CN115844440A - Knee joint image examination auxiliary device - Google Patents
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- CN115844440A CN115844440A CN202310009554.7A CN202310009554A CN115844440A CN 115844440 A CN115844440 A CN 115844440A CN 202310009554 A CN202310009554 A CN 202310009554A CN 115844440 A CN115844440 A CN 115844440A
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Abstract
Description
技术领域technical field
本公开涉及膝关节影像检查技术领域,具体地涉及一种膝关节影像检查辅助装置。The present disclosure relates to the technical field of knee joint image examination, and in particular to an auxiliary device for knee joint image examination.
背景技术Background technique
膝关节为全身最大、最复杂的骨关节,膝关节骨骼、韧带以及软组织损伤是临床上较为常见又严重的闭合性损伤和机械性损伤。膝关节损伤若未及时进行正确诊断、并给予针对性治疗,可能诱发膝关节不稳定、创伤性关节炎、肌肉萎缩等不可逆的医疗事故。例如,隐匿性骨折受生理解剖结构的影响,导致误诊或者漏诊大,延误最佳治疗时机。The knee joint is the largest and most complex bone joint in the whole body, and injuries to bones, ligaments, and soft tissues of the knee joint are relatively common and serious blunt and mechanical injuries in clinical practice. If the knee joint injury is not properly diagnosed in time and given targeted treatment, it may induce irreversible medical accidents such as knee joint instability, traumatic arthritis, and muscle atrophy. For example, occult fractures are affected by physiological and anatomical structures, leading to misdiagnosis or missed diagnosis, delaying the best time for treatment.
关节镜检查、诊断膝关节损伤的准确率较高。但是,关节镜检查会造成不必要的创伤,临床应用受到限制。影像学是临床诊断膝关节损伤较为常用的方式。尽管CT检查显著提升膝关节损伤诊断的准确率,对临床早期治疗提供客观依据。但是,CT检查也出现了轻视专科查体的倾向。在临床CT检查中,因未进行规范的物理检查,经常出现膝关节损伤漏诊的现象。The accuracy rate of arthroscopy and diagnosis of knee joint injury is high. However, arthroscopy can cause unnecessary trauma, and its clinical application is limited. Imaging is the most commonly used method for clinical diagnosis of knee joint injuries. Although CT examination significantly improves the accuracy of diagnosis of knee joint injury, it provides an objective basis for early clinical treatment. However, CT examinations also tend to underestimate specialized physical examinations. In clinical CT examinations, knee joint injuries are often missed due to lack of standardized physical examinations.
此外,在影像学临床应用中,CT检查体位只能是平躺或是站立,不能在正常生活中的体位进行检查膝关节的损伤。对膝关节进行X线、CT、磁共振等影像检查,目前没有固定的装置对膝关节的屈曲角度进行调节和固定,造成影像检查所得到的图像不满足临床对膝关节的屈曲角度的要求或者影像存在运动伪影,使得图像质量低或要进行多次成像,影响工作效率和增加了患者不必要的X射线的照射剂量。In addition, in the clinical application of imaging, the posture of CT examination can only be lying down or standing, and the knee joint injury cannot be examined in the posture of normal life. Carry out X-ray, CT, MRI and other imaging examinations on the knee joint. At present, there is no fixed device to adjust and fix the flexion angle of the knee joint. As a result, the images obtained by the imaging examination do not meet the clinical requirements for the knee joint flexion angle or There are motion artifacts in the image, which makes the image quality low or requires multiple imaging, which affects the work efficiency and increases the unnecessary X-ray exposure dose of the patient.
发明内容Contents of the invention
本发明解决的技术问题是提供一种膝关节影像辅助检查装置和膝关节影像辅助检查方法,可以调节膝关节的屈曲角度,并对膝关节提供支撑,可以用于X线、CT、磁共振等设备的膝关节的影像检查。The technical problem solved by the present invention is to provide a knee joint imaging auxiliary inspection device and a knee joint imaging auxiliary inspection method, which can adjust the knee joint flexion angle and provide support for the knee joint, and can be used for X-ray, CT, magnetic resonance, etc. Device for imaging of the knee joint.
为解决上述技术问题,一种膝关节影像检查辅助装置,其特征在于,包括:脚部固定架;膝关节支撑架,所述膝关节支撑架的高度可调,用于调节膝关节相对于检查平台的高度;所述脚部固定架和所述膝关节支撑架均与检查平台连接。In order to solve the above technical problems, an auxiliary device for knee joint imaging examination is characterized in that it includes: a foot fixation frame; a knee joint support frame, the height of which is adjustable for adjusting the knee joint The height of the platform; the foot fixing frame and the knee joint supporting frame are all connected with the inspection platform.
可选的,所述脚部固定架包括脚踏单元、旋转支撑架;所述脚踏单元用于容纳受检者的脚部;所述旋转支撑架连接于所述脚踏单元,用于带动所述脚踏单元旋转以使受检者的腿部屈曲成不同角度。Optionally, the foot fixing frame includes a footrest unit and a rotating support frame; the footrest unit is used to accommodate the examinee’s feet; the rotation support frame is connected to the footrest unit for driving The foot unit rotates to bend the subject's legs at different angles.
可选的,所述脚踏单元的位置相对于所述旋转支撑架在有限范围内可调。Optionally, the position of the pedal unit is adjustable within a limited range relative to the rotating support frame.
可选的,还包括:伸缩支架,所述伸缩支架与所述脚部固定架连接,用于调节所述脚部固定架沿所述检查平台的长度方向移动。Optionally, it also includes: a telescopic bracket, the telescopic bracket is connected to the foot fixing frame, and is used to adjust the movement of the foot fixing frame along the length direction of the inspection platform.
可选的,所述脚踏单元内部设置有囊体,所述囊体用于容纳流体;所述脚踏单元的脚掌对应部和脚跟对应部各设置有至少一个囊体;所述脚踏单元的脚踝对应部设置有至少两个囊体。Optionally, a bladder is provided inside the pedal unit, and the bladder is used to accommodate fluid; the sole corresponding part and the heel corresponding part of the pedal unit are respectively provided with at least one bladder; the pedal unit The ankle counterpart is provided with at least two bladders.
可选的,还包括:膝关节套体;所述膝关节套体具有由囊体形成的环形结构,所述环形结构具有可容纳膝关节的环形通孔;所述囊体用于容纳流体。Optionally, it also includes: a knee joint sleeve; the knee joint sleeve has an annular structure formed by a capsule, and the annular structure has an annular through hole capable of accommodating the knee joint; the capsule is used for containing fluid.
可选的,所述形成膝关节套体的环形结构的囊体内部还设置有至少两个囊体,所述至少两个囊体的位置与膝关节的髌骨位置对应或邻近。Optionally, at least two capsules are provided inside the capsule forming the annular structure of the knee joint sleeve, and the positions of the at least two capsules correspond to or are adjacent to the position of the patella of the knee joint.
可选的,所述囊体形成的环形结构外部由螺旋状的PVC材料包裹。Optionally, the outside of the annular structure formed by the capsule is wrapped by a helical PVC material.
可选的,还包括压力控制系统;所述囊体与压力控制系统连接,所述压力控制系统控制所述流体的体积从而控制囊体对受检者的脚部的压力。Optionally, a pressure control system is also included; the bladder is connected to the pressure control system, and the pressure control system controls the volume of the fluid so as to control the pressure of the bladder on the subject's foot.
可选的,还包括:髋部固定架,所述髋部固定架用于固定髋关节的位置。可选的,所述旋转支撑架设置有角度量具,用于测量旋转支撑架相对于垂直所述检查平台的台面的轴线旋转;所述膝关节支撑架具有长度量具,用于测量膝关节相对于检查平台的高度;所述旋转支撑架还包括长度量具,由于测量所述脚踏单元相对于检查平台的高度。Optionally, it also includes: a hip fixation frame, the hip fixation frame is used to fix the position of the hip joint. Optionally, the rotating support frame is provided with an angle measuring tool for measuring the axis rotation of the rotating supporting frame relative to the table top perpendicular to the inspection platform; the knee joint supporting frame has a length measuring tool for measuring the rotation of the knee joint relative to the The height of the inspection platform; the rotating support frame also includes a length measuring tool for measuring the height of the pedal unit relative to the inspection platform.
本发明实施例还提供一种膝关节影像辅助检查方法,其特征在于,包括:调节所述脚部固定装置的角度,使得调节后的角度与患者脚部偏转角度适配;患者脚部放置于脚部固定架上,调节所述脚部固定架相对于检查平台的高度;膝关节放置于膝关节支撑架上,调节所述膝关节支撑架相对于检查平台的高度。The embodiment of the present invention also provides a knee joint image-aided examination method, which is characterized in that it includes: adjusting the angle of the foot fixing device, so that the adjusted angle is adapted to the deflection angle of the patient's foot; the patient's foot is placed on On the foot fixing frame, adjust the height of the foot fixing frame relative to the inspection platform; the knee joint is placed on the knee joint support frame, and adjust the height of the knee joint support frame relative to the inspection platform.
可选的,所述辅助检查方法,还包括:调节与所述脚部固定架连接的伸缩支架沿所述检查平台的长度方向移动;将患者的髋部与髋部固定架连接。Optionally, the auxiliary inspection method further includes: adjusting the telescopic support connected to the foot fixing frame to move along the length direction of the inspection platform; connecting the patient's hip to the hip fixing frame.
可选的,所述辅助检查方法,包括:根据脚部提升高度、膝关节提升高度、脚部到膝关节的距离、髋部到膝关节的距离、所述患者的大腿长度和小腿长度计算膝关节的屈曲角度。Optionally, the auxiliary inspection method includes: calculating the knee joint according to the lifting height of the foot, the lifting height of the knee joint, the distance from the foot to the knee joint, the distance from the hip to the knee joint, the length of the thigh and the length of the calf of the patient. The flexion angle of the joint.
可选的,所述辅助检查方法,包括:获取膝关节的目标屈曲角度;根据目标膝关节的目标屈曲角度调节脚部提升高度、膝关节提升高度、脚部到膝关节的距离、髋部到膝关节的距离中的至少一个。Optionally, the auxiliary inspection method includes: obtaining the target flexion angle of the knee joint; adjusting the lifting height of the foot, the lifting height of the knee joint, the distance from the foot to the knee joint, and the distance from the hip to the knee joint according to the target flexion angle of the target knee joint. At least one of the distances from the knee joint.
可选的,所述脚部提升高度、膝关节提升高度、脚部到膝关节的距离、髋部到膝关节的距离、所述患者的大腿长度和小腿长度通过摄像头捕捉的患者图片计算得出。Optionally, the lifting height of the foot, the lifting height of the knee joint, the distance from the foot to the knee joint, the distance from the hip to the knee joint, the length of the thigh and the length of the calf of the patient are calculated from the pictures of the patient captured by the camera .
可选的,所述脚部提升高度、膝关节提升高度、脚部到膝关节的距离、髋部到膝关节的距离、所述患者的大腿长度和小腿长度的至少一个数据信息由长度测量工具获得;根据所述至少一个由长度测量工具获得的数据信息,校正根据所述根据摄像头捕捉的患者图片计算得出的数据信息得到最终数据;根据最终数据计算得到膝关节的屈曲角度。Optionally, at least one data information of the lifting height of the foot, the lifting height of the knee joint, the distance from the foot to the knee joint, the distance from the hip to the knee joint, the length of the thigh and the length of the calf of the patient is obtained by a length measurement tool Obtaining: according to the at least one data information obtained by the length measurement tool, correcting the data information calculated according to the patient picture captured by the camera to obtain the final data; calculating the knee joint flexion angle according to the final data.
可选的,所述脚部固定架包括脚踏单元,所述脚踏单元内部设置有囊体,脚踏单元的脚掌对应部和脚跟对应部各设置有至少一个囊体,所述囊体用于容纳流体。Optionally, the foot fixing frame includes a pedal unit, and a bladder is arranged inside the pedal unit, and at least one bladder is respectively provided on the corresponding part of the sole of the pedal unit and the corresponding part of the heel, and the bladder is used for to hold the fluid.
可选的,所述辅助检查方法,还包括:在患者开始检查前,先将膝关节套体套在所述患者的膝关节处;所述膝关节套体具有由囊体形成的环形结构,所述环形结构具有可容纳膝关节的环形通孔;所述囊体用于容纳流体。Optionally, the auxiliary inspection method further includes: before the patient starts the examination, putting a knee joint sleeve on the knee joint of the patient; the knee joint sleeve has an annular structure formed by a capsule, The annular structure has an annular through hole capable of accommodating the knee joint; the bladder is used to accommodate fluid.
可选的,所述形成膝关节套体的环形结构的囊体内部还设置有至少两个囊体,所述至少两个囊体的位置与膝关节的髌骨位置对应或邻近。Optionally, at least two capsules are provided inside the capsule forming the annular structure of the knee joint sleeve, and the positions of the at least two capsules correspond to or are adjacent to the position of the patella of the knee joint.
可选的,所述囊体与压力控制系统连接,所述压力控制系统控制所述流体的体积,使得填充所述流体的囊体与相应的关节部位贴合。Optionally, the bladder is connected to a pressure control system, and the pressure control system controls the volume of the fluid so that the bladder filled with the fluid fits the corresponding joint.
与现有技术相比,本发明实施例的技术方案具有以下有益效果:Compared with the prior art, the technical solutions of the embodiments of the present invention have the following beneficial effects:
1.对膝关节提供支撑,减少由于患者自主或不自主的运动对图像质量的影响。1. Provide support for the knee joint and reduce the impact on image quality due to voluntary or involuntary movement of the patient.
2.可以根据医生要求,适应膝关节的不同屈曲角度。2. It can adapt to different flexion angles of the knee joint according to the doctor's requirements.
3.不同患者的大腿和小腿长度的差异,本方案均适用。3. This program is applicable to the difference in the length of the thigh and calf of different patients.
4.可测量患者的屈曲角度。4. It can measure the flexion angle of the patient.
5.可模拟获得患者的膝关节或脚部的受力情况。5. It can simulate the stress of the patient's knee joint or foot.
6.可模拟获得患者的髌骨等骨骼位移的情况。6. It can simulate the displacement of bones such as the patient's patella.
综上,本方案不仅能辅助于影像检查,提高影像检查的准确性和成功率,还能对膝关节的屈曲角度、膝关节或脚部的受力情况和骨骼位移情况做定性分析,提高临床诊断的准确性。In summary, this program can not only assist in imaging examinations, improve the accuracy and success rate of imaging examinations, but also perform qualitative analysis on the flexion angle of the knee joint, the force of the knee joint or foot, and bone displacement, and improve clinical outcomes. diagnostic accuracy.
附图说明Description of drawings
图1是膝关节影像辅助检查装置初始位置图;Figure 1 is a diagram of the initial position of the knee joint image-assisted inspection device;
图2是膝关节影像辅助检查装置适用过程图;Figure 2 is a diagram of the application process of the knee joint imaging auxiliary inspection device;
图3是脚部固定架结构示意图;Fig. 3 is a schematic diagram of the structure of the foot fixing frame;
图4是膝关节套体的立体示意图;Fig. 4 is a three-dimensional schematic diagram of a knee joint sleeve;
图5是膝关节套体的解剖结构示意图;Fig. 5 is a schematic diagram of the anatomical structure of the knee joint sleeve;
图6是膝关节影像检查方法的流程示意图;Fig. 6 is a schematic flow chart of a knee joint image inspection method;
图7是膝关节屈曲示意图Figure 7 is a schematic diagram of knee flexion
图8是膝关节影像检查方法中囊体中的流体体积控制方法的流程示意图。Fig. 8 is a schematic flow chart of a method for controlling the fluid volume in the capsule in the imaging examination method of the knee joint.
附图中:In the attached picture:
100为检查平台;200为脚部固定架;300为膝关节套体;400为膝关节支撑架;500为髋关节固定架;600为流体加载系统;700为压力控制系统;800为伸缩支架;X为X方向;Z为Z方向;205为旋转支撑架;210为脚踏单元;215为与脚掌位置对应的囊体;220为与脚跟位置对应的囊体;A为旋转中心点;301为形成膝关节套体的环形结构的囊体;302、303为与邻近或对应髌骨位置的囊体。100 is the inspection platform; 200 is the foot fixing frame; 300 is the knee joint sleeve; 400 is the knee joint support frame; 500 is the hip joint fixing frame; 600 is the fluid loading system; 700 is the pressure control system; 800 is the telescopic bracket; X is the X direction; Z is the Z direction; 205 is the rotating support frame; 210 is the pedal unit; 215 is the capsule body corresponding to the sole position; 220 is the capsule body corresponding to the heel position; A is the rotation center point; 301 is The capsule of the annular structure forming the knee joint sleeve; 302 and 303 are the capsules adjacent to or corresponding to the position of the patella.
具体实施方式Detailed ways
为了更清楚的说明本申请实施例的技术方案,下面将对实施例描述中所需要使用的附图作简单的介绍。显而易见地,下面描述中的附图仅仅是本申请的一些示例或实施例,对于本领域的普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图将本申请应用于其他类似场景。除非从语言环境中显而易见或另作说明,途中相同符号代表相同结构或操作。In order to illustrate the technical solutions of the embodiments of the present application more clearly, the following briefly introduces the drawings that need to be used in the description of the embodiments. Obviously, the accompanying drawings in the following description are only some examples or embodiments of the present application, and those skilled in the art can also apply the present application to other similar scenarios. Unless obvious from context or otherwise stated, like symbols in the drawings represent like constructions or operations.
应当理解,本文使用的“装置”、“单元”、“系统”是用于区分不同的组件、元件、部件、部分或装配的一种方法,然而,如果其他词语可实现相同的目的,则可通过其他表达来替换所述词语。It should be understood that "device", "unit" and "system" are used herein as a means of distinguishing between different assemblies, elements, parts, parts or assemblies, however, other words may be used if they serve the same purpose Replace the word with another expression.
如本申请和权利要求书中所示,除非上下文明确提示例外情形,“一”、“一个”、“一种”等词并非特指单数,也可包括复数。一般来说,术语“包括“与”包含“仅提示包括已明确标识的步骤或元素,而这些步骤或元素不构成一个排他性的罗列,方法或者装置也可能包含其他的步骤或元素。As shown in the application and claims, words such as "a", "an" and "an" do not refer to the singular and may include the plural, unless the context clearly indicates an exception. Generally speaking, the terms "comprising" and "comprising" only suggest the inclusion of clearly identified steps or elements, and these steps or elements do not constitute an exclusive list, and the method or device may also include other steps or elements.
本申请中使用了流程图来说明本申请的实施例的系统所执行的操作。应当理解的是,前面或后面操作不一定按照顺序来精确地执行。相反,可以按照倒叙或同时处理各个步骤。同时,也可以将其他操作添加到这些过程中,或从这些过程中移除某一步或多步操作。In this application, a flow chart is used to illustrate the operations performed by the system of the embodiment of this application. It should be understood that the preceding or following operations are not necessarily performed in the exact order. Rather, various steps may be processed in reverse order or concurrently. At the same time, other operations can be added to these procedures, or one or more steps can be removed from these procedures.
图1是膝关节影像辅助检查装置初始位置图,图2是膝关节影像影像检查装置使用过程图,现根据图1和图2对辅助检查装置的整体结构进行说明。本发明保护的膝关节影像检查辅助装置包含脚部固定架200,膝关节支撑架400,髋关节固定架500,流体加载系统600,压力控制系统700,伸缩支架800。检查平台100为患者提供一个用于躺卧的支撑检查床,脚部固定架、膝关节支撑架400、髋关节固定架500分别与检查平台100固定连接,所有上述部件采用非金属材料制成,不会对利用X射线成像原理进行影像检查的图像质量造成不利影响。膝关节支撑架400可以设计成梯形或锥形的平面支撑架或立体支撑架。当膝关节支撑架400设计成平面支撑架时,支撑架最长的边与检查平台固定连接,膝关节支撑架400最短的边用于顶起患者膝部。当膝关节支撑架400设计成立体支撑架时,面积最大的面与检查平台固定连接,面积最小的面用于顶起患者膝部。固定连接方式可以是螺栓连接、螺纹连接,具体连接方式不做限制,只要能实现机械固定的连接方式即可。从图1和图2中膝关节支撑架400的位置可以看出,优选地,膝关节支撑架400是可以折叠的平放到检查平台上的。膝关节支撑架400也可以是可收纳的平放在检查平台内置的容纳槽中,使得检查平台表面无凸起。为了应对影响检查中对患者膝关节摆位的多种需求,本发明将膝关节支撑架400设计成高度可调的装置,膝关节支撑架400的伸缩臂可以设计成液压驱动、钢丝绳传动等方式控制其进行高度调节。髋关节固定架500与检查平台100滑动连接,具体的,在髋部固定支架500上设置滑轨,在检查平台上的安装滑块。髋关节固定架500还可以包括一个夹具,夹具用于夹住患者髋部;或者髋关节固定架500两端均设置有滑轨,检查平台100的两端均对应设置有滑块,髋关节固定架500的主题部分为一罩体,控制该罩体在检查平台100上滑动,优选地,该罩体可伸缩设计或为弹性材料制成;或者髋关节固定架500与检查平台100连接方式设计成类似汽车安全带的固定方式,如将安全带的一端滑动连接在病床一侧,病床另一侧滑动连接一卡扣,安全带可伸缩的与卡扣连接。上述髋关节固定架500的设计方案是为了固定患者,使得患者在检查过程中保持姿势不便,减少成像过程中的运动伪影,提高图像质量。髋关节固定架500与检查平台100的滑动连接,是为了适应不同身高的患者,提高患者体位固定过程中的舒适感。膝关节套体300用于容纳患者的膝关节的可穿戴的装置。Fig. 1 is a diagram of the initial position of the knee joint imaging auxiliary inspection device, and Fig. 2 is a diagram of the use process of the knee joint imaging auxiliary inspection device. The overall structure of the auxiliary inspection device will now be described according to Fig. 1 and Fig. 2 . The knee joint imaging auxiliary device protected by the present invention includes a
图3示出了脚部固定架200的结构示意图。脚部固定架200包括脚踏单元210,伸缩支架800,旋转支撑架205,脚踏单元210,215为与脚掌位置对应的囊体,220为与脚跟位置对应的囊体。脚踏单元210用于容纳患者脚部,优选地,脚踏单元210呈靴子状,其可以由PVC(聚氯乙烯)材料或橡胶材料等非金属材料制成。脚踏单元210与旋转支撑架205滑动连接,旋转支撑架205与检查平台100固定连接,伸缩支架800与旋转支撑架205固定连接。伸缩支架800、检查平台100和旋转支撑架205固定连接于检查平台上的A点。旋转支撑架205可以绕A点进行旋转,适应患者膝关节的不同的屈曲角度,同时旋转支撑架205可以绕A点旋转,旋转轴为垂直所述检查平台的台面的轴线,也即与Z方向平行的轴线,直至旋转支撑架可以平放在检查平台上。伸缩支架800可以带动旋转支架205沿所述检查平台的长度方向运动,配合膝关节支撑架400调节患者的膝关节的屈曲角度,还可以脚部固定架无需使用时,利用伸缩支架800带动旋转支架205和脚踏单元210退回到检查平台100的端部,不对患者的其他器官或部位的检查造成影响,同时省区了部件来回拆卸的麻烦。脚踏单元210内部可以设置有囊体,囊体分别安装在脚跟对应部和脚掌对应部,还可以在脚踝对应部设置有至少两个囊体,囊体内部用于填充流体,如水或空气。本装置能够辅助影像设备进行检查,可用于检查膝关节伸膝、屈膝、膝外旋、膝内旋,也可以用于膝关节过度拉直5-10度的影像检查。FIG. 3 shows a schematic structural view of the
图4和图5用来说明膝关节套体300的结构特征。膝关节套体300是一个可穿戴的装置。包裹膝关节的部分是一个囊体301,囊体形状为一个中空的环形体,囊体内部用于填充流体,如水或空气。环形囊体外部由一层螺旋状的PVC材料包裹形成外部支撑体304,螺旋状的PVC材料既能够实现膝部弯曲,有能保证加载水囊的压力向膝盖位置传递。环形囊体内部不仅用于容纳流体,还包括至少两个用于邻近或对应患者髌骨位置的囊体302,所述至少两个邻近或对应患者髌骨位置的囊体302用于包裹或定位髌骨,且邻近或对应患者髌骨位置的囊体302在环形囊体301内的位置固定,患者在穿戴的时候,可以注意将囊体302放置在邻近或对应患者髌骨的位置处,用于包裹或定位髌骨,邻近髌骨的位置可以为距离髌骨1~5cm的位置。为了便于帮助患者或医生发现囊体302在囊体301中的位置,可以在外层支撑体304上标记出302的位置,具体标记图案不限,优选地,可以直接在外层支撑体304上对应画出302的实际大小和位置。4 and 5 are used to illustrate the structural features of the knee
根据图1至图5所示,脚部固定装置200中的囊体和膝关节套体300中的囊体分别连接有流体输送管路,流体输送管路同时连接流体加载系统600,流体加载系统600连接压力控制系统700,其中流体加载系统600和压力控制系统700之间的信号传输可以是有线传输也可以是无线传输。According to Fig. 1 to Fig. 5, the bladder in the
图6介绍了膝关节影像辅助检查中使用膝关节影像辅助检查装置的方法。Fig. 6 introduces the method of using the knee joint imaging aided examination device in the knee joint imaging aided examination.
患者躺在检查床上,脚部套入脚踏单元内,调节脚部固定架200的高度,具体地,可以调节脚踏单元210相对于旋转支撑架205的高度。调节膝关节支撑架400的高度,具体地,可以调节膝关节支撑架400的伸缩臂的长度。调节旋转支撑架205的旋转角度。调节伸缩支架800,带动旋转支架205沿所述检查平台的长度方向运动。通过上述调节过程,使得患者的膝关节屈曲角度可调节,满足影像检查中对膝关节的屈曲角度的要求。膝关节屈曲角度可以是医生的经验值,即医生根据经验值手动调节各个部分的角度或者高度,从而使得屈曲角度满足医生要求。还可以为上述的高度和角度调节设计一套自动化系统,医生只需要在终端的交互界面上输入目标屈曲角度,即可将膝关节影像辅助检查装置中的具有高度调节、角度调节功能的元件自动调整至满足目标屈曲角度的高度值和角度值。The patient lies on the examination bed, puts the foot into the footrest unit, and adjusts the height of the
图7是膝关节屈曲示意图。膝关节提升高度H2可以通过在膝关节支撑架400上安装的长度量具获得,膝关节提升高度为膝关节支撑架400上的伸缩臂的伸缩长度。脚部提升高度Hi可以通过在旋转支撑架205与脚踏单元210接触的面上安装的长度量具获得,旋转支撑架205上还安装有角度量具,角度量具可以安装在旋转支撑架205与伸缩支架800之间,用于测量旋转支撑架205绕Z方向的轴线的旋转角度,根据旋转支撑架205上的角度量具和长度量具计算脚部提升高度Hi,脚部提升高度Hi可以是从脚跟位置到检查平台100的垂直距离。小腿长度Li和大腿长度Lj可以通过获取病人信息确定,如通过医院的HIS(HospitalInformation System)系统直接获取,或者通过获取病人身高信息,通过计算身高与大腿长度、小腿长度的神经网络模型预测出来。神经网络模型的训练数据为多个用户的身高、大腿长度、小腿长度,模型的输入为用户的身高,输出为大腿长度和小腿长度,神经网络模型可以是深度神经网络(DNN)、卷积神经网络(CNN)、循环神经网络(RNN)、生成对抗网络(GAN)。膝关节到脚部的距离Si和膝关节到髋部的距离Sj可以通过在检查平台100上设置长度量具,基于检查平台100的长度量具、膝关节支撑架400、脚部固定架200、髋关节固定架500分别与检查平台100的连接点计算出,若每个连接处有多个连接点,可以是任意一个连接点,或所有连接点中的中心点。B为膝关节支撑架400与检查平台的连接点,具体的,若有多个连接点,可以是任意一个连接点,或所有连接点中的中心点。A为脚部固定架200与检查平台的连接点,具体的,若有多个连接点,可以是任意一个连接点,或所有连接点中的中心点。C点为髋部固定架500与检查平台的连接点,若有多个连接点,可以是任意一个连接点,或所有连接点中的中心点。可以通过在检查平台100上设置长度量具分别计算B到A的距离,C到B的距离,长度量具可以为刻度尺或红外距离传感器。通过上述多种方法均可获得膝关节到脚部的距离Si和膝关节到髋部的距离Sj。膝关节的屈曲角度M=P+Q,计算方式如下:Figure 7 is a schematic diagram of knee flexion. The knee joint lifting height H2 can be obtained through a length measuring tool installed on the knee
令: make:
膝关节弯曲角度S=A+B。Knee joint bending angle S=A+B.
利用上述膝关节屈曲角度的计算公式,设计膝关节屈曲角度计算软件,可以快速计算或模拟出人体膝关节的运动。同时可以根据公式中需要测得的高度和距离分别在相应位置处设置长度量具,长度量具可以为红外距离传感器,通过传感器反馈的高度信息和距离信息,可以根据膝关节屈曲角度计算软件实时计算患者的膝关节屈曲角度,也可以根据医生输入的目标膝关节屈曲角度,自动调节脚部提升高度、膝关节提升高度、脚部到膝关节的距离、髋部到膝关节的距离中的至少一个。Using the calculation formula of the above-mentioned knee joint flexion angle, design the knee joint flexion angle calculation software, which can quickly calculate or simulate the motion of the human knee joint. At the same time, according to the height and distance to be measured in the formula, a length measuring tool can be set at the corresponding position. The length measuring tool can be an infrared distance sensor. Through the height information and distance information fed back by the sensor, the patient can be calculated in real time according to the knee joint flexion angle calculation software. The knee joint flexion angle can also be automatically adjusted according to the target knee joint flexion angle input by the doctor, at least one of the height of the foot lift, the height of the knee joint lift, the distance from the foot to the knee joint, and the distance from the hip to the knee joint can be automatically adjusted.
根据上述膝关节屈曲角度计算公式,其中需要的数据信息:脚部提升高度、膝关节提升高度、脚部到膝关节的距离、髋部到膝关节的距离、所述患者的大腿长度和小腿长度的获取方式还可以包括:在检查平台上设置标记点,通过摄像头捕捉至少包含患者髋部至脚部以及检查平台标记点的照片,也可以直接获取包含患者全身信息以及检查平台标记点的照片,将所述照片输入神经网络模型,所述神经网络模型可以提取患者关节位置信息,并根据患者关节位置信息计算出脚部到膝关节的距离、髋部到膝关节的距离、所述患者的大腿长度和小腿长度。还可以根据患者关节位置信息和检查平台标记点的位置关系计算出脚部提升高度和膝关节提升高度。自动获取膝关节屈曲角度计算公式中的数据的方式可以提高膝关节屈曲角度计算的速度和准确性。同时还可以根据长度量具和高度量具测得的脚部提升高度、膝关节提升高度、脚部到膝关节的距离、髋部到膝关节的距离、患者的大腿长度和小腿长度的至少一个数据信息,与神经网络计算获得对应数据进行比较,对通过神经网络对照片中提取的关节点位置信息进行校正,可以减少摄像机的畸变带来的误差,使得测量结果更加准确,上述校正过程可以发生在神经网络模型训练过程中,使得训练好的神经网络模型提取的关节点的位置信息已经是消除了摄像机的畸变后得到的数据。According to the above formula for calculating knee flexion angle, the required data information: foot lift height, knee lift height, distance from foot to knee joint, distance from hip to knee joint, thigh length and calf length of the patient The acquisition method may also include: setting marker points on the inspection platform, capturing photos including at least the patient’s hip to feet and the marker points on the inspection platform through the camera, or directly obtaining photos including the patient’s whole body information and the marker points on the inspection platform, Input the photo into the neural network model, the neural network model can extract the patient's joint position information, and calculate the distance from the foot to the knee joint, the distance from the hip to the knee joint, the patient's thigh length and calf length. The lifting height of the foot and the lifting height of the knee joint can also be calculated according to the position information of the patient's joint position and the positional relationship of the marked points of the inspection platform. The method of automatically acquiring the data in the calculation formula of the knee joint flexion angle can improve the speed and accuracy of the calculation of the knee joint flexion angle. At the same time, at least one piece of data information can be measured according to the length measuring tool and the height measuring tool, such as the lifting height of the foot, the lifting height of the knee joint, the distance from the foot to the knee joint, the distance from the hip to the knee joint, the length of the thigh and the length of the calf of the patient , compared with the corresponding data obtained by the neural network calculation, correcting the joint point position information extracted from the photo through the neural network can reduce the error caused by the distortion of the camera and make the measurement result more accurate. The above correction process can occur in the neural network. During the network model training process, the position information of the joint points extracted by the trained neural network model is the data obtained after eliminating the distortion of the camera.
图8是膝关节影像检查方法中囊体中的流体体积控制方法的流程示意图,对囊体中的流体体积控制的目的是对膝关节的所受外力大小和关节移位距离的定量估计,能提高膝关节骨骼、韧带以及软组织损伤诊断准确率并降低误诊率和漏诊率。具体地,参考图3,在脚踏单元210内部可以设置有囊体,囊体分别安装在脚跟对应部和脚掌对应部,还可以在脚踝对应部设置有至少两个囊体,囊体内部用于填充流体,如水或空气,上述囊体连接有流体输送管路,流体输送管路同时连接流体加载系统600,流体加载系统600连接压力控制系统700,流体加载系统600和压力控制系统700可以分体设计,也可以集成在一个装置中,该装置可以实现流体加载功能和压力控制功能。压力控制装置700是输出一个压力值,将压力值转化成电信号传递给流体加载系统600,流体加载系统600将接受的电信号转化成数字信号,将对应体积的流体输入到囊体中。流体加载系统600和压力控制系统700分别为每个囊体填充流体。具体地,对脚踝对应部、脚跟对应部和脚掌对应部地囊体中分别填充流体,可以使得患者的脚部和脚踝无损伤的固定在脚部固定架200中,减少患者的疼痛感,提高患者脚部和脚踝固定架200的适配度,提升患者检查的舒适度。可以在脚踝的踝关节两侧分别设置一个囊体,或者沿着脚踝的周向方向设置4个囊体。向脚跟对应部和脚掌对应部的囊体中填充流体,当患者感到疼痛或不适,停止填充流体,继续向脚踝对应部的囊体中填充流体,当患者感到疼痛或不适,停止填充流体,流体的填充速率医生可自由配置。记录每个囊体中的流体填充体积对应的压力数值,可得到对应部位所受外界压力的大小。根据脚踝对应部的多个填充流体的囊体的压力差,计算获得踝关节位移距离,具体的,可以根据踝关节两侧的或多侧的压力差,绘制压力差与位移距离的关系图。根据上述关系图和患者踝关节所受压力差,得到踝关节的位移距离和位移方向。Fig. 8 is a schematic flow chart of the method for controlling the volume of fluid in the capsule in the image examination method of the knee joint. The purpose of controlling the volume of fluid in the capsule is to quantitatively estimate the magnitude of the external force on the knee joint and the displacement distance of the joint. Improve the accuracy of diagnosis of knee bone, ligament and soft tissue injuries and reduce the rate of misdiagnosis and missed diagnosis. Specifically, referring to FIG. 3 , a capsule body can be provided inside the
膝关节套体300是一个可穿戴的装置。包裹膝关节的部分是一个囊体301,囊体形状为一个中空的环形体,囊体内部用于填充流体,如水或空气。环形囊体外部由一层螺旋状的PVC材料包裹形成外部支撑体304,螺旋状的PVC材料既能够实现膝部弯曲,有能保证加载水囊的压力向膝盖位置传递。环形囊体内部不仅用于容纳流体,还包括至少两个用于邻近或对应患者髌骨位置的囊体302,所述至少两个邻近或对应患者髌骨位置的囊体302用于包裹或定位髌骨,且邻近或对应患者髌骨位置的囊体302在环形囊体301内的位置固定,患者在穿戴的时候,可以注意将囊体302放置在邻近或对应患者髌骨的位置处,用于包裹或定位髌骨。上述囊体连接有流体输送管路,流体输送管路同时连接流体加载系统600,流体加载系统600连接压力控制系统700,流体加载系统600和压力控制系统700可以分体设计,也可以集成在一个装置中,该装置可以实现流体加载功能和压力控制功能。压力控制装置700是输出一个压力值,将压力值转化成电信号传递给流体加载系统600,流体加载系统600将接受的电信号转化成数字信号,将对应体积的流体输入到囊体中。流体加载系统600和压力控制系统700分别为每个囊体填充流体。具体地,向环形囊体301内部填充流体,使得环形囊体与患者膝关节紧密贴合,可以在环形囊体上设置红外距离传感器,根据红外距离传感器的反馈结果,可以确定环形囊体与患者膝关节的贴合程度,使得患者膝关节固定在膝关节套体300中,减少患者的疼痛感,提高患者膝关节和膝关节套体300的适配度,提升患者检查的舒适度。向放置在邻近或对应患者髌骨的位置处的至少两个囊体中填充流体,当患者感到疼痛或不适,停止填充流体,流体的填充速率医生可自由配置。记录每个囊体中的流体填充体积对应的压力数值,可得到对应部位所受外界压力的大小。根据邻近或对应患者髌骨的位置处的多个填充流体的囊体的压力差,计算获得髌骨位移距离,具体的,可以根据髌骨两侧的或多侧的压力差,绘制压力差与位移距离的关系图。根据上述关系图和患者髌骨所受压力差,得到髌骨的位移距离。
虽然本发明披露根据上,但本发明并非限定于此。任何本领域技术人员,在不脱离本发明的精神和范围内,均可作各种更动与修改,因此本发明的保护范围应当以权利要求所限定的范围为准。Although the present invention is disclosed in light of the above, the present invention is not limited thereto. Any person skilled in the art can make various changes and modifications without departing from the spirit and scope of the present invention, so the protection scope of the present invention should be based on the scope defined in the claims.
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