081194U (en) * | 2017-11-15 | 2018-11-13 | 贵州医科大学附属医院 | A kind of portable ear nose larynx inspection mirror |
| CN109106324A (en) * | 2018-08-06 | 2019-01-01 | 深圳迈瑞生物医疗电子股份有限公司 | A kind of endoscope and optical transmission method |
| CN109310301A (en) * | 2016-08-31 | 2019-02-05 | Hoya株式会社 | Fujinon electronic video endoscope processor and electronic endoscope system |
| CN109497918A (en) * | 2018-12-14 | 2019-03-22 | 深圳市博盛医疗科技有限公司 | A kind of transmission of fujinon electronic video endoscope high-speed video and isolating device |
Family Cites Families (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP1628632B1 (en) * | 2003-05-21 | 2013-10-09 | The Johns Hopkins University | Devices and systems for minimally invasive surgery of the throat and other portions of mammalian body |
| US7654997B2 (en) * | 2004-04-21 | 2010-02-02 | Acclarent, Inc. | Devices, systems and methods for diagnosing and treating sinusitus and other disorders of the ears, nose and/or throat |
| EP2498668A4 (en) * | 2009-11-13 | 2013-08-07 | Hologic Inc | Access system with removable outflow channel |
| US9089388B2 (en) * | 2012-07-06 | 2015-07-28 | Peter John Zegarelli | Oral appliance for delivery of medicaments and/or other substances |
-
2019
- 2019-04-09 CN CN201910282562.2A patent/CN110123249B/en active Active
Patent Citations (14)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101002670A (en) * | 2006-01-20 | 2007-07-25 | 奥林巴斯医疗株式会社 | Method and apparatus for analyzing characteristic information of object,endoscope device |
| CN102048559A (en) * | 2009-11-05 | 2011-05-11 | 久米伸治 | Processing device for ultrasonic tomographic image |
| JP2011182993A (en) * | 2010-03-09 | 2011-09-22 | Panasonic Electric Works Co Ltd | Dental plaque detector |
| CN202086454U (en) * | 2011-02-23 | 2011-12-28 | 陈少明 | Infrared cavity intelligent pill |
| CN107409232A (en) * | 2015-03-05 | 2017-11-28 | 索尼公司 | Image processing equipment and image processing method |
| CN107708523A (en) * | 2015-05-19 | 2018-02-16 | 泰拓卡尔有限公司 | System and method for throat imaging |
| WO2016210322A1 (en) * | 2015-06-24 | 2016-12-29 | The Regents Of The University Of Colorado, A Body Corporate | Pediatric nasal endoscope, gastroscope and aerodigestive scope |
| CN105852784A (en) * | 2016-04-22 | 2016-08-17 | 深圳先进技术研究院 | Multi-spectral medical endoscope lens and system |
| CN106235995A (en) * | 2016-08-31 | 2016-12-21 | 北京大学 | A kind of endoscopic system |
| CN109310301A (en) * | 2016-08-31 | 2019-02-05 | Hoya株式会社 | Fujinon electronic video endoscope processor and electronic endoscope system |
| CN106709917A (en) * | 2017-01-03 | 2017-05-24 | 青岛海信医疗设备股份有限公司 | Neural network model training method, device and system |
| CN208081194U (en) * | 2017-11-15 | 2018-11-13 | 贵州医科大学附属医院 | A kind of portable ear nose larynx inspection mirror |
| CN109106324A (en) * | 2018-08-06 | 2019-01-01 | 深圳迈瑞生物医疗电子股份有限公司 | A kind of endoscope and optical transmission method |
| CN109497918A (en) * | 2018-12-14 | 2019-03-22 | 深圳市博盛医疗科技有限公司 | A kind of transmission of fujinon electronic video endoscope high-speed video and isolating device |
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|---|---|
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