JP2015507514A - 生検における針経路の超音波誘導 - Google Patents
生検における針経路の超音波誘導 Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/0233—Pointed or sharp biopsy instruments
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/08—Detecting organic movements or changes, e.g. tumours, cysts, swellings
- A61B8/0833—Detecting organic movements or changes, e.g. tumours, cysts, swellings involving detecting or locating foreign bodies or organic structures
- A61B8/0841—Detecting organic movements or changes, e.g. tumours, cysts, swellings involving detecting or locating foreign bodies or organic structures for locating instruments
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/08—Detecting organic movements or changes, e.g. tumours, cysts, swellings
- A61B8/0858—Detecting organic movements or changes, e.g. tumours, cysts, swellings involving measuring tissue layers, e.g. skin, interfaces
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/46—Ultrasonic, sonic or infrasonic diagnostic devices with special arrangements for interfacing with the operator or the patient
- A61B8/461—Displaying means of special interest
- A61B8/463—Displaying means of special interest characterised by displaying multiple images or images and diagnostic data on one display
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/52—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/5207—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of raw data to produce diagnostic data, e.g. for generating an image
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- 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
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- 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
- A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/48—Diagnostic techniques
- A61B8/483—Diagnostic techniques involving the acquisition of a 3D volume of data
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- 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
- A61B90/10—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 for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/11—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 for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
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Abstract
Description
Claims (15)
- 針などの介入デバイスの挿入を視覚的に誘導する超音波画像化システムであって、
目標組織を含む組織領域を画像化し、受信信号を生成するアレイトランスデューサを有する超音波プローブと、
前記超音波プローブにより受信された信号を処理して、前記受信信号に比例する画素値を有する空間的に識別された一組の画素を生成する超音波システムと、
前記が素値に応じて、超音波画像を生成する画像プロセッサと、
前記超音波画像を表示するディスプレイと、
前記画素値に応じて、介入デバイスの挿入経路に沿って組織密度の推定値を生成する組織密度分析部とを有し、
前記組織密度の推定値が前記ディスプレイ上に表示される、
超音波画像化システム。 - 前記組織密度分析部に応じて、介入デバイスの挿入経路を計算する針経路計算部をさらに有し、
計算された介入デバイスの挿入経路は、前記超音波画像と空間的にレジストレーションされて表示される、
請求項1に記載の超音波画像化システム。 - 前記組織密度の推定値が、介入デバイスの挿入経路に沿って、相対的な組織密度の曲線として表示される、請求項1に記載の超音波画像化システム。
- 前記組織密度の推定値が数値的に表示される、
請求項1に記載の超音波画像化システム。 - 前記目標組織に対する針の位置及び方向を特定する空間ナビゲーションシステムをさらに有し、
前記ナビゲーションシステムは、前記針の位置と方向に対して計画された針の挿入経路を特定するように動作可能であり、
計画された針の挿入経路は、前記超音波画像と空間的にレジストレーションされて表示される、
請求項1に記載の超音波画像化システム。 - 前記組織密度分析部は、前記計画された経路とレジストレーションされた画素値を用いて、前記計画された針の挿入経路に沿って、組織密度の推定値を生成するように動作可能である、請求項5に記載の超音波画像化システム。
- 前記超音波画像はさらに2次元超音波画像を含み、
前記組織密度分析部は、前記2次元超音波画像の画素値を用いて、組織密度の推定を行う、
請求項1に記載の超音波画像化システム。 - 前記アレイトランスデューサは、前記プローブが組織の体積領域をスキャンするのに用いる2次元アレイトランスデューサをさらに含み、
前記体積領域は前記2次元超音波画像の平面を含み、
前記組織密度分析部は、3次元領域を表す画素グループを用いて、組織密度の推定を行う、
請求項1に記載の超音波画像化システム。 - 前記画素グループの一部は、前記2次元超音波画像の平面と一致する、
請求項8に記載の超音波画像化システム。 - 前記組織密度分析部は、針挿入経路に沿って一連の組織密度推定をする、
各次元で少なくとも2つの画素を有する2次元画素アレイから得られる、
請求項8に記載の超音波画像化システム。 - 前記組織密度分析部は、可能な複数の針挿入経路に沿って組織密度推定を行うように動作可能であり、
前記針経路計算部は、提案された複数の針の挿入経路を計算するようにさらに動作可能であり、
提案された経路のひとつが前記超音波画像と空間的にレジストレーションされて表示される、
請求項2に記載の超音波画像化システム。 - 提案された複数の経路が前記超音波画像と空間的にレジストレーションされて表示される、請求項11に記載の超音波画像化システム。
- 前記超音波画像とオーバーレイして表示するグラフィックを生成するグラフィックジェネレータをさらに有し、
前記グラフィックジェネレータは、針の挿入経路を示すグラフィックを生成する、
請求項1に記載の超音波画像化システム。 - 前記超音波画像に目標組織の部位を示すように操作されるユーザコントロールをさらに有し、
前記グラフィックジェネレータは、前記ユーザコントロールに応じて、前記超音波画像とレジストレーションして目標組織のグラフィックを生成する、
請求項13に記載の超音波画像化システム。 - 前記組織密度分析部に応じて、針の挿入経路を計算する針経路計算部をさらに有し、
前記グラフィックジェネレータは、前記針経路計算部に応じて、提案された針の挿入経路を表すグラフィックを生成する、
請求項13に記載の超音波画像化システム。
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US201261587784P | 2012-01-18 | 2012-01-18 | |
US61/587,784 | 2012-01-18 | ||
PCT/IB2013/050417 WO2013108198A1 (en) | 2012-01-18 | 2013-01-17 | Ultrasonic guidance of a needle path during biopsy |
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JP2015507514A true JP2015507514A (ja) | 2015-03-12 |
JP2015507514A5 JP2015507514A5 (ja) | 2016-01-28 |
JP5992539B2 JP5992539B2 (ja) | 2016-09-14 |
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US (1) | US9597054B2 (ja) |
EP (1) | EP2804532B1 (ja) |
JP (1) | JP5992539B2 (ja) |
CN (1) | CN104053403B (ja) |
BR (1) | BR112014017369B1 (ja) |
RU (1) | RU2638621C2 (ja) |
WO (1) | WO2013108198A1 (ja) |
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BR112014017369A8 (pt) | 2017-07-04 |
JP5992539B2 (ja) | 2016-09-14 |
US20140350390A1 (en) | 2014-11-27 |
CN104053403B (zh) | 2016-12-21 |
RU2014133631A (ru) | 2016-03-20 |
EP2804532A1 (en) | 2014-11-26 |
BR112014017369A2 (pt) | 2017-06-13 |
WO2013108198A1 (en) | 2013-07-25 |
EP2804532B1 (en) | 2016-04-13 |
US9597054B2 (en) | 2017-03-21 |
RU2638621C2 (ru) | 2017-12-14 |
BR112014017369B1 (pt) | 2022-03-03 |
CN104053403A (zh) | 2014-09-17 |
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