Supplementary registration device of supersound integration navigation
Technical Field
The utility model relates to an ultrasonic imaging technique especially relates to an supplementary registration device of supersound fusion navigation.
Background
The ultrasonic fusion navigation technology is one of the leading technologies in the fields of current ultrasound and imaging, and is characterized in that two or more kinds of image data of ultrasound and other images (CT, MRI, PET and the like) are registered by utilizing a magnetic field space positioning principle and utilizing a marked anatomical structure and/or external marking points, so that the real-time same section comparison of various image data is realized, the advantages are complementary, and the diagnosis confidence and the interventional therapy curative effect evaluation are improved. However, the clinical application range of the technology is not very wide at present, and the main reason is that the technology needs ultrasonic imaging and other imaging technologies, and the registration work of the images is a key technology and step. The accuracy of image registration determines the success or failure of image fusion and subsequent navigation efforts.
The image registration methods commonly used in clinic at present have the problems of complex operation and long learning curve, so that the popularization and application of the fusion navigation technology are influenced. There are two methods for registration of fusion navigation images commonly used in clinic: in vitro registration and single plane in vivo registration. The in vitro registration method is an image registration method which is universal for various fusion navigation technologies, is simple, but is complex in operation, long in time consumption and general in registration accuracy. The single-plane in-vivo registration method is to select a layer (usually an axial plane) of a second image such as CT or MRI, and the in-vivo registration method has high requirements on operators, needs to be familiar with CT/MRI, PET and ultrasonic images, can identify diseases and various anatomical structures, and requires that an ultrasonic scanning technique is skilled, and a scanning section is accurate and stable, so that the operation and training are difficult, and the training time and the learning curve are long.
Disclosure of Invention
Aiming at the technical problems, the technical scheme provides an ultrasonic fusion navigation auxiliary registration device, which can effectively solve the problems.
The utility model discloses a following technical scheme realizes:
an ultrasonic fusion navigation auxiliary registration device comprises a fixed base, wherein the fixed base and a top surface are integrated into a whole and comprise a protruding part, and the middle part of the protruding part is provided with a registration groove matched with the appearance of an ultrasonic probe; registration marks are arranged on two sides of the registration groove; the protruding part positioned on the periphery of the alignment groove and the outer surface of the fixed base are provided with mark lines matched with the ultrasonic probe; the bottom surface of the fixed base is fixedly connected with an adhesive part for fixing the auxiliary registration device on the body surface of the patient.
Furthermore, the alignment groove is an invagination type groove, the edge is smooth, and the sunken shape of the alignment groove is matched with the shape of the front end of the ultrasonic probe used for inspection. In the operation process, the front end of the probe is completely attached to the groove, so that the alignment accuracy is ensured.
Furthermore, the fixed base and the protruding part are symmetrical along a central axis, and the alignment groove is arranged along the central axis of the protruding part.
Furthermore, the marking line is arranged on the central axis of the fixed base and the protruding part; the marking line can be used for assisting the ultrasonic probe to align.
Further, the registration mark is symmetrically buried at two sides of the alignment groove along the central axis of the fixed base and the protruding part.
Furthermore, the registration mark is cylindrical metal and is made of titanium alloy material; registration of registration in the registration of auxiliary images.
Furthermore, the fixed base, the protruding part and the alignment groove are all made of medical plastic materials; the convenience and the safety of use are ensured.
Furthermore, the bottom surfaces of the fixed base and the pasting part are regular planes; the adhesive part can be conveniently adhered to the surface of the body to be inspected, and the positioning stability in the inspection process is ensured.
Advantageous effects
The utility model provides a pair of supplementary registration device of supersound fusion navigation compares with prior art, and it has following beneficial effect:
(1) the position of the ultrasonic probe can be quickly calibrated through the alignment groove matched with the ultrasonic probe; the registration mark provides an image calibration marker bit, so that an operator can quickly complete registration of the ultrasonic image and other image (CT, MRI, PET and the like) modes, the registration speed, precision and automation degree are improved, and the registration stability and repeatability are realized. The method is easy to master, reduces the requirements of operators on working experience, and shortens the learning time of the operators.
(2) The mark line is arranged to assist the ultrasonic probe in contraposition, so that the registration speed and accuracy of the ultrasonic probe contraposition can be further improved. The alignment groove adopts an invagination type groove, and the concave shape of the alignment groove is matched with the shape of the front end of an ultrasonic probe used for examination. In the operation process, the front end of the probe is completely attached to the groove, so that the alignment accuracy is further ensured.
(3) The alignment groove and the marking line ensure the accurate alignment of the ultrasonic probe, so that the positions of the ultrasonic scanning plane and the registration marking plane are exactly and completely overlapped.
Drawings
Fig. 1 is a schematic view of the overall structure of the present invention.
Fig. 2 is a cross-sectional view of the overall structure of the present invention.
Fig. 3 is a front view of the overall structure of the present invention.
Fig. 4 is a plan view of the overall structure of the present invention.
Fig. 5 is a left side view of the overall structure of the present invention.
Reference numbers in the drawings: 1-fixed base, 2-projection, 21-alignment groove, 3-registration mark, 4-marking line and 5-sticking part.
Detailed Description
The technical solution in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention. The described embodiments are only some, but not all embodiments of the invention. Under the prerequisite that does not deviate from the design concept of the utility model, the ordinary person in the art should fall into the protection scope of the utility model to the various changes and improvements that the technical scheme of the utility model made.
Example (b):
as shown in fig. 1-5, an ultrasound fusion navigation assisted registration device includes a fixed base 1, in this embodiment, the fixed base 1 is a regular rectangular body, a protrusion 2 is integrally provided in the middle of the top surface of the fixed base 1, and a registration slot 21 matched with the shape of an ultrasound probe is provided in the middle of the protrusion 2; fixed baseplate 1 and protruding portion 2 all follow the axis symmetry, counterpoint groove 21 set up along the axis of protruding portion 2. The alignment groove 21 is a recessed groove with smooth edge, and its recessed shape is matched with the front end of the ultrasonic probe used for examination. In the operation process, the front end of the probe is completely attached to the groove of the alignment groove 21, so that the alignment accuracy is ensured. In the embodiment, the fixing base 1, the protrusion 2 and the alignment groove 21 are made of medical plastic materials; the convenience and the safety of use are ensured.
A mark line 4 is arranged on the outer surfaces of the protruding part 2 and the fixed base 1 at the periphery of the alignment groove 21, and the mark line 4 is a central axis of the fixed base 1 and the protruding part 2; on the ultrasonic probe, a marking line 4 matching the marking line is also provided. The marking line 4 can be used for assisting the alignment of the ultrasonic probe.
Registration marks 3 are arranged on two sides of the registration slot 21; the registration marks 3 are symmetrically buried at both sides of the alignment groove 21 along the central axis of the fixed base 1 and the protrusion 2. The registration mark 3 is cylindrical metal and is made of titanium alloy material; registration of registration in the registration of auxiliary images.
An adhesive part 5 for fixing the auxiliary registration device to the body surface of the patient is fixedly connected to the bottom surface of the fixing base 1. The bottom surfaces of the fixed base 1 and the pasting part 5 are regular planes; the sticking part 5 can be conveniently stuck to the surface of the body to be checked, and the positioning stability in the checking process is ensured.
The ultrasonic fusion navigation auxiliary registration device can effectively improve the speed, the precision and the automation degree of registration and realize the stability and the repeatability of registration. The using method comprises the following steps:
(1) preparing before the examination of the patient, and adhering an adhering part 5 at the bottom of a fixed base 1 on the auxiliary registering device on the outer skin of the part of the examined person needing to be examined; performing early CT or MRI examination along with the subject;
(2) inserting the ultrasonic probe used for inspection into the groove of the alignment groove 21, and completely attaching the front part of the ultrasonic probe used for inspection to the groove of the alignment groove 21; the marking lines 4 are required to be in one-to-one correspondence with the median lines of the ultrasonic probes used for examination;
(3) imaging on a second image of the examination such as the prior CT or MRI and the like, and determining the plane position of the registration mark 3;
(4) and (4) on the fusion registration operation interface, determining a single key to finish registration.
By using the technical scheme, the ultrasonic fusion registration navigation-assisted registration is realized, and in the registration process, the ultrasonic image and the second image do not need to be concerned in the whole process, and only the probe needs to be correctly placed and the single key is used for confirming the alignment. The method has the advantages of simple operation, high alignment precision and low requirement on the experience of an operator, and the whole process takes 20-40 seconds, thereby greatly shortening the registration time.
The external registration method is an image registration method which is universal for various fusion navigation technologies, and a marker positioning patch is pasted on the skin surface of an examination part, and the marker positioning patch has the common characteristic that the image can be displayed on a second image such as CT or MRI. After a patient carries the marker positioning stickers to carry out CT/MRI examination, the images are guided into an ultrasonic navigation system to reconstruct a CT/MRI three-dimensional image, the marker positioning stickers (usually 5-7) can be displayed on the image, a registration pen is used for clicking the body surface marker positioning stickers in the registration process, then the marker positioning sticker images are sequentially clicked on the CT/MRI three-dimensional image, and finally registration is completed.
The in vitro registration method has the advantages of higher alignment precision and lower requirements on the experience of operators, but has complex operation and longer time consumption, and the registration needs 5 to 10 minutes.
The single plane in vivo registration method is to select a slice (usually an axial plane) of the second image such as CT or MRI, and then perform an ultrasound scan to find the same slice as CT or MRI for image fusion. The anatomical structure required to be registered and aligned can be clearly displayed on the CT/MRI and the ultrasound image, blood vessels and the like (taking the liver as an example, the branches of portal veins and hepatic veins) are generally used as anatomical landmarks for configuring and aligning, and the CT/MRI image and the ultrasound image can be completely consistent in section, angle and orientation through operations such as rotation, translation and the like in the registration and alignment process, so that the registration can be successfully fused. The in-vivo registration method has high requirements on operators, and needs to be familiar with CT/MRI, PET and ultrasonic images to identify focuses and various anatomical structures, and requires the skill of an ultrasonic scanning technique and accurate and stable scanning section, so that the operation and training are difficult, and the training time and the learning curve are long. Furthermore, for organs that cannot be visualized by ultrasound, such as the lungs, bones, etc., and muscles, where anatomical landmarks are not apparent, and other superficial tissues, etc., image fusion cannot be performed using in vivo registration.
The single-plane in-vivo registration method has lower alignment precision than the former two methods, has high requirements on the working experience of operators and has long learning curve; the registration alignment of the beginner takes 30-40 minutes, even the registration of the skillet takes 5-10 minutes.