CN205964717U - Radiation therapy tracks position mark thing and carries implantation pjncture needle of underlined thing - Google Patents

Radiation therapy tracks position mark thing and carries implantation pjncture needle of underlined thing Download PDF

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Publication number
CN205964717U
CN205964717U CN201620713404.XU CN201620713404U CN205964717U CN 205964717 U CN205964717 U CN 205964717U CN 201620713404 U CN201620713404 U CN 201620713404U CN 205964717 U CN205964717 U CN 205964717U
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China
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label
millimeters
radiotherapy
implantation
tracing
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鞠忠建
曲宝林
王小深
李建雄
徐伟
王金媛
王运来
李玉
谷珊珊
李纪伟
张素静
刘小亮
解传滨
戴相昆
牛宝龙
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Chinese PLA General Hospital
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Chinese PLA General Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/103Treatment planning systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1048Monitoring, verifying, controlling systems and methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N2005/1092Details
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N2005/1092Details
    • A61N2005/1096Elements inserted into the radiation path placed on the patient, e.g. bags, bolus, compensators

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

Abstract

The utility model discloses a radiation therapy tracks the position mark thing, the tag can be the cylinder that the surface was equipped with spiral groove, the tag can be annular barb structure, also can surperficially be equipped with the crossed circle recess, the tag can also be chain type structure. The utility model discloses disclose an implantation pjncture needle that carries underlined thing simultaneously, outside sleeve pipe includes still that the tag implants the storehouse, the tag is implanted the storehouse and is linked together with tag implantation passageway, place the metal tag that the surface has the sunk structure in the tag implantation storehouse. The utility model discloses can reduce the golden problem of marking the offset that patient deeply breathed and perhaps coughs and bring, guarantee pursuit of the whole therapeutical in -process of patient and the accuracy of fixing a position, the messenger accomplishes the single treatment within a short period of time, has improved the radiation therapy effect, when the implantation pjncture needle that carries underlined thing can avoid the tag to implant since pjncture needle blood too much and lead to small tag to be lost.

Description

Radiotherapy tracing and positioning label and the implantation puncture needle carrying label
Technical field
This utility model belongs to technical field of medical instruments, draws particularly in a kind of radiation therapy process, implementing image When leading radiotherapy, carry out the radiotherapy tracing and positioning label of image registration or tumor-localizing and the plant carrying label Enter puncture needle.
Background technology
At present, with the continuous development of radiation therapy technology, accurate radiotherapy because dose delivery accurately, dosage focus on and concentrate, The curative effect making tumor radiotherapy improves, side reaction reduces;It is intended to reach this purpose it is necessary to carry out real time imaging guiding to follow the trail of tumor motion Implement radiotherapy.Main at present adopt by the way of be in tumor and periphery implanted metal label (referred to as " gold is marked "), pass through Digitized image obtains knub position in real time, and guiding treatment ray is carried out from dynamic(al) correction.Radiotherapy is followed the trail of and image registration has Various modes, but the breathing for specific radiotherapy equipment Cyberknife is followed the trail of and gold mark tracking pattern, needs Et al. Ke gold mark, existing gold mark is all smooth cylinder or the design of closely smooth cannulated threaded, the gold of this design Be marked on implantation pulmonary beyond solid organ in when, because respiratory movement produce displacement very little, do not affect position;But for lung Portion organizes, then lead to golden marker displacement larger it is easy to go out in the whole therapeutic process of patient in patient respiration and when coughing prolixity Existing larger position deviation, leads to oncotherapy deviation and affect therapeutic effect.
Radiocurable whole treatment flow process be:
1. patient goes to a doctor to radiotherapy department, such as determines that needs carry out gold mark implantation radiotherapy, needs the implantation of fee for appointment mark and in gold mark Mould (i.e. Postural immobilization mould, for radiotherapy Postural immobilization) is done in reservation after implantation week age.
2. do mould and positioned, patient is fixed using mould and carry out CT scan, scanogram is transferred to Radiotherapy doctor workstation, needs the time.
3. doctor positions image according to patient and the state of an illness carries out delineating of focal area (target area), needs 1 to 3 according to the state of an illness Working day.
4. gauger and physics Shi Gongtong carry out radiotherapy treatment planning design to the focal area of patient so that target area region Reach prescribed dose and dosage that peripheral organs are subject to is minimum, 1 to 5 working days were needed according to the state of an illness.
5. pair patient's enforcement radiotherapy terminates to the course for the treatment of.
When gold mark moves in threshold range, although less movement is less on treatment precision impact, in therapeutic process In, because the relatively little deviation of position leads to position registration difficulty in gold mark tracing process to increase, greatly prolong patient's single therapy Time, related data is counted, in the case of not affecting to treat precision, because golden target minute movement leads to patient single Secondary treatment time extends 20.42%;Correlational study shows, when single therapy time lengthening 5 is again to 15 times, the short period completes Cell survival rate during single therapy is significantly lower than the cell survival rate of single therapy time lengthening, respectively:1.9%, 2.35% and 3.42%.(list of references:Irradiation time extends the impact [J] to Lung Squamous Carcinoma Cells strain H520 radiobiological effect, Practical oncology's magazine, 2013,27 (2):136‐139).I.e. the lethality of same dose single therapy time more short cell is more Greatly, extend the single fraction irradiation time, significantly reduce the biological effect to H520 cell for the radiotherapy.(list of references:Irradiation time The experimentation [D] to nasopharyngeal carcinoma radiobiological effect for the prolongation, Medical University Of Tianjin, 2013.)
Because golden target moves, patient is needed to reorientate, could again after Target delineations, three links of planned Treated, but three above link is completed according to the state of an illness and at least needs 3 to 5 days even more many days ability continual cures;Though So short-term size of tumor change in location is little, but relevant cell radiometric shows:Heavy dose of gradation is longer for interval time, rings Answer the growth inhibition ratio of cell lower;1,2,3,4,5,6 days interval times, corresponding inhibitory rate of cell growth was respectively: 91.04%, 93.76%, 89.05%, 88.88%, 86.07%, 78.45%, illustrate the radiotherapy break period longer to radiotherapy treatment Effect impact is bigger, or even inhibition rate of tumor cell difference reaches 15.31%.(list of references:The putting of ejected wave knife radiation therapeutic pulmonary carcinoma Penetrate Basic of Biology and clinical research [D], Medical University Of Tianjin, 2011.).From high dose radiation, the DNA of tumor cell is killed Aspect research, twice radiotherapy be spaced 1 day with respect to interval 3 days, lethality to DNA is maximum within 6 days.(list of references:High agent The radiobiology basic research [D] of amount radiotherapy different intervals, Medical University Of Tianjin, 2009.)
In sum, reorientated due to the golden target patient that leads to of movement over the course for the treatment of, Target delineations, plan set Count the interlude difference treated again and there is large effect to patient's Radiotherapy.
Existing gold mark product is cylindrical structure, and its shortcoming is that adhesive ability is poor, and clinical manifestation is the firm waiting time Easily it is shifted in length, treatment, cause to treat deviation, lead to Endodontic failure.
Conventional carry out aspiration biopsy using puncture needle or the process of label implantation is:
The first step, carries out CT scan first, and is placed around body surface symbol thing in superficial tumor and determines needling position and angle Degree etc.;
Second step, carries out local anesthesia.Then according to scanning computed tomography image inserting needle (not necessarily reaching tumor tissues);
3rd step, carries out CT scan again, determines that the position relationship between puncture needle and tumor carries out the adjustment of puncture needle;
4th step, reaches tumor tissues and carries out biopsy acquisition or be marked thing implantation, reach in puncture needle swollen Behind tumor position, label is placed in puncture needle needle guard, then using nook closing member by gold mark ejection puncture needle needle guard, puncture needle is taken Go out, complete aspiration biopsy or label implantation.
Due to bleeding profusely in above-mentioned label implantation process, that is, blood is easily caused gold mark and loses when flowing out from puncture needle Situation, if being all blood in puncture needle, the label that put in be possible to blood flow out, in this case, there is gold The situation that mark is lost.
Utility model content:
For solving above-mentioned technical problem, this utility model provides a kind of radiotherapy tracing and positioning label, has high attached Ability, implantation position can be fixed on rapidly after implantation, it is to avoid because of patient's daily exercise, organ autonomic movement and other factors Caused mark position deviation.
This utility model employs the following technical solutions realization, a kind of radiotherapy tracing and positioning label, described mark Note thing has the metal marker thing of sunk structure for outer surface.
Further, described label is provided with the cylinder of helical groove for outer surface.
Further, described cylindrical a diameter of 0.70 0.80 millimeters, length is 2.5 3.5 millimeters, and described spiral is recessed The depth of groove is 0.15 0.25 millimeters.
For adapting to conventional 18 G puncture needles, so a diameter of O.75 scholar 0.05mm of tracing and positioning label.
Further, described cylindrical outer surface is provided with single spiral groove.
Further, described cylindrical outer surface is provided with the identical or contrary double spiral grooves of rotation direction.
Further, described label is the annular barb structure being longitudinally formed by stacking by round platform, described annular barb knot The length of structure is 2.5 3.5 millimeters, and the cross-sectional diameter of the taper end of described round platform is 0.35 0.45 millimeters, the height of described round platform Spend for 0.95 1.05 millimeters, the butt diameter of described round platform is 0.75 0.85 millimeters.
Further, described label is provided with the cylinder of bicyclic connected in star for outer surface, and the length of described label is 2.5 3.5 millimeters, the internal diameter of described annular groove is 0.35 0.45 millimeters, and the depth of annular groove is 0.15 0.25 millimeters, Width is 0.45 0.55 millimeters, and between described annular groove, distance is 0.95 1.05 millimeters, is symmetrically set in described label two ends.
Further, described label is chain structure, and described chain structure is made up of three chain links, described chain link Length be 0.95 1.05mm, the two ends of described chain link are arc.
Further, the gold that described metal marker thing material is 99.99% for purity.
This utility model provides a kind of implantation puncture needle carrying label simultaneously, including outer tubular sleeve and internal needle Core, described outer tubular sleeve includes grip part and puncture portion, and described grip part and puncture portion center are provided with label implantation passage, institute State outer sleeve and also include label implantation storehouse, described label implantation storehouse is connected with label implantation passage, described labelling Thing implantation is placed with, in storehouse, the metal marker thing that outer surface has sunk structure.
This utility model radiotherapy tracing and positioning label, it is possible to increase it is steady that label position in soft tissue is fixed Qualitative, there is high adhesive ability, after implantation, implantation position can be fixed on rapidly, have in clinic the firm waiting time short, move The position low feature of probability, after existing gold can be overcome to be marked on lung tissue's implantation, due to the breathing of patient and involuntary Cough the relatively large deviation of the caused position of prolixity, it is to avoid because caused by patient's daily exercise, organ autonomic movement and other factors Mark position deviation.
This utility model radiotherapy tracing and positioning label, adopts the design of larger helical groove in its outer surface, its After implanting, tissue can hypertrophy or due to tissue between pressure, promote soft tissue press-in or grow into positioning mark In note outer surface structure, it is possible to reduce the skew of specifically labelled position, reach the purpose followed the trail of with Position location accuracy, especially pin Lung tumors are positioned.
This utility model can reduce the problem that the golden cursor position that patient deeply breathes or cough brings offsets it is ensured that patient The accuracy followed the trail of and position in whole therapeutic process, reduces position registration difficulty, makes to complete single therapy in the short period, After single therapy, cancer cell survival rate reduces, and improves the growth inhibition ratio to cancerous cell, improves the effect of radiation therapy.
The breathing that this utility model can be applied not only to Cyberknife is followed the trail of with gold mark tracking moreover it is possible to be applied to routine The image registration of radiation treatment images guiding, is also applied for the image registration effect of Tomotherapy prostate gold mark implantation.
Radiotherapy tracing and positioning label is pre-placed in puncture needle this utility model, can be effectively prevented from Due to bleeding profusely in label implantation process, that is, blood leads to the situation that label is lost, this practicality when flowing out from puncture needle New solve following technical problem:
1st, label is less, and medical worker loses due to easily causing label with thicker plastic gloves.
2nd, because bleeding leads to label to be not easy to put in puncture needle after puncture needle enters in vivo.
3rd, label is fixed on the secondary sterilization process that can effectively avoid label in puncture needle, reduces infection Rate.
4th, make label implantation process more convenient.
Brief description
Fig. 1 is the structural representation of the radiotherapy tracing and positioning label of this utility model embodiment 1.
Fig. 2 is the structural representation of the radiotherapy tracing and positioning label of this utility model embodiment 2.
Fig. 3 is the structural representation of the radiotherapy tracing and positioning label of this utility model embodiment 3.
Fig. 4 is the structural representation of the radiotherapy tracing and positioning label of this utility model embodiment 4.
Fig. 5 is the structural representation of the radiotherapy tracing and positioning label of this utility model embodiment 5.
Fig. 6 is the structural representation of the radiotherapy tracing and positioning label of this utility model embodiment 6.
Fig. 7 is the structural representation of the radiotherapy tracing and positioning label of this utility model embodiment 7.
Fig. 8 is the structural representation of the implantation puncture needle carrying label of this utility model embodiment 8.
Specific embodiment:
Embodiment 1
As shown in figure 1, a kind of radiotherapy tracing and positioning label, described label is provided with single spiral groove for outer surface 1 cylinder.
Described cylindrical a diameter of 0.70 millimeter, length is 3.5 millimeters;The depth of described helical groove is 0.15 milli Rice, width is 0.25 millimeter, and helical pitch is 0.65 millimeter.
The gold that described metal marker thing material is 99.99% for purity.
In radiation therapy process, when implementing image guided radiation therapy, the gold of image registration or tumor-localizing need to be carried out Belong to locator markers;By internal for label implantation tumour or tumor periphery before treatment, or it is fixed on patient body-surface, in treatment Guiding machine is followed the trail of tumor, is corrected tumor motion error.
During this utility model processing, using precision machine tool, in the environment of Aseptic sterilisation, 99.99% gold is fabricated to directly Footpath is 0.75 ± 0.05 millimeter of cylindrical strip, and cuts 0.20 ± 0.05 mm wide in its outer surface, 0.20 ± 0.05 Millimeters deep groove, gold strip the most cylindrical is cut into 3.0 ± 0.5 millimeters of label and is applied to clinic.
Embodiment 2
As shown in Fig. 2 a kind of radiotherapy tracing and positioning label, described label is provided with equidirectional for outer surface The cylinder of double spiral grooves 1, described cylindrical a diameter of 0.80 millimeter, length is 2.5 millimeters;The depth of described helical groove Spend for 0.20 millimeter, width is 0.1 millimeter, the helical pitch of spiral is 0.75 millimeter.
Embodiment 3
As shown in figure 3, a kind of radiotherapy tracing and positioning label, described label is provided with oppositely oriented for outer surface The cylinder of double spiral grooves 1, described cylindrical a diameter of 0.75 millimeter, length is 3.5 millimeters;The depth of described helical groove Spend for 0.25 millimeter, width is 0.15 millimeter, the helical pitch of spiral is 0.70 millimeter.
Embodiment 4
As shown in figure 4, a kind of radiotherapy tracing and positioning label, described label is provided with oppositely oriented for outer surface The cylinder of double spiral grooves 1, described cylindrical a diameter of 0.70 millimeter, length is 2.5 millimeters;The depth of described rotating gravure Spend for 0.20 millimeter, width is 0.35 millimeter, the helical pitch of spiral is 0.5 millimeter.
Embodiment 5
As shown in figure 5, a kind of radiotherapy tracing and positioning label, described label is longitudinally to be formed by stacking by round platform 2 Annular barb structure, the length of described annular barb structure is 3.0 millimeters, and the height of described round platform 2 is 1.0 millimeters, described Round platform 2 basal diameter is 0.75 millimeter, a diameter of 0.45 millimeter of top end face.
Embodiment 6
As shown in fig. 6, a kind of radiotherapy tracing and positioning label, described labelling exterior surface is provided with two annular grooves 3 cylinder, the length of described label is 3.5 millimeters, and the internal diameter of described annular groove 3 is 0.35 millimeter, the depth of groove 3 For 0.20 millimeter, width is 0.3 millimeter, and between groove 3, distance is 1.00 millimeters, and described groove 3 is symmetrically set in described label two End.
Embodiment 7
As shown in fig. 7, a kind of radiotherapy tracing and positioning label, described label is chain structure, described chain Formula structure is made up of three chain links 4, and the length of described chain link 4 is 1.00 millimeters, and described chain link 4 is flat stretching ring-type, two ends For arc.
Embodiment 8
As shown in figure 8, this utility model provides a kind of implantation puncture needle carrying label, including outer tubular sleeve 5 With internal nook closing member 6, described outer tubular sleeve 5 includes grip part 7 and puncture portion 8, and described grip part 7 and puncture portion 8 center are provided with mark Note thing implantation passage 9, described outer sleeve 5 also includes label implantation storehouse 10, and described label implantation storehouse 10 is planted with label Enter passage 9 to be connected, be placed with, in described label implantation storehouse 10, the metal marker thing 11 that outer surface has concave shape.
Comparative example 1
Background:In April 2016 December in 2014, to pulmonary's minimal neoplastic (diameter 0.5 2cm) patient totally 210, Carry out gold mark implantation, 3 gold of implantation demarcate position, implantation gold is designated as existing column type gold mark.
Operation:Carry out gold mark tracing and positioning in 7 10 days after implantation gold mark.
Result:At least one larger patient 33 of golden cursor position deviation occurs, accounts for 15.71%;Exist in 33 patients At least 1 gold mark zero deflection or the less patient of deviation 24, can be used for gold mark and follow the trail of, proceed radiotherapy;Remaining 9 Because gold mark deviation is too big, need to reorientate.
Proceed in radiocurable patient 24,4 occur in situ or borderline tumor recurrence.
Meanwhile, there is gold mark minute movement patient 30 in 210 patients.Because the registering difficulty that gold mark movement leads to adds Greatly so that single therapy time average extends 20.42%.
Comparative example 2
Subjects:Experiment pig, 25.
Operation:Carry out pulmonary's gold mark implantation, respectively 3 gold marks of implantation (source embodiment 1).Carry out CT scan fixed after 7 days Position simulation radiotherapy flow process, observes gold mark skew.
Result:After 14 days, larger gold cursor position occurs and offsets and exceed threshold value:1;
Small gold mark skew occurs:3;
Do not go out the skew of cash mark:21.
Embodiment described above is only that preferred implementation of the present utility model is described, not to this utility model Scope be defined, on the premise of without departing from this utility model design spirit, those of ordinary skill in the art are to this practicality Various modifications and improvement that new technical scheme is made, all should fall into the protection model that claims of the present utility model determine In enclosing.

Claims (10)

1. a kind of radiotherapy tracing and positioning label is it is characterised in that described label has sunk structure for outer surface Metal marker thing.
2. radiotherapy tracing and positioning label according to claim 1 is it is characterised in that described label is outer surface It is provided with the cylinder of helical groove.
3. radiotherapy tracing and positioning label according to claim 2 is it is characterised in that described cylindrical a diameter of 0.70 0.80 millimeters, length is 2.5 3.5 millimeters, and the depth of described helical groove is 0.15 0.25 millimeters.
4. radiotherapy tracing and positioning label according to claim 2 is it is characterised in that described cylindrical outer surface sets There is single spiral groove.
5. radiotherapy tracing and positioning label according to claim 2 is it is characterised in that described cylindrical outer surface sets There are the double spiral grooves that rotation direction is identical or contrary.
6. radiotherapy tracing and positioning label according to claim 1 is it is characterised in that described label is by round platform The annular barb structure being longitudinally formed by stacking, 2.5 3.5 millimeters of the length of described annular barb structure, the taper end of described round platform Cross-sectional diameter is 0.35 0.45 millimeters, and the height of described round platform is 0.95 1.05 millimeters, and the butt diameter of described round platform is 0.75 0.85 millimeters.
7. radiotherapy tracing and positioning label according to claim 1 is it is characterised in that described label is outer surface It is provided with the cylinder of bicyclic connected in star, the length of described label is 2.5 3.5 millimeters, and the internal diameter of described annular groove is 0.35 0.45 millimeters, the depth of annular groove is 0.15 0.25 millimeters, and width is 0.45 0.55 millimeters, described annular groove Between distance be 0.95 1.05 millimeters, be symmetrically set in described label two ends.
8. radiotherapy tracing and positioning label according to claim 1 is it is characterised in that described label is chain-type Structure, described chain structure is made up of three chain links, and the length of described chain link is 0.95 1.05 millimeters, and the two of described chain link Hold as arc.
9. radiotherapy tracing and positioning label according to claim 1 is it is characterised in that described metal marker thing material The gold being 99.99% for purity.
10. a kind of implantation puncture needle of the radiotherapy tracing and positioning label carrying described in claim 19 any one, Including outer tubular sleeve and internal nook closing member, described outer tubular sleeve includes grip part and puncture portion, described grip part and puncture portion center It is provided with label implantation passage it is characterised in that described outer sleeve also includes label implantation storehouse, described label implants storehouse It is connected with label implantation passage, in described label implantation storehouse, place label.
CN201620713404.XU 2015-07-08 2016-07-07 Radiation therapy tracks position mark thing and carries implantation pjncture needle of underlined thing Expired - Fee Related CN205964717U (en)

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