CN209490085U - Apparats for treating tumor - Google Patents

Apparats for treating tumor Download PDF

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CN209490085U
CN209490085U CN201820597503.5U CN201820597503U CN209490085U CN 209490085 U CN209490085 U CN 209490085U CN 201820597503 U CN201820597503 U CN 201820597503U CN 209490085 U CN209490085 U CN 209490085U
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ablation
apparats
scheme
host
treating tumor
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刘珈
鲁旭尉
宋立军
吴祈耀
邓玉林
唐晓英
武明花
何正文
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Abstract

The utility model relates to a kind of apparats for treating tumor, comprising: ablating device, host and human-computer interaction device, host connect human-computer interaction device and ablating device.Host and data server carry out data communication, obtain the image information of patient, ablation scheme is designed according to image information, treatment parameter setting is carried out to ablating device according to ablation scheme, and ablation scheme is exported to human-computer interaction device and is shown, tumour ablation operation is carried out for medical staff, and Operating Guideline is provided.It is identical for criterion with the biological effect of living organism, tumour ablation treating scheme can be accurately generated, treatment plan can be generated for all tumour ablation equipment (including novel tumour ablation equipment), it is simple and convenient, it is scientific intuitive, effectively medical worker can be instructed, improve treatment accuracy.

Description

Apparats for treating tumor
Technical field
The utility model relates to medical instruments fields, more particularly to a kind of apparats for treating tumor.
Background technique
Tumour is the significant threat of human health, and the trend risen year by year is presented in the morbidity amount of tumour.Traditional tumour is controlled Treatment means are mainly surgical operation, followed by radiotherapy, chemotherapy and targeted drug treatment.Wherein, surgical operation therapy is spent Time is long, blood loss is more, and open surgery infection chance is big, medical expense is high;Radiotherapy has that some patients are insensitive, and radiotherapy have compared with More side effects;Partial tumors are usually insensitive to chemotherapy and targeted drug treatment, and systemic side effects are obvious.Traditional oncotherapy Means can all generate serious side effect, have the shortcomings that treatment reliability is low.
Minimally invasive ablation has the possibility realized close to optimal dosage curve, therefore is expected to become a kind of promising treatment side Method.It has tried to both at home and abroad using ablations such as microwave, radio frequency, laser.Although current ablation technology overcomes The side effect of three kinds of treatments is stated, but functions of the equipments are single, have a variety of defects, for example all there is the residue after ablation is damaged The problem of matter stays in the body.Such as when treatment brain tumor, the residuals after ablation is damaged not only will affect ablation effect, and And has and lead to epilepsy and the raised risk of brain edema cranium pressure.
A kind of novel tumour ablation technology, integrates and detects, biopsy, melts, taking tumor, perfusion, laser can be used Or other modes ablation, have and realizes that more accurately dosage distribution is possible, is able to satisfy outside tumour ablation and intermediate zone minimum is organized to want It asks, protects normal tissue to greatest extent, and have the function of the residuals after negative pressure absorbing ablation damage, therefore be a kind of Ideal choice of technology scheme.However, this tumour ablation technology is when treating to patient, medical staff is according to certainly The clinical experience of body carries out device parameter adjustment and ablation operation, haves the shortcomings that treatment accuracy is low.
Utility model content
The individual difference and the state of an illness of each patient is different from, in order to accurately treat tumour and protect normally to greatest extent Tissue, each patient have required most suitable therapeutic scheme.Based on this, the purpose of the present invention is to provide a kind of treatments The apparats for treating tumor of accuracy.
A kind of apparats for treating tumor, comprising:
Ablating device;
Data communication is carried out with data server, obtains the image information of patient, is designed and is melted according to the image information Therapeutic scheme is simultaneously sent to the human-computer interaction device;And the ablating device is controlled according to the ablation scheme Treat the host of parameter setting;
The human-computer interaction device for receiving the ablation scheme that the host is sent and exporting;The host connects the people Machine interactive device and the ablating device.
Above-mentioned apparats for treating tumor, host and data server carry out data communication and obtain patient image information and carry out image It learns image analysis and obtains virtual patient's information, require to carry out tumour ablation conceptual design in conjunction with virtual patient's information and treatment, Treatment parameter setting is carried out to ablating device according to ablation scheme, and by ablation scheme and is exported to human-computer interaction dress Display is set, tumour ablation operation is carried out for medical staff and Operating Guideline is provided.It is identical for criterion with the biological effect of living organism, Tumour ablation treating scheme can be accurately generated, can be all tumour ablation equipment (including novel tumour ablation equipment) Treatment plan is generated, simple and convenient, science is intuitive, can effectively instruct medical worker, improve treatment accuracy.
Detailed description of the invention
Fig. 1 is the structure chart of apparats for treating tumor in one embodiment;
Fig. 2 is the structure chart of apparats for treating tumor in another embodiment.
Specific embodiment
It is with reference to the accompanying drawings and embodiments, right in order to which the objects, technical solutions and advantages of the application are more clearly understood The application is further elaborated.It should be appreciated that specific embodiment described herein is only used to explain the application, not For limiting the application.
In one embodiment, a kind of apparats for treating tumor is suitable for brain tumor ablation.As shown in Figure 1, oncotherapy Instrument includes host 210, human-computer interaction device 220 and ablating device 230, and host 210 connects human-computer interaction device 220 and ablation dress 230 are set, host 210 is also used to connect data server.Wherein, host 210 and data server carry out data communication, obtain disease The image information of people designs ablation scheme according to image information and is sent to human-computer interaction device 220;And according to ablation Therapeutic scheme carries out treatment parameter setting to ablating device 230.The ablation that 220 receiving host 210 of human-computer interaction device is sent is controlled Treatment scheme simultaneously exports.
Host 210 is not unique according to the mode that image information designs ablation scheme, in one embodiment, main Machine 210 and data server carry out data communication, obtain the image information of patient, carry out iconography 3D weight according to image information It builds/merges, delineate patient tissue profile, obtain virtual patient's information;Then host 210 is wanted according to virtual patient's information and treatment Ask Top-Down Design ablation scheme, or the treatment requirement inputted according to virtual patient's information of required patient and medical worker Reverse-engineer ablation scheme.
Wherein, data server is used to store the imaging data of different patients, and imaging data specifically may include patient Name, gender, ID (identity, part identification number), patient image information etc..Patient image information can be by CT (Computed Tomography, CT scan), MRI (Nuclear Magnetic Resonance Imaging Magnetic resonance imaging), PETCT (Positron Emission Tomography, positron emission tomography Imaging) etc. instruments by data-interface acquisition acquisition.The imaging data that patient's brain is obtained from data server carries out shadow As learning image analysis, iconography 3D reconstruction/fusion is carried out by emulation technology and 3D technology, delineates patient tissue profile, is established Brain tissue's 3D image of patient, obtains virtual patient's information and is shown by display, specifically can be and generates virtual patient three Dimension module is shown.It can be in brain tissue's 3D image and the detection data of different parts be labeled, be also possible to The testing result at each position is distinguished by different colours.
The concrete mode for delineating patient tissue profile is not unique, can be while delineating patient body-surface, tumor tissues, side Marginal zone, target body, the tissue contours for jeopardizing organ, normal tissue are also possible to only delineate specimens, marginal belt, target body With jeopardize organ.
Specifically, for the treatment of brain tumor laser ablation, host 210 obtains patient's brain from data server Imaging data carries out iconography image analysis, and brain tissue's 3D image of patient is established by emulation technology and 3D technology;Root Iconography 3D fusion is carried out according to brain tissue's 3D image, multiple brain tissue 3D visual fusions are established into 3D virtual patient together Image;According to 3D virtual patient image and patient medical image drawing patient body-surface, tumor tissues, marginal belt, target body, jeopardize device Official, normal tissue tissue contours, obtain virtual patient's information.
Host 210 requires Top-Down Design ablation scheme according to virtual patient's information and treatment, and medical worker is according to trouble The state of an illness of person simulates ablation probe inserting needle coordinate, including calibration point, angle, depth etc. on virtual patient;Virtual patient's simulation Show that ablation probe inserting needle process is assessed for medical worker;Medical worker's reference treatment requires selection preferred plan and is determined as controlling Inserting needle scheme in treatment scheme.Wherein, medical worker designs ablation strategy parameter, including ablation according to the state of an illness of patient Probe therapy power, ablation time, the rate of inserting needle, the watt level of negative pressure suction device and beginning, end time etc.. Mould is transmitted according to the data of above-mentioned parameter and apparats for treating tumor according to the pre-stored data and ablation kinetic model, ablation energy Residuals kinetic model etc. after type, ablation damage calculates 3D ablation effect, and carries out 3D on virtual patient and melt field Simulation, shows the ablation effect of the therapeutic scheme, obtains 3D ablation field range data.In different therapeutic schemes, virtual patient's Ablation effect is different, medical worker wherein select preferred plan as final treatment plan scheme.
The concrete type of parameter is not unique in ablation scheme, in one embodiment, the ginseng of ablation scheme Number is 3D ablation parameter, the position information including patient.In one embodiment, the parameter of ablation scheme disappears for 3D Melt treatment parameter, the preliminary identification including ablation probe inserting needle coordinate: calibration point, angle and depth.In one embodiment, disappear The parameter for melting therapeutic scheme is 3D ablation parameter, treats power, the rate for the treatment of time and inserting needle including ablation probe.? In one embodiment, the parameter of ablation scheme is 3D ablation parameter, watt level including negative pressure suction device and Start, the end time.It is appreciated that the parameter of ablation scheme is 3D ablation at one compared in detailed embodiment Parameter, can simultaneously include the preliminary identification of the position information, ablation probe inserting needle coordinate of patient: calibration point, angle and depth disappear Melt probe therapy power, treatment time, the rate of inserting needle, the watt level of negative pressure suction device and beginning, end time.Its In, the position information of patient may include the position 3D of operating bed, patient body position's variation, fixing means and corresponding fixed bracket etc. Information.
Above i.e. there is provided combined treatments to require positive progress ablation conceptual design, Top-Down Design are as follows: confirmation target Qu Hou, doctor design 3D ablation parameter, and the 3D ablation field data of simulation ablation field is calculated after various treatment parameter confirmations. Positive tumour laser ablation scheme design process is as follows: imaging data (MRI/CT) needed for obtaining → carry out image as needed It learns 3D reconstruction/fusion → by doctor and carries out Target delineations (tumor tissues/marginal belt/normal tissue/jeopardize organ) → according to letter Breath carries out the final treatment plan scheme of laser ablation therapeutic scheme design → output.
Host 210 requires to reverse-engineer ablation according to the treatment that virtual patient's information of required patient and medical worker input Therapeutic scheme.It is proposed that treatment requires (the reverse object of planning) according to the state of an illness of patient by medical worker, system software is according to reverse The object of planning is iterated optimization, obtains the optimum treatment scheme of the reverse object of planning, and carries out 3D on virtual patient and disappear Melt field simulation, show the ablation effect of the therapeutic scheme, obtains 3D ablation field range data, assessed for medical worker.Likewise, The parameter of ablation scheme is 3D ablation parameter, specifically may include position information, the calibration of ablation probe inserting needle of patient Point coordinate, angle, depth and ablation probe treat power, treatment time, the rate of inserting needle, the watt level of negative pressure suction device And beginning, end time etc..If medical worker is dissatisfied to ablation scheme evaluation, treatment can be modified and require (reverse planning Target), and repeat conceptual design, until having satisfactory solution, satisfactory solution is determined as final control by medical worker Treat plans.
Above i.e. there is provided the treatments of repairing of combination medical staff's input to require reverse progress ablation conceptual design, inversely Design are as follows: behind confirmation target area, doctor proposes that 3D melts field range, calculates the suitable ablation data of simulation ablation field, finally It forms optimization 3D ablation field and treats parameter.Reverse tumour laser ablation scheme design process is as follows: imaging data needed for obtaining (MRI/CT) → as needed carry out iconography 3D reconstruction/fusion → by doctor carry out Target delineations (tumor tissues/marginal belt/ Normal tissue/jeopardize organ) → by medical worker propose treatment require → according to requiring inversely to carry out laser ablation therapeutic scheme The final treatment plan scheme of design → output.
Two kinds of specific embodiments that host 210 designs ablation scheme according to image information are presented above.It needs Bright, host 210 is not that the utility model is wanted according to the concrete processing procedure that image information designs ablation scheme The content of protection.
The concrete type of human-computer interaction device 220 is not unique, and in the present embodiment, human-computer interaction device 220 is touch screen, It is simple and efficient to handle.It is appreciated that in other embodiments, human-computer interaction device 220 may include the keyboard for being all connected with host 210 And display, human-computer interaction is carried out by keyboard and display.Further, ablating device 230 is arranged in examining for interposing catheter It controls and carries out heating ablation operation in instrument channel.Wherein, diagnosis and treatment instrument channel and superfine endoscope have been individually formed in interposing catheter Channel is respectively used to pass through for ablating device 230 and superfine endoscope, to go deep into tumor region.
Above-mentioned apparats for treating tumor, it is identical for criterion with the biological effect of living organism, tumour ablation can be accurately generated and controlled Treatment scheme can generate treatment plan for all tumour ablation equipment (including novel tumour ablation equipment), simple and convenient, It is scientific intuitive, effectively medical worker can be instructed, improve treatment accuracy.
In one embodiment, as shown in Fig. 2, host 210 include processor 212 and with 212 communication connection of processor Power supply device 214 and light signal processing device 216, processor 212 connect human-computer interaction device 220, power supply device 214 and ablation Device 230 connects, ablating device 230 and 216 communication connection of light signal processing device.
Accordingly, in one embodiment, ablating device 230 may include ablation needle 232 and probe 234, ablation needle 232 It connect, optical probe 234 and 216 communication connection of light signal processing device, is used in ablation procedure to swollen with power supply device 214 The optical signal in tumor tissue region is acquired and is transmitted to light signal processing device 216.In the present embodiment, optical probe 234 It sets and is adjustably assemblied in ablation needle 232,234 position of optical probe is adjustably assemblied on ablation needle 232, so that optical probe 234 can be installed on ablation needle 232 according to tumor tissues size adaptability, increase the application range of ablating device 230, improve The operation ease of apparats for treating tumor.Light signal processing device 216 receives the optical signal that optical probe 234 acquires and analysis obtains Real-time optical parameter value, processor 212 are used to for optical parameter value being compared with default ablation value, and according to comparison result Control the performance number of power supply device 214.For example, when optical parameter value reaches default ablation value, the cutting energy supply dress of processor 212 214 are set, stops ablation work to control ablating device 230.
Specifically, doctor positions at the projection in vitro of tumor center's skull when carrying out brain tumor ablative surgery to patient And mark, drill it is osteoclastic after, interposing catheter is directed at the predetermined diagnosis and treatment target of encephalic.Ablation needle 232 and optical probe 234 are total It is same to go deep into the diagnosis and treatment instrument channel of interposing catheter, to arrive at tumor region, optical probe 234 is consolidated according to tumor tissues size Due to the corresponding position of ablation needle 232, host 210 corresponds to the laser control of power according to the parameter selection that ablation scheme determines Ablation needle 232 processed carries out tissue contact ablation to intracranial tumors.Wherein, the energy that ablation needle 232 is provided in power supply device 214 Heating ablation is carried out to tumor tissues under effect, optical probe 234 is for believing the light of tumor tissue sections in ablation procedure It number is acquired and is transmitted to light signal processing device 216.Light signal processing device 216 acquires optical probe 234 in real time Optical signal is converted into corresponding optical parameter value and is sent to processor 212, after determining that boundary tissue reaches default ablation value, The timely automated cutting power supply device 214 of processor 212.
Further, in one embodiment, ablating device 230 includes air extractor 236, air extractor 236 and processing 212 communication connection of device.Specifically, air extractor 236 includes the exhaust tube for being evacuated force piece and connecting with pumping force piece, pumping Force piece and 212 communication connection of processor.Central area tissue is melted in ablation procedure to be carbonized rapidly and gasification, processor 212 control pumping force piece according to the kinetic parameter of setting, pumping driving force are provided for exhaust tube, so that exhaust tube can be evacuated The exhaust gas generated when under the driving of force piece to laser ablation synchronizes pumping process, avoids the exhaust dwell generated in patient In vivo, the Therapeutic safety of apparats for treating tumor is improved.
Each technical characteristic of embodiment described above can be combined arbitrarily, for simplicity of description, not to above-mentioned reality It applies all possible combination of each technical characteristic in example to be all described, as long as however, the combination of these technical characteristics is not deposited In contradiction, all should be considered as described in this specification.
Above-described embodiments merely represent several embodiments of the utility model, the description thereof is more specific and detailed, But it cannot be understood as the limitations to utility model patent range.It should be pointed out that for the common skill of this field For art personnel, without departing from the concept of the premise utility, various modifications and improvements can be made, these are belonged to The protection scope of the utility model.Therefore, the scope of protection shall be subject to the appended claims for the utility model patent.

Claims (7)

1. a kind of apparats for treating tumor characterized by comprising
Ablating device;
Data communication is carried out with data server, obtains the image information of patient, ablation is designed according to the image information Scheme is simultaneously sent to human-computer interaction device;And treatment parameter is carried out to the ablating device according to the ablation scheme and is set The host set;
The human-computer interaction device for receiving the ablation scheme that the host is sent and exporting;The host connects the man-machine friendship Mutual device and the ablating device;
The host includes processor and power supply device and light signal processing device with the processor communication connection, the place It manages device and connects the human-computer interaction device, the power supply device is connect with the ablating device, the ablating device and the light Signal processing apparatus communication connection.
2. apparats for treating tumor according to claim 1, which is characterized in that the ablating device is arranged in examining for interposing catheter It controls in instrument channel.
3. apparats for treating tumor according to claim 1, which is characterized in that the ablating device includes that ablation needle and optics are visited Needle, the ablation needle are connect with the power supply device, the optical probe and the light signal processing device communication connection.
4. apparats for treating tumor according to claim 3, which is characterized in that the optical probe position is adjustably assemblied in institute State ablation needle.
5. apparats for treating tumor according to claim 3, which is characterized in that the ablating device further includes air extractor, institute State air extractor and the processor communication connection.
6. apparats for treating tumor according to claim 5, which is characterized in that the air extractor include pumping force piece and with It is evacuated the exhaust tube of force piece connection, pumping force piece and processor communication connection.
7. apparats for treating tumor described in -6 any one according to claim 1, which is characterized in that the human-computer interaction device is touching Control screen.
CN201820597503.5U 2018-04-25 2018-04-25 Apparats for treating tumor Active CN209490085U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN118267078A (en) * 2024-05-31 2024-07-02 天津医科大学总医院 System and method for high-pressure high-frequency alternating asymmetric pulse perforation ablation

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN118267078A (en) * 2024-05-31 2024-07-02 天津医科大学总医院 System and method for high-pressure high-frequency alternating asymmetric pulse perforation ablation

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