CN112604187A - Remote radiotherapy cooperation system and method - Google Patents

Remote radiotherapy cooperation system and method Download PDF

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Publication number
CN112604187A
CN112604187A CN202011631620.7A CN202011631620A CN112604187A CN 112604187 A CN112604187 A CN 112604187A CN 202011631620 A CN202011631620 A CN 202011631620A CN 112604187 A CN112604187 A CN 112604187A
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radiotherapy
adjusting
limiting
remote
support
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CN112604187B (en
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刘杨
李臻
李定杰
丁丹红
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First Affiliated Hospital of Zhengzhou University
Henan Cancer Hospital
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First Affiliated Hospital of Zhengzhou University
Henan Cancer Hospital
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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
    • 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
    • A61N5/103—Treatment planning systems
    • 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
    • A61N5/1048—Monitoring, verifying, controlling systems and methods
    • 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
    • A61N5/1048—Monitoring, verifying, controlling systems and methods
    • A61N5/1049—Monitoring, verifying, controlling systems and methods for verifying the position of the patient with respect to the radiation beam
    • 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
    • A61N5/1048—Monitoring, verifying, controlling systems and methods
    • A61N5/1071—Monitoring, verifying, controlling systems and methods for verifying the dose delivered by the treatment plan
    • 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
    • A61N5/1048—Monitoring, verifying, controlling systems and methods
    • A61N5/1049—Monitoring, verifying, controlling systems and methods for verifying the position of the patient with respect to the radiation beam
    • A61N2005/1061—Monitoring, verifying, controlling systems and methods for verifying the position of the patient with respect to the radiation beam using an x-ray imaging system having a separate imaging source
    • 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
    • A61N2005/1092—Details
    • 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
    • A61N2005/1092—Details
    • A61N2005/1097—Means for immobilizing the patient

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Radiation-Therapy Devices (AREA)

Abstract

The invention belongs to the technical field of biology and new medicine, and particularly discloses a remote radiotherapy cooperation system and a remote radiotherapy cooperation method, wherein the remote radiotherapy cooperation system comprises a radiotherapy mechanism and a remote cooperation mechanism matched with the radiotherapy mechanism; the radiotherapy mechanism comprises a radiotherapy bracket and a radiotherapy bed matched with the radiotherapy bracket, and a radiotherapy adjusting support seat matched with the radiotherapy bracket is arranged below the radiotherapy bed; the radiotherapy bracket is provided with an adjustable radiation mechanism matched with the radiotherapy bed, and the radiotherapy bed is provided with a body adjusting device and a body limiting device; the remote cooperative mechanism comprises a radiotherapy monitoring console and a remote control console which are matched with the radiotherapy mechanism; a control transmission module matched with the remote control console is arranged in the radiotherapy monitoring console.

Description

Remote radiotherapy cooperation system and method
Technical Field
The invention belongs to the technical field of biology and new medicine, relates to the technical field of new treatment, first aid and rehabilitation in medical instruments, equipment and medical special software, and relates to the technical field of image-guided treatment and positioning, in particular to a remote radiotherapy cooperation system, and also relates to a method for performing remote radiotherapy cooperation by using the system.
Background
Radiotherapy generally refers to radiation therapy, and radiation therapy of tumors is a local treatment method for treating tumors by using radiation. The radiation includes alpha, beta and gamma rays generated by radioactive isotopes, and x-rays, electron beams, proton beams and other particle beams generated by various x-ray therapeutic machines or accelerators. About 70% of cancer patients require radiation therapy in the course of cancer treatment, and about 40% of cancers can be cured by radiation therapy. The role and position of radiotherapy in tumor treatment are increasingly prominent, and the radiotherapy has become one of the main means for treating malignant tumors.
With the improvement of the tumor detection rate, the radiotherapy system is used regularly in each hospital in a large scale, but the level of the staff in the primary hospital is uneven, so that the effect of treating tumor patients by using the radiotherapy system in the primary hospital is poor, in order to improve the technical level of the staff in the primary hospital, the staff in the primary hospital usually carries out technical guidance in a remote cooperation mode, but the existing radiotherapy system usually does not support remote operation, so that the staff in the primary hospital can only carry out groping operation through the explanation of the staff in the primary hospital, the mode is not only low in efficiency and easy to cause frequent errors, and some operation methods cannot be effectively understood only through the explanation; the method not only consumes a great deal of time of demonstration personnel, and is easy to cause that the level of staff in the primary hospital cannot be improved, thereby greatly reducing the enthusiasm of the primary hospital for learning the radiotherapy technology and being not beneficial to the improvement and progress of the primary radiotherapy technology; the remote cooperation in the field of tumor radiotherapy in the prior art still stays at the consultation level, internal and external networks in medical clinic are physically isolated, intercommunication and interconnection are not easy, information transmission is not smooth, a remote cooperation consultation mode is lacked, an optimal treatment scheme cannot be rapidly and efficiently provided for a patient, an operation technique of a demonstration worker cannot be carefully observed, and the study and progress of staff in a primary hospital are not facilitated; and, after the operation mode of demonstration personnel was observed to basic level hospital staff, mostly adopt the mode of groping to carry out radiotherapy study, because the radiotherapy room needs carry out patient's radiotherapy work for a long time, the chance that basic level hospital staff was handed experimental is less, and when not having the radiotherapy operation, the remaining radiation in radiotherapy room can cause the injury to basic level hospital staff's health.
Before radiotherapy, a worker needs to make a detailed radiotherapy plan according to factors such as the tumor position of a patient, and can perform radiotherapy on a target area of a tumor of the patient in a targeted manner, so that effective radiotherapy on the tumor in a target area range is realized, when the tumor of the patient is transferred or a plurality of tumor lesions appear, a plurality of tumor areas need to be treated in sequence, and because the difference between the position, the angle and the depth of the tumor in each tumor area is large, the probability of errors during treatment is large, the worker is not easy to pass plan verification when making the radiotherapy plan, the time and the energy of the worker are greatly consumed, and the waiting time of the patient is greatly increased; during radiotherapy, because the body of a patient is easy to shift or shake, when a worker cannot find the condition of the patient in time, the situation of partial off-target or off-target is easy to occur, the body health of the patient is seriously affected, the tumor in a tumor area with partial off-target or off-target cannot be treated by radiation, the condition of the patient cannot be controlled or even worsened, and when chemotherapy is performed on partial off-target or off-target, normal cells are easy to radiate, and the body health of the patient is damaged; the radiotherapy bed of current radiotherapy system can adapt to the demand that the patient lies flat or lies on one's side, conveniently carries out the radiotherapy to patient side or front, nevertheless because the human body structure's the reason, many tumour positions are difficult for the radiation head radiation, when carrying out the chemotherapy to these positions, in order to guarantee the purpose of chemotherapy, generally can adopt the mode of great scope radiation, after adopting this mode, cause extra injury to the patient's health easily, influence patient's health.
Disclosure of Invention
In order to solve a series of problems existing in the remote radiotherapy cooperation, the remote radiotherapy cooperation system which can perform remote radiotherapy cooperation, adjust the posture of a patient, fix the patient, adjust a radiotherapy bed, realize the accurate adjustment of an adjustable radiation head and realize simulation exercise is provided, and a corresponding use method is also provided.
Based on the above purpose, the invention is realized by the following technical scheme:
a remote radiotherapy cooperative system comprises a radiotherapy mechanism and a remote cooperative mechanism matched with the radiotherapy mechanism; the radiotherapy mechanism comprises a radiotherapy bracket and a radiotherapy bed matched with the radiotherapy bracket, and a radiotherapy adjusting support seat matched with the radiotherapy bracket is arranged below the radiotherapy bed; the radiotherapy bracket is provided with an adjustable radiation mechanism matched with the radiotherapy bed; a body adjusting device and a body limiting device are arranged on the radiotherapy bed; the remote cooperative mechanism comprises a radiotherapy monitoring console and a remote control console which are matched with the radiotherapy mechanism; a control transmission module matched with the remote control console is arranged in the radiotherapy monitoring console.
Preferably, the body adjusting device comprises an adjusting cavity arranged in the radiotherapy bed, a plurality of adjusters arranged in the adjusting cavity and a combined adjusting plate matched with the adjusters and arranged on the radiotherapy bed; any adjuster comprises an adjusting sleeve, an adjusting movable rod movably connected with the adjusting sleeve through fine threads is sleeved in the adjusting sleeve, and the adjusting movable rod is connected with a combined adjusting plate arranged on a radiotherapy bed through the radiotherapy bed; the two ends of the adjusting sleeve are rotatably connected with the inner wall of the adjusting cavity, an adjusting synchronous belt wheel is sleeved on the adjusting sleeve and is connected with an adjusting synchronous motor arranged in the adjusting cavity through an adjusting synchronous belt, a speed reducing synchronous belt wheel is arranged on the adjusting synchronous motor, and the speed reducing synchronous belt wheel is matched with the adjusting synchronous belt; the combined adjusting plate comprises a plurality of adjusting sheets which are movably connected with each other, a corresponding adjusting movable rod is arranged below any adjusting sheet, and an adjusting rotating shaft connected with the adjusting sheets is arranged at the top end of each adjusting movable rod; an automatic limiting device matched with the regulator is arranged in the regulating cavity and comprises a limiting push rod, an arc-shaped limiting piece is arranged at the movable end of the limiting push rod and matched with a limiting convex ring which is arranged on the regulating sleeve and fixedly connected with the regulating sleeve, and anti-skid protrusions are uniformly arranged on the limiting convex ring; an anti-skid layer matched with the anti-skid protrusions is arranged on the inner side surface of the arc-shaped limiting sheet; the adjusting pieces can be provided with an adjusting piece group, each adjusting piece group corresponds to a certain part of the body of a patient, the adjusting piece groups are respectively a head piece group, a pair of shoulder piece groups, a pair of double lower limb piece groups, a pair of double upper limb piece groups, a chest piece group, a waist and abdomen piece group and a hip piece group, and the adjusting piece groups are respectively arranged to conveniently adjust the body part of the patient and achieve the purpose of fine adjustment of the body of the patient.
Preferably, the body restraint device comprises a knee restraint group, an elbow restraint group, a waist restraint, a shoulder restraint group and a side support; the knee limiting device group comprises a pair of knee limiting devices, each knee limiting device comprises a pair of knee limiting grooves arranged on the radiotherapy bed, a knee limiting belt movably connected with the knee limiting grooves is arranged in each knee limiting groove, the inner side of each knee limiting belt is provided with a flexible wrapping layer, and a binding rope is arranged on each knee limiting belt; the elbow limiting device group comprises a pair of elbow limiting devices, any elbow limiting device comprises a pair of elbow limiting grooves arranged on the radiotherapy bed, an elbow limiting belt movably connected with the elbow limiting grooves is arranged in any elbow limiting groove, a flexible wrapping layer is arranged on the inner side of the elbow limiting belt, and a binding rope is arranged on the elbow limiting belt; the waist limiting device comprises a pair of waist limiting grooves arranged on the radiotherapy bed, a waist limiting belt movably connected with the waist limiting grooves is arranged in any one waist limiting groove, a flexible wrapping layer is arranged on the inner side of the waist limiting belt, and a binding rope is arranged on the waist limiting belt; the shoulder limiting group comprises a pair of shoulder limiting grooves, a shoulder limiting bulge movably connected with the shoulder limiting grooves and a bulge fixing plate matched with the shoulder limiting bulge are arranged in any one shoulder limiting groove, and the bulge fixing plate is matched with a limiting groove arranged in the shoulder limiting groove; the lateral lying support comprises a pair of support grooves, a plurality of foldable support pieces matched with the support grooves are arranged in any one support groove, and a support rotating shaft matched with the support grooves is arranged at the bottom ends of the foldable support pieces; the knee limiting groove, the elbow limiting groove, the waist limiting groove, the shoulder limiting groove and the support groove are all matched with the combined adjusting plate.
Preferably, the radiotherapy adjusting support seat comprises a support base, a lower fixing support is arranged on the support base, a radiotherapy adjusting plate is arranged on the lower fixing support, an upper adjusting support rod is arranged on the radiotherapy adjusting plate, an adjusting spherical hinge is arranged at the top end of the upper adjusting support rod, and the adjusting spherical hinge is movably connected with an adjusting spherical hinge seat arranged on the bottom surface of the radiotherapy bed.
Preferably, the radiotherapy adjusting disc comprises a fixed supporting disc arranged on the lower fixed support, an adjusting supporting disc connected with the upper adjusting support rod is sleeved in the fixed supporting disc, the adjusting supporting disc is in clearance fit with the fixed supporting disc, and high-precision inner gear teeth which are uniformly arranged are arranged on the inner side surface of the adjusting supporting disc; a speed regulating motor is arranged on the supporting base, and a speed regulating gear matched with the high-precision inner gear teeth is arranged on a speed regulating motor shaft of the speed regulating motor; a plurality of electric hydraulic push rods matched with the upper adjusting support rod are uniformly arranged on the adjusting support plate, the movable end of any electric hydraulic push rod is movably connected with the bottom surface of the radiotherapy bed, and a pressure sensor is arranged at the joint of any electric hydraulic push rod and the radiotherapy bed; a plurality of adjusting roller bearings are uniformly arranged on the bottom surface of the adjusting support plate and matched with roller slideways arranged on the fixed support plate; a fixed pointer is arranged on the side surface of the fixed support disc; an adjusting dial matched with the fixed pointer is arranged on the adjusting support plate.
Preferably, a pair of mute rolling wheels is arranged below the radiotherapy bracket, any mute rolling wheel is fixedly connected with the radiotherapy bracket through a rolling shaft, a rolling synchronous pulley is arranged on the rolling shaft, the rolling synchronous pulley is connected with a moving synchronous pulley through a rolling synchronous belt, and the moving synchronous pulley is matched with a moving motor arranged on the radiotherapy bracket; any mute rolling wheel is matched with a rolling wheel groove arranged on the ground.
Preferably, the adjustable radiation mechanism comprises an adjustable radiation head and a movable cavity which is arranged in the radiotherapy bracket and is matched with the adjustable radiation head, the top end of the adjustable radiation head is provided with an adjusting bulge, the adjusting bulge is matched with a continuous S-shaped curve groove arranged on the inner side surface of the radiotherapy bracket, and the S-shaped curve groove is communicated with the movable cavity; the side surfaces of the two sides of the S-shaped curved groove are uniformly provided with curved groove gear teeth; the adjusting bulge is provided with a moving gear matched with the teeth of the curved groove gear, the top end of the adjusting bulge is provided with a bulge gear with the tooth diameter smaller than the teeth of the moving gear, the adjusting bulge is provided with a connecting plate in rotating connection with the adjusting bulge, the connecting plate is provided with a movable motor in clearance fit with the movable cavity, and the movable motor shaft of the movable motor is provided with a movable gear matched with the bulge gear; the connecting plate is provided with a movable roller matched with the S-shaped curve groove, and the movable roller is matched with a roller groove arranged in the movable cavity; the movable motor is a positive and negative rotation motor.
Preferably, a radiotherapy controller is arranged on the radiotherapy bracket and is electrically connected with a radiotherapy processor arranged in the radiotherapy bracket, and the radiotherapy processor is electrically connected with the adjustable radiation head, the adjustable synchronous motor, the speed regulating motor, the electric hydraulic push rod, the moving motor, the movable motor and the limit push rod; the radiotherapy monitoring table is arranged in a radiotherapy monitoring room, a touch display screen and a radiotherapy simulator are arranged on the radiotherapy monitoring table, the radiotherapy simulator is electrically connected with a radiotherapy simulation processor, and a radiotherapy automatic control module is arranged in the radiotherapy simulation processor; the remote control console is provided with a monitoring camera and a remote controller, the monitoring camera and the remote controller are electrically connected with a remote processor arranged in the remote control console, and the remote processor is connected with the control transmission module through a synchronous transmission module; the remote control console is provided with an analog control switch which is electrically connected with the control transmission module through the remote processor.
Preferably, the control transmission module comprises a network transmission module, a remote intervention module, a video transmission module and an audible and visual reminding module; temperature sensors are arranged on the adjusting synchronous motor, the speed regulating motor, the electric hydraulic push rod, the moving motor and the movable motor; network transmission module, long-range intervention module, audio-visual transmission module, reputation remind module, pressure sensor and temperature sensor all with radiotherapy analog processor, radiotherapy treater electric connection.
The method for carrying out radiotherapy by utilizing the remote radiotherapy cooperative system comprises the following steps:
step one, pretreatment before radiotherapy: clinical evaluation, posture fixation, X-ray/CT positioning, target area delineation and organs at risk are carried out on a patient, then a doctor carries out radiotherapy plan according to the examination condition of the patient, radiotherapy plan evaluation is carried out, and whether the tumor exposure dose meets the clinical requirement and whether the normal tissue exposure dose exceeds the tolerance dose is evaluated;
second, patient fixation: after the radiotherapy plan evaluation is passed, fixing the patient, guiding the patient to lie down or lie on the side on a radiotherapy bed according to the tumor position, primarily adjusting the body of the patient, and after the primary adjustment is finished, fixing the patient by using a body limiting device;
thirdly, adjusting the radiation position: a demonstration person or an operator adjusts the combined adjusting plate by using a remote control console or a radiotherapy controller, can help a patient to adjust the tumor part by adjusting the combined adjusting plate and the radiotherapy bed, enables the tumor part of the patient to be easier to be treated by radiotherapy, verifies the tumor position of the patient after adjustment is finished, corrects the verified error and finds out the error reason;
fourthly, dose verification: after adjustment and verification are completed, data such as an irradiation mode, a dose and the like are imported into a radiotherapy processor or a radiotherapy simulation processor, the radiotherapy processor or the radiotherapy simulation processor automatically adjusts a radiotherapy bracket and an adjustable radiation mechanism, so that radiotherapy is conveniently performed on a plurality of tumor areas, radiotherapy is performed on a simulated human body, the simulated human body can simulate the adjusted state of the human body, dose measurement is performed on the whole course of radiotherapy, and whether the actual irradiated dose of a patient is the same as the planned administered dose or not is confirmed by measuring the irradiated dose of the simulated human body;
fifthly, radiotherapy: and after the dose verification is finished, data such as the irradiation mode, the dose and the like are imported into a radiotherapy processor, and radiotherapy is carried out on the patient to realize radiotherapy actions.
Compared with the prior art, the invention has the following beneficial effects:
(1) by arranging the radiotherapy mechanism and the remote cooperation mechanism, the purpose of remote cooperative radiotherapy can be realized, the purpose of radiotherapy simulation operation can be realized, primary hospital staff can conveniently know and practice radiotherapy steps, and demonstration staff can conveniently guide primary hospital staff in real time; the arrangement of the adjusting support seat is convenient for adjusting the radiotherapy bed, and the body of a patient can be conveniently adjusted; the adjustable radiation mechanism can conveniently carry out radiotherapy on a patient; the body adjusting device can adjust or move the body part of the patient, so that the tumor of the part can be conveniently treated by chemotherapy, and the damage to normal tissue cells of the tumor part is reduced; the arrangement of the body limiting device can restrain the joints of the body of the patient and prevent the patient from moving; the radiotherapy monitoring table can monitor the patient in real time, so that the state of the patient during radiotherapy can be conveniently monitored in real time; the design of remote control platform can be controlled radiotherapy control console through control transmission module, realizes the purpose that long-range instruction chemotherapy was controlled, makes things convenient for basic level hospital staff to learn the chemotherapy technique.
(2) The design of the adjusting cavity is convenient for the adjuster to be hidden in the radiotherapy bed, and the adjustment of the combined adjusting plate is convenient to realize in a hidden adjusting mode; the adjusting sleeve is designed conveniently, fine adjustment of the adjusting movable rod is achieved through a precise threaded connection mode, fine distance adjustment of the combined adjusting plate is achieved conveniently, and the purpose of moving the body of a patient in a fine distance mode is achieved; the two ends of the adjusting sleeve are rotatably connected with the inner wall of the adjusting cavity, so that the adjusting sleeve can conveniently rotate in the adjusting cavity, and the aim of driving the adjusting movable rod to move is fulfilled; the adjusting synchronous motor drives the adjusting synchronous belt wheel to move through the adjusting synchronous belt, so that the purpose that the adjusting synchronous motor drives the adjusting sleeve to move synchronously is achieved, the phenomenon that the adjusting sleeve is not synchronous in adjustment is prevented, and the adjusting sleeve for synchronous adjustment can perform accurate adjusting action on the adjusting movable rod; the speed of the synchronous belt wheel can be further reduced by arranging the speed reducing synchronous belt wheel, so that the aim of slow and accurate adjustment can be fulfilled; the combination regulating plate is connected through the regulating blade of multi-disc swing joint and is realized for the regulating blade can be through the lift removal of adjusting the movable rod, and then realizes the purpose of adjusting patient's health, adjusts the setting of pivot, makes things convenient for the regulating blade to rotate on adjusting the movable rod top, conveniently realizes the adjustment to the regulating blade.
(3) The knee limiter group, the elbow limiter group, the waist limiter and the shoulder limiter group can respectively fix the knee, the elbow, the waist and the shoulder of the patient, and the patient is prevented from being influenced by the involuntary body movement to the radiotherapy; the design of the knee limiting groove facilitates the knee limiting belt to move in the knee limiting groove, so that the knee limiter can fix the knees of most patients; the flexible wrapping layer on the knee limiting belt can reduce the discomfort of a patient when the knee is fixed; the elbow limiting groove is designed to facilitate the elbow limiting belt to move in the elbow limiting groove, so that the elbow limiter can fix the elbows of most patients; the flexible wrapping layer on the elbow limiting belt can reduce the discomfort of a patient when the elbow is fixed; the design of the waist limiting groove facilitates the movement of the waist limiting belt in the waist limiting groove, so that the waist limiter can fix the waist of most patients; the flexible wrapping layer on the waist limiting belt can reduce the discomfort of a patient when the waist is fixed; the shoulder limiting groove facilitates the shoulder limiting protrusion to move in the shoulder limiting groove, so that the shoulder limiting protrusion can limit the shoulders of most patients; the shoulder limiting bulges can be fixed by the bulge fixing plates through adjusting the positions of the bulge fixing plates in different limiting grooves, so that the purpose of adjusting the shoulder limiting bulges is realized; the side-lying support is convenient for the patient needing side-lying radiotherapy to keep the body posture; the support groove facilitates the foldable support to move in the support groove, and the body of the patient can be conveniently fixed; the design of the supporting rotating shaft enables the foldable supporting piece to be folded when not in use, and the influence on the lying patient is reduced.
(4) The support base fixes the lower fixed support which can support the radiotherapy adjusting disc, and the upper adjusting support rod supports and adjusts the radiotherapy bed; the design of the adjusting spherical hinge is convenient for the radiotherapy bed to adjust through the rotating connection between the adjusting spherical hinge seat and the adjusting spherical hinge, and finally the aim of assisting in adjusting the body position of a patient is achieved.
(5) An adjusting support disk is sleeved in the fixed support disk and can be adjusted by a speed regulating motor arranged on the support base; the adjusting support plate is in clearance fit with the fixed support plate, so that the movement of the adjusting support plate is convenient, and the aim of adjusting the radiotherapy bed is fulfilled; the inner side surface of the adjusting support plate is provided with high-precision inner gear teeth which are uniformly arranged, so that the aim of accurately adjusting the adjusting support plate is conveniently fulfilled; the speed regulating motor realizes the purpose of accurately driving the regulating support plate to move by meshing the speed regulating gear with the high-precision inner gear teeth; the arrangement of the plurality of electric hydraulic push rods can not only increase the stability of the radiotherapy bed, but also detect through the pressure sensor, and when the radiotherapy bed is pressed or needs to be adjusted, the inclination angle of the radiotherapy bed can be finely adjusted through adjusting the electric hydraulic push rods, so that the effect of assisting radiotherapy is achieved; the design of the adjusting roller bearing ensures that the adjusting supporting plate can conveniently move on a roller slideway on the fixed supporting plate, thereby realizing the purpose of conveniently adjusting the adjusting supporting plate.
(6) The pair of mute rolling wheels is convenient for the radiotherapy support to move, the moving motor drives the moving synchronous belt wheel to rotate, and the moving synchronous belt wheel drives the rolling synchronous belt wheel to synchronously rotate through the rolling synchronous belt, so that the rolling shaft can be driven by the moving motor in real time, and finally the purpose that the mute rolling wheels synchronously move along with the moving motor is realized.
(7) The arrangement of the movable cavity facilitates the movement of the adjusting bulge of the adjustable radiation head in the movable cavity; the S-shaped curve groove is matched with the mute rolling wheel, and the aim of fine adjustment of the adjustable radiation head is fulfilled by the mute rolling wheel which can move in the S-shaped curve groove in a matched manner; the teeth of the curved groove are matched with the moving gear, so that the adjusting protrusion can move in the S-shaped curved groove conveniently; the movable motor drives the convex gear to rotate through the movable gear, and provides power support for the movement of the adjusting protrusion in the S-shaped curve groove; the connecting plate is rotationally connected with the adjusting bulge to prevent the movable motor from rotating along with the adjusting bulge; the movable motor is fixed on the connecting plate, so that the movable motor can move along with the adjusting protrusion, and the effect of continuously providing power for the adjusting protrusion is achieved; the design of the movable roller not only provides a moving guide function for the connecting plate, but also enables the connecting plate to roll and move in the movable cavity through the matching of the movable ball and the ball groove, and enables the adjusting protrusion to stably move in the S-shaped curve groove; the movable motor is a forward and reverse rotating motor, and the adjusting protrusion is conveniently driven to move back and forth in the S-shaped curve groove.
(8) The radiotherapy controller controls the adjustable radiation head, the adjustable synchronous motor, the speed regulating motor, the electric hydraulic push rod, the moving motor and the movable motor through the radiotherapy processor, or realizes the purpose that the radiotherapy processor automatically controls the electric appliance elements in a mode of inputting a preset chemotherapy program into the radiotherapy controller and the radiotherapy analog controller; the radiotherapy monitoring table is arranged in the radiotherapy monitoring room, so that the monitoring of the radiotherapy process is convenient to realize, the radiotherapy process of the radiotherapy room can be monitored through the touch display screen, the radiotherapy process is conveniently and timely stopped when abnormal conditions occur, safety accidents are prevented, and the radiotherapy simulator can be arranged to realize the process of simulating radiotherapy, so that primary hospital staff can carry out radiotherapy simulation in a remote mode, the time of the primary hospital staff in the radiotherapy room is reduced, and the harm to the body is reduced; the radiotherapy simulation processor is internally provided with a radiotherapy self-control module, when the radiotherapy self-control module detects that an analog signal received by the radiotherapy simulation processor exceeds a preset threshold value, the radiotherapy self-control module intercepts the signal transmission from the radiotherapy simulation processor to the radiotherapy processor and sends an instruction to the acousto-optic reminding module, so that the touch display screen emits a warning signal to remind personnel of paying attention; the monitoring camera can monitor the operation gestures of the demonstration personnel on the remote controller and transmit the operation gestures to the touch display screen, so that the basic-level hospital staff can conveniently learn; the remote processor collects and transmits remote demonstration images and sounds, so that learning and operation are facilitated; the remote processor is connected with the control transmission module through the synchronous transmission module, and can select two modes of remote radiotherapy or remote simulation radiotherapy by selecting the analog control switch, so that remote radiotherapy operation or remote teaching operation can be conveniently performed on the difficult patient; the network transmission module is convenient for carrying out 5G and other ultra-high speed network transmission on remote operation; the remote intervention module can be arranged to help a demonstration person to perform remote radiotherapy or remote demonstration actions; the video and audio transmission module can independently transmit the sound and the image collected by the monitoring camera, so that the transmission quality and the stability of the sound and the image are ensured, and the learning effect is improved; the sound and light reminding module can carry out sound and light reminding action on the error or warning through the sound and light alarm; the temperature sensor detects the adjusting synchronous motor, the speed regulating motor, the electric hydraulic push rod, the moving motor and the movable motor in time, and reminds in time when a problem occurs; network transmission module, long-range intervention module, audio-visual transmission module, reputation are reminded module, pressure sensor and temperature sensor and are all with radiotherapy analog processor, radiotherapy treater electric connection, make things convenient for radiotherapy analog processor, radiotherapy treater to handle the analysis to the data of above-mentioned components and parts.
To sum up, the invention belongs to the technical field of biology and new medicine in the high and new technical field supported by national emphasis, relates to the technical field of new treatment, first aid and rehabilitation in medical instruments, equipment and medical special software, and relates to the technical field of image-guided treatment and positioning, the invention can realize the purpose of fine adjustment of the posture of a patient body on a radiotherapy bed through a radiotherapy controller by arranging an adjusting cavity in the radiotherapy bed, arranging a plurality of regulators in the adjusting cavity and arranging a combined adjusting plate on the radiotherapy bed, and can reduce the damage to normal tissue cells of the patient by irradiating the tumor region of the patient when the radiotherapy is facilitated through the fine adjustment of the posture of the patient; through the mutual matching of the remote control console and the radiotherapy monitoring console, the purpose of remote radiotherapy cooperation can be realized, the effect of remote demonstration teaching can be realized, and the study of radiotherapy technology by primary hospital staff is facilitated; the body limiting device is arranged on the radiotherapy bed, so that the body of a patient can be bound, and the situation that the patient is easy to shake and shake during radiotherapy is reduced; the radiotherapy adjusting disc, the upper adjusting support rod and the electric hydraulic push rod are arranged below the radiotherapy bed, so that the radiotherapy bed can be finely adjusted, the aim of adjusting the radiotherapy bed is fulfilled, and the part which is not easy to irradiate is conveniently subjected to radiotherapy; through setting up adjustable radiation mechanism, can realize the fine setting of adjustable radiation head, the radiotherapy support that the cooperation was removed realizes the purpose of high accuracy radiotherapy.
Drawings
FIG. 1 is a schematic view of the structure of the present invention in example 1;
FIG. 2 is a schematic view showing the structure of a radiation therapy couch in embodiment 1;
FIG. 3 is a schematic view showing the internal structure of the radiation therapy couch in embodiment 1;
FIG. 4 is a schematic structural view of a body adjusting apparatus according to embodiment 1;
FIG. 5 is a schematic view showing the structure of a combination adjusting plate in example 1;
FIG. 6 is a schematic view showing the connection of an adjusting movable lever to a combination adjusting plate in embodiment 1;
FIG. 7 is a schematic view showing the connection of the upper adjusting strut to the radiation therapy couch in example 1;
FIG. 8 is a schematic structural view of a shoulder position-limiting groove in embodiment 1;
FIG. 9 is a schematic view showing the structure of a radiotherapy adjusting disk in embodiment 1;
fig. 10 is a top view of the stationary support disk in embodiment 1;
fig. 11 is a bottom view of the conditioning support plate of example 1;
fig. 12 is a bottom view of the radiotherapy support in embodiment 1;
FIG. 13 is a schematic view of the structure of an adjustable radiation head according to embodiment 1;
fig. 14 is a front view of the radiotherapy support in embodiment 1.
In the figure, 1, a radiotherapy bracket, 2, a radiotherapy bed, 3, an upper adjusting support rod, 4, a radiotherapy adjusting plate, 5, a speed adjusting motor shaft, 6, a speed adjusting motor, 7, a supporting base, 8, a lower fixing support, 9, a radiotherapy controller, 201, a shoulder limiting groove, 202, a shoulder limiting bulge, 203, a combined adjusting plate, 204, an elbow limiting groove, 205, an elbow limiting belt, 206, a waist limiting groove, 207, a waist limiting belt, 208, a knee limiting groove, 209, a knee limiting belt, 211, an adjusting cavity, 212, an adjuster, 213, an adjusting sheet, 214, an adjusting movable rod, 215, an adjusting sleeve, 216, an adjusting synchronous belt wheel, 217, an adjusting synchronous belt, 218, an adjusting synchronous motor, 219, a decelerating synchronous belt wheel, 220, an adjusting shaft, 221, an adjusting rotating shaft, 222, an adjusting ball hinge seat, 223, an adjusting ball hinge, 224, a limiting groove, 225, a bulge fixing plate, 226, 219, 223, a lower adjusting ball hinge seat, Sleeve bearing, 401, fixed supporting plate, 402, adjusting supporting plate, 403, electric hydraulic push rod, 404, roller slideway, 405, speed regulating gear, 406, adjusting roller bearing, 407, high-precision internal gear tooth, 101, rolling synchronous pulley, 102, mute rolling wheel, 103, rolling shaft, 104, curve groove gear tooth, 105, S-shaped curve groove, 106, adjustable radiation head, 107, moving gear, 108, moving motor, 109, moving gear, 110, protruding gear, 111, connecting plate, 112, adjusting protrusion, 113.
Detailed Description
The present invention is further illustrated by the following specific examples, which are not intended to limit the scope of the invention.
Example 1:
a remote radiotherapy cooperative system and method is structurally shown in fig. 1-14 and comprises a radiotherapy mechanism and a remote cooperative mechanism matched with the radiotherapy mechanism; the radiotherapy mechanism comprises a radiotherapy bracket 1 and a radiotherapy bed 2 matched with the radiotherapy bracket 1, and a radiotherapy adjusting support seat matched with the radiotherapy bracket 1 is arranged below the radiotherapy bed 2; the radiotherapy bracket 1 is provided with an adjustable radiation mechanism matched with the radiotherapy bed 2; a body adjusting device and a body limiting device are arranged on the radiotherapy bed 2; the remote cooperative mechanism comprises a radiotherapy monitoring console and a remote control console which are matched with the radiotherapy mechanism; a control transmission module matched with the remote control console is arranged in the radiotherapy monitoring console. The body adjusting device comprises an adjusting cavity 211 arranged in the radiation therapy bed 2, a plurality of adjusters 212 arranged in the adjusting cavity 211 and a combined adjusting plate 203 which is matched with the adjusters 212 and arranged on the radiation therapy bed 2; any adjuster 212 comprises an adjusting sleeve 215, an adjusting movable rod 214 movably connected with the adjusting sleeve 215 through fine threads is sleeved in the adjusting sleeve 215, and the adjusting movable rod 214 is connected with a combined adjusting plate 203 arranged on the radiotherapy bed 2 through the radiotherapy bed 2; both ends of the adjusting sleeve 215 are rotatably connected with the inner wall of the adjusting cavity 211, an adjusting synchronous pulley 216 is sleeved on the adjusting sleeve 215, the adjusting synchronous pulley 216 is connected with an adjusting synchronous motor 218 arranged in the adjusting cavity 211 through an adjusting synchronous belt 217, a decelerating synchronous pulley 219 is arranged on the adjusting synchronous motor 218, and the decelerating synchronous pulley 219 is matched with the adjusting synchronous belt 217; the combined adjusting plate 203 comprises a plurality of adjusting sheets 213 movably connected with each other, a corresponding adjusting movable rod 214 is arranged below any adjusting sheet 213, and an adjusting rotating shaft 221 connected with the adjusting sheet 213 is arranged at the top end of the adjusting movable rod 214.
The body limiting device comprises a knee limiter group, an elbow limiter group, a waist limiter, a shoulder limiter group and a side lying supporter; the knee limiting group comprises a pair of knee limiting devices, each knee limiting device comprises a pair of knee limiting grooves 208 arranged on the radiotherapy bed 2, a knee limiting belt 209 movably connected with the knee limiting grooves 208 is arranged in each knee limiting groove 208, the inner side of each knee limiting belt 209 is provided with a flexible wrapping layer, and a binding rope is arranged on each knee limiting belt 209; the elbow limiting group comprises a pair of elbow limiting devices, any elbow limiting device comprises a pair of elbow limiting grooves 204 arranged on the radiotherapy bed 2, an elbow limiting belt 205 movably connected with the elbow limiting grooves 204 is arranged in any elbow limiting groove 204, the inner side of the elbow limiting belt 205 is provided with a flexible wrapping layer, and the elbow limiting belt 205 is provided with a binding rope; the waist limiting device comprises a pair of waist limiting grooves 206 arranged on the radiotherapy bed 2, a waist limiting belt 207 movably connected with the waist limiting grooves 206 is arranged in any one waist limiting groove 206, a flexible wrapping layer is arranged on the inner side of the waist limiting belt 207, and a binding rope is arranged on the waist limiting belt 207; the shoulder limiting group comprises a pair of shoulder limiting grooves 201, a shoulder limiting bulge 202 movably connected with the shoulder limiting groove 201 and a bulge fixing plate 225 matched with the shoulder limiting bulge 202 are arranged in any one shoulder limiting groove 201, and the bulge fixing plate 225 is matched with a limiting groove 224 arranged in the shoulder limiting groove 201; the lateral lying support comprises a pair of support grooves, a plurality of foldable support pieces matched with the support grooves are arranged in any one support groove, and a support rotating shaft matched with the support grooves is arranged at the bottom ends of the foldable support pieces; the knee limiting groove 208, the elbow limiting groove 204, the waist limiting groove 206, the shoulder limiting groove 201 and the supporter groove are matched with the combined adjusting plate 203.
The radiotherapy is adjusted the supporting seat and is including supporting base 7, is equipped with lower fixing support 8 on the support base 7, is equipped with radiotherapy adjusting disk 4 on the lower fixing support 8, is equipped with on the radiotherapy adjusting disk 4 and adjusts branch 3, goes up 3 tops of adjusting branch and is equipped with regulation ball pivot 223, adjust ball pivot 223 with set up with radiotherapy bed 2 bottom surface on adjust ball pivot 222 swing joint. The radiotherapy adjusting plate 4 comprises a fixed supporting plate 401 arranged on a lower fixed support 8, an adjusting supporting plate 402 connected with the upper adjusting support rod 3 is sleeved in the fixed supporting plate 401, the adjusting supporting plate 402 is in clearance fit with the fixed supporting plate 401, and high-precision inner gear teeth 407 which are uniformly arranged are arranged on the inner side surface of the adjusting supporting plate 402; a speed regulating motor 6 is arranged on the supporting base 7, and a speed regulating gear 405 matched with the high-precision inner gear 407 is arranged on a speed regulating motor shaft 5 of the speed regulating motor 6; a plurality of electric hydraulic push rods 403 matched with the upper adjusting support rods 3 are uniformly arranged on the adjusting support plate 402, the movable end of any electric hydraulic push rod 403 is movably connected with the bottom surface of the radiotherapy bed 2, and a pressure sensor is arranged at the connection part of any electric hydraulic push rod 403 and the radiotherapy bed 2; a plurality of adjusting roller bearings 406 are uniformly arranged on the bottom surface of the adjusting support plate 402, and the adjusting roller bearings 406 are matched with the roller slide 404 arranged on the fixed support plate 401.
A pair of mute rolling wheels 102 is arranged below the radiotherapy bracket 1, any mute rolling wheel 102 is fixedly connected with the radiotherapy bracket 1 through a rolling shaft 103, a rolling synchronous pulley 101 is arranged on the rolling shaft 103, the rolling synchronous pulley 101 is connected with a moving synchronous pulley through a rolling synchronous belt, and the moving synchronous pulley is matched with a moving motor arranged on the radiotherapy bracket 1. The adjustable radiation mechanism comprises an adjustable radiation head 106 and a movable cavity which is arranged in the radiotherapy bracket 1 and is matched with the adjustable radiation head 106, the top end of the adjustable radiation head 106 is provided with an adjusting bulge 112, the adjusting bulge 112 is matched with a continuous S-shaped curve groove 105 which is arranged on the inner side surface of the radiotherapy bracket 1, and the S-shaped curve groove 105 is communicated with the movable cavity; the side surfaces of two sides of the S-shaped curved slot 105 are uniformly provided with curved slot gear teeth 104; a moving gear 107 matched with the curved groove gear teeth 104 is arranged on the adjusting protrusion 112, a protrusion gear 110 with the tooth diameter smaller than that of the moving gear teeth is arranged at the top end of the adjusting protrusion 112, a connecting plate 111 rotationally connected with the adjusting protrusion 112 is arranged on the adjusting protrusion 112, a movable motor 108 in clearance fit with the movable cavity is arranged on the connecting plate 111, and a movable gear 109 matched with the protrusion gear 110 is arranged on a movable motor shaft of the movable motor 108; a moving roller matched with the S-shaped curve groove 105 is arranged on the connecting plate 111, and the moving roller is matched with a roller groove arranged in the movable cavity; the movable motor 108 is a counter-rotating motor.
A radiotherapy controller 9 is arranged on the radiotherapy bracket 1, the radiotherapy controller 9 is electrically connected with a radiotherapy processor arranged in the radiotherapy bracket 1, and the radiotherapy processor is electrically connected with the adjustable radiation head 106, the adjusting synchronous motor 218, the speed regulating motor 6, the electric hydraulic push rod 403, the moving motor and the movable motor 108; the radiotherapy monitoring table is provided with a touch display screen and a radiotherapy simulator, and the radiotherapy simulator is electrically connected with the radiotherapy simulation processor; the remote control console is provided with a monitoring camera and a remote controller, the monitoring camera and the remote controller are electrically connected with a remote processor arranged in the remote control console, and the remote processor is connected with the control transmission module through a synchronous transmission module; the remote control console is provided with an analog control switch which is electrically connected with the control transmission module through the remote processor. The control transmission module comprises a network transmission module, a remote intervention module, a video and audio transmission module and an acousto-optic reminding module; temperature sensors are arranged on the adjusting synchronous motor 218, the speed regulating motor 6, the electric hydraulic push rod 403, the moving motor and the movable motor 108; network transmission module, long-range intervention module, audio-visual transmission module, reputation remind module, pressure sensor and temperature sensor all with radiotherapy analog processor, radiotherapy treater electric connection.
The method for carrying out radiotherapy by utilizing the remote radiotherapy cooperative system comprises the following steps:
step one, pretreatment before radiotherapy: clinical evaluation, posture fixation, X-ray/CT positioning, target area delineation and organs at risk are carried out on a patient, then a doctor carries out radiotherapy plan according to the examination condition of the patient, radiotherapy plan evaluation is carried out, and whether the tumor exposure dose meets the clinical requirement and whether the normal tissue exposure dose exceeds the tolerance dose is evaluated;
second, patient fixation: after the radiotherapy plan evaluation is passed, fixing the patient, guiding the patient to lie down or lie on the side on the radiotherapy bed 2 according to the tumor position, primarily adjusting the body of the patient, and after the primary adjustment is finished, fixing the patient by using a body limiting device; the detailed steps of the fixation are as follows: when a patient needs to lie flat for chemotherapy, the patient lies flat on the radiotherapy bed 2, the lying part of the patient is adjusted according to the physique and physique of the patient, after the adjustment is finished, one or more of a knee limiting set, an elbow limiting set, a waist limiting set and a shoulder limiting set can be adopted to fix the patient according to the requirement, when the knee of the patient needs to be fixed, the position of any knee limiting belt 209 in the knee limiting groove 208 is adjusted, so that the flexible wrapping layer on the knee limiting belt 209 is right opposite to the knee, after the adjustment is finished, the flexible wrapping layer on the knee limiting belt 209 is covered on the knee of the patient, the binding rope on the knee limiting belt 209 is used for fixedly connecting the knee limiting belts 209, the fixing of the knee at one side of the patient is finished, and then the knee at the other side of the patient is fixed according to the method; when the elbow of the patient needs to be fixed, the position of any elbow limiting belt 205 in the elbow limiting groove 204 is adjusted, so that the flexible wrapping layer on the elbow limiting belt 205 is opposite to the elbow, after the adjustment is finished, the flexible wrapping layer on the elbow limiting belt 205 is covered on the elbow of the patient, the elbow limiting belts 205 are fixedly connected by using the binding rope on the elbow limiting belt 205, the elbow on one side of the patient is fixed, and then the elbow on the other side of the patient is fixed according to the method; when the waist of the patient needs to be fixed, the position of the waist limiting belt 207 in the waist limiting groove 206 is adjusted to enable the flexible wrapping layer on the waist limiting belt 207 to be opposite to the waist, after the adjustment is completed, the flexible wrapping layer on the waist limiting belt 207 is covered on the waist of the patient, the binding ropes on the waist limiting belt 207 are used for fixedly connecting the pair of waist limiting belts 207, and the waist of the patient is fixed; when the shoulders of the patient need to be fixed, the position of any shoulder limiting bulge 202 in the shoulder limiting groove 201 is adjusted, after the adjustment is finished, the position of the bulge fixing plate 225 in the limiting groove 224 is adjusted, so that the shoulder limiting bulge 202 is tightly attached to the shoulders of the patient, the shoulder of one side of the patient is fixed, and then the shoulder of the other side of the patient is fixed according to the method; when a patient needs side-lying chemotherapy, the foldable support pieces are firstly rotated to extend out of the support device grooves after rotating around the support rotating shaft, then the patient lies on the side on the radiotherapy bed 2, the side-lying position of the patient is adjusted according to the figure and the physique of the patient, and after the adjustment is completed, the position of each foldable support piece in each support device groove is adjusted to support the side-lying patient.
Thirdly, adjusting the radiation position: a demonstration person or an operator adjusts the combined adjusting plate 203 by using the remote control console or the radiotherapy controller 9, can help the patient to adjust the tumor part by adjusting the combined adjusting plate 203 and the radiotherapy bed 2, enables the tumor part of the patient to be easier to perform radiotherapy, verifies the tumor position of the patient after adjustment is finished, corrects the verified error and finds out the error reason; the detailed adjustment steps are as follows: if the demonstration personnel carry out demonstration adjustment, the demonstration personnel close or open the analog control switch, and correspondingly, the demonstration personnel carry out remote demonstration adjustment or simulate remote demonstration adjustment in two modes; when remote demonstration adjustment is carried out, the monitoring camera carries out sound and image acquisition on the remote controller in real time, the acquired sound and image are processed through the remote processor, after the processing is finished, the data are transmitted to the synchronous transmission module, the synchronous transmission module transmits the data to a radiotherapy monitoring table placed in a radiotherapy monitoring room, the network transmission module in the control transmission module in the radiotherapy monitoring table receives the data, the image and sound data are analyzed and processed through the audio-visual transmission module and then displayed and played through the touch display screen, so that basic-level hospital staff can see and learn, meanwhile, the remote intervention module transmits the received data to the radiotherapy processor, and the radiotherapy processor starts demonstration adjustment; when the simulation remote demonstration adjustment is carried out, the monitoring camera carries out sound and image acquisition on the remote controller in real time, the acquired sound and image are processed through the remote processor, after the processing is finished, the data are transmitted to the synchronous transmission module, the synchronous transmission module transmits the data to a radiotherapy monitoring table placed in a radiotherapy monitoring room, the network transmission module in the control transmission module in the radiotherapy monitoring table receives the data, the image and sound data are analyzed and processed through the audio-visual transmission module and then displayed and played through the touch display screen, so that basic-level hospital staff can see and learn, meanwhile, the remote intervention module transmits the received data to the radiotherapy simulation processor, and the radiotherapy simulation processor starts to carry out demonstration simulation adjustment; the difference between the demonstration adjustment and the demonstration simulation adjustment is that after the demonstration simulation adjustment is completed, all demonstration adjustments are restored to the initial positions after a period of time, that is, an adjustment reset module is arranged in the radiotherapy simulation processor, and after the demonstration simulation adjustment is performed, the adjusted components can be reset, and the rest steps are similar and will not be described again; if the staff directly operates the radiotherapy controller 9 on the radiotherapy bracket 1, the instruction is directly processed by the radiotherapy processor, and the combined adjusting plate 203 is adjusted in real time, which is similar to the demonstration adjusting process; when the combined adjusting plate 203 needs to be adjusted by the adjuster 212, the radiotherapy processor or radiotherapy simulation processor starts the adjusting synchronous motor 218, the decelerating synchronous pulley 219 drives the adjusting synchronous belt 217 to move, the moving adjusting synchronous belt 217 drives the adjusting synchronous pulley 216 to rotate, so that the adjusting sleeve 215 rotates around the sleeve bearing 226 fixed in the adjusting cavity 211, the rotating adjusting sleeve 215 drives the adjusting movable rod 214 connected with the rotating adjusting sleeve through fine threads to ascend or descend in a forward or reverse rotation mode, the ascending or descending adjusting movable rod 214 drives the adjusting sheet 213 to ascend or descend, because the adjacent adjusting sheets 213 are connected through the adjusting shaft 220, and because the top end of the adjusting movable rod 214 is provided with the adjusting rotating shaft 221 connected with the adjusting sheet 213, the adjusting single adjusting sheet 213 can drive the adjacent adjusting sheet 213 to rotate through the adjusting shaft 220, so that the adjacent adjusting sheets 213 are connected obliquely after the adjustment is completed, the posture of the patient can be gradually changed, the adjacent adjusting sheets 213 cannot generate step difference and cause discomfort to the operation of the patient, and the aim of integrally changing the position of the patient can be fulfilled by adjusting the adjusting sheet 213 in a certain area; when the radiotherapy bed 2 needs to be adjusted horizontally, a radiotherapy processor or a radiotherapy simulation processor adjusts a radiotherapy adjusting disc 4, a speed regulating motor 6 on a support base 7 is started, the speed regulating motor 6 drives a speed regulating gear 405 on a speed regulating motor shaft 5 to move, the moving speed regulating gear 405 is meshed with a high-precision inner gear tooth 407 to drive an adjusting support disc 402 to move in a fixed support disc 401 on a lower fixed support 8, and an adjusting roller bearing 406 on the adjusting support disc 402 rolls around a roller slideway 404 on the fixed support disc 401, so that the purpose of adjusting the movement of the support disc 402 on the fixed support disc 401 is realized, and the effect of adjusting the horizontal position of a patient can be realized; when the angle of the radiotherapy bed 2 needs to be adjusted, the radiotherapy processor or radiotherapy simulation processor starts the electric hydraulic push rods 403, the electric hydraulic push rods 403 are mutually matched under the action of the radiotherapy processor or radiotherapy simulation processor to drive the radiotherapy bed 2 to rotate, and the adjusting spherical hinge seat 222 on the bottom surface of the radiotherapy bed 2 rotates around the adjusting spherical hinge 223 at the top end of the upper adjusting support rod 3, so that the purpose of inclination adjustment of the radiotherapy bed 2 is achieved; meanwhile, in a non-remote simulation demonstration adjustment state, the radiotherapy bed 2 can be adjusted in a manual pressing mode, the radiotherapy bed 2 is pressed by hands, when the pressure detected by any pressure sensor exceeds the preset value of the radiotherapy processor, the radiotherapy processor controls the electric hydraulic push rod 403 to perform corresponding actions, and when the pressure value detected by the pressure sensor is in a normal threshold range, the adjustment is completed;
fourthly, dose verification: after adjustment and verification are completed, data such as an irradiation mode, a dose and the like are imported into a radiotherapy processor or a radiotherapy simulation processor, the radiotherapy processor or the radiotherapy simulation processor automatically adjusts the radiotherapy bracket 1 and the adjustable radiation mechanism, so that radiotherapy is conveniently performed on a plurality of tumor areas, radiotherapy is performed on a simulated human body, the simulated human body can simulate the adjusted state of the human body, dose measurement is performed on the whole course of radiotherapy, and whether the actual irradiated dose of a patient is the same as the planned administered dose or not is confirmed by measuring the irradiated dose of the simulated human body; the detailed verification steps are as follows: when the demonstration personnel carry out demonstration verification, the demonstration personnel close or open the simulation control switch, and correspondingly, the demonstration personnel carry out remote demonstration verification or simulation remote demonstration verification; when remote demonstration verification is carried out, a monitoring camera carries out sound and image acquisition on a remote controller in real time, the acquired sound and image are processed through a remote processor, after the processing is finished, data are transmitted to a synchronous transmission module, the synchronous transmission module transmits the data to a radiotherapy monitoring table placed in a radiotherapy monitoring room, a network transmission module in a control transmission module in the radiotherapy monitoring table receives the data, the image and sound data are analyzed and processed through a video-audio transmission module and then displayed and played through a touch display screen, so that primary hospital staff can see and learn, meanwhile, a remote intervention module transmits the received data to a radiotherapy processor, and the radiotherapy processor starts demonstration verification; when simulation remote demonstration verification is carried out, a monitoring camera carries out sound and image acquisition on a remote controller in real time, the acquired sound and image are processed through a remote processor, after the processing is finished, data are transmitted to a synchronous transmission module, the synchronous transmission module transmits the data to a radiotherapy monitoring table placed in a radiotherapy monitoring room, a network transmission module in a control transmission module in the radiotherapy monitoring table receives the data, the image and sound data are analyzed and processed through a video-audio transmission module and then displayed and played through a touch display screen, so that basic-level hospital staff can watch study, meanwhile, a remote intervention module transmits the received data to a radiotherapy simulation processor, and the radiotherapy simulation processor starts demonstration simulation verification; the difference between the demonstration verification and the demonstration simulation verification is that the adjustable radiation head 106 of the demonstration simulation verification cannot perform radiotherapy, after the demonstration simulation verification is completed, after a period of time, all demonstration verification processes are restored to the initial positions, that is, a dose simulation reset module is arranged in the radiotherapy simulation processor, after the demonstration simulation verification is performed, the parts moved in the verification processes can be reset, the other steps are similar and will not be described again, the radiotherapy processor or the radiotherapy simulation processor starts the movable motor 108 in the movable cavity according to the tumor position according to the setting of the input preset chemotherapy program, the movable gear 109 on the movable motor shaft of the movable motor 108 starts to move, the movable gear 109 drives the protrusion gear 110 to move, the protrusion gear 110 drives the movable gear 107 on the same shaft to move, so that the movable gear 107 starts to mesh with the curved groove gear teeth 104 on both sides of the S-shaped curved groove 105, the movable gear 107 drives the adjusting protrusion 112 and the adjustable radiation head 106 to move along the S-shaped curved groove 105, and the movable motor 108 is fixed on the connecting plate 111, and the connecting plate 111 is rotatably connected with the adjusting protrusion 112, so that the movable motor 108 can move along with the adjusting protrusion 112, and can continuously drive the protrusion gear 110 to move, thereby achieving the purpose of continuously driving the adjustable radiation head 106 to move along the S-shaped curved groove 105; meanwhile, the radiotherapy processor or radiotherapy simulation processor adjusts the radiotherapy bracket 1 according to the input preset chemotherapy program setting, so that the adjustable radiation head 106 after the movement of the S-shaped curved groove 105 can aim at the tumor region, after the adjustable radiation head 106 reaches the preset position, the mobile motor is started, the mobile motor drives the mobile synchronous pulley to move, the mobile synchronous pulley drives the rolling synchronous pulley 101 to move synchronously through the rolling synchronous belt, so as to drive the rolling shaft 103 on the axis of the rolling synchronous pulley 101 to move, and the mute rolling wheel 102 on the rolling shaft 103 moves synchronously, so as to achieve the purpose that the mobile motor drives the radiotherapy bracket 1 to move, when the radiotherapy bracket 1 moves in place, the demonstration verification or demonstration simulation verification can be performed through the adjustable radiation head 106 by adjusting the angle of the radiation head, and after the demonstration verification or demonstration simulation verification is completed in a certain region, carrying out verification adjustment again according to the method, and carrying out demonstration verification or demonstration simulation verification work of the next area; under the same condition, because the length of the S-shaped curved slot 105 is longer than the length of a straight line directly from one end to the other end of the S-shaped curved slot 105, the translation distance of the moving gear teeth in the S-shaped curved slot 105 is less than that in the straight line slot every time the moving gear teeth rotate for one circle under the same condition, and the error of the adjustable radiation head 106 during radiotherapy can be effectively reduced; if the staff carries out the radiotherapy verification, the radiotherapy verification is carried out according to the setting of the preset chemotherapy program input into the radiotherapy processor, and then the radiotherapy verification is carried out, which is similar to the demonstration verification process;
fifthly, radiotherapy: after the dose verification is completed, data such as an irradiation mode, the dose and the like are imported into a radiotherapy processor, and radiotherapy is performed on a patient to realize radiotherapy actions; the radiotherapy process is the same as the demonstration verification in the fourth step or the radiotherapy verification performed by the staff, and the chemotherapy action on the patient is realized by indirectly or directly inputting a preset chemotherapy program into the radiotherapy processor.
Example 2:
a remote radiotherapy cooperation system and a method thereof are different from the embodiment 1 in that: the combined adjusting plate 203 is provided with a flexible cushion layer matched with the knee limiting groove 208, the elbow limiting groove 204, the waist limiting groove 206, the shoulder limiting groove 201 and the support groove, and the flexible cushion layer is designed to reduce the discomfort of the patient and improve the stability of the patient on the radiotherapy bed 2.
Example 3:
a remote radiotherapy cooperation system and a method thereof are different from the embodiment 1 in that:
the method for performing radiotherapy simulation exercise by using the remote radiotherapy cooperative system comprises the following steps:
firstly, simulating human body fixation: fixing the simulated human body, lying the simulated human body on the radiotherapy bed 2 or lying on the side according to the position of the simulated tumor, primarily adjusting the simulated human body, and fixing the simulated human body by using a body limiting device after the primary adjustment is finished; the detailed steps of the fixation are as follows: when the simulated human body needs to lie flat for chemotherapy, the simulated human body lies flat on the radiotherapy bed 2, the lying part of the simulated human body is adjusted according to the figure and the physique of the simulated human body, after the adjustment is completed, one or more of a knee limiter group, an elbow limiter group, a waist limiter and a shoulder limiter group can be adopted to fix the simulated human body according to the requirement, when the simulated human body knee needs to be fixed, the position of any knee limiting belt 209 in the knee limiting groove 208 is adjusted to ensure that the flexible wrapping layer on the knee limiting belt 209 is opposite to the knee, after the adjustment is finished, covering the flexible wrapping layer on the knee limiting belt 209 on the knees of the simulated human body, fixedly connecting the knee limiting belts 209 by using the binding ropes on the knee limiting belts 209, completing the fixation of the knees at one side of the simulated human body, and then fixing the knees at the other side of the simulated human body according to the method; when the elbow of the simulated human body needs to be fixed, the position of any elbow limiting belt 205 in the elbow limiting groove 204 is adjusted, so that the flexible wrapping layer on the elbow limiting belt 205 is opposite to the elbow, after the adjustment is finished, the flexible wrapping layer on the elbow limiting belt 205 is covered on the elbow of the simulated human body, the binding rope on the elbow limiting belt 205 is used for fixedly connecting the elbow limiting belts 205, the elbow on one side of the simulated human body is fixed, and then the elbow on the other side of the simulated human body is fixed according to the method; when the waist of the simulated human body needs to be fixed, the position of the waist limiting belt 207 in the waist limiting groove 206 is adjusted, so that the flexible wrapping layer on the waist limiting belt 207 is opposite to the waist, after the adjustment is finished, the flexible wrapping layer on the waist limiting belt 207 is covered on the waist of the simulated human body, the binding ropes on the waist limiting belt 207 are used for fixedly connecting the pair of waist limiting belts 207, and the fixation of the waist of the simulated human body is finished; when the shoulders of the simulated human body need to be fixed, the position of any shoulder limiting bulge 202 in the shoulder limiting groove 201 is adjusted, after the adjustment is finished, the position of the bulge fixing plate 225 in the limiting groove 224 is adjusted, so that the shoulder limiting bulge 202 is tightly attached to the shoulders of the simulated human body, the shoulder fixing on one side of the simulated human body is finished, and then the shoulder on the other side of the simulated human body is fixed according to the method; when the simulated tumor is positioned on the side surface of the simulated human body, the foldable support pieces are firstly rotated to enable the foldable support pieces to extend out of the support groove after rotating around the support rotating shaft, then the simulated human body is laid on the radiotherapy bed 2 on the side, the side lying part of the simulated human body is adjusted according to the body type of the simulated human body, and after the adjustment is completed, the positions of the foldable support pieces in the support groove are adjusted to enable the foldable support pieces to play a role in supporting the side lying simulated human body.
Step two, adjusting the radiation position: the simulation exerciser adjusts the combined adjusting plate 203, can adjust the tumor part of the simulated human body by adjusting the combined adjusting plate 203 and the radiotherapy bed 2, the simulated human body can simulate the state of the human body after adjustment, so that the tumor part of the simulated human body can be easily subjected to radiotherapy, after the adjustment is finished, the tumor position of the simulated human body is verified, and errors after verification are corrected and error reasons are found out; the detailed adjustment steps are as follows: the simulation training personnel operates through the radiotherapy simulator on the radiotherapy monitoring table, when the combined adjusting plate 203 needs to be adjusted through the adjuster 212, the radiotherapy simulator sends an instruction to start the adjusting synchronous motor 218 through the radiotherapy simulation processor, the decelerating synchronous pulley 219 drives the adjusting synchronous belt 217 to move, the moving adjusting synchronous belt 217 drives the adjusting synchronous pulley 216 to rotate, so that the adjusting sleeve 215 rotates around a sleeve bearing 226 fixed in the adjusting cavity 211, the rotating adjusting sleeve 215 drives the adjusting movable rod 214 connected with the adjusting sleeve through fine threads to ascend or descend in a forward or reverse rotating mode, the ascending or descending adjusting movable rod 214 drives the adjusting sheets 213 to ascend or descend, because the adjacent adjusting sheets 213 are connected through the adjusting shaft 220, and because the top end of the adjusting movable rod 214 is provided with the adjusting rotating shaft 221 connected with the adjusting sheets 213, the adjacent adjusting sheets 213 can be driven to rotate through adjusting a single adjusting sheet 213, after the adjustment is finished, the adjacent adjusting sheets 213 are obliquely connected, so that the body state of the simulated human body can be gradually changed, the adjacent adjusting sheets 213 cannot generate a step difference, and the purpose of integrally changing the position of the simulated human body can be realized by adjusting the adjusting sheet 213 in a certain area; when the radiotherapy bed 2 needs to be adjusted horizontally, the radiotherapy simulation processor adjusts the radiotherapy adjusting disc 4, the speed regulating motor 6 on the support base 7 is started, the speed regulating motor 6 drives the speed regulating gear 405 on the speed regulating motor shaft 5 to move, the moving speed regulating gear 405 is meshed with the high-precision inner gear teeth 407 to drive the adjusting support disc 402 to move in the fixed support disc 401 on the lower fixed support 8, and the adjusting roller bearing 406 on the adjusting support disc 402 rolls around the roller slideway 404 on the fixed support disc 401, so that the aim of adjusting the movement of the support disc 402 on the fixed support disc 401 is fulfilled, and the function of adjusting and simulating the horizontal position of a human body can be fulfilled; when the angle of the radiotherapy bed 2 needs to be adjusted, the radiotherapy simulation processor starts the electric hydraulic push rods 403, the electric hydraulic push rods 403 are mutually matched under the action of the radiotherapy simulation processor to drive the radiotherapy bed 2 to rotate, and the adjusting spherical hinge base 222 on the bottom surface of the radiotherapy bed 2 rotates around the adjusting spherical hinge 223 at the top end of the upper adjusting support rod 3, so that the purpose of inclination adjustment of the radiotherapy bed 2 is achieved; after the simulation exercise adjustment is completed, after a period of time, all the simulation exercise adjustments can be restored to the initial positions, an adjustment reset module is arranged in the radiotherapy simulation processor, and the adjusted components can be reset after the simulation exercise adjustment is performed;
thirdly, dose simulation: after the adjustment and verification are completed, data such as the irradiation mode, the dose and the like are imported into a radiotherapy simulation processor, the radiotherapy simulation processor automatically adjusts the radiotherapy support 1 and the adjustable radiation mechanism, radiotherapy is conveniently performed on a plurality of tumor areas, and the simulated human body can simulate the state of the human body after adjustment; the detailed verification steps are as follows: the radiotherapy simulation processor starts a movable motor 108 in the movable cavity according to the tumor position according to the setting of an input preset chemotherapy program, a movable gear 109 on a movable motor shaft of the movable motor 108 starts to move, the movable gear 109 drives a convex gear 110 to move, the moving convex gear 110 drives a coaxial movable gear 107 to move, so that the movable gear 107 starts to be meshed with the curved groove gear teeth 104 on two sides of an S-shaped curved groove 105, the movable gear 107 drives an adjusting protrusion 112 and an adjustable radiation head 106 to move along the S-shaped curved groove 105, and the movable motor 108 is fixed on a connecting plate 111 which is rotationally connected with the adjusting protrusion 112, so that the movable motor 108 can move along with the adjusting protrusion 112, can continuously drive the convex gear 110 to move, and achieves the purpose of continuously driving the adjustable radiation head 106 to move along the S-shaped curved groove 105; meanwhile, the radiotherapy simulation processor adjusts the radiotherapy bracket 1 according to the input preset chemotherapy program setting, so that the adjustable radiation head 106 after the movement of the S-shaped curved groove 105 can aim at the tumor region, after the adjustable radiation head 106 reaches the preset position, the moving motor is started, the moving motor drives the moving synchronous pulley to move, the moving synchronous pulley drives the rolling synchronous pulley 101 to move synchronously through the rolling synchronous belt, so as to drive the rolling shaft 103 on the shaft center of the rolling synchronous pulley 101 to move synchronously, the mute rolling wheel 102 on the rolling shaft 103 moves synchronously, thereby realizing the purpose that the moving motor drives the radiotherapy bracket 1 to move, when the radiotherapy bracket 1 moves in place, the dose simulation can be carried out through the adjustable radiation head 106 by adjusting the angle of the radiation head, and after the dose simulation of a certain region is finished, the radiotherapy simulation processor carries out the dose simulation adjustment again according to the method, carrying out the dose simulation work of the next area; after the dose simulation is finished and a period of time passes, all the dose simulation processes can be restored to the initial positions, a dose simulation reset module is arranged in the radiotherapy simulation processor, and after the dose simulation, parts moving in the dose simulation process can be reset; the simulation exercise is thus finished.
The above description is only for the purpose of illustrating the preferred embodiments of the present invention and is not to be construed as limiting the present invention, but rather as the following description is intended to cover all modifications, equivalents and improvements falling within the spirit and scope of the present invention.

Claims (10)

1. A remote radiotherapy cooperative system is characterized by comprising a radiotherapy mechanism and a remote cooperative mechanism matched with the radiotherapy mechanism; the radiotherapy mechanism comprises a radiotherapy bracket and a radiotherapy bed matched with the radiotherapy bracket, and a radiotherapy adjusting support seat matched with the radiotherapy bracket is arranged below the radiotherapy bed; the radiotherapy bracket is provided with an adjustable radiation mechanism matched with the radiotherapy bed; a body adjusting device and a body limiting device are arranged on the radiotherapy bed; the remote cooperation mechanism comprises a radiotherapy monitoring console and a remote control console which are matched with the radiotherapy mechanism; and a control transmission module matched with the remote control console is arranged in the radiotherapy monitoring console.
2. The cooperative system and method of remote radiotherapy as set forth in claim 1, wherein the body adjusting device comprises an adjusting cavity disposed in the radiotherapy bed, a plurality of adjusters disposed in the adjusting cavity, and a combination adjusting plate disposed on the radiotherapy bed in cooperation with the adjusters; any one of the regulators comprises a regulating sleeve, a regulating movable rod movably connected with the regulating sleeve through fine threads is sleeved in the regulating sleeve, and the regulating movable rod is connected with a combined regulating plate arranged on a radiotherapy bed through the radiotherapy bed; the two ends of the adjusting sleeve are rotatably connected with the inner wall of the adjusting cavity, an adjusting synchronous belt wheel is sleeved on the adjusting sleeve and is connected with an adjusting synchronous motor arranged in the adjusting cavity through an adjusting synchronous belt, a speed reducing synchronous belt wheel is arranged on the adjusting synchronous motor, and the speed reducing synchronous belt wheel is matched with the adjusting synchronous belt; the combined adjusting plate comprises a plurality of adjusting sheets which are movably connected with each other, a corresponding adjusting movable rod is arranged below any adjusting sheet, and an adjusting rotating shaft connected with the adjusting sheets is arranged at the top end of each adjusting movable rod.
3. The cooperative system of remote radiation therapy of claim 2, wherein said body restraint device comprises a set of knee restraints, a set of elbow restraints, a set of lumbar restraints, a set of shoulder restraints, and a lateral support; the knee limiting device group comprises a pair of knee limiting devices, each knee limiting device comprises a pair of knee limiting grooves arranged on the radiotherapy bed, a knee limiting belt movably connected with the knee limiting grooves is arranged in each knee limiting groove, a flexible wrapping layer is arranged on the inner side of each knee limiting belt, and a binding rope is arranged on each knee limiting belt; the elbow limiting device group comprises a pair of elbow limiting devices, any elbow limiting device comprises a pair of elbow limiting grooves arranged on the radiotherapy bed, an elbow limiting belt movably connected with the elbow limiting grooves is arranged in any elbow limiting groove, a flexible wrapping layer is arranged on the inner side of the elbow limiting belt, and a binding rope is arranged on the elbow limiting belt; the waist limiting device comprises a pair of waist limiting grooves arranged on the radiotherapy bed, a waist limiting belt movably connected with the waist limiting grooves is arranged in any one waist limiting groove, a flexible wrapping layer is arranged on the inner side of the waist limiting belt, and a binding rope is arranged on the waist limiting belt; the shoulder limiting group comprises a pair of shoulder limiting grooves, a shoulder limiting bulge movably connected with the shoulder limiting grooves and a bulge fixing plate matched with the shoulder limiting bulge are arranged in any one shoulder limiting groove, and the bulge fixing plate is matched with a limiting groove arranged in the shoulder limiting groove; the lateral lying support comprises a pair of support grooves, a plurality of foldable support pieces matched with the support grooves are arranged in any one support groove, and a support rotating shaft matched with the support grooves is arranged at the bottom ends of the foldable support pieces; the knee limiting groove, the elbow limiting groove, the waist limiting groove, the shoulder limiting groove and the support groove are matched with the combined adjusting plate.
4. The cooperative system and method for remote radiotherapy as claimed in claim 3, wherein the radiotherapy adjusting support seat comprises a support base, a lower fixing support is disposed on the support base, a radiotherapy adjusting plate is disposed on the lower fixing support, an upper adjusting rod is disposed on the radiotherapy adjusting plate, an adjusting ball hinge is disposed at the top end of the upper adjusting rod, and the adjusting ball hinge is movably connected with an adjusting ball hinge seat disposed on the bottom surface of the radiotherapy bed.
5. The cooperative system and method for remote radiotherapy as claimed in claim 4, wherein the radiotherapy adjusting plate comprises a fixed support plate disposed on the lower fixed support, an adjusting support plate connected with the upper adjusting support rod is sleeved in the fixed support plate, the adjusting support plate is in clearance fit with the fixed support plate, and high-precision inner gear teeth are uniformly arranged on the inner side surface of the adjusting support plate; a speed regulating motor is arranged on the supporting base, and a speed regulating gear matched with the high-precision inner gear teeth is arranged on a speed regulating motor shaft of the speed regulating motor; a plurality of electric hydraulic push rods matched with the upper adjusting support rod are uniformly arranged on the adjusting support plate, the movable end of any electric hydraulic push rod is movably connected with the bottom surface of the radiotherapy bed, and a pressure sensor is arranged at the joint of any electric hydraulic push rod and the radiotherapy bed; a plurality of adjusting roller bearings are uniformly arranged on the bottom surface of the adjusting supporting plate and matched with roller slideways arranged on the fixed supporting plate.
6. The cooperative system of remote radiotherapy as claimed in claim 5, wherein a pair of silent rolling wheels is disposed under the radiotherapy support, any silent rolling wheel is fixedly connected with the radiotherapy support through a rolling shaft, a rolling synchronous pulley is disposed on the rolling shaft, the rolling synchronous pulley is connected with a moving synchronous pulley through a rolling synchronous belt, and the moving synchronous pulley is matched with a moving motor disposed on the radiotherapy support.
7. The cooperative system of remote radiotherapy as set forth in claim 6, wherein the adjustable radiation mechanism comprises an adjustable radiation head and a movable chamber disposed in the radiotherapy support and engaged with the adjustable radiation head, the adjustable radiation head having an adjustment protrusion at a top end thereof, the adjustment protrusion engaging with a continuous S-shaped curved groove disposed on an inner side surface of the radiotherapy support, the S-shaped curved groove communicating with the movable chamber; the side surfaces of the two sides of the S-shaped curved groove are uniformly provided with curved groove gear teeth; the adjusting bulge is provided with a movable gear matched with the teeth of the curved groove gear, the top end of the adjusting bulge is provided with a bulge gear with the tooth diameter smaller than the teeth of the movable gear, the adjusting bulge is provided with a connecting plate which is rotatably connected with the adjusting bulge, the connecting plate is provided with a movable motor in clearance fit with the movable cavity, and the movable motor shaft of the movable motor is provided with a movable gear matched with the bulge gear; the connecting plate is provided with a movable roller matched with the S-shaped curve groove, and the movable roller is matched with a roller groove arranged in the movable cavity; the movable motor is a forward and reverse rotating motor.
8. The cooperative system of remote radiotherapy as set forth in claim 7, wherein the radiotherapy support is provided with a radiotherapy controller electrically connected to a radiotherapy processor disposed in the radiotherapy support, the radiotherapy processor being electrically connected to the adjustable radiation head, the adjustable synchronous motor, the adjustable speed motor, the electro-hydraulic push rod, the moving motor, and the movable motor; the radiotherapy monitoring table is arranged in a radiotherapy monitoring room, a touch display screen and a radiotherapy simulator are arranged on the radiotherapy monitoring table, the radiotherapy simulator is electrically connected with a radiotherapy simulation processor, and a radiotherapy automatic control module is arranged in the radiotherapy simulation processor; the remote control console is provided with a monitoring camera and a remote controller, the monitoring camera and the remote controller are electrically connected with a remote processor arranged in the remote control console, and the remote processor is connected with the control transmission module through a synchronous transmission module; and the remote control console is provided with an analog control switch which is electrically connected with the control transmission module through the remote processor.
9. The cooperative system of remote radiotherapy as set forth in claim 8, wherein the control transmission module comprises a network transmission module, a remote intervention module, a video and audio transmission module and an audible and visual reminding module; temperature sensors are arranged on the adjusting synchronous motor, the speed regulating motor, the electric hydraulic push rod, the moving motor and the movable motor; network transmission module, long-range intervention module, audio-visual transmission module, reputation remind module, pressure sensor and temperature sensor all with radiotherapy analog processor, radiotherapy treater electric connection.
10. A method of radiation therapy using a cooperative remote radiation therapy system according to any of claims 1 to 9, the steps comprising:
step one, pretreatment before radiotherapy: clinical evaluation, posture fixation, X-ray/CT positioning, target area delineation and organs at risk are carried out on a patient, then a doctor carries out radiotherapy plan according to the examination condition of the patient, radiotherapy plan evaluation is carried out, and whether the tumor exposure dose meets the clinical requirement and whether the normal tissue exposure dose exceeds the tolerance dose is evaluated;
second, patient fixation: after the radiotherapy plan evaluation is passed, fixing the patient, guiding the patient to lie down or lie on the side on a radiotherapy bed according to the tumor position, primarily adjusting the body of the patient, and after the primary adjustment is finished, fixing the patient by using a body limiting device;
thirdly, adjusting the radiation position: a demonstration person or an operator adjusts the combined adjusting plate by using a remote control console or a radiotherapy controller, can help a patient to adjust the tumor part by adjusting the combined adjusting plate and the radiotherapy bed, enables the tumor part of the patient to be easier to be treated by radiotherapy, verifies the tumor position of the patient after adjustment is finished, corrects the verified error and finds out the error reason;
fourthly, dose verification: after adjustment and verification are completed, data such as an irradiation mode, a dose and the like are imported into a radiotherapy processor or a radiotherapy simulation processor, the radiotherapy processor or the radiotherapy simulation processor automatically adjusts a radiotherapy bracket and an adjustable radiation mechanism, so that radiotherapy is conveniently performed on a plurality of tumor areas, radiotherapy is performed on a simulated human body, the simulated human body can simulate the adjusted state of the human body, dose measurement is performed on the whole course of radiotherapy, and whether the actual irradiated dose of a patient is the same as the planned administered dose or not is confirmed by measuring the irradiated dose of the simulated human body;
fifthly, radiotherapy: and after the dose verification is finished, data such as the irradiation mode, the dose and the like are imported into a radiotherapy processor, and radiotherapy is carried out on the patient to realize radiotherapy actions.
CN202011631620.7A 2020-12-31 2020-12-31 Remote radiotherapy cooperation system and method Active CN112604187B (en)

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