CN110288693A - A kind of intelligent microtubular Shaping System of intracranial aneurysm intervention operation - Google Patents
A kind of intelligent microtubular Shaping System of intracranial aneurysm intervention operation Download PDFInfo
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Abstract
The present invention discloses a kind of intelligent microtubular Shaping System of intracranial aneurysm intervention operation, is related to microtubular shaping technology field.The microtubular Shaping System includes image/data acquisition module, intelligent processing module, digitization modeling module, input module, display module and the detachable steam heat-shaping device of 3D printing shaping die generation module, circumscribed;Aneurysm image and relevant parameter are obtained using image/data acquisition module, the reconstruction of blood vessel three-dimensional model is carried out by digitization modeling module, it calculated by intelligent processing module, divide aneurysm morphology and mark, optimal microtubular path is calculated simultaneously and passes through the detachable steam heat-shaping device moulding of circumscribed after printing microtubular path form by 3D printing module equal proportion, and then is applied to clinical treatment;The optimal microtubular path of energy auxiliary programming of the present invention and microtubular form, improve intervention stability and success rate, while reducing the radiation exposure time, are suitble to promote and apply.
Description
Technical field
The present invention relates to microtubular shaping technology field, it is specifically related to that a kind of intracranial aneurysm intervention operation intelligence is micro- to be led
Pipe Shaping System.
Background technique
Intracranial aneurysm is gradually expanded under the effect of the factors such as haemodynamics load by local vascular change in wall or damage
, cause a kind of cranial vascular disease of cerebrovascular part tumor sample protrusion, disease incidence 3.6%-6.0%, rupture rate 1.0%-
2.0%, overall mortality rate is 45.0% or so, is the primary cause of disease [1] for causing subarachnoid hemorrhage (SAH).Currently, clinical
Mostly use two methods of operation of opening cranium and intravascular Interventional Treatment to treat intracranial aneurysm, but the former due to operation wound it is big, hand
Art related complication is more, using limited,;The latter then uses minimally invasive method, and treatment is safer and effective, and when operation
Machine is hardly influenced by angiospastic, and the patient poor to aged, weak, clinical condition is even more to have certain advantage.Including
The perspective Randomized controlled clinical study of multinomial multicenter, international including ISAT confirms that the intravascular intervention of intracranial aneurysm is controlled
Treating no longer is out that cranium presss from both sides the candidate means closed, and becomes preferred treatment method.
But intravascular intervention operation in art microtubular precisely require in place it is high,.The ideal microtubular of moulding is not only
It can smoothly easily get into aneurysm cavity, and when clogging aneurysm, microtubular can obtaining side wall against parent artery
Necessary tension is obtained to keep the stability of microtubular head end;However, in art operator experience difference, individual patient blood vessel
Anatomic differences of development etc. can lead to final steps microtubular in Embolization of the intracranial aneurysm, and difficult or microtubular is unstable in place,
Cause embolic processes difficult, postoperative complication obviously increases, and is based on this, and how more accurately to make microtubular in place is to determine artery
Tumor Embolization is successfully crucial.
Summary of the invention
In view of the above-mentioned problems existing in the prior art, performing the operation the present invention provides a kind of intervention of intracranial aneurysm, intelligence is micro- to be led
Pipe Shaping System, the optimal microtubular path of energy auxiliary programming and microtubular head end form, keep microtubular moulding simpler and smart
Standard improves interventional therapy stability and success rate, while reducing the radiation exposure time in art, is suitble to promote and apply.
To realize above-mentioned technical purpose and the technique effect, the present invention is achieved through the following technical solutions:
A kind of intelligent microtubular Shaping System of intracranial aneurysm intervention operation, including at image/data acquisition module, intelligence
It is detachable to manage module, digitization modeling module, input module, display module and 3D printing shaping die generation module, circumscribed
Steam heat-shaping device;
Described image/data acquisition module utilizes DSA DSA for Whole Brain acquisition image and parameter information
It is input to digitization modeling module, equal proportion establishes the corresponding three-dimensional blood vessel model of lesions position in target blood, three-dimensional mould
Layout pitch uniform tag line in space in type is divided into 1mm between adjacent tag line;
The intelligent processing module intelligence computation aneurysm morphology, height, width, body neck ratio (aspect ratio, AR),
Angle, parent artery diameter, the parent artery of size ratio (size ratio, SR), the aneurysm knurl longitudinal axis and parent artery are curved
The parameters such as song trend, and it is intelligentized by it by different colours mark in three-dimensional blood vessel model, while intelligentized calculating
Microtubular path is generated, determines microtubular moulding angle and length;
The 3D printing shaping die generation module calculates the best microtubular path model derived out according to artificial intelligence,
Equal proportion prints the microtubular shaping die of best moulding angle and length.
The detachable steam heat-shaping device of circumscribed is according to 3D printing microtubular shaping die, by microtubular head end
It is placed in mold, after powering on vapor heated at constant temperature 30 seconds, taking-up, which is put into cold water, to be cooled down rapidly, completes microtubular head end
Moulding.
Described image/data acquisition module obtains figure using Digital Subtraction angiocardiography, CT angiography or MRI
Picture and parameter information are input to digitization modeling module equal proportion and establish three-dimensional blood vessel model, in threedimensional model, between spatial distribution
1mm is divided between uniform tag line, adjacent tag line;
The intelligent processing module intelligence computation aneurysm morphology and parameter, and it is intelligentized by its pass through different colours mark
Know in three-dimensional blood vessel model, while intelligentized calculate generates microtubular path;
For the 3D printing module according to microtubular path model, equal proportion prints microtubular path form.
Further, the main body of the detachable steam heat-shaping device of the circumscribed is the box with several conducting stomatas
Body, tray interior are cavity interlayer, open cavity interlayer by separating or opening and closing up and down.
Further, the intelligent processing module intelligence computation aneurysm morphology and parameter, specially in the three-dimensional model,
Divide hemangioma by evenly spaced tag line, and then calculates the volume and related ginseng of actual artery tumor by shared volume
Number, while hemangioma is identified after hemangioma model and three-dimensional blood vessel model are split;
The aneurysmal form and parameter measure three-dimensional blood vessel model by intelligent processing module, calculate
It arrives;
Specific calculation is as follows:
In 3 d data field, it is assumed that of a sort substance has same or similar scalar value, different types of object
Matter has different scalar values, and therefore, in the boundary of two kinds of variety classes substances, scalar value can occur significantly to change, this
The severe degree of one variation can be identified with gradient, and the calculation formula of gradient is as follows:
WhereinIndicate vector modulus, gradient value is bigger, illustrates that the decomposition of two kinds of substances is more obvious;
Contour surface is often the interface with two kinds of substances of different densities, the ladder of point along a tangential direction on contour surface
Spending component is 0, so that the direction of gradient vector just represents the normal direction of the point, it may be assumed that
The normal vector g on volume elements vertex can be indicated by gradient value are as follows:
Wherein, (a, b, c) is the size of cube, and the normal direction magnitude of tri patch apex can then pass through volume elements vertex
Normal vector linear difference obtain;
When the scanning obtains image parameter, two layers adjacent of faultage image is scanned first, constructs this two layers of slice
Between cube volume elements, then classify to the vertex of each cube, the index for changing cube constructed by vertex state
Subscript;Further according to index subscript from the distribution pattern for finding contour surface in cube in state table, with the method meter of linear interpolation
Calculate the vertex position and gradient value of tri patch;Triangular facet is finally connected to each other to body surface to be calculated with lighting simulation
Intensity of illumination on contour surface.
Further, the Intelligent Calculation generate microtubular path the following steps are included:
Step 1, according to the three-dimensional blood vessel model of generation, the parameter of each blood vessel in hemangioma periphery is calculated, is microtubular
Path provides basic data;
Step 2, according to the related request of interventional therapy and principle, intelligence, which filters out, is suitable for microtubular path, head end
Positioned at tumor chamber center;
Step 3, by the microtubular path filtered out in three-dimensional blood vessel model with different color identifiers;
Step 4, the microtubular path for modifying mark is modified the micro- of mark and is led according to blood vessel and the relevant parameter of microtubular
Canal path;
Specific calculation method is as follows:
The threedimensional model calculation method on blood vessel and hemangioma periphery is referring to above-mentioned calculation method;
The screening technique in microtubular intervention path are as follows:
The vessel information for connecting or communicating with hemangioma is obtained in the three-dimensional model, is marked respectively by different colours
Know, identifies relevant parameter in identification procedure;
Shortest path is searched, vascular pattern lumen skeleton data point set Q in the image space obtained based on generalized potential method,
Expression-form is as follows:
Q={ Qk|Qk=(xk, yk, zk)T, Qk∈Q}
In order to be transformed into the data point set of image space with reference to basis coordinates space, need by coordinate transform, such as following formula
It is shown:
In formula:Indicate the data point with reference to basis coordinates space medium vessels model skeleton;
QKIt indicates to think vascular pattern skeleton data point in image space;
Ts 0It indicates by electromagnetic sensor space to the transformation matrix of coordinates for referring to basis coordinates space;
Indicate the registration matrix by image space to electromagnetic sensor space;
The practical vascular pattern guidance path point set obtained through above formula is a series of discrete point in space, no sequence,
Consecutive points connect the center line that can get entire vascular pattern lumen with straight line, and guidance path generates according to the following steps:
According to the actual conditions of operation, the position of starting point and target point is manually selected, i.e., is observed according to operator
By virtue of experience disjunctive programming behind hemangioma region;
According to acquired starting point and aiming spot, generated in the way of Shortest Path Searching for planning navigation
The point set in path;
Method for searching shortest route are as follows: first using starting point as source point, establish source distance field, as source point on centerline
Assignment, assignment mode are carried out with the distance between the point on middle line are as follows: the distance value of starting point is assigned to 1, search later and starting
Point is assigned to 1 apart from nearest point and by its distance value, the point of the assignment not repeated assignment of values in search process, and record them it
Between order, then the point arrived using new search repeats the above process as starting point, it is known that detects target point and to target point assignment
1, assignment terminates;Then it concentrates in the point that above-mentioned distance value is 1, using target point as starting point, repeats from starting point to target point
Search process, it is known that when detecting starting point, terminate search, arrival is only used for production between starting point to target point and leads
The point set of bit path is alternative;
The point set for generating guidance path is obtained based on above-mentioned search, by the given interpolated fitting ingredient of data point
The cubic polynomial of section, then obtains the cubic spline curve by each data point;
By the subsection cubic spline at the control point that sets up an office, and specified interpolation point is needed during interpolation calculation
The slope value of tangent line, an interpolation point can be calculated by the coordinate of two neighbor interpolation points;
For arbitrary n+1 data point, it is shown below with reference to the expression-form in basis coordinates space:
The table of the vector function Q (u) of the curved path obtained using these data points in spline curve interpolation fitting formula
It is as follows up to formula:
Q (u)=x (u) i+y (u) j+z (u) k
Q (u) indicates the spline curve vector function obtained by interpolation fitting in formula, wherein x (u), y (u) and z (u) points
Not Wei Q (u) in the component function of 3 reference axis in basis coordinates space, their expression formula is as follows:
In formula, there are 4 undetermined parameter vectors
H=(hx, hy, hz)T, h=(bx, by, bz)T, h=(cx, cy, cz)TWith d=(dx, dy, dz)T, for each component
Function has 4 special parameters, their forms having the same, therefore can only study any of them one-component function;
In Interpolation Process, one section of spline curve is generated between every two consecutive points, therefore, has n item bent n+1 data point
Line segment, and shared 4n multinomial coefficient it needs to be determined that;There are four total for the data point between two endpoints of given point set
Boundary condition: the respectively first derivative of the position of one section of spline curve, two endpoints and two endpoint locations, it is multinomial by 4n
4n-4 equation of formula coefficient composition is for internal control point, and each point is both the terminal of leading portion and the starting point of linkage section, tiltedly
Rate also has same property;Provide the condition of interpolation starting point and ending point, it is also necessary to two boundary conditions, it could be uniquely true
Determine 4n undetermined parameter:
Increase by two " implicit " data points, be located at the both ends of sequence of data points, is i.e. increase data pointWith
All data points all become internal point, and are provided with 4n required boundary condition;
Control point Q-1And Qn+1Acquisition pattern it is as follows:
How 4n undetermined parameter required for its curve vector function is obtained for arbitrary n+1 control point, is passed through
Spline curve constructs conduit smooth paths curve;
Four consecutive numbers strong points are used for any one section of spline curveWithIt determines;
If vector function Q (u) is any two data pointWithBetween functional expression multinomial three times, then fromIt arrivesBetween for establish spline curve section four control points boundary condition such as following formula:
T is tensor parameter in formula, takes t=0 herein;
Using the vector function of the available any one section of spline curve of above formula, it is shown below:
Mc identity matrix in formula, u indicate the parameter of curve vector function:
In formula
Cubic polynomial about parameter u is as follows:
Q (u)=hu3+b·u2+ cu+d, 0≤u≤1
The curved path of available optimal blood vessel is fitted based on Shortest Path Searching and spline curve interpolation.
Further, described image/data acquisition module further includes image processing module.
Beneficial effects of the present invention: the intelligent microtubular Shaping System of aneurysm intervention operation of the invention utilizes image/number
Aneurysm image and relevant parameter are obtained according to module is obtained, the reconstruction of blood vessel three-dimensional model is carried out by digitization modeling module,
Calculated by intelligent processing module, segmentation and marks aneurysm morphology, while calculating optimal microtubular path and by 3D printing mould
Block equal proportion prints and carries out moulding to microtubular according to microtubular path form after the form of microtubular path, and then is applied to face
Bed treatment;The optimal microtubular path of energy auxiliary programming of the present invention and microtubular form, improve intervention stability and success rate, simultaneously
The radiation exposure time is reduced, is suitble to promote and apply.
Certainly, it implements any of the products of the present invention and does not necessarily require achieving all the advantages described above at the same time.
Detailed description of the invention
In order to illustrate the technical solution of the embodiments of the present invention more clearly, will be described below to embodiment required
Attached drawing is briefly described, it should be apparent that, drawings in the following description are only some embodiments of the invention, for ability
For the those of ordinary skill of domain, without creative efforts, it can also be obtained according to these attached drawings other attached
Figure.
Fig. 1 is the structural block diagram of the intelligent microtubular Shaping System of the intervention operation of aneurysm described in the embodiment of the present invention;
The structural schematic diagram of the detachable steam heat-shaping device of circumscribed described in the embodiment of the present invention of the position Fig. 2;
Each label in attached drawing are as follows: 1- box body, 2- venthole, 3- cavity interlayer.
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 all other
Embodiment shall fall within the protection scope of the present invention.
As shown in Figure 1
A kind of intelligent microtubular Shaping System of intracranial aneurysm intervention operation, including at image/data acquisition module, intelligence
It is detachable to manage module, digitization modeling module, input module, display module and 3D printing shaping die generation module, circumscribed
Steam heat-shaping device;
Described image/data acquisition module utilizes DSA DSA for Whole Brain acquisition image and parameter information
It is input to digitization modeling module, equal proportion establishes the corresponding three-dimensional blood vessel model of lesions position in target blood, three-dimensional mould
Layout pitch uniform tag line in space in type is divided into 1mm between adjacent tag line;
The intelligent processing module intelligence computation aneurysm morphology, height, width, body neck ratio (aspect ratio, AR),
Angle, parent artery diameter, the parent artery of size ratio (size ratio, SR), the aneurysm knurl longitudinal axis and parent artery are curved
The parameters such as song trend, and it is intelligentized by it by different colours mark in three-dimensional blood vessel model, while intelligentized calculating
Microtubular path is generated, determines microtubular moulding angle and length;
The 3D printing shaping die generation module calculates the best microtubular path model derived out according to artificial intelligence,
Equal proportion prints the microtubular shaping die of best moulding angle and length.
The detachable steam heat-shaping device of circumscribed is according to 3D printing microtubular shaping die, by microtubular head end
It is placed in mold, after powering on vapor heated at constant temperature 30 seconds, taking-up, which is put into cold water, to be cooled down rapidly, completes microtubular head end
Moulding.
Described image/data acquisition module obtains figure using Digital Subtraction angiocardiography, CT angiography or MRI
Picture and parameter information are input to digitization modeling module equal proportion and establish three-dimensional blood vessel model, in threedimensional model, between spatial distribution
1mm is divided between uniform tag line, adjacent tag line;
The intelligent processing module intelligence computation aneurysm morphology and parameter, and it is intelligentized by its pass through different colours mark
Know in three-dimensional blood vessel model, while intelligentized calculate generates microtubular path;
For the 3D printing module according to microtubular path model, equal proportion prints microtubular path form.
Further, the main body of the detachable steam heat-shaping device of the circumscribed is the box with several conducting stomatas
Body, tray interior are cavity interlayer, cavity interlayer are opened by separating or opening and closing up and down, according to 3D printing microtubular moulding mould
Tool opens box body, and the cavity interlayer that microtubular head end is placed in mold is taken after powering on vapor heated at constant temperature 30 seconds
It is put into cold water and cools down rapidly out, complete the moulding of microtubular head end.
Further, the intelligent processing module intelligence computation aneurysm morphology and parameter, specially in the three-dimensional model,
Divide hemangioma by evenly spaced tag line, and then calculates the volume and related ginseng of actual artery tumor by shared volume
Number, while hemangioma is identified after hemangioma model and three-dimensional blood vessel model are split;
The aneurysmal form and parameter measure three-dimensional blood vessel model by intelligent processing module, calculate
It arrives;
Specific calculation is as follows:
In 3 d data field, it is assumed that of a sort substance has same or similar scalar value, different types of object
Matter has different scalar values, and therefore, in the boundary of two kinds of variety classes substances, scalar value can occur significantly to change, this
The severe degree of one variation can be identified with gradient, and the calculation formula of gradient is as follows:
WhereinIndicate vector modulus, gradient value is bigger, illustrates that the decomposition of two kinds of substances is more obvious;
Contour surface is often the interface with two kinds of substances of different densities, the ladder of point along a tangential direction on contour surface
Spending component is 0, so that the direction of gradient vector just represents the normal direction of the point, it may be assumed that
The normal vector g on volume elements vertex can be indicated by gradient value are as follows:
Wherein, (a, b, c) is the size of cube, and the normal direction magnitude of tri patch apex can then pass through volume elements vertex
Normal vector linear difference obtain;
When the scanning obtains image parameter, two layers adjacent of faultage image is scanned first, constructs this two layers of slice
Between cube volume elements, then classify to the vertex of each cube, the index for changing cube constructed by vertex state
Subscript;Further according to index subscript from the distribution pattern for finding contour surface in cube in state table, with the method meter of linear interpolation
Calculate the vertex position and gradient value of tri patch;Triangular facet is finally connected to each other to body surface to be calculated with lighting simulation
Intensity of illumination on contour surface.
Further, the Intelligent Calculation generate microtubular path the following steps are included:
Step 1, according to the three-dimensional blood vessel model of generation, the parameter of each blood vessel in hemangioma periphery is calculated, is microtubular
Path provides basic data;
Step 2, according to the related request of interventional therapy and principle, intelligence, which filters out, is suitable for microtubular path, head end
Positioned at tumor chamber center;
Step 3, by the microtubular path filtered out in three-dimensional blood vessel model with different color identifiers;
Step 4, the microtubular path for modifying mark is modified the micro- of mark and is led according to blood vessel and the relevant parameter of microtubular
Canal path;
Specific calculation method is as follows:
The threedimensional model calculation method on blood vessel and hemangioma periphery is referring to above-mentioned calculation method;
The screening technique in microtubular intervention path are as follows:
The vessel information for connecting or communicating with hemangioma is obtained in the three-dimensional model, is marked respectively by different colours
Know, identifies relevant parameter in identification procedure;
Shortest path is searched, vascular pattern lumen skeleton data point set Q in the image space obtained based on generalized potential method,
Expression-form is as follows:
Q={ Qk|Qk=(xk, yk, zk)T, Qk∈Q}
In order to be transformed into the data point set of image space with reference to basis coordinates space, need by coordinate transform, such as following formula
It is shown:
In formula:Indicate the data point with reference to basis coordinates space medium vessels model skeleton;
QKIt indicates to think vascular pattern skeleton data point in image space;
Ts 0It indicates by electromagnetic sensor space to the transformation matrix of coordinates for referring to basis coordinates space;
Indicate the registration matrix by image space to electromagnetic sensor space;
The practical vascular pattern guidance path point set obtained through above formula is a series of discrete point in space, no sequence,
Consecutive points connect the center line that can get entire vascular pattern lumen with straight line, and guidance path generates according to the following steps:
According to the actual conditions of operation, the position of starting point and target point is manually selected, i.e., is observed according to operator
By virtue of experience disjunctive programming behind hemangioma region;
According to acquired starting point and aiming spot, generated in the way of Shortest Path Searching for planning navigation
The point set in path;
Method for searching shortest route are as follows: first using starting point as source point, establish source distance field, as source point on centerline
Assignment, assignment mode are carried out with the distance between the point on middle line are as follows: the distance value of starting point is assigned to 1, search later and starting
Point is assigned to 1 apart from nearest point and by its distance value, the point of the assignment not repeated assignment of values in search process, and record them it
Between order, then the point arrived using new search repeats the above process as starting point, it is known that detects target point and to target point assignment
1, assignment terminates;Then it concentrates in the point that above-mentioned distance value is 1, using target point as starting point, repeats from starting point to target point
Search process, it is known that when detecting starting point, terminate search, arrival is only used for production between starting point to target point and leads
The point set of bit path is alternative;
The point set for generating guidance path is obtained based on above-mentioned search, by the given interpolated fitting ingredient of data point
The cubic polynomial of section, then obtains the cubic spline curve by each data point;
By the subsection cubic spline at the control point that sets up an office, and specified interpolation point is needed during interpolation calculation
The slope value of tangent line, an interpolation point can be calculated by the coordinate of two neighbor interpolation points;
For arbitrary n+1 data point, it is shown below with reference to the expression-form in basis coordinates space:
The table of the vector function Q (u) of the curved path obtained using these data points in spline curve interpolation fitting formula
It is as follows up to formula:
Q (u)=x (u) i+y (u) j+z (u) k
Q (u) indicates the spline curve vector function obtained by interpolation fitting in formula, wherein x (u), y (u) and z (u) points
Not Wei Q (u) in the component function of 3 reference axis in basis coordinates space, their expression formula is as follows:
In formula, there are 4 undetermined parameter vectors
H=(hx, hy, hz)T, h=(bx, by, bz)T, h=(cx, cy, cz)TWith d=(dx, dy, dz)T, for each component
Function has 4 special parameters, their forms having the same, therefore can only study any of them one-component function;
In Interpolation Process, one section of spline curve is generated between every two consecutive points, therefore, has n item bent n+1 data point
Line segment, and shared 4n multinomial coefficient it needs to be determined that;There are four total for the data point between two endpoints of given point set
Boundary condition: the respectively first derivative of the position of one section of spline curve, two endpoints and two endpoint locations, it is multinomial by 4n
4n-4 equation of formula coefficient composition is for internal control point, and each point is both the terminal of leading portion and the starting point of linkage section, tiltedly
Rate also has same property;Provide the condition of interpolation starting point and ending point, it is also necessary to two boundary conditions, it could be uniquely true
Determine 4n undetermined parameter:
Increase by two " implicit " data points, be located at the both ends of sequence of data points, is i.e. increase data pointWith
All data points all become internal point, and are provided with 4n required boundary condition;
Control point Q-1And Qn+1Acquisition pattern it is as follows:
How 4n undetermined parameter required for its curve vector function is obtained for arbitrary n+1 control point, is passed through
Spline curve constructs conduit smooth paths curve;
Four consecutive numbers strong points are used for any one section of spline curveWithIt determines;
If vector function Q (u) is any two data pointWithBetween functional expression multinomial three times, then fromIt arrivesBetween for establish spline curve section four control points boundary condition such as following formula:
T is tensor parameter in formula, takes t=0 herein;
Using the vector function of the available any one section of spline curve of above formula, it is shown below:
Mc identity matrix in formula, u indicate the parameter of curve vector function:
In formula
Cubic polynomial about parameter u is as follows:
Q (u)=hu3+b·u2+ cu+d, 0≤u≤1
The curved path of available optimal blood vessel is fitted based on Shortest Path Searching and spline curve interpolation.
Further, described image/data acquisition module further includes image processing module.
The intelligent microtubular Shaping System of aneurysm intervention operation of the invention, is obtained dynamic using image/data acquisition module
Arteries and veins tumor image and relevant parameter carry out the reconstruction of blood vessel three-dimensional model by digitization modeling module, by intelligent processing module meter
It calculates, divide aneurysm morphology and mark, while calculating optimal microtubular path and being printed by 3D printing module equal proportion micro-
Moulding is carried out to microtubular according to microtubular path form after catheter path form, and then is applied to clinical treatment;Energy of the present invention
The optimal microtubular path of auxiliary programming and microtubular form improve intervention stability and success rate, while when reducing radiation exposure
Between, it is suitble to promote and apply.
In the description of this specification, the description of reference term " one embodiment ", " example ", " specific example " etc. means
Particular features, structures, materials, or characteristics described in conjunction with this embodiment or example are contained at least one implementation of the invention
In example or example.In the present specification, schematic expression of the above terms may not refer to the same embodiment or example.
Moreover, particular features, structures, materials, or characteristics described can be in any one or more of the embodiments or examples to close
Suitable mode combines.
Present invention disclosed above preferred embodiment is only intended to help to illustrate the present invention.There is no detailed for preferred embodiment
All details are described, are not limited the invention to the specific embodiments described.Obviously, according to the content of this specification,
It can make many modifications and variations.These embodiments are chosen and specifically described to this specification, is in order to better explain the present invention
Principle and practical application, so that skilled artisan be enable to better understand and utilize the present invention.The present invention is only
It is limited by claims and its full scope and equivalent.
Claims (5)
- The intelligent microtubular Shaping System 1. a kind of intracranial aneurysm intervention is performed the operation, it is characterised in that: including image/data acquisition mould It is block, intelligent processing module, digitization modeling module, input module, display module and 3D printing shaping die generation module, outer Connect the detachable steam heat-shaping device of formula;Described image/data acquisition module is inputted using DSA DSA for Whole Brain acquisition image and parameter information To digitization modeling module, equal proportion establishes the corresponding three-dimensional blood vessel model of lesions position in target blood, in threedimensional model The evenly spaced tag line of spatial distribution is divided into 1mm between adjacent tag line;The intelligent processing module intelligence computation aneurysm morphology, height, width, body neck ratio (aspectratio, AR), size Than (sizeratio, SR), the angle of the aneurysm knurl longitudinal axis and parent artery, parent artery diameter, parent artery curved course Etc. parameters, and it is intelligentized it is identified by different colours in three-dimensional blood vessel model, while it is intelligentized calculate generate it is micro- Catheter path determines microtubular moulding angle and length;The 3D printing shaping die generation module calculates the best microtubular path model derived out according to artificial intelligence, waits ratios Example prints the microtubular shaping die of best moulding angle and length;Microtubular head end is placed in by the detachable steam heat-shaping device of circumscribed according to 3D printing microtubular shaping die In mold, after powering on vapor heated at constant temperature 30 seconds, taking-up, which is put into cold water, to be cooled down rapidly, completes the modeling of microtubular head end Shape;Described image/data acquisition module using Digital Subtraction angiocardiography, CT angiography or MRI obtain image and Parameter information is input to digitization modeling module equal proportion and establishes three-dimensional blood vessel model, and in threedimensional model, spatial distribution interval is equal Even tag line is divided into 1mm between adjacent tag line;The intelligent processing module intelligence computation aneurysm morphology and parameter, and it is intelligentized by its by different colours mark exist Three-dimensional blood vessel model, while intelligentized calculate generates microtubular path;For the 3D printing module according to microtubular path model, equal proportion prints microtubular path form.
- The intelligent microtubular Shaping System 2. a kind of intracranial aneurysm intervention as described in claim 1 is performed the operation, it is characterised in that: institute The main body for stating the detachable steam heat-shaping device of circumscribed is the box body with several conducting stomatas, and tray interior is cavity folder Layer opens cavity interlayer by separating or opening and closing up and down.
- The intelligent microtubular Shaping System 3. a kind of intracranial aneurysm intervention as described in claim 1 is performed the operation, it is characterised in that: institute Intelligent processing module intelligence computation aneurysm morphology and parameter are stated, specially in the three-dimensional model, passes through evenly spaced mark Line divides hemangioma, and then calculates by shared volume the volume and relevant parameter of actual artery tumor, while by hemangioma mould Type and three-dimensional blood vessel model identify hemangioma after being split;The aneurysmal form and parameter measure three-dimensional blood vessel model by intelligent processing module, are calculated;Specific calculation is as follows:In 3 d data field, it is assumed that of a sort substance has same or similar scalar value, different types of substance tool There is different scalar values, therefore, in the boundary of two kinds of variety classes substances, scalar value can occur significantly to change, this change The severe degree of change can be identified with gradient, and the calculation formula of gradient is as follows:Wherein | | ▽ f | | indicate vector modulus, gradient value is bigger, illustrates that the decomposition of two kinds of substances is more obvious;Contour surface is often the interface with two kinds of substances of different densities, the gradient minute of point along a tangential direction on contour surface Amount is 0, so that the direction of gradient vector just represents the normal direction of the point, it may be assumed thatG (x, y, z)=▽ f (x, y, z)The normal vector g on volume elements vertex can be indicated by gradient value are as follows:Wherein, (a, b, c) is the size of cube, and the normal direction magnitude of tri patch apex can then pass through the method on volume elements vertex SYSTEM OF LINEAR VECTOR difference obtains;When the scanning obtains image parameter, two layers adjacent of faultage image is scanned first, is constructed between this two layers slice Then cube volume elements classifies to the vertex of each cube, the index subscript for changing cube is constructed by vertex state; Further according to index subscript from the distribution pattern for finding contour surface in cube in state table, three are calculated with the method for linear interpolation The vertex position and gradient value of edged surface piece;Triangular facet is finally connected to each other to body surface and calculates contour surface with lighting simulation On intensity of illumination.
- The intelligent microtubular Shaping System 4. a kind of intracranial aneurysm intervention as described in claim 1 is performed the operation, it is characterised in that: institute State Intelligent Calculation generate microtubular path the following steps are included:Step 1, according to the three-dimensional blood vessel model of generation, the parameter of each blood vessel in hemangioma periphery is calculated, is microtubular path Basic data is provided;Step 2, according to the related request of interventional therapy and principle, intelligence, which filters out, is suitable for microtubular path, and head end is located at Tumor chamber center;Step 3, by the microtubular path filtered out in three-dimensional blood vessel model with different color identifiers;Step 4, the microtubular road of mark is modified according to blood vessel and the relevant parameter of microtubular in the microtubular path for modifying mark Diameter;Specific calculation method is as follows:The threedimensional model calculation method on blood vessel and hemangioma periphery is referring to above-mentioned calculation method;The screening technique in microtubular intervention path are as follows:The vessel information for connecting or communicating with hemangioma is obtained in the three-dimensional model, is identified respectively by different colours, is marked Relevant parameter is identified during knowing;Search shortest path, vascular pattern lumen skeleton data point set Q in the image space obtained based on generalized potential method, expression Form is as follows:Q={ Qk|Qk=(xk, yk, zk)T, Qk∈Q}In order to be transformed into the data point set of image space with reference to basis coordinates space, need to be shown below by coordinate transform:In formula:Indicate the data point with reference to basis coordinates space medium vessels model skeleton;QKIt indicates to think vascular pattern skeleton data point in image space;It indicates by electromagnetic sensor space to the transformation matrix of coordinates for referring to basis coordinates space;Indicate the registration matrix by image space to electromagnetic sensor space;The practical vascular pattern guidance path point set obtained through above formula is a series of discrete point in space, without sequence, adjacent Point connects the center line that can get entire vascular pattern lumen with straight line, and guidance path generates according to the following steps:According to the actual conditions of operation, the position of starting point and target point is manually selected, i.e., blood vessel is observed according to operator By virtue of experience disjunctive programming behind tumor region;According to acquired starting point and aiming spot, generate in the way of Shortest Path Searching for planning guidance path Point set;Method for searching shortest route are as follows: first using starting point as source point, establish source distance field on centerline, as source point is in The distance between point on line carry out assignment, assignment mode are as follows: the distance value of starting point is assigned to 1, later search and starting point away from From nearest point and its distance value is assigned to 1, the point of the assignment not repeated assignment of values in search process, and record between them Order, then the point arrived using new search are repeated the above process as starting point, it is known that detect target point and to target point assignment 1, tax Value terminates;Then it is concentrated in the point that above-mentioned distance value is 1, using target point as starting point, repeats the search from starting point to target point Process, it is known that when detecting starting point, terminate search, arrival is only used for production navigation road between starting point to target point The point set of diameter is alternative;The point set for generating guidance path has been obtained based on above-mentioned search, has been fitted to segmentation for given data point is interpolated Cubic polynomial then obtains the cubic spline curve by each data point;By the subsection cubic spline at the control point that sets up an office, and cutting for specified interpolation point is needed during interpolation calculation The slope value of line, an interpolation point can be calculated by the coordinate of two neighbor interpolation points;For arbitrary n+1 data point, it is shown below with reference to the expression-form in basis coordinates space:The expression formula of the vector function Q (u) of the curved path obtained using these data points in spline curve interpolation fitting formula It is as follows:Q (u)=x (u) i+y (u) j+z (u) kQ (u) indicates the spline curve vector function obtained by interpolation fitting in formula, and wherein x (u), y (u) and z (u) are respectively Q (u) in the component function of 3 reference axis in basis coordinates space, their expression formula is as follows:In formula, there are 4 undetermined parameter vectorsH=(hx, hy, hz)T, h=(bx, by, bz)T, h=(cx, cy, cz)TWith d=(dx, dy, dz)T, all for each component function There are 4 special parameters, their forms having the same, therefore can only study any of them one-component function;Therefore generating one section of spline curve in Interpolation Process, between every two consecutive points has n curve for n+1 data point Section, and shared 4n multinomial coefficient it needs to be determined that;There are four sides altogether for the data point between two endpoints for giving point set Boundary's condition: being respectively the position and the first derivative of two endpoint locations of one section of spline curve, two endpoints, by 4n multinomial For 4n-4 equation of coefficient composition for internal control point, each point is both the terminal of leading portion and the starting point of linkage section, slope Also there is same property;Provide the condition of interpolation starting point and ending point, it is also necessary to which two boundary conditions can just uniquely determine 4n undetermined parameter:Increase by two " implicit " data points, be located at the both ends of sequence of data points, is i.e. increase data pointWithAll numbers Strong point all becomes internal point, and is provided with 4n required boundary condition;Control point Q-1And Qn+1Acquisition pattern it is as follows:How 4n undetermined parameter required for its curve vector function is obtained for arbitrary n+1 control point, passes through batten Curve constructs conduit smooth paths curve;Four consecutive numbers strong points are used for any one section of spline curveWithIt determines;If vector function Q (u) is any two data pointWithBetween functional expression multinomial three times, then fromIt arrivesIt Between for establish spline curve section four control points boundary condition such as following formula:T is tensor parameter in formula, takes t=0 herein;Using the vector function of the available any one section of spline curve of above formula, it is shown below:Mc identity matrix in formula, u indicate the parameter of curve vector function:In formulaCubic polynomial about parameter u is as follows:Q (u)=hu3+b·u2+ cu+d, 0≤u≤1The curved path of available optimal blood vessel is fitted based on Shortest Path Searching and spline curve interpolation.
- The intelligent microtubular Shaping System 5. a kind of intracranial aneurysm intervention as described in claim 1 is performed the operation, it is characterised in that: institute Stating image/data acquisition module further includes image processing module.
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