CN112642057A - Image data-assisted nerve regulation and control program control equipment and related system - Google Patents
Image data-assisted nerve regulation and control program control equipment and related system Download PDFInfo
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- 210000005036 nerve Anatomy 0.000 title abstract description 6
- 230000000638 stimulation Effects 0.000 claims abstract description 47
- 230000003993 interaction Effects 0.000 claims abstract description 10
- 238000004891 communication Methods 0.000 claims abstract description 7
- 230000002452 interceptive effect Effects 0.000 claims description 22
- 230000004044 response Effects 0.000 claims description 14
- 230000004927 fusion Effects 0.000 claims description 2
- 230000004007 neuromodulation Effects 0.000 claims description 2
- 238000002595 magnetic resonance imaging Methods 0.000 description 18
- 238000010586 diagram Methods 0.000 description 16
- 230000006870 function Effects 0.000 description 16
- 238000002591 computed tomography Methods 0.000 description 13
- 238000004590 computer program Methods 0.000 description 7
- 210000004556 brain Anatomy 0.000 description 5
- 238000002513 implantation Methods 0.000 description 4
- 238000000034 method Methods 0.000 description 4
- 238000012545 processing Methods 0.000 description 4
- 230000002980 postoperative effect Effects 0.000 description 3
- 230000008859 change Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000013459 approach Methods 0.000 description 1
- 238000002059 diagnostic imaging Methods 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- 238000007917 intracranial administration Methods 0.000 description 1
- 238000002372 labelling Methods 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 230000007383 nerve stimulation Effects 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000004936 stimulating effect Effects 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
- A61N1/36128—Control systems
Abstract
The invention provides image data-assisted nerve regulation program control equipment and a related system, wherein the program control equipment comprises a communication unit, a control unit and a control unit, wherein the communication unit is used for acquiring a medical image of a human body part implanted with an electrode from external equipment; the interaction unit is used for presenting a main interaction interface and comprises an electrode display area and a medical image display area, wherein the electrode display area is used for displaying a model of an electrode implanted into a human body, the model comprises a contact graph and a stimulation ring graph formed by the contact graph, and the medical image display area is used for displaying the medical image and is configured with an azimuth indicator; and the processor is used for responding to the selected operation of the user on the contact point graph and/or the stimulation ring graph, and presenting a medical image corresponding to the electrode contact point and/or the electrode stimulation ring through the medical image display area.
Description
Technical Field
The invention relates to the field of electronic medical equipment, in particular to image data-assisted nerve regulation and control program control equipment and a related system.
Background
In deep brain electrical stimulation therapy, a pulse generator, an electrode and an extension lead are implanted into a patient body, and nerve regulation and control are realized by electrically stimulating a specific intracranial region.
The doctor adjusts parameters including the selection of stimulation contacts, the setting of stimulation parameters, the control of stimulation functions and the like through the program controller. The physician programmer can communicate with an impulse generator in the body to control the output of the electrical impulses. Typically, the physician needs to perform a trial for each contact in order to determine the contact. However, this programming approach has certain limitations: in most cases, no image is referenced during programming, the target position around the electrode cannot be known, and the programming is blind; at present, when program control is performed by referring to image data under few conditions, multiple devices are often needed to cooperate together, for example, images of a patient need to be checked at a PC (personal computer) end, or the patient needs to carry films each time so that a doctor can check the images, which is very inconvenient for the program control doctor and the patient.
Disclosure of Invention
In view of the above, the present invention provides an image data assisted neuromodulation program control device, comprising:
a communication unit for acquiring a medical image of a human body part implanted with an electrode from an external device;
the interaction unit is used for presenting a main interaction interface and comprises an electrode display area and a medical image display area, wherein the electrode display area is used for displaying a model of an electrode implanted into a human body, the model comprises a contact graph and a stimulation ring graph formed by the contact graph, and the medical image display area is used for displaying the medical image and is configured with an azimuth indicator;
and the processor is used for responding to the selected operation of the user on the contact point graph and/or the stimulation ring graph, and presenting a medical image corresponding to the electrode contact point and/or the electrode stimulation ring through the medical image display area.
Optionally, the medical image display area has at least two windows for displaying at least two kinds of medical images simultaneously;
the main interactive interface also comprises a function selection area which comprises a locking button; when the orientations of the medical images of the windows are consistent, the processor responds to the operation of the user on the locking button to enter a locking state, and in the locking state, the operation of the user on the medical image in one window is synchronously acted on the medical images in other windows.
Optionally, the medical image display area has at least two windows for displaying at least two kinds of medical images simultaneously;
the main interactive interface also comprises a function selection area which comprises a locking button; the processor responds to the operation of a user on the locking button to enter a locking state, in the locking state, when the user selects the contact point graph and/or the stimulation ring graph, whether corresponding medical images exist in medical images displayed on all windows or not is judged, and when the corresponding medical images exist, the corresponding medical images are respectively displayed on all windows.
Optionally, the processor presents a sub-interface to display all corresponding contact point graphs in response to the stimulation ring graph selected by the user, and presents the medical image corresponding to the electrode contact point through the medical image display area in response to the contact point graph selected by the user in the sub-interface.
Optionally, the medical image includes at least one of an MRI sequence, a CT image sequence, a fused image sequence obtained by fusing images of multiple modalities, and an electrode positioning image sequence, and the processor is configured to respond to a user's switching operation of layers of a currently displayed medical image in the medical image display area to present images of different layers.
Optionally, the processor is configured to respond to a user's display resizing operation on a medical image currently displayed in the medical image display area to present medical images of different scales;
the processor is used for responding to contrast adjustment operation of a user on a medical image currently displayed in the medical image display area so as to adjust the contrast of the currently displayed medical image;
when the medical image is a three-dimensional image, the processor is used for responding to the display orientation adjustment operation of a user on the medical image currently displayed in the medical image display area so as to adjust the display orientation of the currently displayed medical image.
Optionally, the main interactive interface further includes a label button; the processor is used for responding to the operation of the user on the marking button, marking the medical image currently displayed in the window as the medical image corresponding to the contact point graph and/or the stimulation ring graph currently selected by the user.
Optionally, the main interactive interface further includes a function selection area, wherein the function selection area includes at least one of an electrode switching button, an image switching button, and an orientation switching button;
the processor responds to the operation of the electrode switching button by a user and displays a model of the corresponding electrode in the electrode display area;
the processor responds to the operation of the image switching button by a user and displays a corresponding medical image in the medical image display area; the processor responds to the operation of the orientation switching button by a user, and displays the medical image of the corresponding orientation in the medical image display area.
Optionally, the main interactive interface further includes an image collection button and a key image viewing button, and the processor responds to a user operation on the image collection button and marks the currently displayed medical image in the window as a key image; the processor displays the marked key image in the window in response to user operation of the key image view button.
The invention also provides an implantable medical system, which comprises the program control equipment, an implantable medical device and a server, wherein the program control equipment is communicated with the implantable medical device and sets the working state of the implantable medical device, the server stores user data, and the program control equipment is connected with the server and accesses and/or downloads the data.
The program control equipment provided by the invention can synchronize patient data from the server, so that a user can conveniently check image data and guide program control; the equipment simultaneously displays the electrode graph and the related medical image in the interactive interface, and can display the corresponding image in the medical image display area according to the contact selected by the user in the electrode display area, and the user can quickly check the medical image at the implantation target point by clicking the contact, so that the setting efficiency of the implanted medical equipment is improved.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, and it is obvious that the drawings in the following description are some embodiments of the present invention, and other drawings can be obtained by those skilled in the art without creative efforts.
FIG. 1 is a schematic view of an implantable medical system in an embodiment of the present invention;
FIG. 2 is a schematic diagram of a main interactive interface according to an embodiment of the present invention;
FIG. 3 is a schematic diagram of another primary interactive interface in an embodiment of the present invention;
FIG. 4 is a schematic view of a window enlargement sub-interface;
FIG. 5 is a sub-interface schematic of a stimulus ring graph;
FIG. 6 is a schematic diagram of image resizing by gesture;
FIG. 7 is a schematic diagram of adjusting image contrast by a gesture;
FIG. 8 is a schematic diagram of adjusting an angle of a three-dimensional image by a gesture;
FIG. 9 is a schematic diagram of the main interactive interface after switching the electrodes;
FIG. 10 is a schematic diagram of a sub-interface after clicking an image switch button;
FIG. 11 is a schematic view of a sub-interface after clicking an azimuth switching button;
FIG. 12 is a schematic diagram of a main interactive interface in the annotation mode.
Detailed Description
The technical solutions of the present invention will be described clearly and completely with reference to the accompanying drawings, and it should be understood that the described embodiments are some, but not all embodiments of the present invention. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
In addition, the technical features involved in the different embodiments of the present invention described below may be combined with each other as long as they do not conflict with each other.
An embodiment of the present invention provides an implantable medical system, as shown in fig. 1, the system including: the system comprises a program control device 11, an implanted medical device 12 and a server 13, wherein the program control device 11 can wirelessly communicate with the implanted medical device 12, the implanted medical device is specifically a nerve stimulation device, such as a deep brain stimulation device, and the program control device 11 can set the working state of the device, including changing the stimulation parameters of the electrodes of the device. The server 13 stores patient data, in particular medical images related to the implantation procedure, such as MRI (Magnetic Resonance Imaging), CT (Computed Tomography) images, and the like. The programming device 11 may be connected to the server 13 via the internet to download the data therein.
The programming device 11 comprises a communication unit, an interaction unit and a processor. Wherein the communication unit is used for acquiring a medical image of the part of the human body where the electrode is implanted from an external device. The communication unit may download medical images of the patient, such as images of the implanted site, e.g. brain images, spine images, etc., from the server 13.
The interaction unit may be a common display and input keys, or a touch screen. The main displayed content of the interaction unit includes an electrode setting page and a medical image page, a user can configure stimulation parameters, contact states and the like in the electrode setting page, the medical image page has a function of displaying the corresponding relationship between the electrode and the part implanted into the human body, and the medical image page is mainly introduced in the embodiment and is referred to as a main interaction page.
As shown in fig. 2, the presented main interactive interface comprises an electrode display area 21 and a medical image display area 22, wherein the electrode display area 21 is used for displaying a model of the electrode implanted in the human body, and the model comprises a contact point graph and a stimulation ring graph formed by the contact point graph. Fig. 2 shows an example of an interface using a three-dimensional graph, and a three-dimensional electrode model is shown in the electrode display area 21. Specifically, this is a model of a directional electrode, showing electrode contact 1-contact 8, and the contact patterns 2, 3, 4 are isolated sheet patterns, which are distributed in a ring shape to form a stimulation ring pattern R2; similar contact patterns 5, 6, 7 are distributed in a ring shape to form a stimulation ring pattern R3; the contact pattern 1 and the contact pattern 8 are two ring patterns (the contact pattern 1 is the stimulus ring pattern R1, and the contact pattern 8 is the stimulus ring pattern R4). The three-dimensional contact pattern is completely in accordance with the stimulator electrode pattern, and the contacts 2-4, 5-7 corresponding to the pattern are arranged radially and circumferentially on the electrode body. In other embodiments, the electrode model may be presented by a two-dimensional graph, and any presentation capable of expressing the positional relationship of the contacts of the electrode is possible.
The medical image display area 22 is used for displaying medical images and is provided with orientation indicators. The indicated orientation is the corresponding orientation of the image and the human body, and "L", "R", "a", "P" as shown in fig. 2 represent the left, right, front, and rear orientations, respectively, and similarly "F", "H" may represent the foot, head, and the like, respectively.
In order to view the images corresponding to the stimulation rings or the contact points on the device, a doctor needs to label the images in advance and determine the stimulation rings or the contact points corresponding to the images of different layers. For example, the doctor can mark the images of which layers in the CT or MRI sequence the contacts 1-8 (or stimulation rings R1-R4) correspond to in advance on the pc end or by using the device, i.e. the correspondence between the electrode contacts and/or electrode stimulation rings and the medical images. The medical image display area 22 may display the entire image sequence, allowing the user to have a comprehensive understanding of the imaging area. When the user selects a certain contact or stimulation ring in the electrode display area 21, the medical image display area 22 will display the corresponding image or part of the sequence if there are several layers of images in the sequence corresponding to the selected contact or stimulation ring. In practical application, all the contact points do not necessarily have corresponding medical images, when a user selects a contact point, the processor responds to the selection operation of the user on the contact point graph and/or the stimulation ring graph, judges whether an image corresponding to the contact point graph exists or not, and if the corresponding image does not exist, the processor can pop up an interface to prompt the user that the image corresponding to the selected contact point does not exist in the currently displayed sequence; if so, the corresponding medical image is displayed.
The images displayed in the medical image display area 22 include, but are not limited to, a CT sequence, an MRI sequence, a fused image sequence obtained by fusing images of multiple modalities (such as fused images of CT and MRI), and an electrode positioning image sequence, wherein the electrode positioning image can visually show the relative position relationship of different regions of an electrode, human tissue (such as a nerve nucleus), and the like. The specific image sequence is determined by the data stored on the server.
The user may switch to an image of any desired layer, and for such image sequences, buttons 221 and sliders 222 for switching display layers may be configured in the medical image display area 22, and the processor may be configured to present MRI images and CT images of different layers, and so on, in response to a user switching operation of the layer of the medical image currently displayed by the medical image display area. For example, a certain contact corresponds to a multi-layer image, and the user can operate the button 221 or the slider 222 to switch to display the image of a certain layer. The program control device 11 provided by the embodiment of the invention can synchronize patient data from the server, so that a user can conveniently check image data and guide program control; the equipment simultaneously displays the electrode graph and the related medical image in the interactive interface, and can display the corresponding image in the medical image display area according to the contact selected by the user in the electrode display area, and the user can quickly check the medical image at the implantation target point by clicking the contact, so that the setting efficiency of the implanted medical equipment is improved.
A preferred programming device 11 is described below with reference to fig. 3 to 12, and based on the above-mentioned embodiment, the medical image display area 32 of the present embodiment has two windows, which can simultaneously display two kinds of medical images, and the image name currently displayed is located above the window. One window in the interface shown in fig. 3 can display preoperative MRI and the other window can display postoperative CT images, so that a user can compare various views conveniently and know the target position around the electrode more accurately. It should be noted that the mode of simultaneously displaying the preoperative MRI and the postoperative CT is a practical mode, and the scheme is not limited to displaying the two medical images, and may also be configured with more windows to display images, but considering that the size of the program control device 11 is limited, it is a more reasonable implementation scheme to configure two windows. In order to make the user see the image details more clearly, the window edge of the present embodiment is configured with an expansion button 321, the user can click the button, and the processor presents the sub-interface shown in fig. 4 to display the medical image in full screen, and increases the display area.
For a directional electrode, the electrode display area 31 includes a stimulation ring pattern composed of a plurality of contact patterns, such as R2 and R3 in fig. 3, and the respective contact patterns constituting the stimulation ring pattern cannot be completely displayed for an interface using a three-dimensional view. In consideration of the inconvenience of the user, the processor of the present embodiment responds to the user-selected stimulation ring pattern and then displays the contact patterns constituting the stimulation ring in an expanded manner. For example, the user first selects stimulation ring graphic R3, if there is a corresponding medical image for contact 5-7, the sub-interface 51 shown in fig. 5 is presented to display the corresponding full contact graphic, i.e., including contact graphic 5-7, and then the medical image corresponding to the electrode contact is presented via the medical image display area 32 in response to the user's selection of the contact graphic in the sub-interface.
As a preferred embodiment, the processor will also be responsive to a user display resizing operation on the medical image currently displayed by the medical image display area to present medical images of different dimensions. As shown in FIG. 6, a user may use a two-finger zoom gesture to change the size of the image within the window for easy viewing of the whole or details; the processor will also be responsive to a user's contrast adjustment operation on the currently displayed medical image of the medical image display area to adjust the contrast of the currently displayed medical image. As shown in fig. 7, the user may use a double-finger up/down gesture to change the contrast of the image in the window, so as to highlight the important points; when the medical image is a three-dimensional image, such as a three-dimensional electrode positioning image, the processor will also respond to a user's display orientation adjustment operation on the currently displayed medical image in the medical image display area to adjust the display orientation of the currently displayed medical image, as shown in fig. 8, the user can drag the three-dimensional image with a single finger, rotate it, and modify the display orientation.
As shown in fig. 3, the main interactive interface of this embodiment further includes an image collection button 322 (at the bottom right of the display window), and the processor marks the currently displayed medical image in the window as a key image in response to the user operating the image collection button. The main interactive interface further includes a two-dimensional/three-dimensional display switching button 323, and the processor responds to a user's operation of the two-dimensional/three-dimensional display switching button 323 to display a two-dimensional plane image or a three-dimensional stereoscopic image when a three-dimensional image is displayed in the window.
The main interactive interface of the embodiment further includes a function selection area, which includes an electrode switching button, an image switching button, an orientation switching button, a key image viewing button, and a locking/unlocking button. Since there are two windows in the medical image display area of this embodiment, the user needs to select a certain window first, and then click various buttons in the functional area to configure the display content of the window.
Regarding the function of the electrode switching button, the implanted medical device usually has a plurality of electrodes, in this embodiment, there are two electrodes, electrode 1 acts on the left brain, electrode 2 acts on the right brain, the user can click the electrode switching button to select the electrode, and the processor responds to the user's operation of the electrode switching button to display the model of the corresponding electrode in the electrode display area. As shown in the interface of FIG. 3, the electrode display area 31 displays a model of the electrode 1, which includes contact point graphs 1-8 and stimulation ring graphs R1-R4, and the medical image display area 32 can display a medical image corresponding to the electrode 1; when the user clicks the electrode switching button to switch to the electrode 2, the electrode display area displays a model of the electrode 2 including the contact point graphs 9-16 and the stimulation ring graphs R5-R8 in the interface shown in fig. 9, and the medical image display area can display a medical image corresponding to the electrode 2.
With regard to the function of the image switch button, there may be a variety of medical images related to the implantation, and the user may click the image switch button to decide the kind of image displayed in the medical image display area. The processor displays a corresponding medical image in the medical image display area in response to an operation of the image switching button by the user. As shown in fig. 10, in this embodiment, there are a preoperative MRI, a postoperative CT image, a fusion image, and an electrode positioning image, after the user clicks an image switching button, the sub-interface is presented to provide selectable images, and after the user selects a certain image, the corresponding type of image is displayed in the medical image display area.
With regard to the function of the orientation switching button, two-dimensional images with various orientations are possible for MRI and CT, the orientations refer to orientations used in medical imaging such as axial, coronal, and sagittal positions, and a user can click the orientation switching button to decide to display an image with a certain orientation in a medical image display area; for three-dimensional images such as electrode positioning images, the orientation refers to the presentation orientation of the stereoscopic image. The processor responds to the operation of the orientation switching button by a user, and displays the medical image of the corresponding orientation in the electrode display area. As shown in FIG. 11, after the user clicks the orientation toggle button, the presentation sub-interface provides all possible orientations, with only the selectable orientations being lit and capable of being selected by the user. After the user selects the orientation, the image of the corresponding orientation is displayed in the medical image display area.
Regarding the function of the key image viewing button, when the user marks the image of some layer as the key image by the image collection button 322 and clicks the key (the button is changed into the key image), the processor responds to the operation of the key image viewing button by the user, displays the marked key image in the window, is convenient for rapidly viewing the image with guiding significance, and makes the program control more efficient. When the button is clicked again (the button font becomes the entire image), the entire image sequence is displayed in the window.
The function of the lock button is to synchronize the images of the two windows, on the one hand, if the orientations of the medical images of the respective windows are the same, for example, a vector. When the user clicks the lock button (the button font becomes locked), the processor enters a locked state in response to the user's operation of the lock button, and in the locked state, the user's operation on the medical image in one window is synchronously applied to the medical images in the other windows. For example, when the user zooms in on the image of one window, adjusts the contrast, switches the displayed layer, and switches the display orientation, the medical image of the other window is adjusted accordingly. The user may unlock by clicking the lock button again and the images of the windows may be adjusted independently.
On the other hand, in the locked state, the processor judges whether corresponding medical images exist in the medical images displayed in all the windows at the same time, and when the corresponding medical images exist in all the windows, the corresponding medical images are respectively displayed in all the windows. The above embodiment describes a case where the processor displays images only according to a corresponding relationship between one kind of pattern and an electrode, in this embodiment, two windows are used for displaying an MRI sequence and a CT image sequence, respectively, and when the locked state is entered, assuming that the user selects the stimulation ring pattern R3, the processor will determine whether an image corresponding to the stimulation ring R3 exists in both the MRI sequence and the CT image sequence, if so, the corresponding images are displayed in the two windows, and if not, the processor can prompt the user that an image corresponding to the selected contact does not exist in the currently displayed sequence.
In addition, the present apparatus provides two modes, namely a selection mode and an annotation mode. The main interactive interface is provided with a mode switching button, and the processor responds to the operation of the mode switching button by a user to enter the two modes. The above embodiments relate primarily to operation in the selection mode, and the following describes the relevant content in the annotation mode.
As shown in fig. 12, the main interactive interface in the annotation mode further includes an annotation button 121. The processor is used for responding to the operation of the marking button by the user, marking the medical image displayed in the currently selected window as the medical image corresponding to the contact point graph and/or the stimulation ring graph currently selected by the user. For example, if the user currently selects the contact 8 (stimulation ring R4), the window selected by the user displays a preoperative MRI for a certain layer, and the user clicks the annotation button 121 to confirm that the annotation is successful, the image becomes the medical image corresponding to the contact 8 (stimulation ring R4). In the selection mode, the user can operate the window to switch to display the images of other layers, and when the user clicks the touch point 8 (the stimulus ring R4) again, the window will jump to display the images of the previously labeled layer.
In a preferred embodiment, a more efficient way of annotating is provided. In particular, one contact or stimulation ring would be associated with a multi-layer medical image, i.e. one sub-sequence of the entire medical image sequence, and the images are configured with serial numbers. In order to enable a user to mark a sub-sequence quickly, in this embodiment, the device determines the start image and the end image selected by the user, and after clicking the mark button, the processor associates all images in the range from the start serial number to the end serial number with the contact or the stimulation ring, or selects images in the range to associate with the contact or the stimulation ring at certain intervals, without having to allow the user to click the mark button for each image in the sequence.
For example, when the user selects the contact 8, then adjusts to the i-th layer MRI and clicks the annotation button, the i-th layer MRI is regarded as the starting image; the user holds the selected contact 8 unchanged and then adjusts to the MRI of layer j and clicks the annotation button, the MRI of layer j being considered as the end image. If there are multiple layers of images between the i-j layers, the processor marks all the images between the i-j layers as the associated images of the contact 8, or selects the images between the i-j layers at certain intervals to mark as the associated images of the contact 8. If there is no image between the i-j layers, i.e. i, j are two consecutive layers, it is equivalent to a normal labeling operation.
As will be appreciated by one skilled in the art, embodiments of the present invention may be provided as a method, system, or computer program product. Accordingly, the present invention may take the form of an entirely hardware embodiment, an entirely software embodiment or an embodiment combining software and hardware aspects. Furthermore, the present invention may take the form of a computer program product embodied on one or more computer-usable storage media (including, but not limited to, disk storage, CD-ROM, optical storage, and the like) having computer-usable program code embodied therein.
The present invention is described with reference to flowchart illustrations and/or block diagrams of methods, apparatus (systems), and computer program products according to embodiments of the invention. It will be understood that each flow and/or block of the flow diagrams and/or block diagrams, and combinations of flows and/or blocks in the flow diagrams and/or block diagrams, can be implemented by computer program instructions. These computer program instructions may be provided to a processor of a general purpose computer, special purpose computer, embedded processor, or other programmable data processing apparatus to produce a machine, such that the instructions, which execute via the processor of the computer or other programmable data processing apparatus, create means for implementing the functions specified in the flowchart flow or flows and/or block diagram block or blocks.
These computer program instructions may also be stored in a computer-readable memory that can direct a computer or other programmable data processing apparatus to function in a particular manner, such that the instructions stored in the computer-readable memory produce an article of manufacture including instruction means which implement the function specified in the flowchart flow or flows and/or block diagram block or blocks.
These computer program instructions may also be loaded onto a computer or other programmable data processing apparatus to cause a series of operational steps to be performed on the computer or other programmable apparatus to produce a computer implemented process such that the instructions which execute on the computer or other programmable apparatus provide steps for implementing the functions specified in the flowchart flow or flows and/or block diagram block or blocks.
It should be understood that the above examples are only for clarity of illustration and are not intended to limit the embodiments. Other variations and modifications will be apparent to persons skilled in the art in light of the above description. And are neither required nor exhaustive of all embodiments. And obvious variations or modifications therefrom are within the scope of the invention.
Claims (10)
1. An image data-assisted neuromodulation program control device, comprising:
a communication unit for acquiring a medical image of a human body part implanted with an electrode from an external device;
the interaction unit is used for presenting a main interaction interface and comprises an electrode display area and a medical image display area, wherein the electrode display area is used for displaying a model of an electrode implanted into a human body, the model comprises a contact graph and a stimulation ring graph formed by the contact graph, and the medical image display area is used for displaying the medical image and is configured with an azimuth indicator;
and the processor is used for responding to the selected operation of the user on the contact point graph and/or the stimulation ring graph, and presenting a medical image corresponding to the electrode contact point and/or the electrode stimulation ring through the medical image display area.
2. The programmable device of claim 1, wherein the medical image display area has at least two windows for displaying at least two medical images simultaneously;
the main interactive interface also comprises a function selection area which comprises a locking button; when the orientations of the medical images of the windows are consistent, the processor responds to the operation of the user on the locking button to enter a locking state, and in the locking state, the operation of the user on the medical image in one window is synchronously acted on the medical images in other windows.
3. The programmable device of claim 1, wherein the medical image display area has at least two windows for displaying at least two medical images simultaneously;
the main interactive interface also comprises a function selection area which comprises a locking button; the processor responds to the operation of a user on the locking button to enter a locking state, in the locking state, when the user selects the contact point graph and/or the stimulation ring graph, whether corresponding medical images exist in medical images displayed on all windows or not is judged, and when the corresponding medical images exist, the corresponding medical images are respectively displayed on all windows.
4. The programming apparatus of claim 1, wherein the processor presents a sub-interface to display all corresponding contact graphics in response to a user-selected stimulation ring graphic, and presents medical images corresponding to electrode contacts through the medical image display area in response to a user-selected operation on the contact graphics in the sub-interface.
5. The programming apparatus according to any of claims 1-4, wherein the medical image includes at least one of an MRI sequence, a CT image sequence, a fused image sequence obtained by image fusion of a plurality of modalities, and an electrode positioning image sequence, and the processor is configured to present images of different layers in response to a user switching operation of a layer of a medical image currently displayed on the medical image display area.
6. The programming apparatus according to any of claims 1-4, wherein the processor is configured to present medical images of different scales in response to a user display resizing operation on a medical image currently displayed in the medical image display area;
the processor is used for responding to contrast adjustment operation of a user on a medical image currently displayed in the medical image display area so as to adjust the contrast of the currently displayed medical image;
when the medical image is a three-dimensional image, the processor is used for responding to the display orientation adjustment operation of a user on the medical image currently displayed in the medical image display area so as to adjust the display orientation of the currently displayed medical image.
7. The programming device according to any one of claims 1-4, further comprising a label button in the primary interactive interface; the processor is used for responding to the operation of the user on the marking button, marking the medical image currently displayed in the window as the medical image corresponding to the contact point graph and/or the stimulation ring graph currently selected by the user.
8. The programming device according to any one of claims 1 to 4, wherein the main interactive interface further comprises a function selection area including at least one of an electrode switching button, an image switching button and an orientation switching button;
the processor responds to the operation of the electrode switching button by a user and displays a model of the corresponding electrode in the electrode display area;
the processor responds to the operation of the image switching button by a user and displays a corresponding medical image in the medical image display area; the processor responds to the operation of the orientation switching button by a user, and displays the medical image of the corresponding orientation in the medical image display area.
9. The programming device according to any one of claims 1 to 4, wherein the main interactive interface further comprises an image collection button and a key image viewing button, and the processor marks the medical image currently displayed in the window as a key image in response to the operation of the image collection button by a user; the processor displays the marked key image in the window in response to user operation of the key image view button.
10. An implantable medical system, comprising: the programming apparatus of any of claims 1-9, an implantable medical device, and a server, the programming apparatus communicating with the implantable medical device and setting an operational state of the implantable medical device, the server storing user data, the programming apparatus connecting with the server and accessing and/or downloading the data.
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