FR3121345B1 - Ensemble de traitement thermique - Google Patents

Ensemble de traitement thermique Download PDF

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Publication number
FR3121345B1
FR3121345B1 FR2103299A FR2103299A FR3121345B1 FR 3121345 B1 FR3121345 B1 FR 3121345B1 FR 2103299 A FR2103299 A FR 2103299A FR 2103299 A FR2103299 A FR 2103299A FR 3121345 B1 FR3121345 B1 FR 3121345B1
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mri image
irm
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heat treatment
regions
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FR2103299A
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FR3121345A1 (fr
Inventor
Bruno Quesson
Valéry Ozenne
Pierre Bour
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Institut National de la Sante et de la Recherche Medicale INSERM
Universite de Bordeaux
Fondation Bordeaux Universite
Original Assignee
Institut National de la Sante et de la Recherche Medicale INSERM
Universite de Bordeaux
Fondation Bordeaux Universite
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Priority to FR2103299A priority Critical patent/FR3121345B1/fr
Application filed by Institut National de la Sante et de la Recherche Medicale INSERM, Universite de Bordeaux, Fondation Bordeaux Universite filed Critical Institut National de la Sante et de la Recherche Medicale INSERM
Priority to KR1020237037333A priority patent/KR20240028329A/ko
Priority to PCT/FR2022/050611 priority patent/WO2022208030A1/fr
Priority to EP22718744.0A priority patent/EP4312841A1/fr
Priority to JP2023561057A priority patent/JP2024511888A/ja
Priority to CN202280026377.7A priority patent/CN117677354A/zh
Priority to US18/553,454 priority patent/US20240189038A1/en
Publication of FR3121345A1 publication Critical patent/FR3121345A1/fr
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Publication of FR3121345B1 publication Critical patent/FR3121345B1/fr
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/25—User interfaces for surgical systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/02—Radiation therapy using microwaves
    • A61N5/022—Apparatus adapted for a specific treatment
    • A61N5/025—Warming the body, e.g. hyperthermia treatment
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/06—Radiation therapy using light
    • A61N5/0613—Apparatus adapted for a specific treatment
    • A61N5/0625—Warming the body, e.g. hyperthermia treatment
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/06—Radiation therapy using light
    • A61N5/067—Radiation therapy using light using laser light
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A61N7/02—Localised ultrasound hyperthermia
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01R—MEASURING ELECTRIC VARIABLES; MEASURING MAGNETIC VARIABLES
    • G01R33/00—Arrangements or instruments for measuring magnetic variables
    • G01R33/20—Arrangements or instruments for measuring magnetic variables involving magnetic resonance
    • G01R33/44—Arrangements or instruments for measuring magnetic variables involving magnetic resonance using nuclear magnetic resonance [NMR]
    • G01R33/48—NMR imaging systems
    • G01R33/4804—Spatially selective measurement of temperature or pH
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00666—Sensing and controlling the application of energy using a threshold value
    • A61B2018/00672—Sensing and controlling the application of energy using a threshold value lower
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00791—Temperature
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/107—Visualisation of planned trajectories or target regions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/25—User interfaces for surgical systems
    • A61B2034/252—User interfaces for surgical systems indicating steps of a surgical procedure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/374—NMR or MRI
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/06—Radiation therapy using light
    • A61N2005/0626—Monitoring, verifying, controlling systems and methods

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Otolaryngology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Electromagnetism (AREA)
  • Pathology (AREA)
  • Robotics (AREA)
  • Optics & Photonics (AREA)
  • Plasma & Fusion (AREA)
  • Condensed Matter Physics & Semiconductors (AREA)
  • General Physics & Mathematics (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Human Computer Interaction (AREA)
  • Magnetic Resonance Imaging Apparatus (AREA)
  • Thermotherapy And Cooling Therapy Devices (AREA)
  • Laser Surgery Devices (AREA)
  • Surgical Instruments (AREA)

Abstract

Un ensemble de traitement thermique (1) d’une région cible d’un tissu biologique comprenant :- un générateur d’énergie thermique (3) ;- un applicateur d’énergie (2) couplé audit générateur et configuré pour déposer de l’énergie thermique dans ladite région cible de manière à induire une variation de température;- un dispositif d’acquisition d’images IRM (4) configuré pour générer au moins une image IRM anatomique (IMG_IRM_A) et au moins une image de phase (IMG_IRM_P); - une unité de planification (5) comprenant un moyen de traitement d’images IRM (6) configuré pour définir la région cible Rc, une région à préserver Rp et une région neutre Rn sur ladite au moins une image IRM anatomique (IMG_IRM_A), ledit moyen de traitement d’images IRM étant également configuré pour attribuer une consigne de traitement thermique à chacune des trois régions et une incertitude de mesure de température acceptable à chacune des trois régions ;- une unité de surveillance de l’évolution de l’état du traitement thermique (9) configurée pour recevoir des données provenant de l’unité de planification (5) et des données provenant du dispositif d’acquisition d’images IRM (4) en temps réel pendant une phase de traitement thermique, ladite unité de surveillance (9) comprenant un moyen de génération d’images de température (10) à partir de ladite au moins une image de phase (IMG_IRM_P), un moyen de calcul d’un indicateur de fiabilité (11) de la variation de température indiquée sur l’image de température et un moyen de calcul d’un indicateur de l’état du traitement thermique (12) dans chacune des trois régions. Fig. 1
FR2103299A 2021-03-31 2021-03-31 Ensemble de traitement thermique Active FR3121345B1 (fr)

Priority Applications (7)

Application Number Priority Date Filing Date Title
FR2103299A FR3121345B1 (fr) 2021-03-31 2021-03-31 Ensemble de traitement thermique
PCT/FR2022/050611 WO2022208030A1 (fr) 2021-03-31 2022-03-31 Ensemble de traitement thermique
EP22718744.0A EP4312841A1 (fr) 2021-03-31 2022-03-31 Ensemble de traitement thermique
JP2023561057A JP2024511888A (ja) 2021-03-31 2022-03-31 加温処置アセンブリ
KR1020237037333A KR20240028329A (ko) 2021-03-31 2022-03-31 열치료 조립체
CN202280026377.7A CN117677354A (zh) 2021-03-31 2022-03-31 热治疗组件
US18/553,454 US20240189038A1 (en) 2021-03-31 2022-03-31 Heat treatment assembly

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
FR2103299A FR3121345B1 (fr) 2021-03-31 2021-03-31 Ensemble de traitement thermique
FR2103299 2021-03-31

Publications (2)

Publication Number Publication Date
FR3121345A1 FR3121345A1 (fr) 2022-10-07
FR3121345B1 true FR3121345B1 (fr) 2024-07-05

Family

ID=76807721

Family Applications (1)

Application Number Title Priority Date Filing Date
FR2103299A Active FR3121345B1 (fr) 2021-03-31 2021-03-31 Ensemble de traitement thermique

Country Status (7)

Country Link
US (1) US20240189038A1 (fr)
EP (1) EP4312841A1 (fr)
JP (1) JP2024511888A (fr)
KR (1) KR20240028329A (fr)
CN (1) CN117677354A (fr)
FR (1) FR3121345B1 (fr)
WO (1) WO2022208030A1 (fr)

Family Cites Families (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8801701B2 (en) * 2005-03-09 2014-08-12 Sunnybrook Health Sciences Centre Method and apparatus for obtaining quantitative temperature measurements in prostate and other tissue undergoing thermal therapy treatment
US20150040008A1 (en) * 2013-08-02 2015-02-05 Gamer Parents Inc. Interactive overlay for video applications
CN111200972A (zh) * 2017-10-05 2020-05-26 医视特有限公司 无框架超声治疗
JP2021500126A (ja) * 2017-10-19 2021-01-07 プロファウンド メディカル インク 熱治療のための処理システムおよびダイナミック補正方法
CN109259822B (zh) * 2018-11-07 2019-12-24 西安交通大学 基于被动空化检测成像的聚焦超声治疗三维引导与动态实时监控系统及方法
US10677866B1 (en) * 2018-11-28 2020-06-09 Insightec, Ltd. Systems and methods for correcting measurement artifacts in MR thermometry

Also Published As

Publication number Publication date
EP4312841A1 (fr) 2024-02-07
KR20240028329A (ko) 2024-03-05
FR3121345A1 (fr) 2022-10-07
US20240189038A1 (en) 2024-06-13
WO2022208030A1 (fr) 2022-10-06
JP2024511888A (ja) 2024-03-15
CN117677354A (zh) 2024-03-08

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