CN112043296A - Method for accurately shooting and drawing spinal transmission image in surgical operation and special operating table used in method - Google Patents

Method for accurately shooting and drawing spinal transmission image in surgical operation and special operating table used in method Download PDF

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Publication number
CN112043296A
CN112043296A CN202010722525.1A CN202010722525A CN112043296A CN 112043296 A CN112043296 A CN 112043296A CN 202010722525 A CN202010722525 A CN 202010722525A CN 112043296 A CN112043296 A CN 112043296A
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CN
China
Prior art keywords
pictures
bed
image
splicing
spine
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN202010722525.1A
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Chinese (zh)
Inventor
金海明
王向阳
白雪芹
徐道亮
王清清
陈亦皇
毛方敏
林焱
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Second Affiliated Hospital and Yuying Childrens Hospital of Wenzhou Medical University
Original Assignee
Second Affiliated Hospital and Yuying Childrens Hospital of Wenzhou Medical University
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Application filed by Second Affiliated Hospital and Yuying Childrens Hospital of Wenzhou Medical University filed Critical Second Affiliated Hospital and Yuying Childrens Hospital of Wenzhou Medical University
Priority to CN202010722525.1A priority Critical patent/CN112043296A/en
Publication of CN112043296A publication Critical patent/CN112043296A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/44Constructional features of apparatus for radiation diagnosis
    • A61B6/4429Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/52Devices using data or image processing specially adapted for radiation diagnosis
    • A61B6/5211Devices using data or image processing specially adapted for radiation diagnosis involving processing of medical diagnostic data
    • A61B6/5229Devices using data or image processing specially adapted for radiation diagnosis involving processing of medical diagnostic data combining image data of a patient, e.g. combining a functional image with an anatomical image
    • A61B6/5235Devices using data or image processing specially adapted for radiation diagnosis involving processing of medical diagnostic data combining image data of a patient, e.g. combining a functional image with an anatomical image combining images from the same or different ionising radiation imaging techniques, e.g. PET and CT
    • A61B6/5241Devices using data or image processing specially adapted for radiation diagnosis involving processing of medical diagnostic data combining image data of a patient, e.g. combining a functional image with an anatomical image combining images from the same or different ionising radiation imaging techniques, e.g. PET and CT combining overlapping images of the same imaging modality, e.g. by stitching
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/54Control of apparatus or devices for radiation diagnosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/54Control of apparatus or devices for radiation diagnosis
    • A61B6/548Remote control of the apparatus or devices

Abstract

The invention discloses a method for accurately shooting and drawing a spinal transmission image in a surgical operation, which comprises the following steps: A. annotate the coordinate point in the coverage of the image of operation table surface is made a video recording, the distribution rule of coordinate point: ensuring that at least 4 coordinate points exist on different pictures of adjacent parts; B. the photographing of different parts on the spine is realized through the relative parallel movement of the camera and the operating bed; C. and carrying out contraposition splicing on the adjacent pictures by using at least 4 coordinate points which are both present on the two pictures, and splicing the adjacent pictures one by adopting the method to form a complete spine image picture. The invention also provides a special operating table used in the method for accurately photographing and drawing the spine image in the surgical operation. The method and the special operating bed are combined and applied, so that the shooting and splicing of the spine images are more accurate, the operation is more convenient, a doctor can leave a radiation area during shooting, the body of the operator can be driven to move to a position needing shooting by driving the bed board on the bed frame to move, and the doctor can be prevented from being subjected to excessive radiation.

Description

Method for accurately shooting and drawing spinal transmission image in surgical operation and special operating table used in method
Technical Field
The invention relates to a spine projection image accurate shooting and drawing method in a surgical operation. The invention also relates to a spine transmission image accurate mapping method in the surgical operation. The invention also relates to a special operating table for the spinal transmission image in the surgical operation.
Background
In the backbone operation, often need in the art through shoot backbone transmission image with the progress and the effect of observing the operation, but the backbone is longer, and the camera often can't be once taken the whole spinal column, is unfavorable for executing the operation person to have solved spinal state in the art.
In addition, in the whole operation process, the spine full-length image needs to be shot repeatedly, each shooting cannot be too far away from the camera, and the shooting readiness needs to be confirmed each time, so that not only is a doctor receive excessive radiation, but also the operation time is prolonged.
Disclosure of Invention
The invention aims to solve the technical problem of providing a method for accurately shooting and drawing a spinal transmission image in a surgical operation, which ensures that the shooting and splicing of the spinal image are more accurate and the operation is more convenient. The technical problem to be solved by the present invention is to provide a special operating table for use in the method for accurately shooting and mapping the spinal transmission image in the surgical operation, wherein the operating table can move the human body through electric control, so that the image shooting can be controlled on the spot away from the doctor.
Therefore, the spine image accurate photographing and drawing method in the surgical operation provided by the invention comprises the following steps:
A. annotate the coordinate point in the coverage of the image of operation table surface is made a video recording, the distribution rule of coordinate point: ensuring that at least 4 coordinate points exist on different pictures of adjacent parts;
B. the photographing of different parts on the spine is realized through the relative parallel movement of the camera and the operating bed;
C. and carrying out contraposition splicing on the adjacent pictures by using at least 4 coordinate points which are both present on the two pictures, and splicing the adjacent pictures one by adopting the method to form a complete spine image picture.
Preferably, in the step B, the overlapping part of one of the adjacent photos is cut off for splicing.
Preferably, the camera is adopted in the step B to fix the position and the angle, and the operating bed slowly moves the operator at a constant speed to a set distance and then takes a picture until the complete spine is shot; when the photos at different angles need to be taken, the camera is rotated to the required angle position, the operating table is moved again, and the steps are repeated.
Preferably, the captured pictures are uploaded to a hospital PACS system in DICOM format and opened after retrieval of the uploaded pictures in Kayisoft software. And selecting the pictures to be spliced from top to bottom in the splicing frame in sequence, clicking a one-key splicing button, sequentially splicing the pictures by software according to coordinate points in the pictures, and uploading the formed images to a hospital PACS system for storage after the pictures are successfully spliced.
Preferably, the coordinate points are formed by a layer of a developing material for a projected image suitable for image capturing.
The special operating bed used in the method for accurately photographing and drawing the spine image in the surgical operation comprises a bed frame, wherein a movable bed board is arranged on the bed frame, a guide rail and a pulley mechanism which are matched with each other are arranged between the movable bed board and the bed frame, a pushing device is arranged on the bed frame and used for pushing the bed board to accurately move relative to the bed frame, and the pushing device is provided with a remote control system or a fixed-distance moving system.
Preferably, the bed frame is provided with two rails, the bed plate is provided with at least four pulleys below, the pulleys are sleeved on the rails, the pushing device is a hydraulic cylinder arranged on the bed frame, and a hydraulic rod of the hydraulic cylinder is hinged to the lower surface of the bed plate.
Preferably, the track is a square rod piece, the square rod piece is erected on the bedstead, the square rod piece is sleeved with the moving block, the pulleys are arranged on the upper side wall and the lower side wall of the sleeve hole in the moving block, each pulley is provided with an annular groove, and the pulleys are sleeved on the upper side surface and the lower side surface of the square rod piece through the annular grooves.
Preferably, a hanging frame is arranged on one side, away from the extending direction of the hydraulic rod, of the bedstead, and a balance weight is arranged on the hanging frame and hung on the hanging frame so that the bed board can be balanced after moving.
The invention has the technical effects that:
1) the method and the special operating table are combined and applied, so that the shooting and splicing of the spinal transmission image are more accurate and the operation is more convenient,
2) let the doctor can leave the region of radiation when making a video recording, move through the bed board on the drive bedstead and can drive the operator's health and move the position that needs the shooting, need not the doctor and enter the region that receives the radiation and carry out the site operation, can avoid the doctor to receive too much radiation.
3) According to the invention, the multiple photos are spliced to obtain the full-length spine state image photo, and more accurate splicing can be obtained by positioning through the coordinate points, so that the difficulty of splicing operation is reduced.
Drawings
Fig. 1 is a schematic structural plan view of a special operating bed used in the method for accurately shooting and mapping the spinal transmission image provided by the present invention.
Fig. 2 is a side view of fig. 1.
Fig. 3 is a schematic structural diagram of the coupling of the track and the moving block of fig. 2.
Fig. 4 is a schematic view of the split structure of fig. 2.
Fig. 5 is a schematic cross-sectional view of the structure of fig. 2.
Detailed Description
The present invention will be described in further detail with reference to the accompanying drawings and examples. In which like parts are designated by like reference numerals. It should be noted that the terms "front," "back," "left," "right," "upper" and "lower" used in the following description refer to directions in the drawings, and the terms "bottom" and "top," "inner" and "outer" refer to directions toward and away from, respectively, the geometric center of a particular component.
Referring to fig. 1 to 5, the method for accurately photographing and mapping a spinal transmission image in a surgical operation provided by the present invention comprises the following steps:
A. marking coordinate points 3 in the coverage range of the surface image shooting of the operating bed 1, wherein the coordinate points 3 are generally out of the positions of the human body 2, and the distribution rule of the coordinate points 3 is as follows: ensuring that at least 4 coordinate points 3 exist in different pictures of adjacent parts;
B. the photographing of different parts on the spine is realized through the relative parallel movement of the camera and the operating bed; cutting off the overlapped part of one of the adjacent pictures for splicing, fixing the position and the angle by adopting a camera, and taking a picture after the operating bed 1 slowly moves the operator at a constant speed to a set distance until the complete spine is shot; when pictures at different angles need to be taken, the camera is rotated to the required angle position, the operating table 1 is moved again, and the steps are repeated;
C. and carrying out contraposition splicing on the adjacent pictures by using at least 4 coordinate points 3 which are both present on the two pictures, and splicing the adjacent pictures one by adopting the method to form a complete spine image picture.
In the step 3, the shot picture is uploaded to a hospital PACS system in a DICOM format, and the uploaded picture is retrieved in Kayisoft software and opened. And selecting the pictures to be spliced from top to bottom in the splicing frame in sequence, clicking a one-key splicing button, and splicing the pictures in sequence by software according to coordinate points in the pictures. After the pictures are spliced successfully, the images can be uploaded to a PACS system of a hospital for storage.
The coordinate points 3 are formed by a projection image developing material layer suitable for image shooting, and the projection image developing material layer is generally formed by plastic patches which can be clearly displayed in a CT (computed tomography) machine and an X-ray image.
Referring to fig. 1-5, the special operating bed used in the method for accurately shooting and drawing the spinal transmission image in the surgical operation includes a bed frame 4, a movable bed board 5 is disposed on the bed frame 4, a guide rail and a pulley mechanism are disposed between the movable bed board 5 and the bed frame 4, the bed frame 4 is provided with a pushing device, the pushing device pushes the bed board to accurately move relative to the bed frame 4, the pushing device is configured with a remote control system or a fixed distance moving system, the remote control system includes a remote controller and a communication module mounted on the pushing device, and the fixed distance moving system is set by a program, so that the pushing device pushes the bed board to move a set distance, and the moving distance is just suitable for shooting of the spinal column of the human body and can be overlapped and spliced through coordinate points.
Referring to fig. 2-5, two rails are disposed on the bed frame 4, at least four pulleys 6 are disposed below the bed plate 5, the pulleys 6 are sleeved on the rails, the pushing and moving device is a hydraulic cylinder 7 disposed on the bed frame, a hydraulic rod 8 of the hydraulic cylinder 7 is hinged to the lower surface of the bed plate, the hydraulic rod 7 is connected with a hydraulic mechanism 14 on the bed frame to realize telescopic control, and in this embodiment, a fixed block 9 is disposed on the lower surface of the bed plate and hinged to the hydraulic rod 8; the track is a square rod 10, the square rod 10 is erected on the bedstead 4, the square rod 10 is sleeved with a moving block 11, the pulleys 6 are arranged on the upper side wall and the lower side wall of a sleeve hole in the moving block 11, the pulleys 6 are provided with annular grooves 12, and the pulleys 6 are sleeved on the upper side surface and the lower side surface of the square rod 10 through the annular grooves 12.
Referring to fig. 2, in order to balance the operation table 1 after the bed plate 5 moves, a hanging frame 13 is provided on one side of the bed frame 4 away from the extending direction of the hydraulic rod 8, and a balance weight is disposed on the hanging frame 13 and hung on the hanging frame 13 to balance the bed plate 5 after moving.
The above description is only a preferred embodiment of the present invention, and the protection scope of the present invention is not limited to the above embodiments, and all technical solutions belonging to the idea of the present invention belong to the protection scope of the present invention. It should be noted that modifications and embellishments within the scope of the invention may occur to those skilled in the art without departing from the principle of the invention, and are considered to be within the scope of the invention.

Claims (9)

1. A spine transmission image accurate shooting and drawing method in surgical operation is characterized in that: the method comprises the following steps:
A. annotate the coordinate point in the coverage of the transmission image of operation table surface is made a video recording, the distribution rule of coordinate point: ensuring that at least 4 coordinate points exist on different pictures of adjacent parts;
B. the shooting of different parts on the spine is realized through the relative parallel movement of the camera and the operating bed;
C. and carrying out contraposition splicing on the adjacent pictures by using at least 4 coordinate points which are both present on the two pictures, and splicing the adjacent pictures one by adopting the method to form a complete spine image picture.
2. The method for accurately capturing and mapping a transspinal image during a surgical procedure of claim 1, wherein: and in the step B, the overlapped part of one of the adjacent photos is cut off for splicing.
3. The method for accurately capturing and mapping a transspinal image during a surgical procedure of claim 1 or 2, wherein: b, fixing a position and an angle by using a camera, and taking a picture after the operating bed slowly moves the operator at a constant speed to a set distance until a complete spine is shot; when the photos at different angles need to be taken, the camera is rotated to the required angle position, the operating table is moved again, and the steps are repeated.
4. The method for accurately capturing and mapping a transspinal image during a surgical procedure of claim 1 or 2, wherein: uploading the shot pictures to a hospital PACS system in a DICOM format, searching the uploaded pictures in Kayisoft software, opening the pictures, sequentially selecting the pictures to be spliced from top to bottom in a splicing frame, clicking a one-key splicing button, sequentially splicing the pictures according to coordinate points in the pictures by the software, and uploading the formed pictures to the hospital PACS system for storage after the pictures are successfully spliced.
5. The method for accurately capturing and mapping a transspinal image during a surgical procedure of claim 1 or 2, wherein: the coordinate points are formed by a projection image developing material layer suitable for image shooting.
6. A special operating table for use in a method for accurately taking and mapping a spinal transmission image in a surgical operation according to claim 1, wherein: the bed comprises a bed frame, wherein a movable bed board is arranged on the bed frame, a guide rail and a pulley mechanism which are matched with each other are arranged between the movable bed board and the bed frame, a pushing device is arranged on the bed frame and pushes the bed board to move accurately relative to the bed frame, and the pushing device is provided with a remote control system or a fixed-distance moving system.
7. The special operating bed for use in the method for accurately photographing and mapping the transmission image of the spine in the surgical operation according to claim 6, wherein: the bed frame is provided with two rails, at least four pulleys are arranged below the bed plate, the pulleys are sleeved on the rails, the pushing device is a hydraulic cylinder arranged on the bed frame, and a hydraulic rod of the hydraulic cylinder is hinged to the lower surface of the bed plate.
8. The special operating bed for use in the method for accurately photographing and mapping the transmission image of the spine in the surgical operation according to claim 7, wherein: the track is a square rod piece, the square rod piece is erected on the bedstead, the square rod piece is sleeved with the moving block, the pulleys are arranged on the upper side wall and the lower side wall of the sleeve hole in the moving block, each pulley is provided with an annular groove, and the pulleys are sleeved on the upper side face and the lower side face of the square rod piece through the annular grooves.
9. The special operating bed for use in a method for spinal transmission image precision and mapping in surgery of claim 8, wherein: one side of the bedstead, which is far away from the extension direction of the hydraulic rod, is provided with a hanging frame, the hanging frame is provided with a balance weight, and the balance weight is hung on the hanging frame so that the bed board can reach balance after moving.
CN202010722525.1A 2020-07-24 2020-07-24 Method for accurately shooting and drawing spinal transmission image in surgical operation and special operating table used in method Pending CN112043296A (en)

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