CN110292420A - A kind of seeds implanted system and operating method - Google Patents
A kind of seeds implanted system and operating method Download PDFInfo
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- CN110292420A CN110292420A CN201910559696.4A CN201910559696A CN110292420A CN 110292420 A CN110292420 A CN 110292420A CN 201910559696 A CN201910559696 A CN 201910559696A CN 110292420 A CN110292420 A CN 110292420A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N5/00—Radiation therapy
- A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
- A61N5/1001—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy using radiation sources introduced into or applied onto the body; brachytherapy
- A61N5/1007—Arrangements or means for the introduction of sources into the body
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Abstract
The present invention relates to medical seeds implanted technical fields, disclose a kind of seeds implanted system, including CT imaging device, data processing system, resistance sensor and laser orientation system, CT imaging device, resistance sensor and laser orientation system are connected with data processing system；The invention also discloses a kind of operating methods of seeds implanted system.Present invention reduces operation durations, improve therapeutic effect, the dynamic changing data of needle angle in implant needle insertion process is obtained by the offset activity condition of simulation lesions position and lesions position linked groups, the variation of implant needle implant angle is estimated in surgical procedure in real time, reduce influence of lesions position and linked groups occur due to being squeezed in puncture process the direction offset to the accuracy of seeds implanted, reduce CT access times, pass through laser guidance surgical, simplify surgical procedure process, improve puncture accuracy, reduce repeated puncture rate.
Description
Technical field
The present invention relates to medical seeds implanted technical fields, and in particular to a kind of seeds implanted system and operating method.
Background technique
Currently, 70%~80% tumor patient already belongs to middle and advanced stage when making a definite diagnosis, traditional tumor therapeuticing method, such as
Radiotherapy, chemotherapy by factors such as dosage because being limited, it is more difficult to be killed tumour cell completely, therapeutic effect is undesirable.Carcinoma intervention
Treatment has many advantages, such as that minimally invasive, expense is low, safety, good effect, especially to those inoperable tumor patients, carcinoma intervention
Treatment increasingly shows its status in oncotherapy.
Percutaneous puncture is a kind of operation method being commonly used in tumor intervention therapeutic, is infused by puncture needle into tumour
Drug or implantation radiation particle or implantation magnetic thermal seed are penetrated to achieve the purpose that kill tumour cell, is accurately located in puncture
Conclusive effect is played to puncture success rate.Past doctor generally finds point of puncture by rule of thumb, and puncture needle is directly inserted into disease
At stove, operation punctures inaccuracy in this way, it usually needs repeatedly can just find diseased region accurately, it is easy to inserting needle deviation occurs, repeat
The fault such as puncture, and then lead to occur implantation deviation, implantation in the implantation process of radioactive particle or magnetic thermal seed unevenly
And the problem of influencing therapeutic effect.
With the continuous development of Medical Imaging Technology, the image documentation equipments such as CT can be first passed through at present and guides determining point of puncture, wear
Depth and puncture angle are pierced, then puncture needle is held by its experience by doctor and carries out tumor puncture, although this method can be very big
The accuracy and safety punctured is improved, but since conventional CT scan equipment is not guiding in real time, it can be by doctor's puncture process
In subjectivity operation and puncture process lesions position and linked groups occur that direction offset causes due to being squeezed cannot essence
Determine position and need to be repeated CT scan or even puncture repeatedly, reduced so as to cause operation accuracy, operating time extend and
Repeated puncture rate increases；There are also a kind of at present carries out percutaneous puncture in treating through conventional mould at CT or ultrasound scanning device guidance
The method of tumour, although this method can improve the accuracy of seeds implanted to a certain extent, in more complex anatomical structure
Easily there are Set-up errors in middle conventional mould, leads to inserting needle path, seeds implanted position and plan during seeds implanted not
Symbol, reduces the accuracy for the treatment of, so that the reduction of tumor locus radiological dose, normal tissue is caused to receive radiological dose and increase, shadow
Therapeutic effect is rung, while increasing complication, in addition generally requires and first passes through the preparatory fixed form of fixed device, then again by solid
Determine device band moving template and move to patient position to be implanted, structure is complicated, cumbersome, in surgical procedure there is still a need for repeatedly into
Item CT scan is to determine whether inserting needle direction is correct.
Summary of the invention
Based on problem above, the present invention provides a kind of seeds implanted system and operating method, it can adjust laser in real time
Irradiating angle can avoid doctor's subjectivity and operate bring error, can reduce CT is used in surgical procedure number, simplification and perform the operation
Journey improves puncture accuracy and reduces repeated puncture rate.
In order to solve the above technical problems, the present invention provides a kind of seeds implanted systems, including at CT imaging device, data
Reason system, resistance sensor and laser orientation system, the CT imaging device, resistance sensor and laser orientation system are equal
It is connected with data processing system；The CT imaging device be to scan lesions position and obtain lesions position CT image dress
It sets, the resistance sensor is the device to senses skin surface associated change, and the laser orientation system is to fixed
The device of position implant needle implant angle, the data processing system is for receiving and analyzing processing and storage CT imaging device and electricity
Related data is simultaneously fed back to laser orientation system by the related data of resistive sensor.
Further, the resistance sensor is deformation resistance sensor, and resistance sensor can senses skin table
The deformation in face, and deformation data is transmitted to data processing system.
In order to solve the above technical problems, the present invention also provides a kind of operating method of seeds implanted system, including it is as follows
Step:
1) lesions position is scanned using CT imaging device, obtains the CT image of lesions position, CT imaging device schemes CT
As being transmitted to data processing system；
2) data processing system handles CT image data, determines inserting needle position and the needle angle of implant needle, medical worker
Epidermis with marking pen in patient's lesions position marks inserting needle position；
3) data processing system is according to the virtual of the CT picture construction lesions position and its linked groups obtained in step 1)
Threedimensional model；
4) resistance sensor is laid around lesions position at lesions position epidermis periphery 2-4cm, adjacent resistor formula passes
Spacing between sensor is 1.5-3cm；
5) after step 4) is completed, insert action of the medical worker in the inserting needle site of patient simulation implant needle, resistance-type
The skin surface deformation data sensed is transmitted to data processing system by sensor, and data processing system is existed using above-mentioned data
The insert action that implant needle is simulated on virtual three-dimensional model in step 3), to simulate lesions position and lesions position relevant group
The offset activity condition knitted, to obtain the dynamic changing data of needle angle in implant needle insertion process；
6) during implant surgery, laser orientation system is moved to the top of operative site, fixed laser positioning system
Position simultaneously remains unchanged, later on laser orientation system, and medical worker will mark in the irradiation point location of laser to step 2)
Inserting needle position and make the irradiating angle of laser with it is rapid 2) in determine needle angle it is identical, doctor along laser exposure pathways
It is inserted into implant needle, the skin deformation data sensed are transmitted to data processing system by resistance sensor in insertion process, number
The offset activity condition of lesions position and lesions position linked groups is estimated according to the deformation situation of skin surface according to processing system,
To the subsequent needle angle of real time correction, and laser orientation system is transmitted a signal to, laser orientation system adjusts the photograph of laser
Firing angle degree, doctor adjust needle angle according to the variation of the irradiating angle of laser.
Further, the resistance sensor in step 4) is laid at lesions position epidermis periphery 2cm, adjacent resistor formula
Spacing between sensor is 1.5cm.
Compared with prior art, the beneficial effects of the present invention are: present invention reduces operation duration, treatment effect is improved
Fruit simulates the offset activity feelings of lesions position and lesions position linked groups by data processing system and resistance sensor
Condition, to obtain the dynamic changing data of needle angle in implant needle insertion process, in surgical procedure data processing system according to
Dynamic changing data estimates the variation of implant angle in implant needle insertion process in real time, significantly reduces in puncture process
Influence of the direction offset that lesions position and linked groups occur due to being squeezed to the accuracy of seeds implanted, reduces
The number that CT is used in surgical procedure, while conventional fixed form is eliminated, by laser guidance surgical, simplify operation
Operating process avoids doctor's subjectivity operation bring error, improves puncture accuracy, reduce repeated puncture rate.
Detailed description of the invention
Fig. 1 is that system of the invention forms figure.
Specific embodiment
To make the objectives, technical solutions, and advantages of the present invention clearer, below with reference to embodiment and attached drawing, to this
Invention is described in further detail, and exemplary embodiment of the invention and its explanation for explaining only the invention, are not made
For limitation of the invention.
Embodiment:
Referring to Fig. 1, a kind of seeds implanted system, including CT imaging device, data processing system, resistance sensor and swash
Light-seeking system, CT imaging device, resistance sensor and laser orientation system are connected with data processing system；CT imaging is set
It is ready for use on scanning lesions position and by the CT image transmitting of lesions position to data processing system, resistance sensor is deformation electricity
Resistive sensor, can senses skin surface deformation, and deformation data is transmitted to data processing system, laser orientation system can
Emit laser, and the information that can be fed back by data processing system adjusts the angle of laser, data processing system is acceptable, analyzes
The data of processing and storage CT imaging device and resistance sensor, while data information is fed back into laser orientation system.
Based on a kind of above-mentioned operating method of seeds implanted system, include the following steps:
1) lesions position is scanned using CT imaging device, obtains the CT image of lesions position, CT imaging device schemes CT
As being transmitted to data processing system；
2) data processing system handles CT image data, and the inserting needle position and inserting needle angle of implant needle are determined according to CT image
Degree, epidermis of the medical worker with marking pen in patient's lesions position mark inserting needle position；
3) data processing system is according to the virtual of the CT picture construction lesions position and its linked groups obtained in step 1)
Threedimensional model；
4) resistance sensor is laid around lesions position at lesions position epidermis periphery 2-4cm, adjacent resistor formula passes
Spacing between sensor is 1.5-3cm, and resistance sensor is laid at lesions position epidermis periphery 2cm in the present embodiment, phase
Spacing between adjacent resistance sensor is 1.5cm；
5) after step 4) is completed, insert action of the medical worker in the inserting needle site of patient simulation implant needle, resistance-type
The skin surface deformation data sensed is transmitted to data processing system by sensor, and data processing system is existed using above-mentioned data
The insert action that implant needle is simulated on virtual three-dimensional model in step 3), to simulate lesions position and lesions position relevant group
The offset activity condition knitted, to obtain the dynamic changing data of needle angle in implant needle insertion process；
6) during implant surgery, laser orientation system is moved to the top of operative site, fixed laser positioning system
Position simultaneously remains unchanged, later on laser orientation system, and medical worker will mark in the irradiation point location of laser to step 2)
Inserting needle position and make the irradiating angle of laser with it is rapid 2) in determine needle angle it is identical, doctor along laser exposure pathways
It is inserted into implant needle, the skin deformation data sensed are transmitted to data processing system by resistance sensor in insertion process, number
The offset activity condition of lesions position and lesions position linked groups is estimated according to the deformation situation of skin surface according to processing system,
To the subsequent needle angle of real time correction, and laser orientation system is transmitted a signal to, laser orientation system adjusts the photograph of laser
Firing angle degree, doctor adjust needle angle according to the variation of the irradiating angle of laser.
The present invention incudes the deformation situation of lesions position epidermis in implant needle insertion process by resistance sensor, in hand
Pass through the offset activity of data processing system and resistance sensor simulation lesions position and lesions position linked groups before art
Situation, to obtain the dynamic changing data of needle angle in implant needle insertion process；Data processing system is real in surgical procedure
When receive and processing resistance sensor data, to estimate the variation of implant angle in implant needle insertion process, very great Cheng
The direction that lesions position and linked groups occur due to being squeezed in puncture process that reduces of degree is deviated to seeds implanted
Accuracy influence, while the irradiating angle that can adjust laser in real time both avoids doctor by laser guidance surgical
Subjectivity operation bring error, and conventional fixed form is eliminated, reduce the number that CT in surgical procedure is used, simplifies hand
Art process reduces operation duration, improves puncture accuracy, reduces repeated puncture rate, and improve therapeutic effect.
It as above is the embodiment of the present invention.Design parameter in above-described embodiment and embodiment is merely to understand table
Invention verification process is stated, the scope of patent protection being not intended to limit the invention, scope of patent protection of the invention is still with it
It is all to change with equivalent structure made by specification and accompanying drawing content of the invention subject to claims, it should all similarly wrap
Containing within the scope of the present invention.
Claims (4)
1. a kind of seeds implanted system, which is characterized in that including CT imaging device, data processing system, resistance sensor and
Laser orientation system, the CT imaging device, resistance sensor and laser orientation system are connected with data processing system；Institute
State CT imaging device be to scan lesions position and obtain lesions position CT image device, the resistance sensor is
To the device of senses skin surface associated change, the laser orientation system is the dress to position implant needle implant angle
It sets, the data processing system is used to receive and analyze processing and store the related data of CT imaging device and resistance sensor
And related data is fed back into laser orientation system.
2. a kind of seeds implanted system according to claim 1, which is characterized in that the resistance sensor is deformation electricity
Resistive sensor, resistance sensor can senses skin surface deformation, and deformation data is transmitted to data processing system.
3. based on a kind of operating method of seeds implanted system described in claim 1, which comprises the steps of:
1) lesions position is scanned using CT imaging device, obtains the CT image of lesions position, CT imaging device passes CT image
Transport to data processing system；
2) data processing system handles CT image data, determines inserting needle position and the needle angle of implant needle, medical worker's note
Number pen marks inserting needle position in the epidermis of patient's lesions position；
3) data processing system is according to the CT picture construction lesions position obtained in step 1) and its virtual three-dimensional of linked groups
Model；
4) resistance sensor, adjacent resistor formula sensor are laid around lesions position at lesions position epidermis periphery 2-4cm
Between spacing be 1.5-3cm；
5) after step 4) is completed, insert action of the medical worker in the inserting needle site of patient simulation implant needle, resistance-type sensing
The skin surface deformation data sensed is transmitted to data processing system by device, and data processing system is using above-mentioned data in step
3) insert action of implant needle is simulated on the virtual three-dimensional model in, to simulate lesions position and lesions position linked groups
Activity condition is deviated, to obtain the dynamic changing data of needle angle in implant needle insertion process；
6) during implant surgery, laser orientation system is moved to the top of operative site, the position of fixed laser positioning system
And remain unchanged, later on laser orientation system, medical worker by the irradiation point location of laser to mark in step 2) into
Pin position and make the irradiating angle of laser with it is rapid 2) in determine needle angle it is identical, doctor along laser exposure pathways be inserted into
Implant needle, the skin deformation data sensed are transmitted to data processing system by resistance sensor in insertion process, at data
Reason system estimates the offset activity condition of lesions position and lesions position linked groups according to the deformation situation of skin surface, thus
The subsequent needle angle of real time correction, and laser orientation system is transmitted a signal to, laser orientation system adjusts the illumination angle of laser
Degree, doctor adjust needle angle according to the variation of the irradiating angle of laser.
4. a kind of operating method of seeds implanted system according to claim 3, which is characterized in that the resistance in step 4)
Formula sensor is laid at lesions position epidermis periphery 2cm, and the spacing between adjacent resistor formula sensor is 1.5cm.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910559696.4A CN110292420A (en) | 2019-06-26 | 2019-06-26 | A kind of seeds implanted system and operating method |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910559696.4A CN110292420A (en) | 2019-06-26 | 2019-06-26 | A kind of seeds implanted system and operating method |
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| CN110292420A true CN110292420A (en) | 2019-10-01 |
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| CN201910559696.4A Pending CN110292420A (en) | 2019-06-26 | 2019-06-26 | A kind of seeds implanted system and operating method |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111249612A (en) * | 2020-03-20 | 2020-06-09 | 河南科技大学第一附属医院 | Radioactive source implantation device for vertebral tumor brachytherapy and radioactive source |
Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20170202623A1 (en) * | 2016-03-13 | 2017-07-20 | Synaptive Medical (Barbados) Inc. | System and method for sensing tissue deformation |
| CN109173087A (en) * | 2018-09-20 | 2019-01-11 | 成都真实维度科技有限公司 | A method of radioactive prospecting instrument is realized using laser aiming |
-
2019
- 2019-06-26 CN CN201910559696.4A patent/CN110292420A/en active Pending
Patent Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20170202623A1 (en) * | 2016-03-13 | 2017-07-20 | Synaptive Medical (Barbados) Inc. | System and method for sensing tissue deformation |
| CN109173087A (en) * | 2018-09-20 | 2019-01-11 | 成都真实维度科技有限公司 | A method of radioactive prospecting instrument is realized using laser aiming |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111249612A (en) * | 2020-03-20 | 2020-06-09 | 河南科技大学第一附属医院 | Radioactive source implantation device for vertebral tumor brachytherapy and radioactive source |
| CN111249612B (en) * | 2020-03-20 | 2021-11-19 | 河南科技大学第一附属医院 | Radioactive source implantation device for vertebral tumor brachytherapy and radioactive source |
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