CN113842208A - Display processing method and system for laser ablation - Google Patents

Display processing method and system for laser ablation Download PDF

Info

Publication number
CN113842208A
CN113842208A CN202111119430.1A CN202111119430A CN113842208A CN 113842208 A CN113842208 A CN 113842208A CN 202111119430 A CN202111119430 A CN 202111119430A CN 113842208 A CN113842208 A CN 113842208A
Authority
CN
China
Prior art keywords
display
ablation
displayed
content
image
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN202111119430.1A
Other languages
Chinese (zh)
Inventor
史鼎盛
廖响亮
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Hangzhou Jialiang Medical Technology Co ltd
Original Assignee
Hangzhou Jialiang Medical Technology Co ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Hangzhou Jialiang Medical Technology Co ltd filed Critical Hangzhou Jialiang Medical Technology Co ltd
Priority to CN202111119430.1A priority Critical patent/CN113842208A/en
Publication of CN113842208A publication Critical patent/CN113842208A/en
Pending legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/25User interfaces for surgical systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30Surgical robots
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70Manipulators specially adapted for use in surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00434Neural system
    • A61B2018/00446Brain
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B2018/2015Miscellaneous features
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/107Visualisation of planned trajectories or target regions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/108Computer aided selection or customisation of medical implants or cutting guides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/25User interfaces for surgical systems
    • A61B2034/252User interfaces for surgical systems indicating steps of a surgical procedure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/25User interfaces for surgical systems
    • A61B2034/254User interfaces for surgical systems being adapted depending on the stage of the surgical procedure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/374NMR or MRI

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Robotics (AREA)
  • Physics & Mathematics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Gynecology & Obstetrics (AREA)
  • Optics & Photonics (AREA)
  • Electromagnetism (AREA)
  • Otolaryngology (AREA)
  • Human Computer Interaction (AREA)
  • Laser Surgery Devices (AREA)

Abstract

The application discloses a display processing method and a system for laser ablation, wherein the method comprises the following steps: acquiring content to be displayed in the process of implementing laser ablation; a display for determining display contents according to a preset; sending a part of the content to be displayed in the first display to the first display, wherein the part displayed in the first display at least comprises an image to be displayed in the laser ablation process; and sending the part of the content required to be displayed in the second display to the second display, wherein the part displayed in the second display at least comprises the parameter value required to be displayed in the laser ablation process. Through the application, the problem that observation and operation of doctors are affected due to the fact that ablation software displays one screen in the ablation process is solved, so that the display effect is improved, the observation and operation efficiency of a user can be improved, and the safety of ablation operation is improved to a certain extent.

Description

Display processing method and system for laser ablation
Technical Field
The application relates to the field of medical software, in particular to a display processing method and system for laser ablation.
Background
Mrgltt is Magnetic Resonance Imaging (MRI) guided laser interstitial thermotherapy (LITT) that utilizes the heat released by a laser to selectively ablate lesions or structures. Laser ablation is performed under real-time magnetic resonance imaging guidance to treat a variety of intracranial lesions.
When the tumor is irradiated by laser, the tumor tissue and the laser photons interact with each other, and the energy of the laser photons is converted into heat energy inside the tumor tissue, so that the tumor tissue can be necrotized, and the purpose of treatment is achieved. While ablation is performed in this manner, the intraoperative monitoring and manipulation software can generate a thermal map to visualize thermal changes and monitor tumor necrosis.
Therefore, monitoring the thermal changes of the lesion during ablation is critical to ensure that the lesion is completely ablated. During the ablation, the patient performs laser ablation inside the magnetic resonance room, while the physician monitors in real time outside the magnetic resonance room by MRI imaging. The optical fiber inserted into the brain of the patient performs light-emitting ablation according to a pre-planned treatment scheme.
During the ablation process, a doctor needs to check the ablation process all the time, and some adjustment operations need to be performed in real time. If the ablation procedure uses only one screen to display all the contents, the display mode is complicated, and may cause that the main parameters cannot be presented in a clear mode, which has an influence on the observation and operation of the doctor and has an influence on the safety of the ablation operation to some extent.
Disclosure of Invention
The embodiment of the application provides a display processing method and a display processing system for laser ablation, so as to at least solve the problem that observation and operation of a doctor are affected due to the fact that ablation software displays by using one screen in an ablation process.
According to an aspect of the present application, there is provided a display processing method for laser ablation, including: acquiring content to be displayed in the process of implementing laser ablation; determining a display for displaying the content according to a preset setting, wherein the display at least comprises a first display and a second display; sending the part of the content, which needs to be displayed in the first display, to the first display, and displaying the part of the content on the first display, wherein the part of the content, which needs to be displayed in the first display, at least comprises an image which needs to be displayed in the process of implementing the laser ablation; and sending the part of the content, which needs to be displayed in the second display, to the second display, and displaying the part of the content on the second display, wherein the part of the content, which needs to be displayed in the second display, at least comprises the parameter value, which needs to be displayed in the laser ablation process.
Further, in the case that a parameter value is included in the content that needs to be displayed on the display, the image and the parameter value are displayed on the first display, wherein at least one of the parameter values is superimposed on a portion of the image corresponding to the parameter value in the image.
Further, acquiring the transparency corresponding to the parameter value displayed in the image in an overlapping manner; and superposing the parameter value on the part corresponding to the parameter value in the image according to the transparency for displaying.
Further, in the case where the second display is a touch screen display, receiving parameters entered via the second display, wherein the parameters include control parameters for a device required to be used in performing the ablation procedure; controlling the equipment according to the input parameters; displaying an image fed back after the control of the equipment in the first display; and displaying the parameter change fed back after the control of the equipment in the second display.
Further, a desired image is superimposed on the actual image acquired during the ablation procedure for comparison and displayed on the first display, wherein the desired image includes at least one of: the method comprises the steps of planning a path of an optical fiber inserted into a focus part in advance, predicting an expected ablation result of the focus part, predicting an ablation focus outline, an actual position of the optical fiber, a focus part temperature, temperature measuring point information and image representation of a real-time ablation area.
Further, still include: acquiring alarm information, wherein the alarm information is used for indicating that an alarm condition needs to be given in an ablation process; and sending the alarm information to the first display and/or the second display, and displaying the alarm information on the first display and/or the second display.
Further, the display further comprises a third display, the method further comprising: sending a part of the content, which needs to be displayed in the third display, to the third display, and displaying the part on the third display; wherein the third display is to display content for interaction with a robot that is to assist in performing ablation.
According to another aspect of the present application, there is also provided a display processing system for laser ablation, comprising: software for performing any of the methods described above; the first display is used for displaying at least an image required to be displayed in the laser ablation process; and the second display is used for displaying at least the parameter value required to be displayed in the laser ablation process.
Further, the display areas of the first display and the second display are the same or different; and/or the first display and the second display are arranged in a left-right mode or in an up-down mode.
Further, the first display and the second display are two parts of one display, the first part is the first display, and the second part is the second display.
According to another aspect of the present application, there is also provided a display processing apparatus for laser ablation, including: one or more modules configured to perform the steps of any of the methods described above.
In the embodiment of the application, the content required to be displayed in the process of implementing laser ablation is acquired; determining a display for displaying the content according to a preset setting, wherein the display at least comprises a first display and a second display; sending the part of the content, which needs to be displayed in the first display, to the first display, and displaying the part of the content on the first display, wherein the part of the content, which needs to be displayed in the first display, at least comprises an image which needs to be displayed in the process of implementing the laser ablation; and sending the part of the content, which needs to be displayed in the second display, to the second display, and displaying the part of the content on the second display, wherein the part of the content, which needs to be displayed in the second display, at least comprises the parameter value, which needs to be displayed in the laser ablation process. Through the application, the problem that observation and operation of doctors are affected due to the fact that ablation software displays one screen in the ablation process is solved, so that the display effect is improved, the observation and operation efficiency of a user can be improved, and the safety of ablation operation is improved to a certain extent.
Drawings
The accompanying drawings, which are incorporated in and constitute a part of this application, illustrate embodiments of the application and, together with the description, serve to explain the application and are not intended to limit the application. In the drawings:
fig. 1 is a flow chart of a display processing method for laser ablation according to an embodiment of the present application.
Detailed Description
It should be noted that the embodiments and features of the embodiments in the present application may be combined with each other without conflict. The present application will be described in detail below with reference to the embodiments with reference to the attached drawings.
It should be noted that the steps illustrated in the flowcharts of the figures may be performed in a computer system such as a set of computer-executable instructions and that, although a logical order is illustrated in the flowcharts, in some cases, the steps illustrated or described may be performed in an order different than presented herein.
In the present embodiment, a display processing method for laser ablation is provided, and fig. 1 is a flowchart of a display processing method for laser ablation according to an embodiment of the present application, as shown in fig. 1, the flowchart includes the following steps:
step S102, acquiring contents to be displayed in the process of implementing laser ablation;
step S104, determining a display of display content according to the preset, wherein the display at least comprises a first display and a second display;
step S106, sending a part of the content, which needs to be displayed in the first display, to the first display and displaying the part on the first display, wherein the part displayed in the first display at least comprises an image which needs to be displayed in the process of implementing laser ablation;
and step S108, sending a part of the content, which needs to be displayed in the second display, to the second display, and displaying the part on the second display, wherein the part displayed in the second display at least comprises parameter values needing to be displayed in the laser ablation process.
Through the steps, the content to be displayed is distinguished, the first display is used for displaying images, and the second display is used for displaying parameter values, so that the display is simpler, the user can monitor and timely find problems, the problem that the doctor is observed and operated by using one screen to display in the ablation process to influence is solved, the display effect is improved, the observation and operation efficiency of the user can be improved, and the safety of the ablation operation is improved to a certain extent.
As an optional manner, the parameter value may also be displayed on the first display, and in the case that the content to be displayed on the display includes the parameter value in the content, the image and the parameter value are displayed on the first display, wherein at least one of the parameter values is superimposed on the image portion corresponding to the parameter value in the image. For example, the measured temperature distribution map can be displayed on the corresponding brain part in the magnetic resonance image, the light output power of the optical fiber ablated in real time can be displayed on the corresponding optical fiber, and the like. The parameters of the actual overlay and the location of the overlay may be configured by the user.
If the display of the image is influenced by the superposition display of the first parameter value, the transparency corresponding to the parameter value displayed in the superposed image can be acquired at the moment; and superposing the parameter value on the part corresponding to the parameter value in the image according to the transparency to display.
At least one of the first display and the second display may be a touch screen display, and in the case of a touch screen display, in one embodiment optionally augmented, user movement of the display may be received to adjust the layout of the display in the first display and/or the second display. As another alternative embodiment, in the case where the second display is a touch screen display, receiving parameters entered via the second display, wherein the parameters include control parameters for the device required to be used in performing the ablation procedure; controlling the equipment according to the input parameters; displaying an image fed back after the control of the equipment in a first display; and displaying the parameter change fed back after the device is controlled in the second display.
The first display can also be used for contrast display, i.e. the expected image is superposed on the actual image obtained in the ablation process to be compared and displayed in the first display, wherein the expected image comprises at least one of the following images: the method comprises the steps of planning a path of an optical fiber inserted into a focus part in advance, predicting an expected ablation result of the focus part, predicting an ablation focus outline, an actual position of the optical fiber, a focus part temperature, temperature measuring point information and image representation of a real-time ablation area. In another optional added embodiment, an adjustable transparency may be set for the desired image, and if the user adjusts the transparency, the desired image is displayed according to the transparency adjusted by the user, and if the user does not adjust the transparency, the desired image is displayed according to the default transparency.
The display of alert information may also be configured, for example, where the alert information is used to indicate that an alert needs to be given during the ablation process; and sending the alarm information to the first display and/or the second display, and displaying the alarm information on the first display and/or the second display. If the configuration is displayed only on the first display, displaying on the first display; if the configuration is displayed only on the second display, only the warning information is displayed on the second display. When the alarm information appears, possible parameters causing the alarm information to appear can be highlighted on the second display, or the focus part causing the alarm information to appear can be highlighted on the first display.
In another optional embodiment, the display further includes a third display, and a portion of the content that needs to be displayed in the third display is sent to the third display and displayed on the third display; wherein the third display is for displaying content for interaction with a robot for assisting in performing ablation.
The robot may include: the device comprises a communication module, a processing module and a mechanical arm; the communication module is used for communicating with software and receiving a control command from the software, wherein the control command carries parameters for adjusting the optical fiber, and the parameters at least comprise azimuth information to be adjusted of the optical fiber, such as at least one of depth, direction and rotation angle; the processing module is used for converting parameters carried in the control command into motion information of the mechanical arm and sending the motion information to the mechanical arm; the mechanical arm is used for moving according to the motion information, wherein the motion of the mechanical arm of the robot drives the optical fiber to move according to the depth and/or the direction indicated in the parameters, and the motion information can comprise: at least one of speed of movement, direction of movement, angle of rotation. An auxiliary robot is introduced for operating the adjustment of the optical fiber in the ablation process, the auxiliary robot is arranged beside a patient, and the operation of the mechanical arm can be controlled according to the preset positioning information.
There is also provided in this embodiment a display processing system for laser ablation, comprising: software (which may be referred to as ablation software) for performing any of the methods described above; the first display is used for displaying at least an image required to be displayed in the laser ablation process; and a second display, wherein the part for displaying at least comprises parameter values required to be displayed in the laser ablation process.
Optionally, the display areas of the first display and the second display are the same or different; and/or the first display and the second display are arranged in a left-right mode or an up-down mode. The first display and the second display may be provided with a moving part, which may be used to adjust the position of the first display and the second display.
If one display screen is larger, the first display and the second display can also be two parts of one display, wherein the first part is the first display, and the second part is the second display.
The specific content shown in the two displays is described below in connection with an ablation delivery procedure, i.e., the ablation delivery procedure may include at least one of: preoperative planning, intraoperative execution and postoperative comparison. Based on this, the ablation software and the preoperative software may also be collectively referred to as ablation software, or may also be simply referred to as software.
The ablation procedure in this embodiment involves preoperative software and ablation software for ablation, which may be different parts of one software or different software. The method of the present embodiment may be used with either ablation software or preoperative software, as far as image display and parameter display are concerned. The functions performed by the ablation software include the functions performed during the ablation procedure and/or the procedure of inserting an optical fiber (which may also be referred to as an ablation optical fiber in this embodiment) in the patient portion, and the present embodiment is described below by taking the display of the ablation software as an example. The following description will first be made of the ablation process, and in one ablation process, the following steps may be included:
the first step is as follows: ablation zone determination and ablation parameter setting.
Confirming an ablation position and an ablation region size according to preoperative software, and obtaining a planned ablation region and planned ablation parameters; using image navigation techniques to puncture the fiber into the planned ablation region (either by displaying an image of the procedure of fiber puncture on a first display, or by displaying a pre-planned puncture path on the image, comparing the actual puncture path with the pre-planned puncture path in real time, and accepting settings for setting the transparency of the pre-planned path if there is a fear that the pre-planned path may affect the display of the actual puncture path, or by displaying on a second display a pre-estimated path and a position during fiber travel, which may include at least one of a depth of insertion, a direction of insertion, a rotation angle, and if needed an adjustment of a positional parameter during fiber travel, an operation may be performed on the second display, e.g., by inputting adjustment parameters and displaying the parameters in the second display, if the second display is a touch screen display, inputting the parameter through a touch screen); setting the acceptable maximum temperature of the contacted temperature measuring position, and stopping heating if the maximum temperature is exceeded;
the second step is as follows: post-pre-ablation temperature correction.
In this step, a scout scan is performed by magnetic resonance, determining the actual position of the ablation fiber (which may be displayed by a first display); correcting the reference temperature: before the ablation optical fiber works, the brain temperature is measured to obtain an accurate value of the brain temperature, and the accurate value is used as a reference temperature of magnetic resonance temperature measurement (the numerical value of the brain temperature can be displayed on a second display, or the temperature can be displayed in the brain region displayed on a first display through different colors); starting a pre-ablation stage, wherein the ablation energy used in the pre-ablation stage is 30% of the laser ablation power; carrying out pre-ablation detection: and confirming whether the magnetic resonance device and the temperature measuring optical fiber normally operate, entering a formal ablation stage if the magnetic resonance device and the temperature measuring optical fiber normally operate, and performing temperature measurement correction if the magnetic resonance device and the temperature measuring optical fiber abnormally operate.
The third step: and (5) formally carrying out an ablation stage.
And under the real-time temperature guidance of the magnetic resonance device and the temperature measuring optical fiber, the ablation temperature and the lesion damage process are monitored in real time.
The fourth step: the ablation is ended.
After ablation is finished, the temperature measuring optical fiber detects the residual temperature of the planned ablation region to judge whether the tissue of the planned ablation region returns to normal temperature or not, and further judge whether scanning of a structural phase or other functional phases is started or not.
The content displayed in the formal ablation stage in the third step is relatively complex, and if the content is displayed in one display, the content is relatively complicated, so that the observation of a doctor is influenced, and the ablation safety can be reduced to a certain extent. In the embodiment, the content required for the ablation stage is displayed in a split-screen manner, wherein the part related to the image display is displayed on the first display through the configuration of the ablation software, and the part related to the parameter value, the operation control, the parameter input and the like is displayed on the second display through the configuration of the ablation software. The first display and the second display content that is default configured in the ablation software. As a preferred embodiment, a configuration function may be provided, by which a user (for example, a doctor) using the software can configure the contents and the display layout to be displayed on the first display and the second display by himself or herself, and after configuration, the contents and the display layout can be saved as a display template. And if the self-configured template is desired to be displayed, the self-configured template is selected. Through the network function, the user of the software can also download other display templates from the network or upload self-configured display templates to the network. This may allow sharing of display templates.
A number of alternative display modes during the formal ablation stage are described below. The ablation software needs to perform ablation estimation when performing ablation, and the module for performing the ablation estimation function is referred to as an ablation estimation module in this embodiment. The ablation estimation module carries out three-dimensional delineation on an ablation area and a peripheral area, adds corresponding material attributes, stores a tissue material attribute list, and carries out fine segmentation if two or more tissues exist in the ablation area so that ablation parameters change at a tissue junction; if the ablation area has a tumor, the area outside the tumor is defaulted to be the same tissue, or the designated ablation area is generated by respectively drawing, when the temperature of the magnetic resonance temperature imager is measured, three or more layers of scanning planes which are perpendicular or parallel to each other are selected, on the corresponding view angle slice, the corresponding two-dimensional ablation area can be extracted to be used as the basis of ablation analysis, the estimation is carried out, and the corresponding ablation parameter is obtained, wherein the ablation parameter comprises the cooling rate, the laser power and the light extraction time.
This involves two parts of displayed information, one of which is the information obtained by imaging, for example, a tumor and a region outside the tumor need to be distinguished on imaging, or a delineated ablation region; for another example, the thermometry data obtained by the magnetic resonance temperature imager is data which is not an image, but different temperature data needs to be displayed in different ways, which is a part of the image, as an alternative embodiment, when the tissue temperature is between 43 ℃ and 45 ℃ for more than 10 minutes, cell fading occurs, and the temperature can be displayed by using a first color; when the temperature is between 50 ℃ and 80 ℃ for a short time, the tumor cells undergo protein denaturation, and another color can be used to display the temperature. As another alternative, heat-induced tissue damage is dependent on the temperature of the tissue being treated and the total time of application of the thermal energy, in which case one or more additional colors may be used to indicate the total time of application of the thermal energy, or one or more colors may indicate the total amount of thermal energy over time, etc. The data value can have two display modes, the first display mode is a problem that a floating numerical value is directly displayed corresponding to an image, the setting of transparency can be accepted so as not to influence observation, and when the transparency is 0, the numerical values are not displayed; the second display mode is to directly display the parameters on the second display.
In the process of ablation, the ablation optical fiber is inserted into a corresponding position, scanning parameters including the FOV (field of view) of magnetic resonance scanning of the magnetic resonance temperature imager are set, the size of each pixel point is automatically identified and judged, and each pixel point is used as an ablation unit for calculation.
At this time, the image of the optical fiber is displayed on the first display, and the obtained various data including the orientation data of the ablation optical fiber, the light emission data, and the like are displayed on the second display.
Under the condition of magnetic resonance noninvasive measurement by using a magnetic resonance temperature imager, the ablation prediction is carried out by combining the preoperative segmentation and assignment of a predicted ablation region, namely ablation parameters and material attributes, and using an Arrhenius equation and a CEM43 model. If the actual ablation area is larger than the predicted ablation area, the monitoring module automatically provides a bullet box to prompt whether ablation is stopped, and if the ablation coverage area exceeds 110%, the monitoring module automatically cuts off energy output.
Images of these ablation coverage areas are displayed on a first display and data is displayed on a second display. When an alert message (e.g., a message to turn off energy output, etc.) occurs, the alert message may be displayed on both the first display and the second display.
During the ablation, ablation parameters may be adjusted, for example, positional information of the optical fiber may be adjusted, and if the robot is used to assist in the adjustment, the adjustment of the parameters may be performed on a second display, and the operating status of the robot may be displayed on the second display.
In the ablation process, there may be multiple ablation stages according to a pre-generated ablation strategy, for example, for an irregularly-shaped tumor of a lesion part, multiple ablation stages need to be established according to the shape of the tumor, each ablation stage is used for ablating a part of the tumor, and after one stage is completed, performing the ablation of the next stage needs to adjust the orientation of the optical fiber, and at this time, in this embodiment, the optical fiber may be adjusted by controlling the robot through software. In the optional implementation mode, the software is used for acquiring an expected ablation result corresponding to the current ablation stage, judging whether the current ablation result is consistent with the expected ablation result according to the MRI imaging information, acquiring information whether the optical fiber needs to be adjusted from a pre-generated ablation strategy under the condition of consistency, and generating a control command according to the adjustment information; the ablation strategy comprises at least one ablation stage, each stage is configured with a pre-ablation result of the stage, light-emitting information of the optical fiber and orientation information of the optical fiber, and the ablation stages in the ablation strategy are executed according to the configured sequence in the ablation strategy.
In different ablation stages, different cells are marked with different colors, when an arrhenius equation is used, different ablation threshold values are selected to be started for display, and if the chemical reaction rate coefficient omega is 1, the large value of cell injury is 63.2%, and the large value is displayed in a faint yellow range; the cell damage was approximately 99% when the chemical reaction rate factor Ω was 4.6, which was shown to be orange in this range to show that cell ablation was more complete in this range. In other regions of interest, if not ablated to a specified percentage, but more than 43 degrees celsius, these regions appear green. The CEM43 model may also be used to display different colors at different equivalent ablation durations, for example: the segmented display is respectively carried out under different conditions of 2 minutes equivalent, 10 minutes equivalent and 60 minutes equivalent, the segmented ablation display enables doctors to judge the ablation effect better, when the ablation area is displayed, the ablation area is semitransparent, and after the tissue structure phase is displayed in an overlapping mode, the ablation range and the regions can be seen at the same time.
The contents of these images are displayed on a first display, and the operations for controlling the robot are performed on a second display. For example, the host computer may further be provided with a direction control device, which may be a single handle (or may be multiple handles including a handle for controlling ascending and descending, a handle for controlling rotation, a handle for controlling movement in a plane, and the like), a user may control the movement of the robot arm by operating the handle, at this time, the software may obtain the displacement of the handle, convert the displacement into a control command for controlling the movement of the robot arm, and send the control command to the robot. The parameters of the direction control device are displayed on the second display in real time. Alternatively, the second display may be a touch screen display, the direction control device may be simulated on the touch screen display, or one or more handles may be simulated, and the operated parameters of the simulated handle may also be displayed on the second display in real time.
The problem that observation and operation of doctors are affected due to the fact that ablation software displays one screen in the ablation process is solved through the embodiment, so that the display effect is improved, observation and operation efficiency of users can be improved, and the safety of ablation operation is improved to a certain extent.
In this embodiment, an electronic device is provided, comprising a memory in which a computer program is stored and a processor configured to run the computer program to perform the method in the above embodiments.
The programs described above may be run on a processor or may also be stored in memory (or referred to as computer-readable media), which includes both non-transitory and non-transitory, removable and non-removable media, that implement information storage by any method or technology. The information may be computer readable instructions, data structures, modules of a program, or other data. Examples of computer storage media include, but are not limited to, phase change memory (PRAM), Static Random Access Memory (SRAM), Dynamic Random Access Memory (DRAM), other types of Random Access Memory (RAM), Read Only Memory (ROM), Electrically Erasable Programmable Read Only Memory (EEPROM), flash memory or other memory technology, compact disc read only memory (CD-ROM), Digital Versatile Discs (DVD) or other optical storage, magnetic cassettes, magnetic tape magnetic disk storage or other magnetic storage devices, or any other non-transmission medium that can be used to store information that can be accessed by a computing device. As defined herein, computer readable media does not include transitory computer readable media (transmyedia) such as modulated data signals and carrier waves.
These computer programs 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, and corresponding steps may be implemented by different modules. In this embodiment, there is provided an apparatus, which may be referred to as a display processing apparatus for laser ablation, comprising: one or more modules, wherein the one or more modules are configured to perform the steps of the methods in the above-described embodiments and alternative embodiments. The description of which is omitted herein.
The above are merely examples of the present application and are not intended to limit the present application. Various modifications and changes may occur to those skilled in the art. Any modifications, equivalents, improvements, etc. that come within the spirit of the disclosure are intended to be included within the scope of the claims of the disclosure.

Claims (11)

1. A display processing method for laser ablation, comprising:
acquiring content to be displayed in the process of implementing laser ablation;
determining a display for displaying the content according to a preset setting, wherein the display at least comprises a first display and a second display;
sending the part of the content, which needs to be displayed in the first display, to the first display, and displaying the part of the content on the first display, wherein the part of the content, which needs to be displayed in the first display, at least comprises an image which needs to be displayed in the process of implementing the laser ablation;
and sending the part of the content, which needs to be displayed in the second display, to the second display, and displaying the part of the content on the second display, wherein the part of the content, which needs to be displayed in the second display, at least comprises the parameter value, which needs to be displayed in the laser ablation process.
2. The method of claim 1,
and displaying the image and the parameter values on the first display under the condition that the parameter values are included in the content which needs to be displayed on the display in the content, wherein at least one of the parameter values is superposed on the image part corresponding to the parameter value in the image.
3. The method of claim 2,
acquiring the transparency corresponding to the parameter value displayed in the image in a superposed manner;
and superposing the parameter value on the part corresponding to the parameter value in the image according to the transparency for displaying.
4. The method of claim 1,
receiving parameters input through the second display, where the second display is a touch screen display, wherein the parameters include control parameters for a device required to be used in performing an ablation procedure;
controlling the equipment according to the input parameters;
displaying an image fed back after the control of the equipment in the first display;
and displaying the parameter change fed back after the control of the equipment in the second display.
5. The method of claim 1,
comparing an expected image superimposed on an actual image acquired during the ablation procedure and displayed on the first display, wherein the expected image includes at least one of: the method comprises the steps of planning a path of an optical fiber inserted into a focus part in advance, predicting an expected ablation result of the focus part, predicting an ablation focus outline, an actual position of the optical fiber, a focus part temperature, temperature measuring point information and image representation of a real-time ablation area.
6. The method of any of claims 1 to 5, further comprising:
acquiring alarm information, wherein the alarm information is used for indicating that an alarm condition needs to be given in an ablation process;
and sending the alarm information to the first display and/or the second display, and displaying the alarm information on the first display and/or the second display.
7. The method of any of claims 1-5, wherein the display further comprises a third display, the method further comprising:
sending a part of the content, which needs to be displayed in the third display, to the third display, and displaying the part on the third display; wherein the third display is to display content for interaction with a robot that is to assist in performing ablation.
8. A display processing system for laser ablation, comprising:
software for performing the method of any one of claims 1 to 7;
the first display is used for displaying at least an image required to be displayed in the laser ablation process;
and the second display is used for displaying at least the parameter value required to be displayed in the laser ablation process.
9. The system of claim 8, wherein the first display and the second display have the same or different display areas; and/or the first display and the second display are arranged in a left-right mode or in an up-down mode.
10. The system of claim 8 or 9, wherein the first display and the second display are two parts of one display, the first part being the first display and the second part being the second display.
11. A display processing apparatus for laser ablation, comprising: one or more modules for performing the steps of the method of any one of claims 1 to 7.
CN202111119430.1A 2021-09-24 2021-09-24 Display processing method and system for laser ablation Pending CN113842208A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202111119430.1A CN113842208A (en) 2021-09-24 2021-09-24 Display processing method and system for laser ablation

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202111119430.1A CN113842208A (en) 2021-09-24 2021-09-24 Display processing method and system for laser ablation

Publications (1)

Publication Number Publication Date
CN113842208A true CN113842208A (en) 2021-12-28

Family

ID=78979549

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202111119430.1A Pending CN113842208A (en) 2021-09-24 2021-09-24 Display processing method and system for laser ablation

Country Status (1)

Country Link
CN (1) CN113842208A (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2023274220A1 (en) * 2021-06-28 2023-01-05 杭州佳量医疗科技有限公司 Dual-precision temperature measurement and correction apparatus, system and method based on magnetic resonance and optical fiber temperature measurement

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20120189998A1 (en) * 2009-06-29 2012-07-26 Koninklijke Philips Electronics N.V. Tumor ablation training system
WO2012129542A1 (en) * 2011-03-23 2012-09-27 Halt Medical Inc. Merged image user interface and navigational tool for remote control of surgical devices
CN202815838U (en) * 2012-02-10 2013-03-20 中国人民解放军总医院 Ablation treatment image guiding device with image three dimensional processing apparatus
CN103209653A (en) * 2010-11-18 2013-07-17 皇家飞利浦电子股份有限公司 System and method for probabilistic ablation planning
CN104605926A (en) * 2013-11-05 2015-05-13 深圳迈瑞生物医疗电子股份有限公司 Ultrasound intervention ablation system and working method thereof
US20170120080A1 (en) * 2015-11-04 2017-05-04 Vytronus, Inc. Systems and methods for imaging and ablating tissue
CN108210069A (en) * 2016-12-13 2018-06-29 韦伯斯特生物官能(以色列)有限公司 For melting the method and apparatus of planning and control
CN113409286A (en) * 2021-06-28 2021-09-17 杭州佳量医疗科技有限公司 Laser ablation evaluation system based on magnetic resonance guidance

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20120189998A1 (en) * 2009-06-29 2012-07-26 Koninklijke Philips Electronics N.V. Tumor ablation training system
CN103209653A (en) * 2010-11-18 2013-07-17 皇家飞利浦电子股份有限公司 System and method for probabilistic ablation planning
WO2012129542A1 (en) * 2011-03-23 2012-09-27 Halt Medical Inc. Merged image user interface and navigational tool for remote control of surgical devices
CN202815838U (en) * 2012-02-10 2013-03-20 中国人民解放军总医院 Ablation treatment image guiding device with image three dimensional processing apparatus
CN104605926A (en) * 2013-11-05 2015-05-13 深圳迈瑞生物医疗电子股份有限公司 Ultrasound intervention ablation system and working method thereof
US20170120080A1 (en) * 2015-11-04 2017-05-04 Vytronus, Inc. Systems and methods for imaging and ablating tissue
CN108210069A (en) * 2016-12-13 2018-06-29 韦伯斯特生物官能(以色列)有限公司 For melting the method and apparatus of planning and control
CN113409286A (en) * 2021-06-28 2021-09-17 杭州佳量医疗科技有限公司 Laser ablation evaluation system based on magnetic resonance guidance

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2023274220A1 (en) * 2021-06-28 2023-01-05 杭州佳量医疗科技有限公司 Dual-precision temperature measurement and correction apparatus, system and method based on magnetic resonance and optical fiber temperature measurement

Similar Documents

Publication Publication Date Title
US20170100195A1 (en) Systems and methods for planning image-guided interventional procedures
CN110882056B (en) Accurate tumor microwave ablation system under CT
EP2744438B1 (en) Ablation planning with lesion coverage feedback
US20160317224A1 (en) Microwave ablation planning and procedure systems
CN113409286B (en) Laser ablation evaluation system based on magnetic resonance guidance
JP2001340350A (en) Medical system
WO2016203985A1 (en) Medical assist device and method, and medical assist system
CN113842208A (en) Display processing method and system for laser ablation
JP2015517324A (en) Imaging temperature measurement
CN113851213A (en) Software configuration processing method and device for laser ablation
CN113693708B (en) Radio frequency output adjusting method and device of radio frequency ablation equipment and computer storage medium
CN116936112B (en) Regression model training and ablation planning method, device, equipment and medium
CN107898499A (en) Orthopaedics 3D region alignment system and method
JP2001190587A (en) Ultrasonic medical treatment device
US20230076642A1 (en) Interactive multi-probe ablation guidance system and method
CN113925605B (en) Laser ablation system comprising auxiliary operation robot and robot
Lin et al. Don't get burned: thermal monitoring of vessel sealing using a miniature infrared camera
JP7486498B2 (en) Apparatus for determining temperature probe position during planning for an ablation procedure - Patents.com
CN113271881A (en) System for monitoring ablation progress using a remote temperature probe
CN202815838U (en) Ablation treatment image guiding device with image three dimensional processing apparatus
CN109805996A (en) System and method for generating energy transmission thermal map
Pacheco et al. Photoacoustic image guidance for laser tonsil ablation: approach and initial results
Ross Adaptive Control of Volumetric Laser Photoblation Surgery
Rothgang et al. A system for advanced real-time visualization and monitoring of MR-guided thermal ablations
Fichera et al. Cognitive Supervision for Transoral Laser Microsurgery

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
RJ01 Rejection of invention patent application after publication

Application publication date: 20211228