CN112070985A - Breast cancer diagnosis and treatment decision self-service machine and decision method thereof - Google Patents
Breast cancer diagnosis and treatment decision self-service machine and decision method thereof Download PDFInfo
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Abstract
The invention discloses a breast cancer diagnosis and treatment decision self-service machine which comprises an installation bottom plate, wherein a front shell plate is installed on the front side of the upper end of the installation bottom plate, side shell plates are symmetrically arranged at the left end and the right end of the rear side of the front shell plate, the lower end of a side shell plate is fixedly connected with the installation bottom plate, an operation panel is installed on the upper end of the front shell plate, a touch display screen is installed on the rear side of the upper end of the operation panel, a movable sealing door is hinged to the rear side of the side shell plate, an intermediate fixing piece is installed on the inner wall of the side shell plate, a paper guiding-out. The invention also provides a decision-making method based on the self-help machine. According to the invention, the paper guiding-out mechanism can catch the paper scheme during printing to prevent the paper scheme from falling off, a patient can directly obtain the paper scheme from the upper end of the paper guiding-out plate, the phenomenon of stooping and taking is effectively avoided, meanwhile, the paper guiding-out plate can be retracted to the inner side of the front shell plate, the occupied space of the outside can be reduced when the paper guiding-out mechanism is not used, and a wider walking space is provided.
Description
Technical Field
The invention belongs to the field of medical equipment, and particularly relates to a breast cancer diagnosis and treatment decision self-service machine and a decision method thereof.
Background
In the hall of hospital, self-service terminating machine is essential medical equipment, the patient can register through self-service terminating machine, supplement with money, print the document, self-service terminating machine has brought very big convenience for the patient sees a doctor, but traditional medical self-service terminating machine structure is fixed, the patient is when printing, it needs to hold with the hand always to print the in-process, if hold between the fingers untimely paper document and will drop on ground, the patient need bow to subaerial pick up, not only the operation is inconvenient, and unhygienic, traditional medical self-service terminating machine is in order to place stably simultaneously, the lower extreme does not install the mobile device, make self-service terminating machine transfer very inconvenient, be unfavorable for the maintenance and management of medical self-service.
Meanwhile, the current terminal also lacks interaction between human and machine, and lacks effective support for a patient to know some illness conditions by himself; the breast cancer needs to be paid high attention to the female, and in order to help the female to understand the treatment scheme of the breast cancer in detail and fully and protect the privacy of the female well, the design of the self-service machine and the use method thereof have positive significance.
Disclosure of Invention
The invention aims to overcome the problems in the prior art, and provides a breast cancer diagnosis and treatment decision self-service machine which can catch paper documents when the paper documents are printed to prevent the paper documents from falling off, so that a patient can directly take the paper documents from the upper end of a paper guide-out plate, the phenomenon of stoop pickup is effectively avoided, the operation is convenient, clean and sanitary, and meanwhile, the paper guide-out plate can be retracted to the inner side of a front shell plate, so that the occupied space of the outside can be reduced when the breast cancer diagnosis and treatment decision self-service machine is used by no one, a wider walking space is provided for the patient, the breast cancer diagnosis and treatment decision self-service machine is convenient to.
In order to achieve the technical purpose and achieve the technical effect, the invention is realized by the following technical scheme:
a breast cancer diagnosis and treatment decision self-help machine comprises an installation bottom plate, wherein a front shell plate is installed on the front side of the upper end of the installation bottom plate, side shell plates are symmetrically arranged at the left end and the right end of the rear side of the front shell plate, the lower end of a side shell plate is fixedly connected with the installation bottom plate, an operation panel is installed on the upper end of the front shell plate, a touch display screen is installed on the rear side of the upper end of the operation panel, a movable sealing door is hinged to the rear side of the side shell plate, an intermediate fixing piece is installed on the inner wall of the side shell plate, a paper guiding-out; the top of the side shell plate and the upper part of the touch display screen are provided with camera modules;
the middle fixing piece comprises a front fixing side plate, the front side of the front fixing side plate is fixedly connected with the inner wall of the front shell plate, side fixing side plates are symmetrically arranged on the left side and the right side of the front fixing side plate, the outer sides of the side fixing side plates are fixedly connected with the inner wall of the side shell plate, and a fixing vertical plate is vertically arranged on the lower side of the rear end of each side fixing side plate;
the paper guiding mechanism comprises a paper guiding-out plate, a rack is arranged at the lower end of the paper guiding-out plate along the front-back direction, an intermediate gear is connected at the lower end of the rack in a meshing manner, a limiting plate is arranged at the lower side of the rear end of the paper guiding-out plate, a paper outlet and a guiding groove positioned below the paper outlet are horizontally arranged on the front shell plate in a penetrating manner, the front end of the paper guiding-out plate slidably penetrates out of the guiding groove and is connected with a front baffle, a first rotating transverse shaft is horizontally connected on the intermediate gear in a penetrating manner, a second rotating transverse shaft is arranged below the first rotating transverse shaft in a parallel manner, upper side gears are symmetrically arranged on the left side and the right side of the first rotating transverse shaft, lower side gears in meshing connection with the upper side gears are symmetrically arranged on the left side and the right side of the second rotating transverse shaft, the two ends of the first rotating transverse shaft, the lower end of the second bevel gear is connected with a first rotating vertical shaft, the lower end of the first rotating vertical shaft is connected with a first motor, and the fixed end of the first motor is fixedly connected with the upper end of the front fixed edge plate;
the auxiliary moving mechanism comprises a lifting frame, the front side of the lifting frame is connected with the inner wall of a front shell plate in a sliding manner, the left side and the right side of the lifting frame are connected with the inner wall of a side shell plate in a sliding manner, four moving support columns which are distributed in a rectangular manner are fixed at the edge of the lower end of the lifting frame, a containing groove is formed in the lower end of an installation bottom plate, the lower ends of the moving support columns slidably penetrate through the installation bottom plate and are connected with moving universal wheels, the moving universal wheels are positioned in the containing groove, the left end and the right end of the lifting frame are vertically and penetratingly connected with rotating threaded vertical rods which are connected with the lifting frame in a threaded manner, the lower ends of the rotating threaded vertical rods are rotatably connected with the upper end of the installation bottom plate, the upper ends of the rotating threaded vertical rods are rotatably connected with the lower end of the side fixed edge plate, a first turbine is connected with the, the front side of the outer wall of the first worm is connected with a second worm gear, the lower end of the second worm gear is connected with a second worm in a meshed mode, the left end and the right end of the second worm are rotatably connected with the inner wall of the side shell plate, a third bevel gear is connected to one position of the outer wall of the second worm, the upper end of the third bevel gear is connected with a fourth bevel gear in a meshed mode, the upper end of the fourth bevel gear is connected with a second rotating vertical shaft, and the upper end of the second rotating vertical shaft penetrates through the front fixing edge plate in.
Furthermore, the upper side and the lower side of the sealing door are uniformly provided with heat dissipation holes, the middle of the sealing door is provided with a heat dissipation fan, one side of the sealing door is provided with a lock catch, and the sealing door is movably connected with the side shell plate through the lock catch.
Furthermore, the lifting frame is of a clip structure.
Further, the distance between the upper end of the guide-out groove and the lower end of the paper outlet is 0.5cm-1.5 cm.
Further, the back of the touch display screen is in communication connection with a processing module of the self-service machine.
The invention also provides a decision-making method based on the breast cancer diagnosis and treatment decision-making self-service machine, which comprises the following steps:
the method comprises the following steps: acquiring the height of a person to be diagnosed through a camera module; acquiring the weight of a person to be diagnosed through the input of the touch display screen;
step two: calculating to obtain the body surface area according to the height and the weight obtained in the step one;
step three: the medical records of the person to be diagnosed are called or input through a touch display screen to obtain: tumor size, margin, nuclear grade, patient age; obtaining VNPI according to the obtained data information of the tumor size, the incisal margin condition, the cell nucleus grading and the patient age;
step four: acquiring the type of breast cancer by inputting through a touch display screen or calling medical records of a person to be diagnosed;
step five: acquiring TNM stages through inputting of a touch display screen or calling medical records of a person to be diagnosed;
step six: and outputting the decision method through an ADA decision system according to the results obtained in the second step, the third step and the fourth step.
Further, the type of breast cancer in step four is ductal carcinoma in situ;
if the mastectomy is selected, the ADA decision system output is none;
if the breast-conserving operation is selected, the ADA decision system outputs a postoperative auxiliary radiotherapy scheme or a postoperative auxiliary endocrine treatment scheme according to the tumor size, the incisal marginal condition, the cell nucleus classification, the patient age and the ER state, and sends the paper scheme to the personnel to be diagnosed through a paper outlet.
Further, the type of breast cancer in step four is invasive cancer;
if the mastectomy is selected, the ADA decision system output is none;
if breast-conserving surgery is selected, the ADA decision system outputs a postoperative adjuvant radiotherapy scheme or a postoperative adjuvant endocrine treatment scheme according to the tumor size, the incisional margin, the nuclear grade, the patient age, the TNM stage, the ER state, the PR state and the HER2 state, and sends a paper scheme to the personnel to be diagnosed through the paper outlet.
The invention has the beneficial effects that:
1. according to the invention, the paper guiding-out mechanism can timely catch the paper document when the paper document is printed to prevent the paper document from falling off, and a patient can directly take the paper document from the upper end of the paper guiding-out plate, so that the phenomenon of stooping and picking is effectively avoided, the operation is convenient, clean and sanitary, and meanwhile, the paper guiding-out plate can be retracted to the inner side of the front shell plate, so that the occupied space outside can be reduced when the paper guiding-out mechanism is used by no one, a wider walking space is provided for the patient, and congestion is reduced;
2. the auxiliary moving mechanism can automatically adjust when the movable universal wheel is transferred, and the movable universal wheel extends to the lower end to be contacted with the ground, so that the movable universal wheel is convenient to transfer, time-saving and labor-saving, does not need manual adjustment, and is convenient to operate;
3. the middle fixing piece, the paper guiding-out mechanism and the auxiliary moving mechanism are all arranged on the inner walls of the front shell plate and the side shell plate, so that the occupied space is small, the installation layout of other parts in the paper guiding-out mechanism is not influenced, the applicability is strong, and the paper guiding-out mechanism is worthy of popularization and use;
4. the decision method provided by the invention is simple to operate, and an operator can conveniently input data information and can also automatically acquire related information, so that the operator can conveniently learn the own condition and treatment scheme, and simultaneously, a paper scheme is safely acquired by using a paper exporting mechanism; the auxiliary moving mechanism can also be moved conveniently, so that the privacy of women can be protected conveniently.
Drawings
The accompanying drawings, which are included to provide a further understanding of the invention and are incorporated in and constitute a part of this application, illustrate embodiment(s) of the invention and together with the description serve to explain the invention without limiting the invention. In the drawings:
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a structural cross-sectional view of the present invention;
FIG. 3 is a schematic view of a partial structure of the present invention;
FIG. 4 is a schematic view of a partial structure of the present invention;
FIG. 5 is a schematic view of a portion of the present invention;
FIG. 6 is an exploded view of a portion of the structure of the present invention;
fig. 7 is a partial structural schematic diagram of the present invention.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
In the description of the present invention, it is to be understood that the terms "opening," "upper," "lower," "thickness," "top," "middle," "length," "inner," "peripheral," and the like are used in an orientation or positional relationship that is merely for convenience in describing and simplifying the description, and do not indicate or imply that the referenced component or element must have a particular orientation, be constructed and operated in a particular orientation, and thus should not be considered as limiting the present invention.
The breast cancer diagnosis and treatment decision self-service machine comprises an installation bottom plate 1, wherein a front shell plate 2 is installed on the front side of the upper end of the installation bottom plate 1, side shell plates 3 are symmetrically arranged at the left end and the right end of the rear side of the front shell plate 2, the height of a side shell plate 3 is larger than that of the front shell plate 2, the lower end of the side shell plate 3 is fixedly connected with the installation bottom plate 1, an operation panel 4 is installed on the upper end of the front shell plate 2, a touch display screen 5 is installed on the rear side of the upper end of the operation panel 4, a movable sealing door 6 is hinged to the rear side of the side shell plate 3, an intermediate fixing member 7 is installed on the inner wall of the side shell plate 3, a paper guiding mechanism 8 is installed on the upper end of; be provided with camera module at the top of side shell 3, touch display screen 5's top, camera module can constitute by 2 camera device, and camera device's angle is up, and camera device's angle is down, can cover the height in whole self-service quick-witted the place ahead like this to effectively acquire operating personnel's height.
As shown in fig. 3, heat dissipation holes 61 are uniformly distributed on the upper side and the lower side of the sealing door 6, a heat dissipation fan 62 is installed in the middle of the sealing door 6, a lock catch 64 is installed on one side of the sealing door 6, and the sealing door 6 is movably connected with the side casing plate 3 through the lock catch 64.
As shown in fig. 4, the middle fixing member 7 includes a front fixing side plate 71, the front side of the front fixing side plate 71 is fixedly connected to the inner wall of the front casing plate 2, side fixing side plates 72 are symmetrically disposed on the left and right sides of the front fixing side plate 71, the outer sides of the side fixing side plates 72 are fixedly connected to the inner wall of the side casing plate 3, and a fixing vertical plate 73 is vertically disposed on the lower side of the rear end of the side fixing side plate 72.
As shown in fig. 5 and 6, the paper guiding mechanism 8 includes a paper guiding plate 81, a rack 811 is provided at the lower end of the paper guiding plate 81 along the front-back direction, an intermediate gear 82 is engaged and connected to the lower end of the rack 811, a stopper 812 is provided at the lower side of the rear end of the paper guiding plate 81, a paper outlet 21 and a guiding slot 22 located below the paper outlet 21 are horizontally penetrated and opened on the front casing plate 2, the distance between the upper end of the guiding slot 22 and the lower end of the paper outlet 21 is 0.5cm to 1.5cm, the front end of the paper guiding plate 81 slides out of the guiding slot 22 and is connected to a front baffle 89, the front baffle 89 is located at the upper end of the front baffle 89, a first rotating horizontal shaft 83 is horizontally penetrated and linked on the intermediate gear 82, a second rotating horizontal shaft 84 is parallel installed below the first rotating horizontal shaft 83, upper side gears 831 are symmetrically installed at the left and right sides of the first rotating horizontal shaft 83, lower side gears 841 engaged and connected to, both ends of the first rotating transverse shaft 83 and both ends of the second rotating transverse shaft 84 are rotatably connected with the inner wall of the side shell plate 3, a first bevel gear 85 is connected to one position of the outer wall of the second rotating transverse shaft 84, the lower end of the first bevel gear 85 is connected with a second bevel gear 86 in a meshing manner, the lower end of the second bevel gear 86 is connected with a first rotating vertical shaft 87, the lower end of the first rotating vertical shaft 87 is connected with a first motor 88, and the fixed end of the first motor 88 is fixedly connected with the upper end of the front fixed side plate 71.
As shown in fig. 7, the auxiliary moving mechanism 9 includes a lifting frame 91, the lifting frame 91 is of a rectangular structure, the front side of the lifting frame 91 is slidably connected with the inner wall of the front shell 2, the left and right sides of the lifting frame 91 are slidably connected with the inner wall of the side shell 3, four moving support columns 92 are fixed at the lower end edge of the lifting frame 91 and are distributed in a rectangular shape, the lower end of the mounting base plate 1 is provided with a receiving groove 11, the lower end of the moving support column 92 slidably penetrates through the mounting base plate 1 and is connected with a moving universal wheel 921, the moving universal wheel 921 is located inside the receiving groove 11, the left and right ends of the lifting frame 91 are vertically and penetratingly connected with rotating threaded vertical rods 93, the rotating threaded vertical rods 93 are in threaded connection with the lifting frame 91, the lower end of the rotating threaded vertical rods 93 are rotatably connected with the upper end of the mounting base plate 1, the upper end of the rotating, the inner side of the first worm wheel 94 is connected with a first worm 95 in a meshed mode, the rear end of the first worm 95 is connected with the fixed vertical plate 73 in a rotating mode, the front end of the first worm 95 is connected with the inner wall of the front shell plate 2 in a rotating mode, the front side of the outer wall of the first worm 95 is connected with a second worm 96, the lower end of the second worm 96 is connected with a second worm 97 in a meshed mode, the left end and the right end of the second worm 97 are connected with the inner wall of the side shell plate 3 in a rotating mode, a third bevel gear 98 is connected to one position of the outer wall of the second worm 97, the upper end of the third bevel gear 98 is connected with a fourth bevel gear 99 in a meshed mode, the upper end of the fourth bevel gear 99 is connected with a second.
The self-service machine is also internally provided with a processing module, and the back surface of the touch display screen 5 is in communication connection with the processing module. The processing module mainly has the functions of processing data, acquiring information, outputting results and the like.
In the invention, the printing device can be installed in the self-service machine by adopting the existing product, the printed paper document is discharged from the paper outlet 21, when the paper document starts to be printed, the first motor 88 in the paper guiding-out mechanism 8 is started, the second bevel gear 86 is driven to rotate by the first rotating vertical shaft 87, the second bevel gear 86 drives the second rotating horizontal shaft 84 to rotate by the first bevel gear 85, the second rotating horizontal shaft 84 drives the upper gear 831 to rotate by the lower gear 841, the upper gear 831 drives the middle gear 82 to rotate by the first rotating horizontal shaft 83, the middle gear 82 drives the paper guiding-out plate 81 to move outwards by the rack 811, thereby catching the paper document above and preventing the paper document from falling off, the front baffle 89 can further prevent the paper document from sliding off from the front end, after the printing is finished, the first motor 88 stops working, the patient directly takes out the paper document from the upper end of the paper guiding-out plate 81, the phenomenon of stooping and picking is effectively avoided, the operation is convenient, clean and sanitary, and then the first motor 88 is started again to retract the paper guide-out plate 81 to the inner side of the front shell plate 2, so that the occupied space outside can be reduced when no one uses the invention, a wider walking space is provided for patients, and crowding is reduced; the auxiliary moving mechanism 9 can automatically adjust when transferring the invention, and extend the moving universal wheel 921 to the lower end to contact with the ground, so that the transfer is convenient, time and labor are saved, manual adjustment is not needed, and the operation is convenient, when transferring, the second motor 911 is started, the second motor 911 drives the fourth bevel gear 99 to rotate through the second rotating vertical shaft 910, the fourth bevel gear 99 drives the second worm 97 to rotate through the third bevel gear 98, the second worm 97 drives the first worm 95 to rotate through the second worm wheel 96, and the first worm 95 drives the rotating threaded upright rod 93 to rotate through the first worm wheel 94, so that the lifting frame 91 is driven to move downwards until the lower end of the mounting base plate 1 is separated from the ground and the moving universal wheel 921 is in close contact with the ground, so that the transfer of the invention can be performed; meanwhile, the middle fixing piece 7, the paper guiding-out mechanism 8 and the auxiliary moving mechanism 9 are all arranged on the inner walls of the front shell plate 2 and the side shell plate 3, the occupied space is small, the installation layout of other parts in the paper guiding device cannot be influenced, the applicability is strong, and the paper guiding device is worthy of popularization and use.
The invention also provides a decision-making method based on the breast cancer diagnosis and treatment decision-making self-service machine, when the decision-making method is used, an operator stands right in front of the self-service machine, the camera module arranged at the top of the self-service machine can acquire images of the operator, the head and the highest point of the operator are identified through the images, and the height of the operator can be obtained by combining the preset height of the camera module; the weight of the operator can be obtained through touch display screen input, and if the operator does not know the weight, the weight can be input after being measured by using the weighing device.
After obtaining the height and weight data, the processing system in the self-service machine follows the formula
S=W0.425*H0.725*71.84/10000
Calculating to obtain the body surface area, wherein S in the formula represents the body surface area, W represents the weight, and H represents the height.
The operator respectively inputs information such as tumor size, incisal marginal condition, cell nucleus grading, age and the like through the touch display screen, and if the operator does not know the information, the information can be acquired by calling medical records of the operator: after the information is obtained, a processing system in the self-service machine calculates and obtains the VNPI according to the obtained data information of the tumor size, the incisal marginal condition, the cell nucleus classification and the age.
The calculation mode of the VNPI is as follows: corresponding a score to each option of tumor size, cut margin payment, cell nucleus classification and age, and finally adding the scores of 4 parameters to obtain a total score; the total score is divided into several score segments, and each score segment corresponds to a recurrence risk result. For example: if the total score is 8 points, then the corresponding outcome of risk of recurrence is a moderate risk of recurrence, suggesting lumpectomy + whole breast radiation therapy.
The operator continues to select and input the type of breast cancer by touching the display screen, and if the operator does not know the information, the information can be obtained by calling medical records of the operator: different breast cancers have different decision-making methods, and the breast cancer in the present application includes ductal carcinoma in situ or invasive carcinoma.
The operator continues to input the TNM stage by touching the display screen, and if the operator does not know the information, the information can be obtained by calling medical records of the operator.
TNM staging is the result of each option by T (tumor infiltration size), N (number of lymph node metastases), M (presence or absence of distant metastases) combined to form a final staging result. For example: stage IIA (T0, N1, M0; T1, N1, M0; T2, N0, M0).
And after the operator finishes inputting or acquiring the data, the processing system of the self-service machine outputs a decision method through the ADA decision system according to the result.
When the type of breast cancer is ductal carcinoma in situ;
if the mastectomy is selected, the ADA decision system output is none;
if the breast-conserving operation is selected, the ADA decision system outputs a postoperative auxiliary radiotherapy scheme or a postoperative auxiliary endocrine treatment scheme according to the tumor size, the incisal marginal condition, the cell nucleus classification, the patient age and the ER state, and sends the paper scheme to the personnel to be diagnosed through a paper outlet.
When the type of breast cancer is invasive cancer;
if the mastectomy is selected, the ADA decision system output is none;
if the breast-conserving operation is selected, the ADA decision system outputs a postoperative auxiliary radiotherapy scheme or a postoperative auxiliary endocrine treatment scheme according to the size of the tumor, the incisional margin condition, the nucleus classification, the age of the patient, the TNM stage, the ER state, the PR state and the HER2 state, and sends a paper scheme to the personnel to be diagnosed through a paper outlet; according to various parameters input by a user, a TNM stage is called to calculate a TNM stage result, then a recurrence risk judgment is called to calculate a risk group, an adjuvant therapy decision tree is called to calculate a tumor clinical typing, and a strategy for assisting whole-body therapy is calculated by using the adjuvant therapy decision tree.
Wherein, the judgment of the recurrence risk needs to select the lymph node condition (negative, 1-3 positive, not less than 4).
When the lymph node should be negative, and simultaneously satisfy: the size of the focus tumor is less than or equal to 2cm, the histological grade is I, the peritumoral vascular invasion is absent, the ER and/or PR expression is positive, the HER2 amplification is absent, and the age of the patient is more than or equal to 35 years old; the risk of relapse is now low; and the medium risk is evaluated as long as 1 item is not satisfied.
When the lymph node condition is 1-3 positive, the conditions simultaneously satisfy: ER and/PR expression was positive, HER2 amplification was null; the risk of relapse is at intermediate risk; high risk was assessed as long as 1 was not met.
When the lymph node condition is more than or equal to 4 positive, the recurrence risk is high-risk.
The adjuvant therapy decision tree is a scheme which firstly determines typing and a flow according to the states of ER, PR and HER2 and then determines the use according to the lymph node state and the tumor size. The recommended result rule is as follows: hormone receptor positive patients need intra-row secretion therapy, HER2 positive patients need anti-HER 2 targeted therapy (trastuzumab/pertuzumab), and patients with high risk are treated with chemotherapy.
The implementation of the aid decision treatment technology mainly comprises:
the first step is as follows: firstly, judging the flow:
1. firstly, judging whether an answer submitted by a front end is an auxiliary decision-making treatment calculator or not according to the calculator type;
2. judging whether the title is in an ER state or a PR state, and acquiring an answer selected by a user;
3. initializing HR (hormone receptor) state to +;
4. judging that the HR (hormone receptor) state is set to-if and only if ER and PR are both-if the HR state is set to-if the ER and PR are both-if;
5. according to the HER2 status submitted by the operating user, the judgment process is obtained by combining the HR (hormone receptor) status, which comprises the following specific steps:
HR (hormone receptor) is + and HER2 is +; the judgment process is as follows: hormone receptor positive, HER2 positive procedure;
HR (hormone receptor) is + and HER2 is-; the judgment process is as follows: hormone receptor positive, HER2 negative procedure;
HR (hormone receptor) is-, HER2 is +; the judgment process is as follows: hormone receptor negative, HER2 positive procedure;
HR (hormone receptor) is-HER 2 is-; the judgment process is as follows: a three-negative flow;
the second step is that: selecting a corresponding scheme:
according to different processes, different judgment schemes exist:
the first scheme is as follows: hormone receptor positive, HER2 positive
1. Judging whether the lymph node metastasis number is 0, if so, judging whether the tumor size is larger than 1cm,
and A, if the concentration is larger than 1cm, outputting a user auxiliary chemotherapy + trastuzumab + endocrine treatment scheme.
And B, if the concentration is less than or equal to 1cm, outputting a scheme of auxiliary chemotherapy, trastuzumab and endocrine therapy (the benefits of the auxiliary target therapy and the chemotherapy of the part of patients after the operation are controversial, and the use of the target therapy and the chemotherapy is properly considered according to risk factors such as vascular cancer embolus of the patients and the tolerance to the therapy).
2. Judging whether the lymph node transfer number is 0 or not, if not, directly outputting a result: adjuvant chemotherapy + trastuzumab + endocrine therapy (when conditions warrant, adjuvant chemotherapy + trastuzumab + pertuzumab + endocrine therapy may be considered).
Scheme II: hormone receptor positive, HER2 negative
1. Judging lymph node metastasis: not less than 4; is to directly output the adjuvant chemotherapy and the endocrine treatment
2. Judging lymph node metastasis: =0, tumor size is judged again: outputting an auxiliary endocrine treatment scheme with the length less than or equal to 0.5cm, otherwise outputting an auxiliary chemotherapy and endocrine treatment (21 gene detection is feasible when the condition permits and considering whether exemption chemotherapy can be carried out or not according to the individual will of the patient).
3. Judging lymph node metastasis: 1-3, judging the size of the tumor: 2cm or less and histologically graded: and peritumoral vessel invasion: outputting the auxiliary chemotherapy + endocrine therapy (the condition permits 21-gene detection, and considering whether exemption chemotherapy can be given or not according to the individual will of the patient). Otherwise: directly outputting an auxiliary chemotherapy + endocrine treatment scheme.
The third scheme is as follows: hormone receptor negative, HER2 positive
1. Lymph node metastasis: and >0, directly outputting the adjuvant chemotherapy and trastuzumab (when the conditions permit, the adjuvant chemotherapy, the trastuzumab and the pertuzumab can be considered).
2. Lymph node metastasis: =0, tumor size is judged again: less than or equal to 1cm, if so, outputting auxiliary chemotherapy and trastuzumab (the benefits of the auxiliary target therapy and the chemotherapy of the part of patients after the operation are still controversial, and the use of the target therapy and the chemotherapy is considered according to risk factors such as vascular cancer embolus of the patients and the like and the tolerance of the therapy as appropriate); otherwise, outputting the adjuvant chemotherapy plus trastuzumab.
And the scheme is as follows: triple negative breast cancer
1. Judging lymph node metastasis: and >0, directly outputting the adjuvant chemotherapy.
2. Lymph node metastasis: =0, tumor size is judged again:
if the tumor size: outputting adjuvant chemotherapy if the length is more than 1 cm;
if the tumor size: when the length is less than or equal to 0.5cm, outputting: postoperative adjuvant treatment can be avoided;
outputting the following other conditions: adjuvant chemotherapy is considered.
In the description herein, references to the description of "one embodiment," "an example," "a specific example" or the like are intended to mean that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the invention. In this specification, the schematic representations of the terms used above do not necessarily refer to the same embodiment or example. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples.
The foregoing shows and describes the general principles, essential features, and advantages of the invention. It will be understood by those skilled in the art that the present invention is not limited to the embodiments described above, which are described in the specification and illustrated only to illustrate the principle of the present invention, but that various changes and modifications may be made therein without departing from the spirit and scope of the present invention, which fall within the scope of the invention as claimed.
Claims (8)
1. The utility model provides a self-service machine of decision is diagnose to breast cancer which characterized in that: the paper guide device comprises an installation bottom plate (1), wherein a front shell plate (2) is installed on the front side of the upper end of the installation bottom plate (1), side shell plates (3) are symmetrically arranged at the left end and the right end of the rear side of the front shell plate (2), the lower ends of the side shell plates (3) are fixedly connected with the installation bottom plate (1), an operation panel (4) is installed on the upper end of the front shell plate (2), a touch display screen (5) is installed on the rear side of the upper end of the operation panel (4), a movable sealing door (6) is hinged to the rear side of each side shell plate (3), an intermediate fixing piece (7) is installed on the inner wall of each side shell plate (3), a paper guide-out mechanism (8) is installed on the upper end; camera modules are arranged on the top of the side shell plate (3) and above the touch display screen (5);
the middle fixing piece (7) comprises a front fixing side plate (71), the front side of the front fixing side plate (71) is fixedly connected with the inner wall of the front shell plate (2), side fixing side plates (72) are symmetrically arranged on the left side and the right side of the front fixing side plate (71), the outer sides of the side fixing side plates (72) are fixedly connected with the inner wall of the side shell plate (3), and a fixing vertical plate (73) is vertically arranged on the lower side of the rear end of each side fixing side plate (72);
the paper guide-out mechanism (8) comprises a paper guide-out plate (81), a rack (811) is arranged at the lower end of the paper guide-out plate (81) along the front-back direction, an intermediate gear (82) is connected to the lower end of the rack (811) in a meshed manner, a limiting plate (812) is arranged on the lower side of the rear end of the paper guide-out plate (81), a paper outlet (21) and a guide-out groove (22) positioned below the paper outlet (21) are horizontally arranged on the front shell plate (2) in a penetrating manner, the front end of the paper guide-out plate (81) slides out of the guide-out groove (22) and is connected with a front baffle (89), a first rotating transverse shaft (83) is connected to the upper level of the intermediate gear (82) in a penetrating manner, a second rotating transverse shaft (84) is arranged below the first rotating transverse shaft (83) in a parallel manner, upper gears (831) are symmetrically arranged on the left side and the right side of the first rotating transverse, both ends of a first rotating transverse shaft (83) and both ends of a second rotating transverse shaft (84) are rotatably connected with the inner wall of the side shell plate (3), a first bevel gear (85) is connected to one part of the outer wall of the second rotating transverse shaft (84), the lower end of the first bevel gear (85) is meshed with a second bevel gear (86), the lower end of the second bevel gear (86) is connected with a first rotating vertical shaft (87), the lower end of the first rotating vertical shaft (87) is connected with a first motor (88), and the fixed end of the first motor (88) is fixedly connected with the upper end of the front fixed side plate (71);
the auxiliary moving mechanism (9) comprises a lifting frame (91), the front side of the lifting frame (91) is connected with the inner wall of the front shell plate (2) in a sliding manner, the left side and the right side of the lifting frame (91) are connected with the inner wall of the side shell plate (3) in a sliding manner, four moving support columns (92) distributed in a rectangular manner are fixed at the edge of the lower end of the lifting frame (91), a containing groove (11) is formed in the lower end of the mounting bottom plate (1), the lower ends of the moving support columns (92) penetrate through the mounting bottom plate (1) in a sliding manner and are connected with a moving universal wheel (921), the moving universal wheel (921) is positioned in the containing groove (11), the left end and the right end of the lifting frame (91) are vertically connected with a rotating thread upright rod (93) in a penetrating manner, the rotating thread upright rod (93) is connected with the lifting frame (91) in a threaded manner, the lower end of the rotating thread upright rod (, the upper end of the outer wall of the rotary threaded upright rod (93) is connected with a first worm wheel (94), the inner side of the first worm wheel (94) is meshed and connected with a first worm (95), the rear end of the first worm (95) is rotationally connected with a fixed vertical plate (73), the front end of the first worm (95) is rotationally connected with the inner wall of a front shell plate (2), the front side of the outer wall of the first worm (95) is connected with a second worm wheel (96), the lower end of the second worm wheel (96) is meshed and connected with a second worm (97), the left end and the right end of the second worm (97) are rotationally connected with the inner wall of a side shell plate (3), one part of the outer wall of the second worm (97) is connected with a third bevel gear (98), the upper end of the third bevel gear (98) is meshed and connected with a fourth bevel gear (99), the upper end of the fourth bevel gear (99) is connected with a second rotary vertical shaft (910), and the upper.
2. The breast cancer diagnosis and treatment decision self-service machine according to claim 1, characterized in that: the heat dissipation holes (61) are uniformly distributed in the upper side and the lower side of the sealing door (6), the heat dissipation fan (62) is installed in the middle of the sealing door (6), the lock catch (64) is installed on one side of the sealing door (6), and the sealing door (6) is movably connected with the side shell plate (3) through the lock catch (64).
3. The breast cancer diagnosis and treatment decision self-service machine according to claim 1, characterized in that: the lifting frame (91) is of a clip structure.
4. The breast cancer diagnosis and treatment decision self-service machine according to claim 1, characterized in that: the distance between the upper end of the guide-out groove (22) and the lower end of the paper outlet (21) is 0.5cm-1.5 cm.
5. The breast cancer diagnosis and treatment decision self-service machine according to claim 1, characterized in that: the back surface of the touch display screen (5) is in communication connection with a processing module of the self-service machine.
6. A breast cancer diagnosis and treatment decision self-service machine decision method based on claims 1 to 5 is characterized in that:
the method comprises the following steps: acquiring the height of a person to be diagnosed through a camera module; acquiring the weight of a person to be diagnosed through the input of the touch display screen;
step two: calculating to obtain the body surface area according to the height and the weight obtained in the step one;
step three: the medical records of the person to be diagnosed are called or input through a touch display screen to obtain: tumor size, margin, nuclear grade, patient age; obtaining VNPI according to the obtained data information of the tumor size, the incisal margin condition, the cell nucleus grading and the patient age;
step four: acquiring the type of breast cancer by inputting through a touch display screen or calling medical records of a person to be diagnosed;
step five: acquiring TNM stages through inputting of a touch display screen or calling medical records of a person to be diagnosed;
step six: and outputting the decision method through an ADA decision system according to the results obtained in the second step, the third step and the fourth step.
7. The decision-making method according to claim 6, characterized in that: the type of breast cancer in step four is ductal carcinoma in situ;
if the mastectomy is selected, the ADA decision system output is none;
if the breast-conserving operation is selected, the ADA decision system outputs a postoperative auxiliary radiotherapy scheme or a postoperative auxiliary endocrine treatment scheme according to the tumor size, the incisal marginal condition, the cell nucleus classification, the patient age and the ER state, and sends the paper scheme to the personnel to be diagnosed through a paper outlet.
8. The decision-making method according to claim 6, characterized in that: the type of breast cancer in step four is invasive cancer;
if the mastectomy is selected, the ADA decision system output is none;
if breast-conserving surgery is selected, the ADA decision system outputs a postoperative adjuvant radiotherapy scheme or a postoperative adjuvant endocrine treatment scheme according to the tumor size, the incisional margin, the nuclear grade, the patient age, the TNM stage, the ER state, the PR state and the HER2 state, and sends a paper scheme to the personnel to be diagnosed through the paper outlet.
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Application publication date: 20201211 |