JP5701615B2 - 電磁トラッキング及び光針による生検誘導 - Google Patents
電磁トラッキング及び光針による生検誘導 Download PDFInfo
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Description
は、電磁界発生器410及びホストコンピュータと接続される制御ユニット420を有する。ホストコンピュータは、ユーザ指定のワークステーション430とすることができる。電磁界発生器410は、基準のフレーム内において複合の電磁界を発生する。基準のフレーム内における生検装置の先端における位置センサ450は、複合の電磁界を検知することができる。位置センサはまた、当該先端部とセンサとの空間的関係が既知である限りにおいて、当該生検装置のもう1つの部分に位置づけられることができる。システム400はまた、制御ユニット420を位置センサ450に対しインターフェースをとるセンサインターフェースユニット440も有する。これら構成部を統合してもよいことは理解されるところである。例えば、センサインターフェースユニット440は、制御ユニット420と組み合わせることができる。
20 検出器
22 分光器
24 CCDカメラ
30 励起ファイバ
40 集光ファイバ
50 レンズ
100,200 生検装置
101,102,103 ファイバ入口位置
101´,102´,103´ ファイバ出口位置
210 シャフト
220 ファイバ
240 針
300,310,320 境界
330 光学情報ライン
400 追従装置
402 コンソール
410 電磁界発生器
420 システム制御ユニット
430 ユーザ指定ワークステーション
440 センサインターフェースユニット
450 位置センサ
Claims (11)
- 身体において生検針である生検装置を位置決めするための統合誘導のためのシステムであって、
粗い誘導のためのトラッキング装置であって、身体構造に対する前記生検装置の位置を示す信号を供給する位置センサを有するトラッキング装置と、
精細な誘導のための、光検出器を有する分析装置であって、分光法により前記身体の組織のスペクトル分布を測定し、組織境界の情報を含む、組織を区別する情報を提供する分析装置と、
先端部を備えた長手素子である生検装置であって、生検針である生検装置と、
制御部と、
を有し、
前記生検装置は、前記トラッキング装置により追跡されるように適合させられ、
前記光検出器は、前記生検装置の先端部に統合されており、
前記制御部は、前記組織を特徴付けるために、前記トラッキング装置からの前記位置を示す信号に基づいて、前記組織境界の情報を含む前記組織を区別する情報を、予め記憶された前記身体の構造画像と組み合わせる、
システム。 - 請求項1に記載のシステムであって、前記生検装置は、組織サンプルを取得するための針を受けるように適合させられた中空シャフトを有する、システム。
- 請求項1に記載のシステムであって、前記分析装置の前記光検出器は、光ファイバを有する、システム。
- 請求項3に記載のシステムであって、前記分析装置は、分光法のためのコンソールをさらに有し、前記コンソール及び前記ファイバは、互いに接続させられている、システム。
- 請求項4に記載のシステムであって、前記分光法のためのコンソールは、反射分光法、蛍光分光法、自己蛍光分光法、区分経路長分光法、ラマン分光法、光コヒーレンストモグラフィ、光散乱分光法及び多光子蛍光分光法からなるグループのうちの1つから情報を提供するよう適合させられている、システム。
- 請求項1に記載のシステムであって、前記トラッキング装置は、電磁界に基づいて非侵襲性追跡モダリティである、システム。
- 請求項1に記載のシステムであって、前記トラッキング装置は、前記身体構造の画像を提供する画像形成装置の予め記録された画像に前記位置情報をリンクするよう適合させられている、システム。
- 請求項7に記載のシステムであって、前記分析装置により供給される情報は、前記トラッキング装置の位置を用いて、前記画像形成装置の画像に位置合わせされる、システム。
- 生検針である生検装置であって、
粗い誘導のための、身体構造に対する当該生検装置の位置を示す情報を提供することのできる位置センサと、
精細な誘導のための、光の発光及び受光が可能な、当該生検装置の先端部に一体化された光ファイバと、
前記光ファイバと接続される分析装置であって、分光法により前記身体の組織のスペクトル分布を測定し、組織境界の情報を含む、組織を区別する情報を提供する分析装置と、
制御部と、
を有し、前記制御部が、前記組織を特徴付けるために、前記位置センサからの前記位置を示す情報に基づいて、前記組織境界の情報を含む前記組織を区別する情報を、予め記憶された前記身体の構造画像と組み合わせる、
生検装置。 - 請求項9に記載の生検装置であって、組織サンプルを採取するための針を受容するよう適合させられている中空シャフトを有する生検装置。
- 生検針である生検装置を位置決めするシステムの各部が制御手段により制御される該システムの作動方法であって、該システムが、生検針である生検装置と、粗い誘導のために前記生検装置を追跡するトラッキング装置と、前記生検装置に統合された光ファイバ及び前記生検装置の先端又はその近傍の前面における組織を区別する光学情報を得るためのコンソールとを有する、精細な誘導のための分析装置と、を有し、前記トラッキング装置は、身体構造に対する前記生検装置の位置を示す信号を供給する位置センサを有し、前記方法は、
前記制御手段が、前記生検装置を追跡するように前記トラッキング装置を制御するステップと、
前記分析装置が、分光法により前記身体の組織のスペクトル分布を算出し、組織境界の情報を含む、組織を区別する光学情報を提供するステップと、
前記分析装置が、前記組織を特徴付けるために、前記トラッキング装置からの前記位置を示す信号に基づいて、前記組織境界の情報を含む前記組織を区別する光学情報を、予め記憶された前記身体の構造画像と組み合わせるステップと、
を含む作動方法。
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US3305608P | 2008-03-03 | 2008-03-03 | |
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US5894108P | 2008-06-05 | 2008-06-05 | |
US61/058,941 | 2008-06-05 | ||
PCT/IB2009/050793 WO2009109879A2 (en) | 2008-03-03 | 2009-02-27 | Biopsy guidance by electromagnetic tracking and photonic needle |
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JP2011514197A JP2011514197A (ja) | 2011-05-06 |
JP2011514197A5 JP2011514197A5 (ja) | 2014-06-26 |
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US (1) | US9179985B2 (ja) |
EP (1) | EP2249737B1 (ja) |
JP (1) | JP5701615B2 (ja) |
CN (1) | CN101959470B (ja) |
WO (1) | WO2009109879A2 (ja) |
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WO2009109873A1 (en) | 2008-03-03 | 2009-09-11 | Koninklijke Philips Electronics N.V. | Biopsy guidance by image-based x-ray guidance system and photonic needle |
EP2313000B1 (en) * | 2008-07-30 | 2015-09-30 | Vanderbilt University | Intra-operative fluorescence spectroscopy and applications of same |
US10687914B2 (en) * | 2009-05-29 | 2020-06-23 | Jack Wade | System and method for enhanced data analysis with specialized video enabled software tools for medical environments |
US10433917B2 (en) * | 2009-05-29 | 2019-10-08 | Jack Wade | System and method for enhanced data analysis with video enabled software tools for medical environments |
US20110105946A1 (en) * | 2009-10-31 | 2011-05-05 | Sorensen Peter L | Biopsy system with infrared communications |
US20140005465A1 (en) | 2011-03-24 | 2014-01-02 | Koninklijke Philips N.V. | Apparatus and method for electronic brachytherapy |
CN103491876B (zh) | 2011-04-27 | 2016-05-04 | 皇家飞利浦有限公司 | 能量施加装置 |
US10383584B2 (en) | 2012-03-23 | 2019-08-20 | Koninklijke Philips N.V. | Photonic needle system with measurement integration times depending on needle displacement speed |
US9468380B2 (en) | 2012-03-30 | 2016-10-18 | Children's Hospital Medical Center | Method to identify tissue oxygenation state by spectrographic analysis |
EP2863807B1 (en) * | 2012-06-26 | 2016-04-06 | Koninklijke Philips N.V. | Biopsy needle with large fiber distance at the tip |
EP2961327B1 (en) * | 2013-02-27 | 2018-07-11 | Koninklijke Philips N.V. | Optical guided vacuum assisted biopsy device |
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