CN117942507A - Cervical cancer transplanting visualization system - Google Patents
Cervical cancer transplanting visualization system Download PDFInfo
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- CN117942507A CN117942507A CN202311827245.7A CN202311827245A CN117942507A CN 117942507 A CN117942507 A CN 117942507A CN 202311827245 A CN202311827245 A CN 202311827245A CN 117942507 A CN117942507 A CN 117942507A
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- visualization system
- sleeve
- cervical cancer
- light source
- led light
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- 206010008342 Cervix carcinoma Diseases 0.000 title claims abstract description 32
- 208000006105 Uterine Cervical Neoplasms Diseases 0.000 title claims abstract description 32
- 201000010881 cervical cancer Diseases 0.000 title claims abstract description 32
- 238000012800 visualization Methods 0.000 title claims abstract description 21
- 238000001959 radiotherapy Methods 0.000 claims description 27
- 238000003780 insertion Methods 0.000 claims description 18
- 230000037431 insertion Effects 0.000 claims description 18
- 238000005070 sampling Methods 0.000 claims description 7
- 238000005286 illumination Methods 0.000 claims description 4
- 239000007943 implant Substances 0.000 claims 1
- 238000002513 implantation Methods 0.000 abstract description 16
- 230000005855 radiation Effects 0.000 abstract description 5
- 210000001519 tissue Anatomy 0.000 description 23
- 238000000034 method Methods 0.000 description 13
- 210000001215 vagina Anatomy 0.000 description 9
- 206010028980 Neoplasm Diseases 0.000 description 8
- 230000008569 process Effects 0.000 description 5
- 230000000007 visual effect Effects 0.000 description 5
- 238000002560 therapeutic procedure Methods 0.000 description 4
- 201000011510 cancer Diseases 0.000 description 3
- 230000009545 invasion Effects 0.000 description 3
- 238000009825 accumulation Methods 0.000 description 2
- 230000003321 amplification Effects 0.000 description 2
- 210000003679 cervix uteri Anatomy 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 208000015181 infectious disease Diseases 0.000 description 2
- 238000007689 inspection Methods 0.000 description 2
- 230000036210 malignancy Effects 0.000 description 2
- 238000003199 nucleic acid amplification method Methods 0.000 description 2
- 210000004291 uterus Anatomy 0.000 description 2
- 210000000707 wrist Anatomy 0.000 description 2
- 241000894006 Bacteria Species 0.000 description 1
- 201000004569 Blindness Diseases 0.000 description 1
- 241001313288 Labia Species 0.000 description 1
- 206010028851 Necrosis Diseases 0.000 description 1
- 208000031481 Pathologic Constriction Diseases 0.000 description 1
- 206010046914 Vaginal infection Diseases 0.000 description 1
- 201000008100 Vaginitis Diseases 0.000 description 1
- 206010067505 Vulvovaginal adhesion Diseases 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 230000006978 adaptation Effects 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 238000002725 brachytherapy Methods 0.000 description 1
- 210000003756 cervix mucus Anatomy 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 238000004980 dosimetry Methods 0.000 description 1
- 210000003717 douglas' pouch Anatomy 0.000 description 1
- 238000011347 external beam therapy Methods 0.000 description 1
- 230000002349 favourable effect Effects 0.000 description 1
- 210000004392 genitalia Anatomy 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 230000033001 locomotion Effects 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000017074 necrotic cell death Effects 0.000 description 1
- 238000004806 packaging method and process Methods 0.000 description 1
- 231100000915 pathological change Toxicity 0.000 description 1
- 230000036285 pathological change Effects 0.000 description 1
- 238000012545 processing Methods 0.000 description 1
- 230000002285 radioactive effect Effects 0.000 description 1
- 238000011301 standard therapy Methods 0.000 description 1
- 230000036262 stenosis Effects 0.000 description 1
- 208000037804 stenosis Diseases 0.000 description 1
- 238000012549 training Methods 0.000 description 1
- 208000024719 uterine cervix neoplasm Diseases 0.000 description 1
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- Surgical Instruments (AREA)
Abstract
The application relates to the technical field of whole vehicle control, in particular to a cervical cancer transplanting visualization system, which comprises: the operation end comprises a first sleeve, at least one LED light source and at least one camera; the display end is connected with the operation end and receives video signals of all cameras. The technical scheme provided by the application can accurately determine the implantation position of the uterine cavity tube, and improves the positioning accuracy of the implantation treatment placement applicator after cervical cancer implantation radiation treatment and cervical cancer.
Description
Technical Field
The application relates to the technical field of medical instruments, in particular to a cervical cancer insertion visualization system.
Background
Cervical cancer is the most common gynaecological malignancy, and the incidence rate is the first place of female genital malignancy. The radiation therapy of cervical cancer has become an indispensable part of cervical cancer treatment, and the combination of external radiation therapy and close-range postload therapy is a standard therapy mode of patients with cervical cancer of middle and late stages (IB 2-IVA stage), and plays a role in the radiotherapy curative effect of cervical cancer. The intra-cavity combined post-implantation packaging treatment has specific dosimetry advantages and clinical curative effects in cervical cancer close range treatment.
The short-distance post-loading treatment technology conventionally used in clinic is intra-cavity tube treatment or tissue-to-tissue implantation treatment, an applicator is placed in vagina, cervical tissue and uterine cavity, and then radiation source treatment is led out. At present, the technology is especially applied to patients with vaginal stenosis and parauterine invasion by interluminal combined tissue implantation treatment, the target area conformability is better by a method of inserting an implantation needle, and higher doses such as external irradiation treatment or tumor bodies remained after operation can be given, so that the local control rate of the tumor is further improved.
Currently, three-dimensional treatment for clinical afterloading generally has the following modes: three-lumen endoluminal therapy, endoluminal graft therapy, 3D printed vaginal model plug graft therapy, and image-guided brachytherapy. In recent years, free implantation of a lumen-embedded tube combined with a metal needle is adopted to treat locally advanced cervical cancer in China, and the target area also obtains ideal dose distribution. Conventional three-dimensional endoluminal applicators are two cul-de-sac tubes plus one uterine cavity tube. The implantation in the cavity adopts a 12# implantation needle with the length of 1207mm, and the implantation needle is reasonably arranged according to the focus size of the patient.
The two most commonly used insertion techniques at present are bare-handed insertion, and the needle tube can be removed after the single treatment is finished, but the operation difficulty coefficient is larger, and the operation can be performed after the operation is judged by the doctor with high annual resources according to experience, so that the method has larger blindness and experience; secondly, the vaginal transplanting template is used for transplanting, so that the transplanting difficulty is reduced to a certain extent, but the type is relatively single, individuation is not realized, and the conformality is poor.
Based on this, a method is needed by those skilled in the art to solve the above technical problems.
Disclosure of Invention
The embodiment of the application provides a cervical cancer insertion visualization system, which can accurately determine the insertion position of a uterine cavity tube and improve the positioning accuracy of a radiation therapy placement applicator for cervical cancer after cervical cancer insertion radiation therapy.
Other features and advantages of the application will be apparent from the following detailed description, or may be learned by the practice of the application.
According to an aspect of an embodiment of the present application, there is provided a cervical cancer insertion visualization system including: the operation end comprises a first sleeve, at least one LED light source and at least one camera; the display end is connected with the operation end and receives video signals of all cameras.
In some embodiments of the application, the first sleeve is used to nest a uterine cavity tube for cervical cancer insertion radiation therapy.
In some embodiments of the application, each LED light source and each camera are mounted to the same end of the first sleeve.
In some embodiments of the present application, based on the foregoing, each LED light source illuminates along the axial direction of the first sleeve, and each camera shoots along the axial direction of the first sleeve.
In some embodiments of the application, based on the foregoing, each LED light source and each camera are mounted at intervals.
In some embodiments of the application, a wall surface of the first sleeve is provided with a wall clasp for mounting a second sleeve.
In some embodiments of the application, the second sleeve is used to place a sampling clip, based on the foregoing.
In some embodiments of the application, the display end is a touchable display screen.
In some embodiments of the present application, based on the foregoing solutions, the touchable display screen enlarges the display image according to a gesture instruction of a user.
In some embodiments of the present application, based on the foregoing solutions, the touchable display screen controls the illumination intensity of each LED light source according to the gesture command of the user.
Based on the above scheme, the technical scheme provided by the application has at least the following advantages and improvements:
The application can provide a cervical cancer insertion visualization system, which comprises an operation end, wherein the operation end comprises a first sleeve, at least one LED light source and at least one camera; the display end is connected with the operation end and receives video signals of all cameras. The display screen can display and shoot cervical orifice and cervical tissue, and expose 360 degrees of cervical tissue, so that the clinical problems of difficult cervical orifice searching, difficult cervical orifice exposing, limited operation and pain in gynecological examination due to invasion of cervical tissue by tumor tissue can be solved. Medical staff shows the cervical position tissue in vagina through visual screen, and the image is visual on the screen through internal tissue, has increased medical staff's operation field of vision's amplification and definition, has improved cervical cancer and has inserted radiotherapy, after the cervical cancer the dress radiation therapy place the accuracy of source ware location, has left the quick convenience of getting cervical tissue, has reduced medical staff and has had the risk of exposing the infection in the operation in-process apart from the too nearly easy emergence of vaginal tissue simultaneously to medical staff's work efficiency has been improved, has shortened patient's time and the inspection time of placing radiotherapy source ware, obviously reduces patient's pain of seeing a doctor.
It is to be understood that both the foregoing general description and the following detailed description are exemplary and explanatory only and are not restrictive of the application as claimed.
Drawings
The accompanying drawings, which are incorporated in and constitute a part of this specification, illustrate embodiments consistent with the application and together with the description, serve to explain the principles of the application. It is evident that the drawings in the following description are only some embodiments of the present application and that other drawings may be obtained from these drawings without inventive effort for a person of ordinary skill in the art. In the drawings:
FIG. 1 shows a simplified diagram of a cervical cancer insertion visualization system according to one embodiment of the application;
fig. 2 shows a simplified operational end configuration according to one embodiment of the present application.
Detailed Description
Example embodiments will now be described more fully with reference to the accompanying drawings. However, the exemplary embodiments may be embodied in many forms and should not be construed as limited to the examples set forth herein; rather, these embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the concept of the example embodiments to those skilled in the art.
Furthermore, the described features, structures, or characteristics may be combined in any suitable manner in one or more embodiments. In the following description, numerous specific details are provided to give a thorough understanding of embodiments of the application. One skilled in the relevant art will recognize, however, that the application may be practiced without one or more of the specific details, or with other methods, components, devices, steps, etc. In other instances, well-known methods, devices, implementations, or operations are not shown or described in detail to avoid obscuring aspects of the application.
It should be noted that: references herein to "a plurality" means two or more. "and/or" describes an association relationship of an association object, meaning that there may be three relationships, e.g., a and/or B may represent: a exists alone, A and B exist together, and B exists alone. The character "/" generally indicates that the context-dependent object is an "or" relationship.
Referring to fig. 1, fig. 1 shows a simplified diagram of a cervical cancer insertion visualization system according to one embodiment of the application, the visualization system 100 may include an operating end 101 including a first sleeve 10101, at least one LED light source 10102, and at least one camera 10103; the display end 102, the display end 102 is connected with the operation end 101, and receives video signals of the cameras 10103.
In one embodiment of the application, the first sleeve may be used to nest a uterine cavity tube for cervical cancer insertion radiation therapy. According to the actual image shot by the camera, the corresponding uterine cavity tube and the length of the needle inserted into the uterine cavity tube are selected, the uterine cavity tube with a proper angle is placed through the first sleeve, and the applicator is placed into the vagina of the patient. Medical staff can adapt to the implantation position of the uterine cavity tube according to the actual image, accurately grasp the position of the radioactive target area, be favorable to establishing a standardized implantation process, reduce the implantation difficulty, and reduce the risk of perforation of the uterus of a patient.
Referring next to fig. 2, fig. 2 shows a simplified operational end configuration according to one embodiment of the present application. In fig. 2, each LED light source 202 and each camera 203 may be mounted to the same end of the first sleeve 201. Each LED light source 202 illuminates along the axial direction of the first sleeve 201, each camera 203 shoots along the axial direction of the first sleeve 201, each LED light source 202 and each camera 203 are installed alternately, and an LED light source is arranged between every two cameras, so that the definition of the shot image can be fully ensured.
With continued reference to fig. 2, a wall surface of the first sleeve 201 is provided with a wall fastener 204, and the wall fastener 204 is used for installing a second sleeve 205, and the second sleeve 205 is used for placing a sampling clip. The second sleeve 205 can be used for placing the abdominal cavity grabbing clamp for sampling, the second sleeve 205 can be installed on the sleeve wall buckle 204, the second sleeve 205 can be detached or installed according to whether sampling is needed, the sampling grabbing clamp can be used for separating local tumor tissues of cervical ports, the cervical ports are clearly exposed, the uterine cavity tube can accurately enter the cervical ports, and sampling operation of the cervical tissues can be performed according to the needs of the illness state.
In an embodiment of the present application, the display end may be a touchable display screen, where the touchable display screen performs amplification processing on a display image according to a gesture instruction of a user, and the touchable display screen controls illumination intensity of each LED light source according to the gesture instruction of the user. The touch display screen can display and shoot the cervical orifice and cervical tissues in an enlarged manner, expose the cervical tissues by 360 degrees, solve the clinical problems of difficult cervical orifice searching, difficult cervical orifice exposing, limited operation and pain of women's inspection caused by invasion of the cervical tissues by tumor tissues, and fully meet the requirement of shooting definition by controlling the illumination intensity of the LED light source.
The existing method for inserting the uterine cavity tube by hand has the following defects: because of the deviation of the needle insertion angle, the direction and depth of the insertion needle are adjusted repeatedly in the insertion treatment process, thereby prolonging the operation time to a certain extent and greatly increasing the risk of local bleeding. The spatial position relation between the surrounding normal tissues and the tumor is difficult to grasp, the possibility of damaging the normal tissues by bare-handed insertion is obviously increased, the accuracy of bare-handed insertion of the uterine cavity tube is not high (67.7%), and even the risk of perforation and rupture of uterus and the like can be caused.
In the process of controlling the accuracy and safety of Gong Gengshi source placement, the technical and experience judgment of operators is very important, but long-time clinical accumulation and working experience are required for training related personnel, so that the level of transplanting is uneven.
The positioning is inaccurate, the time consumption is long, a cervical cancer patient needs special medical staff to place special radiotherapy equipment and special radiotherapy equipment for inserting radiotherapy on cervical orifice and cervical tissue of the patient according to a radiotherapy scheme and a radiotherapy plan formulated by patient conditions before radiotherapy is carried out in a uterine cavity, the medical staff with rich experience moves the patient from a gynecological examination bed to a hand-push bed according to clinical experience and placement handfeel after placing the equipment, at the moment, the movement needs to be careful, the placed implantation equipment or the post-loading radiotherapy positioning equipment is prevented from moving, the patient is pushed to a CT room to position the implantation equipment, and after the position is correct, the patient is pushed to the post-loading radiotherapy room to be connected with radiotherapy equipment for carrying out the internal radiotherapy of the cervical cancer.
Cervical cancer radiotherapy is classified into external irradiation radiotherapy and intrauterine irradiation radiotherapy. Radiation complications can occur during radiation therapy, such as radiation vaginitis, vaginal adhesion, uterine cavity adhesion, cervical tumor necrosis cell shedding, pus accumulation, vaginal secretion increase and the like, and the radiation complications can cause the conditions that cervical ports are not easy to find and cervical ports are difficult to find and internal irradiation applicators are difficult to place when the patient is subjected to intrauterine irradiation radiation therapy.
If the pathological changes of the cervical orifice are to be checked, the female to be checked needs to take off one side of trouser legs and lie down on a gynecological examination bed, and a professional medical staff uses a disposable vaginal speculum to prop open the labia and the vagina until the cervical orifice and the vaginal fornix around the cervical orifice are exposed, and the female is moved back from inside to outside for checking; the vaginal speculum is a handheld instrument, the vaginal speculum can be driven to rotate only by means of torsion of the wrist of a medical staff when the opening position of the vaginal speculum is adjusted, the wrist of the medical staff can shake easily when the vaginal speculum is twisted, so that the vaginal speculum is offset, the affected part of a patient is stimulated, and discomfort of the patient is caused.
When the vaginal speculum is used for cervical tissue examination, the two leaves of the vaginal speculum are firstly gathered together, the vaginal speculum is slowly put into the vagina along the rear side wall of the vagina in a lateral direction, then the vaginal speculum is pushed upwards and backwards, the two leaves are flattened and opened simultaneously, the cervix and the vaginal wall are exposed, and then the cervical is moved back from inside to outside for examination, so that the examination of medical staff is facilitated, but the medical staff can carry out auxiliary examination through an external light source, but the external light source can not well irradiate the cervix, the vagina of the patient needs to be expanded enough to facilitate the examination, pain is caused for the medical care of the patient, meanwhile, the external light source irradiates the inside to be not clear enough, so that the medical staff is too close to the vagina of the patient during the examination, the cervical cancer is malignant tumor, the infection risk of bacteria is increased even if the corresponding protection is carried out, and a certain risk is brought to the body health of the medical staff.
In the application, the visual system is provided with the LED lamp source and the camera, so that real-time screen image display can be realized in the operation process, and visual operation is realized. The cervical tissue in the vagina is visually displayed on the screen, and the internal tissue is visually displayed on the screen, so that the enlargement and definition of the operation visual field of medical staff are increased, the accuracy of positioning the source applicator for inserting and implanting radiation therapy and after cervical cancer is arranged, the accuracy and the rapid convenience of taking the cervical tissue are reserved, and the working efficiency of the medical staff is improved; solves the problem that the vaginal part is too close to be easy to be exposed and infected by medical staff in the operation process, shortens the time for placing the cervical cancer radiotherapy source applicator and the examination time of patients, and obviously reduces the pain of patients in treatment.
Other embodiments of the application will be apparent to those skilled in the art from consideration of the specification and practice of the embodiments disclosed herein. This application is intended to cover any variations, uses, or adaptations of the application following, in general, the principles of the application and including such departures from the present disclosure as come within known or customary practice within the art to which the application pertains.
It is to be understood that the application is not limited to the precise arrangements and instrumentalities shown in the drawings, which have been described above, and that various modifications and changes may be effected without departing from the scope thereof. The scope of the application is limited only by the appended claims.
Claims (10)
1. A cervical cancer implant visualization system, the visualization system comprising:
the operation end comprises a first sleeve, at least one LED light source and at least one camera;
The display end is connected with the operation end and receives video signals of all cameras.
2. The visualization system of claim 1, wherein the first sleeve is for nesting a uterine cavity tube for cervical cancer insertion radiation therapy.
3. The visualization system of claim 1, wherein each LED light source and each camera are mounted to a same end of the first sleeve.
4. A visualization system as in claim 3, wherein each LED light source illuminates along an axial direction of the first sleeve and each camera shoots along the axial direction of the first sleeve.
5. A visualization system as recited in claim 3, wherein each LED light source and each camera are mounted in spaced relation.
6. The visualization system of claim 1, wherein a wall surface of the first sleeve is provided with a wall clasp for mounting a second sleeve.
7. The visualization system of claim 6, wherein the second sleeve is configured to position a sampling clip.
8. The visualization system of claim 1, wherein the display end is a touchable display screen.
9. The visualization system of claim 8, wherein the touchable display screen enlarges the display image in accordance with a user gesture instruction.
10. The visualization system of claim 8, wherein the touchable display screen controls the illumination intensity of each LED light source according to user gesture instructions.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202311827245.7A CN117942507A (en) | 2023-12-27 | 2023-12-27 | Cervical cancer transplanting visualization system |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202311827245.7A CN117942507A (en) | 2023-12-27 | 2023-12-27 | Cervical cancer transplanting visualization system |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN117942507A true CN117942507A (en) | 2024-04-30 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202311827245.7A Pending CN117942507A (en) | 2023-12-27 | 2023-12-27 | Cervical cancer transplanting visualization system |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN117942507A (en) |
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2023
- 2023-12-27 CN CN202311827245.7A patent/CN117942507A/en active Pending
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