JP6066232B2 - Photoacoustic image generating apparatus and insert - Google Patents

Photoacoustic image generating apparatus and insert Download PDF

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Publication number
JP6066232B2
JP6066232B2 JP2015192536A JP2015192536A JP6066232B2 JP 6066232 B2 JP6066232 B2 JP 6066232B2 JP 2015192536 A JP2015192536 A JP 2015192536A JP 2015192536 A JP2015192536 A JP 2015192536A JP 6066232 B2 JP6066232 B2 JP 6066232B2
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Prior art keywords
light
guide member
needle
light guide
puncture needle
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JP2015192536A
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JP2015231582A (en
Inventor
覚 入澤
覚 入澤
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富士フイルム株式会社
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Priority to JP2013149497 priority
Priority to JP2013149497 priority
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Detecting, measuring or recording for diagnostic purposes; Identification of persons
    • A61B5/0093Detecting, measuring or recording by applying one single type of energy and measuring its conversion into another type of energy
    • A61B5/0095Detecting, measuring or recording by applying one single type of energy and measuring its conversion into another type of energy by applying light and detecting acoustic waves, i.e. photoacoustic measurements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Detecting, measuring or recording for diagnostic purposes; Identification of persons
    • A61B5/06Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
    • A61B5/061Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Detecting, measuring or recording for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6848Needles

Description

  The present invention relates to a photoacoustic image generation apparatus that generates a photoacoustic image based on photoacoustic waves generated due to light irradiation. The present invention also relates to an insert used in such a photoacoustic image generation apparatus, in which at least a tip portion is inserted into a subject.

  An ultrasonic inspection method is known as a kind of image inspection method capable of non-invasively examining the state inside a living body. In the ultrasonic inspection, an ultrasonic probe capable of transmitting and receiving ultrasonic waves is used. When ultrasonic waves are transmitted from the ultrasonic probe to the subject (living body), the ultrasonic waves travel inside the living body and are reflected at the tissue interface. The reflected ultrasound is received by the ultrasound probe, and the internal state can be imaged by calculating the distance based on the time it takes for the reflected ultrasound to return to the ultrasound probe. .

  In addition, photoacoustic imaging is known in which the inside of a living body is imaged using a photoacoustic effect. In general, in photoacoustic imaging, a living body is irradiated with pulsed laser light such as a laser pulse. Inside the living body, the living tissue absorbs the energy of the pulsed laser light, and ultrasonic waves (photoacoustic waves) are generated by adiabatic expansion due to the energy. By detecting this photoacoustic wave with an ultrasonic probe or the like and constructing a photoacoustic image based on the detection signal, in vivo visualization based on the photoacoustic wave is possible.

  Here, Patent Document 1 refers to a combination of biological information imaging using photoacoustics and treatment using a puncture needle. In Patent Literature 1, a photoacoustic image is generated, and the image is observed to find an affected part such as a tumor or a part suspected of being affected. In order to inspect such a site more precisely, or to inject an affected part or the like, a puncture needle such as an injection needle or a cytodiagnosis needle is used to collect cells or inject into an affected part. In Patent Document 1, it is assumed that puncture can be performed while observing an affected area using a photoacoustic image.

JP 2009-31262 A

  Generally, in puncturing with a puncture needle, it is important to grasp the position of the tip portion. However, light irradiation to the subject is usually performed from the surface of the subject, and particularly when the tip of the puncture needle is punctured to a deep position (for example, a position deeper than 3 cm from the subject surface), the subject surface is irradiated with light. Therefore, it is difficult to confirm the position of the tip of the puncture needle with a photoacoustic image. The acoustic wave detection characteristics of the probe are angle-dependent, and the photoacoustic wave is inclined with respect to the acoustic wave detection surface of the probe as the puncture angle of the puncture needle exceeds 50 ° and becomes nearly vertical. There is also a problem that the photoacoustic wave emitted from the puncture needle becomes difficult to detect. In other words, the closer the puncture angle is to the vertical, the more difficult it is to confirm the position of the puncture needle on the photoacoustic image. These problems are not limited to puncture needles and may occur when the position of an insert inserted into a subject is to be confirmed using a photoacoustic image.

  In view of the above, the present invention can confirm the position of the insert on the photoacoustic image even when the insert is punctured deep from the surface of the subject or inserted at an angle close to vertical. An object is to provide a photoacoustic image generation apparatus.

  In order to achieve the above object, the present invention provides a first light source and a light guide that guides light emitted from the first light source, which is an insert that is at least partially inserted into the subject. Insert having a member, a light emitting part for emitting light guided by the light guide member, and a photoacoustic wave generating part for generating a first photoacoustic wave resulting from the light emitted from the light emitting part And an acoustic wave detecting means for detecting a first photoacoustic wave emitted from the insert after at least a part of the insert is inserted into the subject, and a first based on the first photoacoustic wave. Provided is a photoacoustic image generation apparatus including a photoacoustic image generation means for generating a photoacoustic image.

  The insert may have, for example, an opening and a lumen inside. The light emitting part may be provided in the vicinity of the opening.

  The photoacoustic wave generation part of the insert may include a light absorbing member that absorbs light emitted from the light emission part and generates a photoacoustic wave. The light absorbing member may include, for example, an epoxy resin, a fluorine resin, a silicone rubber, or a polyurethane resin mixed with a black pigment. Alternatively, the light absorbing member may include a metal or metal oxide film having light absorptivity with respect to light emitted from the first light source.

  The light absorbing member may cover at least a part of the light emitting surface of the light emitting unit.

  The insert may further include a hollow tube that secures the light guide member along the lumen to the inner wall of the lumen.

  The light absorbing member may be provided on the inner wall of the lumen, and the light absorbing member may also serve as a fixing member that fixes the tip portion of the light guide member to the inner wall.

  The insert may be a needle that is punctured by the subject.

  The needle may be a biopsy needle that can puncture a living body inspection target and collect tissue at a biopsy site in the inspection target.

  The insert is a needle that is punctured into the subject, and the needle further includes a hollow tube that accommodates the light guide member therein, a light absorbing member at the tip of the hollow tube, and a light emitting unit It is preferable to have a space between the light absorbing member and the light absorbing member. The hollow tube is made of a metal such as a fluororesin, a polyimide resin, or stainless steel.

  The hollow tube, the light guide member, and the light absorbing member may constitute an inner needle that seals at least a part of the lumen of the needle body.

  Instead of the above, when the insert is a needle to be punctured by the subject, the light guide member constitutes an inner needle that seals at least a part of the lumen of the needle, and includes a light emitting part It is good also as a structure in which at least one part has a film | membrane which has a light absorptivity.

  Alternatively, when the insert is a puncture needle that punctures the subject, the needle further includes an inner needle that seals at least a part of the lumen of the needle, and a light guide member is embedded in the inner needle. The inner needle may also serve as a light absorbing member having light absorptivity.

  The insert is a needle that is pierced into the subject, and the needle further includes an inner needle that seals at least a part of the lumen, and the inner needle includes a hollow tube and at least a tip portion of the hollow tube. The light guide member may be embedded in the tube of the hollow tube with the transparent resin, and the light absorbing member may be provided at the tip of the hollow tube. As the transparent resin, for example, a photo-curing type, a thermosetting type, or a room-temperature curing type can be used.

  In the above, the inner needle injects a transparent resin before curing into the tube of the hollow tube, and the light emitting end of the light guide member constituting the light emitting unit is disposed in the vicinity of the tip portion of the hollow tube. Insert the light guide member into the hollow tube, cure the transparent resin with the light guide member inserted into the hollow tube, and cut the hollow tube and the tip of the transparent resin into a shape suitable for the tip of the needle And applying a light-absorbing resin constituting the light-absorbing member so as to cover at least a part of the cut surface of the hollow tube and the transparent resin, and curing the resin having the light-absorbing property. Also good.

  Alternatively, the insert is a needle that is pierced into the subject, and the needle further includes an inner needle that seals at least a part of the lumen, and the inner needle includes at least a distal end portion of the hollow tube and the hollow tube. A light-absorbing member at the light-emitting end of the light-guiding member that constitutes the light-emitting portion, and the light-guiding member is embedded in the hollow tube with the transparent resin. Also good.

  In the above, the inner needle is attached to the light-absorbing resin constituting the light-absorbing member so as to cover at least a part of the light emitting portion, the resin having the light-absorbing property is cured, and is cured in the hollow tube. The previous transparent resin was injected, the light guide member was inserted into the hollow tube so that the light absorbing member was disposed in the vicinity of the tip of the hollow tube, and the light guide member was inserted into the hollow tube The transparent resin may be cured in a state, and the hollow tube and the tip of the transparent resin may be cut into a shape suitable for the tip of the needle.

  The hollow tube is made of polyimide, fluororesin or metal, for example.

  The needle may further include an optical connector that removably connects the light guide member and an optical fiber that guides light emitted from the first light source.

  In the present invention, the light emitting unit may be capable of emitting at least a part of the light guided by the light guide member toward the inner wall of the lumen.

  The light guide member may be an optical fiber, and the end surface on the light traveling side as viewed from the first light source of the optical fiber may constitute the light emitting portion.

  The insert may be a catheter that is inserted into a blood vessel or a catheter guidewire that is inserted into a blood vessel.

  The insert may be a radiofrequency ablation needle that accommodates an electrode used for radiofrequency ablation. In this case, the electrode can protrude from the lumen of the radiofrequency ablation needle, and the radiofrequency ablation needle includes an electrode light guide member that guides light emitted from the first light source, and a tip portion of the electrode. An electrode light emitting portion that emits light guided by the electrode light guide member, and an electrode light absorbing member that generates a photoacoustic wave due to light emitted from the electrode light emitting portion. May further be included.

  The insert may be an optical fiber for laser treatment, may have a light absorbing member that absorbs light emitted from the optical fiber and generates a photoacoustic wave, and the optical fiber may also serve as a light guide member. .

  When the angle of the end face of the optical fiber constituting the light emitting part is 0 ° in the direction parallel to the extending direction of the optical fiber and 90 ° in the direction perpendicular to the extending direction of the optical fiber. 45 ° or more and less than 90 °.

  The optical fiber may be connected to the first light source via an optical joint having a mechanism for pressing and fixing the optical fiber.

  In the present invention, the first light source may be a semiconductor laser light source. Further, the first light source may be an optical amplification type laser light source using a semiconductor laser light source as a seed light source.

  The acoustic wave detecting means can further detect a reflected acoustic wave with respect to the acoustic wave transmitted toward the subject, and further includes a reflected acoustic wave image generating means for generating a reflected acoustic wave image based on the reflected acoustic wave. It is good also as a structure.

  The photoacoustic image generation apparatus of the present invention may further include image synthesizing means for synthesizing the first photoacoustic image and the reflected acoustic wave image.

  The acoustic wave detection means further includes a second light source, and the acoustic wave detection means is generated in the subject due to the light emitted from the second light source after the light emitted from the second light source is emitted to the subject. The second photoacoustic wave may be further detected, and the photoacoustic image generation unit may further be able to generate a second photoacoustic image based on the second photoacoustic wave.

  The second light source also serves as the first light source, a part of the light emitted from the second light source is branched in the direction of the subject, and a part of the light emitted from the second light source is branched in the direction of the insert. It is good also as a structure.

  The present invention is also an insert in which at least a tip portion is inserted into a subject, and guides light emitted from a light source, and emits light guided by the light guide member. There is provided an insert having a photoacoustic wave generation unit that has a light emission unit and generates a photoacoustic wave caused by light emitted from the light emission unit.

  The insert is a needle that has a lumen inside and is punctured by a subject, and the insert may further have an inner needle that seals at least a part of the lumen of the needle. In this case, the inner needle may include a hollow tube and a transparent resin that closes at least a tip portion of the hollow tube, and the light guide member may be embedded in the tube of the hollow tube with the transparent resin.

  In the photoacoustic image generation apparatus of the present invention, the position of the insert is confirmed on the photoacoustic image even when the insert is punctured deep from the surface of the subject or inserted at an angle close to vertical. Is possible.

1 is a block diagram showing a photoacoustic image generation apparatus according to a first embodiment of the present invention. Sectional drawing which shows a puncture needle. The block diagram which shows the structural example of a laser unit. The block diagram which shows another structural example of a laser unit. (A) to (c) are diagrams each showing a photoacoustic image. The flowchart which shows the operation | movement procedure of the photoacoustic image generating apparatus which concerns on 1st Embodiment. Sectional drawing which shows the puncture needle used for the photoacoustic image generating apparatus which concerns on 2nd Embodiment of this invention. Sectional drawing which shows the puncture needle used for the photoacoustic image generating apparatus which concerns on 3rd Embodiment of this invention. Sectional drawing which shows the puncture needle used for the photoacoustic image generating apparatus which concerns on 4th Embodiment of this invention. The block diagram which shows the photoacoustic image generating apparatus which concerns on 5th Embodiment of this invention. The graph which shows the frequency characteristic of a photoacoustic wave. The flowchart which shows the operation | movement procedure of the photoacoustic image generating apparatus which concerns on 5th Embodiment. Sectional drawing which shows the puncture needle used in 6th Embodiment of this invention. (A) is a figure which shows the external appearance of the puncture needle which concerns on 6th Embodiment, (b) is a figure which shows the external appearance of a puncture needle main body, (c) is a figure which shows the external appearance of an inner needle. The figure which shows the connection of a laser unit and a puncture needle. The figure which shows the external appearance of the inner needle used in 7th Embodiment of this invention. Sectional drawing which shows the front-end | tip part of an inner needle. Sectional drawing which shows the inner needle used in 8th Embodiment of this invention. Sectional drawing which shows the puncture needle which concerns on 9th Embodiment of this invention. Sectional drawing which shows the puncture needle which concerns on 10th Embodiment of this invention. The block diagram which shows the part of the light source of the photoacoustic image generating apparatus which concerns on the modification of 5th Embodiment. (A) is a perspective view of a puncture needle, (b) is sectional drawing which shows the AA cross section of (a). Sectional drawing which shows an example of the needle for radiofrequency ablation. Sectional drawing which shows another example of the needle for radiofrequency ablation. Sectional drawing which shows a catheter. Sectional drawing which shows a guide wire. Sectional drawing which shows an example of the optical fiber for laser treatment. Sectional drawing which shows another example of the optical fiber for laser treatments. Sectional drawing which shows the front-end | tip part of a biopsy needle. The block diagram which shows the further structural example of a laser unit. The figure which shows the external appearance of the photoacoustic image generating apparatus containing a laser unit.

  Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings. FIG. 1 shows a photoacoustic image generation apparatus according to the first embodiment of the present invention. The photoacoustic image generation apparatus (photoacoustic image diagnostic apparatus) 10 includes a probe (ultrasonic probe) 11, an ultrasonic unit 12, and a laser unit 13. In the embodiment of the present invention, an ultrasonic wave is used as an acoustic wave. However, the ultrasonic wave is not limited to an ultrasonic wave, and is audible as long as an appropriate frequency is selected in accordance with an object to be examined and measurement conditions. An acoustic wave having a frequency may be used.

  The laser unit 13 is a first light source. The laser unit 13 is configured as a solid-state laser light source using, for example, YAG (yttrium, aluminum, garnet) or alexandrite. In the present embodiment, a puncture needle that is punctured into a subject is considered as an insert in which at least a tip portion is inserted into the subject. The puncture needle 15 has an opening at the tip and has a lumen inside. The laser light emitted from the laser unit 13 is guided to the puncture needle 15 using light guide means such as an optical fiber.

  FIG. 2 shows a cross section of the puncture needle 15. The puncture needle 15 guides light emitted from the hollow puncture needle main body 151 having an opening at the tip formed at an acute angle and having a lumen inside, and the laser unit 13 to the vicinity of the opening of the puncture needle. It includes a light guide member 152 and a light emitting portion 153 that is provided near the opening and emits light guided by the light guide member. The light guide member 152 and the light emitting portion 153 are disposed inside the puncture needle main body 151. The light guide member 152 is composed of, for example, an optical fiber, and the end surface on the light traveling side as viewed from the laser unit 13 of the optical fiber constitutes the light emitting portion 153. From the light emitting part 153, for example, 0.2 mJ laser light is emitted.

  For example, the light emitting unit 153 emits at least part of the light guided by the light guide member 152 toward the inner wall of the hollow needle. The inner wall itself of the puncture needle 15 or an object provided on the inner wall constitutes a photoacoustic wave generator that absorbs light and generates a photoacoustic wave. When the puncture needle 15 is punctured into the subject, at least a part of the light emitted from the light emitting unit 153 is provided on the inner wall itself of the puncture needle 15 constituting the photoacoustic wave generation unit or on the inner wall. The object is irradiated. Due to this light irradiation, a photoacoustic wave (first photoacoustic wave) is emitted from the photoacoustic wave generator of the puncture needle 15.

  Returning to FIG. 1, the probe 11 is an acoustic wave detection means, and has, for example, a plurality of ultrasonic transducers arranged one-dimensionally. The probe 11 detects a photoacoustic wave generated due to light emitted from the light emitting unit 153 (see FIG. 2) after the puncture needle 15 is punctured in the subject. In addition to detecting the photoacoustic wave, the probe 11 transmits an acoustic wave (ultrasonic wave) to the subject and receives a reflected acoustic wave (reflected ultrasonic wave) with respect to the transmitted ultrasonic wave.

  The ultrasonic unit 12 includes a reception circuit 21, an AD conversion unit 22, a reception memory 23, a data separation unit 24, a photoacoustic image generation unit 25, an ultrasonic image generation unit 26, an image synthesis unit 27, a control unit 28, and transmission control. A circuit 29 is included. The receiving circuit 21 receives a photoacoustic wave detection signal detected by the probe 11. Further, the detection signal of the reflected ultrasonic wave detected by the probe 11 is received. The AD conversion means 22 converts the photoacoustic wave and reflected ultrasonic detection signals received by the receiving circuit 21 into digital signals. The AD conversion means 22 samples the photoacoustic wave and reflected ultrasonic detection signals at a predetermined sampling period based on, for example, a sampling clock signal having a predetermined period. The AD conversion means 22 stores the sampled photoacoustic wave and reflected ultrasonic detection signals (sampling data) in the reception memory 23.

  The data separation unit 24 separates the sampling data of the detection signal of the photoacoustic wave and the sampling data of the detection signal of the reflected ultrasonic wave stored in the reception memory 23. The data separation unit 24 inputs the sampling data of the photoacoustic wave detection signal to the photoacoustic image generation unit 25. The separated reflected ultrasound sampling data is input to the ultrasound image generating means (reflected acoustic wave image generating means) 26.

  The photoacoustic image generation means 25 generates a photoacoustic image (first photoacoustic image) based on a photoacoustic wave detection signal detected by the probe 11. The generation of the photoacoustic image includes, for example, image reconstruction such as phase matching addition, detection, logarithmic conversion, and the like. The ultrasonic image generation unit 26 generates an ultrasonic image (reflected acoustic wave image) based on the detection signal of the reflected ultrasonic wave detected by the probe 11. The generation of an ultrasonic image also includes image reconstruction such as phase matching addition, detection, logarithmic conversion, and the like.

  The image synthesizing unit 27 synthesizes the photoacoustic image and the ultrasonic image. The image composition unit 27 performs image composition by superimposing a photoacoustic image and an ultrasonic image, for example. The synthesized image is displayed on image display means 14 such as a display. It is also possible to display the photoacoustic image and the ultrasonic image side by side on the image display means 14 without performing image synthesis, or to switch between the photoacoustic image and the ultrasonic image.

  The control means 28 controls each part in the ultrasonic unit 12. For example, the control unit 28 sends a trigger signal to the laser unit 13 to emit laser light from the laser unit 13. A sampling trigger signal is sent to the AD conversion means 22 in accordance with the laser light irradiation to control the photoacoustic wave sampling start timing.

  When acquiring an ultrasonic image, the control means 28 sends an ultrasonic transmission trigger signal to the transmission control circuit 29 to instruct ultrasonic transmission. When receiving the ultrasonic transmission trigger signal, the transmission control circuit 29 causes the probe 11 to transmit ultrasonic waves. The control means 28 sends a sampling trigger signal to the AD conversion means 22 in synchronization with the timing of ultrasonic transmission, and starts sampling of reflected ultrasonic waves.

  FIG. 3 shows a configuration example of the laser unit 13. The laser unit 13 includes a laser rod 51, a flash lamp 52, mirrors 53 and 54, and a Q switch 55. The laser rod 51 is a laser medium. For the laser rod 51, for example, an alexandrite crystal can be used. The flash lamp 52 is an excitation light source and irradiates the laser rod 51 with excitation light. The excitation light source is not limited to the flash lamp 52, and a light source other than the flash lamp 52 may be used as the excitation light source.

  The mirrors 53 and 54 are opposed to each other with the laser rod 51 interposed therebetween, and the mirrors 53 and 54 constitute an optical resonator. Assume that the mirror 54 is on the output side. A Q switch 55 is inserted in the optical resonator. By using the Q switch 55 to rapidly change the insertion loss in the optical resonator from a large loss (low Q) to a small loss (high Q), pulse laser light can be obtained. The pulse laser beam emitted from the output-side mirror 54 of the laser unit 13 is guided to the puncture needle 15 (see FIG. 1).

  The laser unit 13 does not need to be a solid-state laser light source, and may be another type of laser light source. For example, the laser unit 13 may be a laser diode light source (semiconductor laser light source). The laser unit 13 may be an optical amplification type laser light source using a laser diode light source as a seed light source.

  FIG. 4 shows another configuration example of the laser unit. In this example, the laser unit 13a is configured as an optical amplification type laser light source. The laser unit 13a combines a semiconductor laser light source 351 that emits a pulse laser beam 360 as seed light, an excitation semiconductor laser light source 353 that emits an excitation laser beam 352, and the pulse laser beam 360 and the excitation laser beam 352. A multiplexer 354, a fiber optical amplifier 355 having a core doped with, for example, Er (erbium), connected to the multiplexer 354, and an oscillation preventing light connected to the fiber optical amplifier 355. An isolator 356 and an optical wavelength conversion element 358 that converts the pulsed laser light 370 output from the optical isolator 356 into a second harmonic having a wavelength of ½ are included.

  When a trigger signal is input from the control means 28 (see FIG. 1), the semiconductor laser light source 351 that is a seed light source emits a pulse laser beam 360 having a wavelength of 1560 nm, for example. The pulsed laser light 360 enters the fiber optical amplifier 355 and propagates through the core of the fiber optical amplifier 355. At this time, for example, energy is received from the erbium ions excited by the excitation laser beam 352 having a wavelength of 980 nm and amplified. The amplified pulsed laser beam 370 is emitted from the fiber optical amplifier 355 and then converted into a pulsed laser beam 380 that is a second harmonic wave having a wavelength of 780 nm by the optical wavelength conversion element 358. The pulse laser beam 380 emitted from the laser unit 13a is guided to the puncture needle 15 (see FIG. 1).

  In addition, what has a mechanism (receptacle) which presses and fixes an optical fiber can be used for the optical joining part (connector) which connects a laser unit and the optical fiber which comprises a light guide member. For example, such a receptacle is provided in the laser unit 13, and an optical fiber extending from the puncture needle 15 is inserted into the optical joint. The optical joining portion holds the optical fiber by pressing with, for example, a spring. When such an optical junction is used, when a certain force is applied to the receptacle when the optical fiber is pulled, the optical fiber comes out of the receptacle, and the optical fiber breaks at the optical junction. Can be prevented. Moreover, since it is not necessary to provide a plug (connector) on the optical fiber side integrated with the puncture needle 15, the cost of the entire puncture needle can be reduced. In particular, when the puncture needle 15 is disposable, there is no need for a connector in the optical fiber that is discarded together with the puncture needle, so that the cost reduction effect is great.

  FIGS. 5A to 5C each show a photoacoustic image. FIG. 5A shows a photoacoustic image when the puncture needle 15 is punctured at an angle of 45 ° from the surface of the subject. The puncture needle 15 is punctured to a depth of 50 mm from the surface of the subject, for example. By irradiating light to the distal end portion of the puncture needle from a light emitting portion provided in the vicinity of the distal end of the puncture needle 15 and generating a photoacoustic wave at the distal end portion of the puncture needle 15, the puncture needle in the photoacoustic image The position of the tip of 15 can be confirmed.

  FIG. 5B shows a photoacoustic image when the puncture needle 15 is punctured at an angle of 60 ° from the surface of the subject. FIG. 5C shows a photoacoustic image when the puncture needle 15 is punctured at an angle of 80 ° from the surface of the subject. In these cases as well, the position of the tip of the puncture needle 15 can be confirmed in the photoacoustic image, as in FIG.

  Here, in the case where light irradiation is performed from the surface of the subject, about 20 mm from the surface is an imageable range. When the puncture needle 15 is punctured to a depth of 50 mm, the light irradiated from the surface does not reach the puncture needle 15 sufficiently, and it is difficult to image the puncture needle 15 with the light irradiated from the surface. On the other hand, in this embodiment, the light guide member 152 is provided inside the puncture needle 15, and the light emitted by the light guided by the light guide member 152 is provided in the vicinity of the distal end portion of the punctured puncture needle 15. Therefore, the light can be irradiated to the tip of the puncture needle 15 without being greatly attenuated. For this reason, even when the puncture needle is punctured to a deep position, the position of the puncture needle 15 can be confirmed.

  In addition, when light is irradiated from the surface and when the puncture needle 15 is punctured at an angle close to vertical, the photoacoustic wave generated by the puncture needle 15 is inclined with respect to the acoustic wave detection surface of the probe 11. As a result, the photoacoustic wave emitted from the puncture needle 15 becomes difficult to detect. On the other hand, in this embodiment, a photoacoustic wave is generated from the vicinity of the tip of the puncture needle 15, and as shown in FIGS. 5 (b) and 5 (c), the puncture needle 15 is at an angle close to vertical. Even when puncturing is performed, the position of the puncture needle 15 can be confirmed in the photoacoustic image.

  FIG. 6 shows an operation procedure. The puncture needle 15 is punctured by the doctor or the like (step A1). After puncturing with the puncture needle 15, the control means 28 of the ultrasonic unit 12 sends a trigger signal to the laser unit 13. Upon receiving the trigger signal, the laser unit 13 starts laser oscillation and emits pulsed laser light. The pulsed laser light emitted from the laser unit 13 is guided to the vicinity of the tip of the puncture needle 15 by the light guide member 152 (see FIG. 2), is emitted from the light emitting portion 153, and at least a part of the puncture needle is emitted. 15 is irradiated to the tip portion (step A2).

  The probe 11 detects a photoacoustic wave generated in the subject by the irradiation of the laser light (step A3). The AD conversion means 22 receives the photoacoustic wave detection signal via the receiving circuit 21, samples the photoacoustic wave detection signal, and stores it in the reception memory 23. The data separation unit 24 transmits the photoacoustic wave detection signal stored in the reception memory 23 to the photoacoustic image generation unit 25. The photoacoustic image generation means 25 generates a photoacoustic image based on the photoacoustic wave detection signal (step A4).

  The control means 28 sends an ultrasonic trigger signal to the transmission control circuit 29. In response to this, the transmission control circuit 29 transmits ultrasonic waves from the probe 11 (A5). The probe 11 detects the reflected ultrasonic wave after transmitting the ultrasonic wave (step A6). In addition, you may perform transmission / reception of an ultrasonic wave in the separated position. For example, ultrasonic waves may be transmitted from a position different from the probe 11, and reflected ultrasonic waves with respect to the transmitted ultrasonic waves may be received by the probe 11.

  The reflected ultrasonic wave detected by the probe 11 is input to the AD conversion means 22 via the receiving circuit 21. Here, the reflected ultrasonic wave transmitted from the probe 11 propagates back and forth between the probe 11 and the ultrasonic reflection position, whereas the photoacoustic wave is probed from the vicinity of the tip of the puncture needle 15 that is the generation position. Propagate up to 11 one way. Therefore, since the detection of the reflected ultrasonic wave takes twice as long as the detection of the photoacoustic wave generated at the same depth position, the sampling clock of the AD conversion means 22 at the time of the reflected ultrasonic sampling is an optical signal. It is good also as a half at the time of acoustic wave sampling. The AD conversion means 22 stores the reflected ultrasound sampling data in the reception memory 23.

  The data separating unit 24 transmits the reflected ultrasonic detection signal stored in the reception memory 23 to the ultrasonic image generating unit 26. The ultrasonic image generation means 26 generates an ultrasonic image based on the detection signal of the reflected ultrasonic wave (Step A7). The image synthesizing unit 27 synthesizes the photoacoustic image generated in step A4 and the ultrasonic image generated in step A7 (step A8). The image synthesized in step A8 is displayed on the image display means 14 (step A9).

  In the present embodiment, the light guide member 152 is provided inside the puncture needle 15, and the light emitting portion 153 (FIG. 2) is provided near the tip of the puncture needle 15. The light guided through the inside of the puncture needle 15 is emitted from the light emitting unit 153, and is irradiated to the photoacoustic wave generation unit near the tip of the puncture needle 15. The photoacoustic wave generated in the photoacoustic wave generation unit due to the absorption of the irradiated light passes through the opening of the puncture needle 15 and is detected by the probe 11. By imaging the photoacoustic wave, the position of the puncture needle 15 can be confirmed in the photoacoustic image. In the present embodiment, the light guide member 152 guides light to the vicinity of the distal end of the puncture needle 15, and the distal end portion of the puncture needle 15 is irradiated with light, and when the puncture needle 15 is punctured at a deep position or the puncture needle Even when 15 is punctured at an angle close to vertical, the position of the puncture needle 15 can be confirmed in the photoacoustic image. Here, the vicinity of the distal end of the puncture needle 15 can image the position of the distal end of the puncture needle 15 with the accuracy required for the puncture operation when the light emitting unit 153 and the photoacoustic wave generating unit are disposed at the positions. It means a position where a photoacoustic wave can be generated. For example, it refers to a range of 0 mm to 3 mm from the distal end of the puncture needle 15 to the proximal end side. In the following embodiments, the vicinity of the tip has the same meaning.

  Next, a second embodiment of the present invention will be described. FIG. 7 shows a cross section of a puncture needle used in the photoacoustic image generation apparatus according to the second embodiment of the present invention. The puncture needle 15a in this embodiment is different from the puncture needle 15 used in the first embodiment shown in FIG. 2 in that it further includes a light absorbing member 154. The light absorbing member 154 constitutes at least a part of the photoacoustic wave generating part of the puncture needle 15a. The configuration of the photoacoustic image generation apparatus is the same as that of the first embodiment shown in FIG.

  The puncture needle 15a has a light absorbing member 154 at a position where light emitted from the light emitting portion of the light guide member 152 is irradiated. The light absorbing member 154 is provided in the vicinity of the tip of the puncture needle 15a and on the inner wall of the puncture needle main body 151, and absorbs light emitted from the light emitting portion to generate a photoacoustic wave. The light absorbing member 154 is made of, for example, an epoxy resin mixed with a black pigment, a polyurethane resin, a fluororesin, a silicone rubber, or a black paint having high light absorption with respect to the wavelength of laser light. In FIG. 7, the light absorption member 154 is drawn larger than the light guide member 152, but is not limited to this, and the light absorption member 154 has the same size as the diameter of the light guide member 152. There may be.

  Instead of the above, a metal film or an oxide film having light absorption with respect to the wavelength of the laser light may be used as the light absorption member 154. For example, as the light absorbing member 154, an oxide film such as iron oxide, chromium oxide, or manganese oxide that has high light absorption with respect to the wavelength of laser light can be used. Alternatively, a metal film such as Ti or Pt that has lower light absorption than oxide but high biocompatibility may be used as the light absorption member 154. Further, the position where the light absorbing member 154 is provided is not limited to the inner wall of the puncture needle body 151. For example, a metal film or an oxide film that is the light absorbing member 154 is formed on the light emitting portion 153 (see FIG. 2) by vapor deposition or the like to a thickness of, for example, about 100 nm, and the oxide film emits light. The portion 153 may be covered. In this case, at least part of the light emitted from the light emitting portion 153 is absorbed by the metal film or oxide film covering the light emitting surface, and a photoacoustic wave is generated from the metal film or oxide film.

  In the present embodiment, the puncture needle 15 has a light absorbing member 154. By irradiating the light absorbing member 154 with the light emitted from the laser unit 13, the photoacoustic wave generated from the distal end portion of the puncture needle can be strengthened as compared with the case where the light absorbing member 154 is not provided. For this reason, even when the energy of light emitted from the laser unit 13 is low, a photoacoustic wave can be generated efficiently. Other effects are the same as those of the first embodiment.

  Subsequently, a third embodiment of the present invention will be described. FIG. 8 shows a cross section of a puncture needle used in the photoacoustic image generation apparatus according to the third embodiment of the present invention. The puncture needle 15b in the present embodiment is the puncture needle 15a used in the second embodiment shown in FIG. 7 in that the light absorbing member 155 also serves as a fixing member that fixes the light guide member 152 to the inner wall of the puncture needle. Is different. The configuration of the photoacoustic image generation apparatus is the same as that of the first embodiment shown in FIG.

  The light absorbing member 155 which is also a fixing member is made of, for example, an epoxy resin mixed with a black pigment, a polyurethane resin, a fluororesin, or silicone rubber. The light absorbing member 155 covers, for example, the light emitting end of the optical fiber that is the light guide member 152 and fixes the end face of the optical fiber to the inner wall of the puncture needle main body 151. By doing so, the light guide member 152 can be fixed, and the positional relationship between the tip of the puncture needle 15b and the tip of the light guide member 152 (light emitting portion) can be accurately grasped. Other effects are the same as those of the second embodiment.

  Next, a fourth embodiment of the present invention will be described. FIG. 9 shows a cross section of the puncture needle used in the photoacoustic image generating apparatus according to the fourth embodiment of the present invention. This embodiment is different from the first embodiment in that the end face (light emitting portion 153) on the light emitting side of the optical fiber constituting the light guiding member 152 is formed obliquely. The configuration of the photoacoustic image generation apparatus is the same as that of the first embodiment shown in FIG. In this embodiment as well, the puncture needle may have the light absorbing member 154 (see FIG. 7) as in the second embodiment. Further, similarly to the third embodiment, the puncture needle may have a light absorbing member 155 (see FIG. 8) that also serves as a fixing member.

  In the present embodiment, the end face of the light guide member (optical fiber) 152 constituting the light emitting portion 153 is not vertical but is inclined at an angle α. More specifically, the angle of the end face of the optical fiber constituting the light guide member 152 is 0 ° in the direction parallel to the extending direction of the optical fiber, and the angle in the direction perpendicular to the extending direction of the optical fiber. In the case of 90 °, the angle is 45 ° or more and less than 90 °. If the refractive index of the optical fiber (core) is about 1.45, and the inside of the puncture needle 15 is filled with air or water, the light traveling through the optical fiber is at the end face of the optical fiber on the light emitting side. Refracts toward the inner wall of the puncture needle 15. By doing in this way, more light can be irradiated to the inner wall of the puncture needle 15, and a photoacoustic wave can be efficiently generated at the distal end portion of the puncture needle 15.

  Next, a fifth embodiment of the present invention will be described. FIG. 10 shows a photoacoustic image generation apparatus according to the fifth embodiment of the present invention. The photoacoustic image generation apparatus according to the present embodiment includes a laser unit 16 (second light source) in addition to the photoacoustic image generation apparatus 10 according to the first embodiment shown in FIG. In this embodiment as well, the puncture needle may have a light absorbing member 154 (see FIG. 7) as in the second embodiment, and the puncture needle may have a fixing member as in the third embodiment. You may have the light absorption member 155 (refer FIG. 8) which doubles. Further, similarly to the fourth embodiment, the light emitting end of the optical fiber may be formed obliquely (see FIG. 9).

  The laser unit 16 emits laser light applied to the subject from the surface of the subject. The wavelength of the laser light may be appropriately set according to the biological tissue to be observed. The laser unit 16 is configured as a solid-state laser light source using, for example, alexandrite as a laser medium. The light emitted from the laser unit 16 is guided to the probe 11 using an optical fiber or the like, and is irradiated on the subject from the light irradiation unit provided on the probe 11. Instead of performing light irradiation from the probe 11, laser light may be irradiated from a place other than the probe 11. The probe 11 detects a photoacoustic wave (second photoacoustic wave) generated due to the light emitted from the laser unit 16 and then irradiated on the subject.

  Since the light emitted from the laser unit 16 as the second light source is irradiated to a relatively wide range of the subject, the laser unit 16 preferably emits a high-energy laser beam. On the other hand, the light emitted from the laser unit 13 as the first light source need only be able to irradiate only a limited range of the tip of the puncture needle 15, and since the energy density is high, the first light source has a high output. It may not be a laser light source. For example, when both the laser unit 13 and the laser unit 16 are configured as a solid-state laser light source using a flash lamp as an excitation light source, the laser unit 13 can emit the flash lamp with weaker intensity than the laser unit 16. Good.

  Regarding the wavelength of the laser beam, the laser unit 13 and the laser unit 16 may have different wavelengths. For example, a laser light source having a wavelength of 700 nm to 800 nm that can efficiently image a blood vessel to be observed can be used for the laser unit 16 that is the second light source. On the other hand, a laser light source having a wavelength of 1064 nm or 532 nm can be used for the laser unit 13 as the first light source. The wavelength of the laser beam emitted from the laser unit 13 is a wavelength region (700 nm to 1100 nm) where the transmittance of the living tissue is not absorbed locally even when the light emitted from the laser unit 13 enters the living body. It is particularly preferable that The laser unit 13 and the laser unit 16 may have different types of laser light sources. For example, a semiconductor laser or an optical amplification type laser light source may be used for the laser unit 13, and a solid laser light source such as Nd: YAG (neodymium YAG), YAG, or alexandrite may be used for the laser unit 16.

  Consider the driving conditions of the laser unit 13. The frequency component of the photoacoustic wave generated at the distal end portion of the puncture needle 15 after the light is emitted from the laser unit 13 varies depending on the pulse width of the pulsed laser light emitted from the laser unit 13. FIG. 11 is a graph showing frequency characteristics of photoacoustic waves generated due to irradiation with pulsed laser light. In the graph, the horizontal axis represents frequency and the vertical axis represents signal intensity. FIG. 11 shows an actual measurement value of the frequency characteristic (a) of the photoacoustic wave with respect to the pulse laser beam having a pulse width of 5.7 ns. Moreover, the calculated value of the frequency characteristic (b) of the photoacoustic wave assumed when the pulse width is 50 ns, and the calculated value of the frequency characteristic (c) of the photoacoustic wave assumed when the pulse width is 75 ns. The calculated value of the frequency characteristic (d) of the photoacoustic wave assumed when the pulse width is 100 ns is also shown. The vertical axis is normalized by the maximum intensity of the photoacoustic wave with respect to the pulse width of 5.7 ns. It is assumed that a solid-state laser light source of Nd: YAG is used for the laser unit 13.

  Referring to FIG. 11, it can be seen that the high frequency component of the photoacoustic wave becomes weaker as the pulse width becomes wider. It can also be seen that the overall intensity of the photoacoustic wave also decreases. A detectable frequency range of a general medical probe is 2 MHz to 20 MHz. For example, a probe having a center frequency of 8 MHz can detect acoustic waves in the range of 4 MHz to 12 MHz. In order to be able to detect the photoacoustic wave generated at the distal end portion of the puncture needle 15 using a general medical probe, the laser unit 13 has a photoacoustic wave having a sufficient intensity in a frequency range detectable by the probe. It is preferable to emit a pulse laser beam having a generated pulse width. If the pulse width of the pulse laser beam exceeds 100 ns, the signal of the frequency component in the range of 2 MHz-20 MH does not have sufficient intensity, so the upper limit of the pulse width is preferably 100 ns. When a laser diode light source is used for the laser unit 13, the light intensity of the pulsed laser light is substantially proportional to the pulse width, so that the overall intensity of the laser light decreases as the pulse width is reduced. In order to generate a photoacoustic wave having an intensity detectable by the probe 11 at the tip of the puncture needle 15, it is considered that a minimum pulse width of 5 ns is necessary. In summary, the pulse width of the pulse laser beam emitted from the laser unit 13 is preferably in the range of 5 ns to 100 ns.

As for the energy of the pulsed laser beam, as a result of the experiment, it was possible to visualize the photoacoustic wave generated at the tip of the puncture needle 15 if one pulse was 0.8 μJ or more. Considering the addition average, the addition average is possible up to about 1000 times. In this case, if it is 0.03 μJ or more in one pulse, the level becomes visible. The upper limit of the energy, the higher than 50μJ one pulse, 200 [mu] m-core fiber with an energy density of 160 mJ / cm 2 or more, becomes an energy density 40 mJ / cm 2 or more at 400μm core fiber, the reference value of biosafety a level (at a wavelength of 750m~1064nm 20mJ / cm 2 ~100mJ / cm 2). Therefore, an energy higher than 50 μJ is not preferable. In summary, the energy per pulse is preferably 0.03 μJ or more and 50 μJ or less.

  In this embodiment, two light irradiations are performed. One is irradiation of the light emitted from the laser unit 13 to the distal end portion of the puncture needle 15, and the other is irradiation of the light emitted from the laser unit 16 to the subject. In the present embodiment, in addition to the first photoacoustic wave generated due to the light irradiation on the tip portion of the puncture needle 15, the second photoacoustic wave generated due to the light irradiation on the subject is detected. . The photoacoustic image generation means 25 generates a second photoacoustic image based on the second photoacoustic wave in addition to the first photoacoustic image based on the first photoacoustic wave.

  FIG. 12 shows an operation procedure in the present embodiment. The puncture needle 15 is punctured into the subject by a doctor or the like (step B1). After puncturing with the puncture needle 15, the control means 28 of the ultrasonic unit 12 sends a trigger signal to the laser unit 13 that is the first light source. Upon receiving the trigger signal, the laser unit 13 starts laser oscillation and emits pulsed laser light. The pulsed laser light emitted from the laser unit 13 is guided to the vicinity of the distal end of the puncture needle 15 by the light guide member 152 (see FIG. 2), is emitted from the light emitting portion 153, and reaches the distal end portion of the puncture needle 15. Irradiation (step B2).

  The probe 11 detects the first photoacoustic wave generated in the subject by the laser light irradiation (step B3). The AD conversion means 22 receives the first photoacoustic wave detection signal via the receiving circuit 21, samples the first photoacoustic wave detection signal, and stores it in the reception memory 23. The data separation unit 24 transmits the first photoacoustic wave detection signal stored in the reception memory 23 to the photoacoustic image generation unit 25, and the photoacoustic image generation unit 25 detects the first photoacoustic wave detection signal. A first photoacoustic image is generated based on (Step B4). The steps up to here may be the same as the operation procedure (see FIG. 6) described in the first embodiment.

  The control means 28 sends a laser oscillation trigger signal to the laser unit 16 that is the second light source. In response to the laser oscillation trigger signal, the laser unit 16 turns on an excitation light source such as a flash lamp to excite the laser medium, and then turns on the Q switch to emit pulsed laser light. The laser light emitted from the laser unit 16 is irradiated to a relatively wide range of the subject from the probe 11 or the like (step B5).

  The probe 11 detects the second photoacoustic wave generated due to the laser beam irradiation in step B5 (step B6). The AD conversion means 22 receives the detection signal of the second photoacoustic wave via the receiving circuit 21, samples the detection signal of the second photoacoustic wave, and stores it in the reception memory 23. The data separation unit 24 transmits the second photoacoustic wave detection signal stored in the reception memory 23 to the photoacoustic image generation unit 25, and the photoacoustic image generation unit 25 detects the second photoacoustic wave detection signal. Based on the above, a second photoacoustic image is generated (step B7).

  The control means 28 transmits an ultrasonic trigger signal to the transmission control circuit 29, and the transmission control circuit 29 transmits ultrasonic waves from the probe 11 in response thereto (B8). The probe 11 detects the reflected ultrasonic wave after transmitting the ultrasonic wave (step B9). The AD conversion means 22 receives the reflected ultrasonic detection signal via the receiving circuit 21, samples the reflected ultrasonic detection signal, and stores it in the reception memory 23. The data separating unit 24 transmits the reflected ultrasonic detection signal stored in the reception memory 23 to the ultrasonic image generating unit 26. The ultrasonic image generating means 26 generates an ultrasonic image based on the detection signal of the reflected ultrasonic wave (Step B10). Steps from transmission of ultrasonic waves to generation of ultrasonic images may be the same as the operation procedure described in the first embodiment.

  The image synthesizing unit 27 synthesizes the first photoacoustic image generated in step B4, the second photoacoustic image generated in step B7, and the ultrasonic image generated in step B10 (step B11). ). The image synthesized in step B11 is displayed on the image display means 14 (step A9).

  In the above description, the irradiation with the light emitted from the laser unit 13 as the first light source and the irradiation with the light emitted from the laser unit 16 as the second light source are performed separately. It is good also as performing light irradiation simultaneously. In that case, the probe 11 has a first photoacoustic wave resulting from irradiation of light emitted from the laser unit 13 serving as the first light source and light emitted from the laser unit 16 serving as the second light source. The second photoacoustic wave resulting from irradiation is detected simultaneously (at the same time). In this case, since the generation of the photoacoustic image is sufficient, the image display can be performed in a shorter time than when two photoacoustic images are generated and synthesized (superimposed) later.

  In the present embodiment, the subject is irradiated with light emitted from the laser unit 16 that is the second light source, and the second photoacoustic wave is detected to generate a second photoacoustic image. By referring to the second photoacoustic image, the distribution of a light absorber such as blood can be imaged. In addition to the irradiation of the light emitted from the laser unit 16, the light emitted from the laser unit 13, which is the first light source, is irradiated to the tip portion of the puncture needle 15, and a photoacoustic wave is generated therefrom, whereby the laser Even when the tip of the puncture needle 15 is in a deep part where the light emitted from the unit 16 does not reach, the position of the tip of the puncture needle can be confirmed in the photoacoustic image.

  Subsequently, a sixth embodiment of the present invention will be described. In this embodiment, the puncture needle further includes an inner needle that seals at least a part of the lumen of the puncture needle body. The inner needle has, for example, an outer diameter that is approximately the same as the inner diameter of the puncture needle body that constitutes the outer needle, and is configured to be removable from the hollow puncture needle body. The inner needle is made of a light-absorbing material, for example, a black resin. A light guide member is embedded in the inner needle. The inner needle, particularly the tip portion thereof, also serves as a light absorbing member that generates an acoustic wave by absorbing light emitted from the light emitting portion of the light guide member. The overall configuration of the photoacoustic image generation apparatus may be the same as that of the photoacoustic image generation apparatus according to the first embodiment shown in FIG. 1, or may be the same as that of the photoacoustic image generation apparatus according to the fifth embodiment shown in FIG. .

  FIG. 13 shows a cross section near the tip of the puncture needle used in the present embodiment. The puncture needle 15c has an inner needle 158 inside a hollow puncture needle main body 151 having an opening at a tip formed at an acute angle and having a lumen inside. The inner needle 158 is made of a fluorine resin such as black polyamide resin or PTFE (polytetrafluoroethylene). The tip of the inner needle 158 is formed at an acute angle like the tip of the puncture needle body 151. A light guide member 152 is embedded in the inner needle 158. For the inner needle 158 having the light guide member 152 therein, for example, the light guide member 152 is disposed in a tube having an inner diameter similar to the inner diameter of the puncture needle main body 151, and then black polyamide resin or fluororesin is poured into the tube. It can be produced by cutting the tip. The light emitted from the light emitting portion 153 of the light guide member 152 is applied to the tip portion of the inner needle 158 having light absorption, and a photoacoustic wave is generated at the tip portion of the inner needle 158. The generated photoacoustic wave is detected by the probe 11 (see FIG. 1). The position where the light guide member 152 is embedded in the inner needle 158 is not particularly limited. It may be near the center of the inner needle 158 or may be a portion close to the inner wall of the puncture needle main body 151, as shown in FIG.

  14A shows the appearance of the puncture needle 15c in the present embodiment, FIG. 14B shows the appearance of the puncture needle main body 151, and FIG. 14C shows the appearance of the inner needle 158. The puncture needle main body 151 constituting the outer needle is bonded to the outer needle base 156 (see FIG. 14B), and the inner needle 158 is bonded to the inner needle base 159 (see FIG. 14C). The inner needle 158 is inserted into the lumen of the puncture needle main body 151 from the outer needle base 156 side to prevent at least a part of the lumen of the puncture needle main body 151 from penetrating a living body section or the like into the lumen. Seal. The inner needle base 159 is provided with a protruding portion for connection position alignment, and the outer needle base 156 is provided with a groove that engages with the protruding portion of the inner needle base 159. When setting the inner needle 158 in the puncture needle main body 151, the inner needle base 159 is fitted to the outer needle base 156 after the positions of the protrusions of the inner needle base 159 and the grooves of the outer needle base 156 are aligned. .

  The surgeon punctures the subject with the puncture needle 15c in a state where the inner needle 158 is set in the puncture needle main body 151 (see FIG. 14A). Since the lumen of the puncture needle main body 151 is blocked by the inner needle 158, it is possible to prevent a piece of meat from being caught while the needle is being punctured, and to prevent the operator's sense of puncturing from being hindered. Moreover, the inflow of moisture from the puncture site to the lumen of the puncture needle main body 151 can be prevented. After puncturing the subject, the surgeon releases the connection between the inner needle base 159 and the outer needle base 156 and removes the inner needle 158 from the puncture needle body 151. After the inner needle 158 is removed, a syringe or the like is attached to the outer needle base 156, and for example, a drug such as an anesthetic is injected. Alternatively, a biopsy sample is collected from a location where the puncture needle 15c of the subject is punctured.

  FIG. 15 shows the connection between the laser unit 13 and the puncture needle 15c. For the laser unit 13, for example, a laser diode light source is used. The laser diode light source and its drive circuit are accommodated in a box having a width of 125 mm, a depth of 70 mm, and a height of about 40 mm. The laser unit 13 is supplied with DC (Direct Current) power from, for example, a USB (Universal Serial Bus) terminal provided in the ultrasonic unit. The pulse energy of the pulse laser beam emitted from the laser unit 13 is, for example, 0.006 mJ, and the pulse width is, for example, 60 ns-100 ns. The number of repetitions (frequency) per unit time of the pulse laser beam is, for example, 30 Hz or more.

  An optical fiber 30 is used for light guide from the laser unit 13 to the puncture needle 15c. The optical fiber 30 has an optical connector 31 at the distal end (the far end side when viewed from the laser unit 13). An optical connector for connecting the optical connector 31 is provided on the inner needle base 159 of the puncture needle 15c. The light guided by the optical fiber 30 enters the light guide member 152 (see FIG. 13) in the inner needle 158 from the optical connector 31 and is irradiated from the light emitting portion 153 to the tip portion of the inner needle 158. When the inner needle base 159 is provided with an optical connector, the optical fiber 30 for guiding the light emitted from the laser unit 13 to the inner needle can be handled separately from the inner needle portion. The inner needle portion including 158 and the inner needle base 159 can be sterilized and packed in a bag. In use, the inner needle portion is taken out of the sterilization bag, and the optical connector provided on the inner needle base 159 and the optical connector 31 provided on the optical fiber 30 may be connected.

  In the above description, the optical connector is provided on the inner needle base 159. However, instead of providing the optical connector on the inner needle base 159, an optical fiber extending from the inner needle base 159 is also provided on the puncture needle 15c side. An optical connector may be provided at the tip of the optical fiber. In that case, the inner needle portion including the optical fiber extending from the inner needle base 159 may be sterilized and packed in a bag. When the optical connector is provided on the inner needle base 159, the inner needle base 159 is heavier than the optical connector without the optical connector. If the inner needle base 159 is too heavy, the weight balance of the puncture needle 15c may deteriorate, and the puncture needle 15c may be difficult to handle. In such a case, an optical connector may be provided at a position away from the inner needle base 159.

  The optical fiber extending from the inner needle base 159 may be polished so that the optical fiber end face can be guided without providing an optical connector, or the optical fiber end face may be cut smoothly. In that case, it is preferable to provide a receptacle having a structure in which the tip of the optical fiber extending from the inner needle base 159 is inserted and the inserted optical fiber is suppressed by a spring force on the laser unit 13 side. In this case, when a certain force or more is applied to the optical fiber, the optical fiber comes out of the receptacle, so that the optical fiber is not broken due to excessive force. Further, it is not necessary to attach an optical connector (plug) to the optical fiber extending from the inner needle base 159 side, and the cost of the puncture needle can be reduced.

  In the present embodiment, the puncture needle 15c has an inner needle 158. Since the inner needle 158 closes the lumen of the puncture needle main body 151 constituting the outer needle, the operator can puncture the subject with the puncture needle 15c without hindering the sense of piercing. In addition, moisture or the like can be prevented from flowing back through the lumen of the puncture needle body 151. In the present embodiment, the inner needle is made of a light-absorbing material, and the light guide member 152 is provided inside the inner needle 158. Light is guided to the distal end portion of the puncture needle by the light guide member 152 and light is emitted from the light emitting portion 153 to the distal end portion of the inner needle 158, thereby generating a photoacoustic wave at the distal end portion of the inner needle 158. It is possible to visualize the tip of the puncture needle with a photoacoustic image.

  Next, a seventh embodiment of the present invention will be described. In the sixth embodiment, the light guide member 152 is disposed inside the inner needle 158 (see FIG. 13). In the present embodiment, the light guide member 152 itself is used as an inner needle that seals at least a part of the lumen of the puncture needle body 151. Further, at least a part of the light guide member 152 including the light emitting portion 153 is covered with a light-absorbing film such as a black fluororesin. Other configurations may be the same as in the sixth embodiment.

  FIG. 16 shows the appearance of the inner needle used in the puncture needle in this embodiment. The light guide member 152 has an outer diameter that is approximately the same as the inner diameter of the hollow puncture needle body 151. For the light guide member 152, for example, an optical fiber having a core diameter of about 400 μm is used. The total diameter of the light guide member 152 including the clad and coating is about 550 μm. The inner needle has a black fluororesin film 160 at a part including the tip of the light guide member 152. The inner needle only needs to have a black fluororesin film 160 at least at the tip of the light guide member 152, and may have a black fluororesin film over the entire length of the light guide member 152.

  FIG. 17 shows a cross section of the distal end portion of the inner needle. By having the light-absorbing black fluororesin film 160 at the tip portion of the light guide member 152, the light emitting portion 153 of the light guide member 152 is covered with the black fluororesin film 160. The light emitted from the light emitting portion 153 is absorbed by the black fluororesin film 160, and a photoacoustic wave is generated at the tip portion of the inner needle 158. The generated photoacoustic wave is detected by the probe 11 (see FIG. 1).

  In the present embodiment, the light guide member 152 is used as an inner needle, and the lumen of the puncture needle main body 151 is closed by the light guide member 152. In the present embodiment, unlike the sixth embodiment, the light guide member 152 itself closes the lumen of the puncture needle main body 151. Therefore, an optical fiber having a larger diameter can be used for the light guide member 152 than in the sixth embodiment. . Other effects are the same as in the sixth embodiment.

  Further, an eighth embodiment of the present invention will be described. FIG. 18 shows a cross section of the inner needle used in the eighth embodiment of the present invention. In the present embodiment, the inner needle includes a tube 161, a light guide member 152, and a light absorbing member 154. Tube 161, light guide member 152, and light absorption member 154 constitute an inner needle that is inserted into the lumen of the puncture needle body. Although not shown in FIG. 18, the tube 161 and the light guide member 152 are bonded to the inner needle base 159 (see FIG. 14C). The tube 161, the light guide member 152, and the light absorbing member 154 are inserted into the lumen of the puncture needle main body 151 from the outer needle base 156 (see FIG. 14B) side. Other configurations may be the same as in the sixth embodiment.

  The tube 161 is a hollow tube that houses the light guide member 152 therein. The tube 161 is made of a fluororesin such as PTFE, for example. The light guide member 152 is an optical fiber having a core diameter of 200 μm, for example, and the outer diameter of the tube 161 is 406 μm, for example. A light absorbing member 154 is disposed at the tip of the tube 161. The light absorbing member 154 is cut at an acute angle similarly to the tip of the puncture needle formed at an acute angle. For the light absorbing member 154, an epoxy resin, a polyurethane resin, a fluororesin, a silicone rubber, or the like mixed with a black pigment having a light absorbing property can be used. There is a gap between the light emitting portion 153 of the light guide member 152 and the light absorbing member 154. In other words, the light emitting portion 153 of the light guide member 152 and the light absorbing member 154 are opposed to each other with an air layer interposed therebetween.

  The light emitted from the laser unit 13 (see FIG. 15) is guided by the light guide member 152 to the vicinity of the tip of the puncture needle (inner needle), and is irradiated from the light emitting unit 153 to the light absorbing member 154 through the gap. The The light absorbing member 154 absorbs the irradiated light, so that a photoacoustic wave is generated at the distal end portion of the puncture needle. At this time, since the acoustic impedance of the light absorbing member 154 is closer to that of living tissue than air, most of the photoacoustic wave generated by the light absorbing member 154 is emitted to the outside from the opening of the puncture needle. Thus, by providing an air layer on the back side of the light absorbing member 154, the photoacoustic wave generated by the light absorbing member 154 can be efficiently emitted from the front.

  Next, a ninth embodiment of the present invention will be described. FIG. 19 shows a cross section near the tip of the puncture needle used in the ninth embodiment of the present invention. The puncture needle 15d in the present embodiment includes a puncture needle main body 151, a tube 161, a transparent resin 163, a light guide member 152, and a light absorbing member 154. The tube 161, the transparent resin 163, the light guide member 152, and the light absorbing member 154 constitute an inner needle 158 that is inserted into the lumen of the puncture needle main body 151. Although not shown in FIG. 19, the tube 161 and the light guide member 152 are bonded to the inner needle base 159 (see FIG. 14C). The inner needle 158 is inserted into the lumen of the puncture needle main body 151 from the outer needle base 156 (see FIG. 14B) side. Other configurations may be the same as in the sixth embodiment.

  The tube 161 is a hollow tube made of polyimide, for example. The tube 161 may be a metal tube such as stainless steel. The transparent resin 163 is disposed in the tube 161. For the transparent resin 163, for example, an epoxy resin (adhesive) is used. The transparent resin 163 only needs to block at least the tip of the tube 161, and does not necessarily need to block the entire inside of the tube 161. As the transparent resin 163, a photo-curing type, a thermosetting type, or a room-temperature curing type can be used.

  The light guide member 152 is embedded in the tube 161 with a transparent resin 163. The light emitting end of the light guide member 152 constitutes a light emitting portion 153. The distal end portion of the tube 161 has a light absorbing member 154, and the light emitted from the light emitting portion 153 is applied to the light absorbing member 154. For the light absorbing member 154, for example, epoxy resin mixed with black pigment, polyurethane resin, fluororesin, silicone rubber, or the like can be used.

  The inner needle 158 used in the present embodiment can be manufactured by the following procedure. First, the transparent resin 163 before curing is injected into the tube 161. Next, the light guide member 152 is inserted into the tube 161 and positioned so that the light emitting end of the light guiding member 152 constituting the light emitting portion 153 is disposed in the vicinity of the distal end portion of the tube 161. In this positioning, for example, the light guide member 152 may be observed using a microscope or the like, and the position may be adjusted so that the light emitting end is disposed at the distal end portion of the tube 161. Since the transparent resin 163 has transparency, the position of the light emitting end of the light guide member 152 can be confirmed during adjustment. Instead of the above, the light guide member 152 may be inserted first, and then the transparent resin 163 may be injected.

  After the positioning, the transparent resin 163 is cured by, for example, thermosetting in a state where the light guide member 152 is inserted into the tube 161. Thereafter, the distal ends of the tube 161 and the transparent resin 163 are cut at an acute angle so as to have a shape suitable for the distal end of the puncture needle body 151. Subsequently, a light-absorbing resin constituting the light-absorbing member 154 is applied so as to cover at least a part of the cut surface, and the resin is cured, for example, by thermosetting.

  In the above description, the light guide member 152 is inserted into the inside of the tube 161 to adjust the position, and after the transparent resin is cured, the tube is cut at an acute angle. However, the present invention is not limited to this. The tube may be cut first at an acute angle, the light guide member 152 may be inserted into the tube, the position may be adjusted, and the transparent resin may be cured. In that case, a metal tube may be used as the tube.

  In the present embodiment, the inner needle 158 is configured by the tube 161 and the transparent resin 163, and the light guide member 152 is embedded in the tube 161 by the transparent resin 163. By using the transparent resin 163, the position of the tip of the light guide member 152 can be visually confirmed when the light guide member 152 is embedded, and the light emitting portion 153 can be arranged as close to the tip of the inner needle 158 as possible. It is.

  In the present embodiment, the light absorbing member 154 is disposed on the surface of the distal end portion of the inner needle 158. The light emitted from the light emitting portion 153 of the light guide member 152 is applied to the light absorbing member 154 through the transparent resin 163, and a photoacoustic wave is generated from the light absorbing member 154. Since the photoacoustic wave is generated on the surface of the tip portion of the inner needle 158, there are few attenuation elements, and the photoacoustic wave can be detected stably. In addition, since light is irradiated through the transparent resin 163, the light absorbing member 154 can be irradiated with light even if the position of the light emitting portion 153 is slightly shifted.

  The inventor manufactured an inner needle 158 using an optical fiber having a core diameter of 200 μm for the light guide member 152, attached the inner needle 158 to a block needle having a thickness of 22G (gauge), and inserting the block needle into the insertion angle. An experiment was conducted to determine whether or not the tip position of the needle can be imaged with a photoacoustic image by puncturing at 80 °. A pulse laser beam having a pulse width of 80 ns and a pulse energy of 6.4 μJ is emitted from the light source, and the black epoxy resin provided on the surface of the tip portion of the inner needle 158 is irradiated with light from the optical fiber. The generated photoacoustic wave was detected with a linear probe having a center frequency of 6.5 MHz. When this photoacoustic wave was imaged, it was confirmed that imaging was possible even when puncturing to a position with a depth of 77 mm. Furthermore, it was confirmed that the tip position of the needle can be imaged more clearly by averaging the detection results for 8 times. Further, even when an optical fiber having a core diameter of 100 μm is used for the light guide member 152, when light having a pulse width of 80 ns and a pulse energy of 2.0 μJ is emitted from the light source, imaging can be performed at a position having a depth of 78 mm. Confirmed that it was possible.

  Subsequently, a tenth embodiment of the present invention will be described. FIG. 20 shows a cross section near the tip of the puncture needle used in the tenth embodiment of the present invention. The puncture needle 15e in the present embodiment includes a puncture needle main body 151, a tube 161, a transparent resin 163, a light guide member 152, and a light absorbing member 154. The puncture needle 15e in the present embodiment is the same as the puncture needle 15d in the ninth embodiment shown in FIG. 19 in that the light absorbing member 154 covers the light emitting portion 153 and is embedded in the transparent resin 163 together with the light guide member 152. Is different. Other configurations may be the same as those of the ninth embodiment.

  The inner needle 158 used in the present embodiment can be manufactured by the following procedure. First, a light absorbing resin is attached so as to cover at least a part of the light emitting end of the light guide member 152 constituting the light emitting unit 153. As the light absorbing resin, for example, an epoxy resin mixed with a black pigment, a polyurethane resin, a fluororesin, a silicone rubber, or the like can be used. Next, the light absorbing resin is cured by, for example, heat curing. The light absorbing resin constitutes the light absorbing member 154.

  Subsequently, the light guide member 152 with the light absorbing member 154 attached to the distal end portion is inserted into the tube 161, and the light emitting end of the light guiding member 152 constituting the light emitting portion 153 is in the vicinity of the distal end portion of the tube 161. Position to be placed in In this positioning, for example, the light guide member 152 may be observed using a microscope or the like, and the position may be adjusted so that the light emitting end is disposed at the distal end portion of the tube 161.

  Subsequently, the uncured transparent resin 163 is injected into the tube of the tube 161, and the transparent resin 163 is cured by, for example, thermosetting in a state where the light guide member 152 is inserted into the tube of the tube 161. For the transparent resin 163, for example, a soft epoxy resin with little acoustic wave attenuation may be used. Thereafter, the distal ends of the tube 161 and the transparent resin 163 are cut at an acute angle so as to have a shape suitable for the distal end of the puncture needle body 151. Instead of the above, the light guide member 152 may be inserted first, and then the transparent resin 163 may be injected.

  In the above description, the light guide member 152 having the light absorbing member 154 attached to the tip portion is inserted into the tube 161 and the position thereof is adjusted, and then the tube 161 is cut at an acute angle. However, the present invention is not limited to this. First, the tip of the tube 161 may be cut at an acute angle, and the light guide member 152 with the light absorbing member 154 attached to the tip may be inserted into the tube to adjust the position. In this case, a metal pipe or the like may be used for the tube 161.

  In the present embodiment, a light absorbing member 154 is provided at the light emitting end of the light guide member 152 constituting the light emitting portion 153, and the light guiding member 152 and the light absorbing member 154 are embedded in the transparent resin 163. In this embodiment, compared with the ninth embodiment, the light absorbing member 154 can be pinpointed to make the photoacoustic wave generation source closer to a point sound source. Other effects are the same as those of the ninth embodiment.

  The inventor makes an inner needle 158 using an optical fiber having a core diameter of 200 μm for the light guide member 152, attaches the inner needle 158 to a 22G (gauge) needle, and inserts the needle at an insertion angle of 80. An experiment was conducted to determine whether the tip position of the needle can be imaged with a photoacoustic image. Photoacoustic generated from the black epoxy resin by emitting a pulse laser beam with a pulse width of 80 ns and a pulse energy of 6.4 μJ from the light source, irradiating the black epoxy resin provided on the surface of the tip portion of the optical fiber. Waves were detected with a probe. When this photoacoustic wave was imaged, it was confirmed that imaging was possible even when puncturing to a position with a depth of 77 mm. Furthermore, it was confirmed that the tip position of the needle can be imaged more clearly by averaging the detection results for 8 times. Further, even when an optical fiber having a core diameter of 100 μm is used for the light guide member 152, when light having a pulse width of 80 ns and a pulse energy of 2.0 μJ is emitted from the light source, imaging can be performed at a position having a depth of 78 mm. Confirmed that it was possible.

  In each of the above embodiments, the probe 11 has been described as detecting both photoacoustic waves and reflected ultrasonic waves. However, a probe used for generating an ultrasonic image and a probe used for generating a photoacoustic image are not necessarily limited. They do not have to be identical. Photoacoustic waves and reflected ultrasonic waves may be detected by separate probes. Further, either the detection (sampling) of the photoacoustic wave or the detection (sampling) of the reflected ultrasonic wave may be performed first.

  In the third embodiment, since the refractive index of water, air, etc. existing inside the puncture needle 15 is lower than the refractive index of the optical fiber, the inner wall side (side opposite to the center of the puncture needle) is made longer. The end surface on the light emission side is formed obliquely. When the inside of the puncture needle is filled with a material having a refractive index higher than that of the optical fiber, contrary to FIG. 9, the light exit end side is long so that the center side (opposite side to the inner wall) of the puncture needle is long. It is sufficient to form the end face of the slant.

  In the fifth embodiment, the laser unit 13 and the laser unit 16 are described as independent light sources. However, one light source may serve as the other light source. FIG. 21 shows a modification of the light sources of the first sound source and the second sound source used in the photoacoustic image generation apparatus according to the fifth embodiment. In the modification shown in FIG. 21, the laser unit 16 as the second light source also serves as the first light source. A part of the laser light emitted from the laser unit 16 is branched in the direction of the subject, and at least a part of the remaining light is branched in the direction of the puncture needle 15. The branching ratio can be about 100: 1, for example.

  For example, after the light emitted from the laser unit 16 is diffused by using the diffusion plate 17, the light enters the bundle fiber 19 that is a bundle of about 100 optical fibers through the condenser lens 18. By using the diffusing plate 17 and the condensing lens 18, it is possible to suppress variations in light intensity of light incident on the bundle fiber 19. Some of the bundle fibers 19, for example one, are branched toward the puncture needle 15, and the rest are branched toward the subject. For example, an optical connector for connecting an optical fiber extending from the puncture needle 15 to the probe is provided, and after all light is guided to the probe by the bundle fiber 19, a part of the light guided in the probe is punctured. You may branch to a needle direction. The branching method is not limited to the above, and other branching methods may be used, such as using a beam splitter that transmits most and reflects part of the beam. In this case, it is preferable that the connector connected to the light guide member coming out of the puncture needle is provided on the laser system side.

  In the eighth to tenth embodiments, the example in which the tube 161, the light guide member 152, and the light absorbing member 154 are used as inner needles has been described. However, the present invention is not limited to this. The tube 161 may be made smaller than the inner diameter of the puncture needle main body 151 so as to be along the lumen of the puncture needle main body 151 as in FIG. Even in this case, each effect is maintained.

  The puncture needle is not limited to a needle that is percutaneously punctured from the outside of the subject, and may be a needle for an ultrasonic endoscope. A light guide member 152 and a light absorbing member 154 are provided on a needle for an ultrasonic endoscope, light is irradiated to the light absorbing member 154 provided at the tip of the needle, a photoacoustic wave is detected, and photoacoustics are obtained. An image may be generated. In that case, puncturing can be performed while observing the photoacoustic image and confirming the position of the tip of the needle for the ultrasonic endoscope. The photoacoustic wave generated at the tip of the ultrasonic endoscope needle may be detected using a body surface probe, or may be detected using a probe incorporated in the endoscope.

  The light guide member 152 such as an optical fiber may be fixed to the inner wall with an adhesive within the lumen of an insert such as a puncture needle. Alternatively, a hollow tube (tube) having a smaller diameter than the lumen may be passed through the lumen of the insert, and the light guide member 152 may be fixed by the tube. FIG. 22A is a perspective view of the puncture needle, and FIG. 22B shows an AA cross section. As shown in FIG. 2A, the puncture needle 15f has a tube 162 inside the puncture needle main body 151. As shown in FIG. 5B, the light guide member 152 is held between the lumen of the puncture needle main body 151 and the tube 162. The outer diameter of the tube 162 is smaller than the inner diameter of the puncture needle body 151 by the outer diameter of the light guide member 152.

  In assembling the puncture needle 15f, first, the light guide member 152 is passed through the lumen of the puncture needle 15f, and then the tube 162 is inserted into the lumen of the puncture needle main body 151. The light guide member 152 is pressed against the inner wall of the puncture needle main body 151 by the inserted tube 162, thereby fixing the light guide member 152 to the lumen of the puncture needle main body 151. The tube 162 maintains the light guide member 152 at a predetermined position in the lumen by the frictional force between the tube 162 and the inner wall of the puncture needle body 151. Furthermore, the lumen of the puncture needle main body 151 and the tube 162 may be bonded using an adhesive.

  As the material of the tube 162, for example, metal, fluororesin, polyimide, or the like can be used. When a metal such as stainless steel is used for the material of the tube 162, the light guide member 152 can be firmly held. When a fluororesin is used for the material of the tube 162, the thickness (thickness) of the tube can be made thinner than when a metal is used for the material of the tube 162, and the flow rate of the chemical solution or the like can be increased. When polyimide is used as the material of the tube 162, since the polyimide is hard, it can be easily inserted into the puncture needle body 151 and is easy to assemble. Moreover, the thickness of the tube can be reduced, and the flow rate of the chemical solution can be increased. In addition, you may add an additive etc. to each material.

  The light emitted from the light guide member 152 is applied to the light absorbing member 154 provided in the vicinity of the tip of the puncture needle main body 151, and a photoacoustic wave is generated from the light absorbing member 154. The light absorbing member 154 may also serve as a fixing member that fixes the distal end portion of the light guide member to the inner wall of the puncture needle main body 151 as in the third embodiment. Or it is good also as covering at least the front-end | tip part of the light guide member 152 with resin which has a light absorptivity.

  In each said embodiment, although the puncture needle was considered as an insert, it is not limited to this. The insert may be a radiofrequency ablation needle containing an electrode used for radiofrequency ablation, a catheter inserted into a blood vessel, or a catheter inserted into a blood vessel. It may be a guide wire. Alternatively, an optical fiber for laser treatment may be used.

  FIG. 23 shows an example of a radiofrequency ablation needle. Radiofrequency ablation needle 250 includes a light guide member 152 and a light absorbing member 154. The radiofrequency ablation needle 250 is used for radiofrequency acupuncture such as liver cancer and breast cancer. A doctor or the like inserts the radiofrequency ablation needle 250 into the subject so that the tip of the radiofrequency ablation needle (handpiece) 250 is disposed at a desired position. At this time, the electrode (deployment needle) 251 is housed inside the radiofrequency ablation needle 250. When the radiofrequency ablation needle 250 is inserted into the subject, light is emitted from the laser unit 13 (see FIG. 1), and light is irradiated from the light guide member 152 to the light absorbing member 154. The photoacoustic wave generated when the light absorbing member 154 absorbs light is detected by the probe 11 (see FIG. 1), and a photoacoustic image is generated. By referring to this photoacoustic image, the position of the tip of the radiofrequency ablation needle 250 can be confirmed, and the tip of the needle can be placed at an accurate position within the lesion to be cauterized. After the tip of the radiofrequency ablation needle 250 is disposed at a desired position, the electrode 251 is protruded from the radiofrequency ablation needle 250, and a radio wave of about 500 KHz, for example, is irradiated to the target site.

  FIG. 24 shows another example of a radiofrequency ablation needle. In this example, the electrode light guide member 257 and the electrode light absorption member 259 are also attached to the needle-like electrode 251. The electrode light guide member 257 guides light emitted from the laser unit 13 (see FIG. 1). The electrode light emitting portion 258 is provided in the vicinity of the tip portion of the electrode 251 and emits light guided by the electrode light guide member 257. The electrode light absorbing member 259 generates a photoacoustic wave caused by the light emitted from the electrode light emitting portion 258. In the example of FIG. 24, photoacoustic waves are generated at two locations, the tip of the radiofrequency ablation needle 250 and the tip of the electrode 251.

  After the radiofrequency ablation needle 250 is inserted into a desired position, the electrode 251 is protruded from the radiofrequency ablation needle 250. The example shown in FIG. 23 is that when the radiofrequency ablation needle 250 is inserted into a desired position, light is emitted from the laser unit 13 and the position of the tip of the radiofrequency ablation needle 250 can be confirmed using a photoacoustic image. It is the same. After projecting the electrode 251, light is emitted from the laser unit 13, and a light absorbing member 154 provided at the tip of the radiofrequency ablation needle 250 and an electrode light absorbing member 259 provided at the tip of the electrode 251. And irradiate with light. The photoacoustic wave generated at the tip of the radiofrequency ablation needle 250 and the photoacoustic wave generated at the tip of the electrode 251 are detected by the probe 11, and a photoacoustic image is generated. By referring to this photoacoustic image, it is possible to confirm a range (cautery range) irradiated with radio waves.

  FIG. 25 shows a catheter. The catheter 253 is used for endovascular treatment such as percutaneous coronary angioplasty. The catheter 253 is specifically a guiding catheter. The catheter 253 is not limited to a guiding catheter, and may be a balloon catheter. The light guide member 152 is passed through the inside of the catheter 253, and the light emitted from the laser unit 13 (see FIG. 1) is guided to the distal end portion of the catheter 253. A light absorbing member 154 is disposed near the distal end of the catheter 253. A doctor or the like inserts the catheter 253 into the blood vessel so that the distal end of the catheter 253 is disposed at a desired position. At that time, light is emitted from the laser unit 13, and light is irradiated to the light absorbing member 154 disposed near the distal end of the catheter 253 through the light guide member 152. The photoacoustic wave generated when the light absorbing member 154 absorbs light is detected by the probe 11, and a photoacoustic image is generated. By referring to this photoacoustic image, the position of the tip can be confirmed during insertion of the catheter 253.

  FIG. 26 shows a guide wire. The guide wire 254 is a wire for guiding a catheter used for endovascular treatment. A light guide member 152 is attached along the guide wire 254 to guide the light emitted from the laser unit 13 (see FIG. 1) to the distal end portion of the guide wire 254. Instead of attaching the light guide member 152 to the outside of the guide wire 254, the light guide member 152 may be passed through the guide wire 254. A light absorbing member 154 is disposed near the tip of the guide wire 254. A doctor or the like inserts the guide wire 254 into the blood vessel so that the tip of the guide wire 254 is disposed at a desired position. At that time, light is emitted from the laser unit 13, and light is irradiated to the light absorbing member 154 disposed near the tip of the guide wire 254 through the light guide member 152. The photoacoustic wave generated when the light absorbing member 154 absorbs light is detected by the probe 11, and a photoacoustic image is generated. By referring to this photoacoustic image, the position of the tip can be confirmed during the insertion of the guide wire 254.

  FIG. 27 shows an example of an optical fiber for laser treatment. The optical fiber 255 is an optical fiber that is used for applications such as varicose vein treatment and stone destruction. In this example, the optical fiber 255 also serves as a light guide member that guides light emitted from the laser unit 13 (see FIG. 1) to the distal end portion of the insert. A light absorbing member 154 is disposed at the tip of the optical fiber 255. FIG. 28 shows another example of an optical fiber for laser treatment. In this example, the end of the optical fiber 255 is sealed with a cap 256. In this case, the light absorbing member 154 may be disposed at the tip of the cap 256.

  A doctor or the like inserts the optical fiber 255 into the subject so that the tip of the optical fiber 255 is disposed at a desired position. At that time, light is emitted from the laser unit 13, and the light is irradiated to the light absorbing member 154 disposed near the tip through the optical fiber 255. The photoacoustic wave generated when the light absorbing member 154 absorbs light is detected by the probe 11, and a photoacoustic image is generated. By referring to this photoacoustic image, the position of the tip of the optical fiber 255 can be confirmed. After the optical fiber 255 is disposed at a desired position, a therapeutic laser beam may be emitted from the optical fiber 255 by switching the light source.

  In each of the above embodiments, a needle having an opening at the tip is assumed as the needle, but the opening is not necessarily provided at the tip. The needle is not limited to a needle such as an injection needle, and may be a biopsy needle used for biopsy. That is, it may be a biopsy needle that can puncture a living body inspection object and collect a tissue of a biopsy site in the inspection object. Further, the needle may be used as a guiding needle for puncturing to a deep part such as a subcutaneous or abdominal cavity internal organ.

  FIG. 29 shows a cross section of the distal end portion of the biopsy needle. The biopsy needle 164 has a collection part (inhalation port) 165 for aspirating and collecting a tissue of a biopsy site such as a calcified tissue on the side surface. The light guide member 152 is inserted into the biopsy needle 164. The light emitting end of the light guide member 152 constituting the light emitting unit 153 is provided in the vicinity of the sampling unit 165. By arranging the light absorbing member 154 at a position covering the light emitting unit 153, a photoacoustic wave can be generated from the position of the sampling unit 165, and the position of the sampling unit 165 can be confirmed by a photoacoustic image. Become. A light absorbing member 154 may also be provided at the distal end portion of the biopsy needle 164, and photoacoustic waves may be generated at the distal end of the biopsy needle 164 by irradiating the light absorbing member 154 with light.

  The surgeon punctures the subject with the biopsy needle 164 and adjusts the puncture position so that the position of the collection unit 165 is placed at the biopsy site while confirming the position of the collection unit 165 with a photoacoustic image. After being arranged at a desired position, the tissue at the biopsy site is aspirated into the biopsy needle 164 from the collection unit 165, and the tissue at the biopsy site is excised. Thereafter, the tissue sucked from the collection unit 165 is collected.

  As the laser unit 13, a laser unit having the following configuration may be used in addition to those shown in FIGS. 3 and 4. FIG. 30 shows a further configuration example of the laser unit. The laser unit 40 includes a power input terminal 41, a trigger input terminal 42, a DC-DC converter 43, a pulse laser diode light source 45, a coupling optical system 46, and a light output terminal 47. The laser unit 40 is used as the laser unit 13 shown in FIGS. The outer dimensions of the laser unit 40 are, for example, length 74 mm × width 54 mm × height 20 mm.

  The power input terminal 41 is connected to a power supply line of the ultrasonic unit 12 (see FIGS. 1 and 10). The power input terminal 41 is supplied with, for example, 5V DC (Direct Current) power. The trigger input terminal 42 is connected to the signal output line of the ultrasonic unit 12. The power input terminal 41 and the trigger input terminal 42 are configured as USB connectors, for example. The ultrasonic unit 12 has a USB port (receptacle). By inserting a USB connector including a power input terminal 41 and a trigger input terminal 42 into the USB port, power is supplied to the laser unit 40, and the ultrasonic unit. The signal output from 12 is supplied.

  The DC-DC converter 43 converts the voltage of the DC power supplied from the power input terminal 41. The DC-DC converter 43 converts DC5V to DC12V, for example. The pulse laser diode drive circuit 44 drives the pulse laser diode light source 45. The pulse laser diode light source 45 is driven by a DC power source supplied from the DC-DC converter 43. The pulse laser diode drive circuit 44 controls the DC power supplied to the pulse laser diode light source 45 based on the trigger signal input from the trigger input terminal 42, so that the pulse laser light from the pulse laser diode light source 45 can be emitted from the pulse laser diode light source 45 at a desired timing. Is emitted.

  The coupling optical system 46 couples the pulse laser diode light source 45 and the light output terminal 47. The coupling optical system 46 includes, for example, a condenser lens. From the viewpoint of weight reduction, it is preferable that the pulse diode 45, the coupling optical system 46, and the light output terminal 47 are integrated by welding. An optical fiber 48 that guides light to an insert such as the puncture needle 15 is optically connected to the light output terminal 47. The optical fiber 48 is an optical fiber constituting the light guide member 152 in the puncture needle 15, for example. It is preferable that the optical output terminal 47 can be connected to a strand of the optical fiber 48. For example, an FC type bare fiber adapter is used for the optical output terminal 47.

  FIG. 31 shows the appearance of a photoacoustic image generation apparatus including the laser unit 40. A probe 11 is connected to the ultrasonic unit 12. The ultrasonic unit 12 is configured as an integrated apparatus including the image display means 14. The ultrasonic unit 12 incorporates a program related to photoacoustic image generation. The ultrasonic unit 12 has a USB port 32. The USB connector including the power input terminal 41 and the trigger input terminal 42 of the laser unit 40 is inserted into the USB port 32. When the laser unit 40 is a small and light card-sized device, the laser unit 40 can be held by inserting the USB connector into the USB port of the ultrasonic unit 12.

  The puncture needle 15 is not particularly limited, but may be a puncture needle having the inner needle described in the sixth to tenth embodiments. Instead of the puncture needle 15, another insert may be used. One end of the optical fiber constituting the light guide member 152 of the puncture needle 15 is connected to the light output terminal 47 of the laser unit 40. The optical fiber is inserted into the optical output terminal 47 and held by a spring force or the like. When a surgeon pulls the puncture needle 15 to apply a strong force to the light output terminal 47, the optical fiber can be prevented from being pulled out of the light output terminal 47 and broken. In addition, since the optical fiber can be directly inserted into and removed from the optical output terminal 47, it is not necessary to provide a connector for the optical fiber extending from the puncture needle 15, and the cost can be reduced.

  The pulse energy of the pulse laser beam output from the laser unit 40 can be 6.4 μJ if the core diameter of the optical fiber constituting the light guide member 152 is 200 μm. If the core diameter of the optical fiber is 100 μm, it can be set to 2.0 μJ. The pulse time width can be set to 80 ns. The pulse repetition rate may be 60 Hz, for example, when image display is performed at 30 fps. The repetition rate can be realized up to 3300 Hz.

  In FIG. 31, the light output terminal 47 is provided on the surface opposite to the surface on which the USB connector including the power input terminal 41 and the trigger input terminal 42 exists, but the light output terminal 47 has a USB connector. It is preferable to be provided on a surface orthogonal to the surface to be performed. When the USB connector and the optical output terminal 47 are provided on the surfaces facing each other, the USB connector may come out of the USB port 32 when the laser unit 40 is pulled when the surgeon moves the puncture needle 15. On the other hand, when the USB connector and the optical output terminal 47 are provided on surfaces orthogonal to each other, the USB connector is difficult to be disconnected from the USB port 32 even when the laser unit 40 is pulled.

  As mentioned above, although this invention was demonstrated based on the suitable embodiment, the photoacoustic image generation apparatus and puncture needle of this invention are not limited only to the said embodiment, Various from the structure of the said embodiment. Modifications and changes are also included in the scope of the present invention.

10: Photoacoustic image generation device 11: Probe 12: Ultrasonic unit 13: Laser unit (first light source)
14: Image display means 15: Puncture needle 16: Laser unit (second light source)
17: diffusing plate 18: lens 19: bundle fiber 21: receiving circuit 22: AD converting means 23: receiving memory 24: data separating means 25: photoacoustic image generating means 26: ultrasonic image generating means 27: image synthesizing means 28: Control means 29: Transmission control circuit 30: Optical fiber 31: Optical connector 40: Laser unit 41: Power flow terminal 42: Trigger input terminal 43: DC-DC converter 44: Pulse laser diode drive circuit 45: Pulse laser diode light source 46: coupling optical system 47: light output terminal 48: optical fiber 51: laser rod 52: flash lamp 53, 54: mirror 55: Q switch 151: puncture needle body 152: light guide member 153: light emitting portion 154, 155: Light absorbing member 156: outer needle base 158: inner needle 159: inner needle base 160: black fluororesin film 161, 1 2: Tube 163: Transparent resin 164: Biopsy needle 165: Collection unit 250: Radiofrequency ablation needle 251: Electrode 253: Catheter 254: Guide wire 255: Optical fiber 256: Cap 257: Electrode light guide member 258: For electrode Light emitting portion 259: electrode light absorbing member 360, 380: pulsed laser light 351: semiconductor laser light source 352: pumping laser light 353: pumping semiconductor laser light source 354: multiplexer 355: fiber optical amplifier 356: isolator 370: Pulsed laser beam 358: optical wavelength conversion element

Claims (15)

  1. An insert having a lumen and at least a tip portion inserted into a subject,
    A light guide member that is inserted into the lumen and guides light emitted from the light source;
    The cover the light emitting portion is a light emitting end of the light guide member, it has a light absorbing black member for generating a photoacoustic wave by absorbing light emitted from the light emitting portion,
    The light absorbing member is provided on an inner wall of the lumen, and is an insert that also serves as a fixing member that fixes a distal end portion of the light guide member to the inner wall .
  2.   The insert according to claim 1, further comprising a hollow tube for fixing the light guide member to the inner wall of the lumen along the lumen.
  3. The insert according to claim 1 or 2 , further comprising a light-absorbing film on at least a part of the light guide member including the light emitting portion.
  4. The insert according to any one of claims 1 to 3 , further comprising a transparent resin that covers the light absorbing member and embeds the light absorbing member therein.
  5. The insert according to any one of claims 1 to 4 , further comprising an optical connector that detachably connects the light guide member and an optical fiber that guides light emitted from the light source.
  6. The insert according to any one of claims 1 to 5 , wherein the light emitting unit is capable of emitting at least a part of the light guided by the light guide member toward an inner wall of the lumen.
  7. The insert according to any one of claims 1 to 6, wherein the light guide member is an optical fiber, and an end surface of the optical fiber on the light traveling side as viewed from the light source constitutes the light emitting portion.
  8. The insert according to any one of claims 1 to 7, which is a needle to be punctured by a subject.
  9. The insert according to claim 8 , wherein the needle is a biopsy needle that can puncture a living body inspection target and collect tissue at a biopsy site in the inspection target.
  10. The insert according to any one of claims 1 to 7, which is a catheter to be inserted into a blood vessel.
  11. The insert according to any one of claims 1 to 7, which is a guide wire for a catheter to be inserted into a blood vessel.
  12. The insert according to any one of claims 1 to 7, which is a radiofrequency ablation needle that accommodates an electrode used for radiofrequency ablation.
  13. The electrode can protrude from the lumen of the radiofrequency ablation needle, and the radiofrequency ablation needle is provided at an electrode light guide member that guides light emitted from the light source, and a tip portion of the electrode. An electrode light emitting portion that emits light guided by the electrode light guide member, and an electrode light absorbing member that generates a photoacoustic wave due to the light emitted from the electrode light emitting portion insert according to claim 1 2, further comprising and.
  14.   The optical fiber for laser treatment, comprising a light absorbing member that absorbs light emitted from the optical fiber to generate a photoacoustic wave, and the optical fiber also serves as the light guide member. Insert.
  15. A light source;
    A light guide member having a lumen and having at least a tip portion inserted into a subject, the light guide member being inserted into the lumen and guiding light emitted from the light source, and the light guide member A black light-absorbing member that covers a light-emitting portion that is a light-emitting end of the light and absorbs light emitted from the light-emitting portion to generate a photoacoustic wave, and an insert,
    Acoustic wave detection means for detecting a first photoacoustic wave emitted from the insert after at least a portion of the insert is inserted into the subject;
    Photoacoustic image generation means for generating a first photoacoustic image based on the first photoacoustic wave ,
    The photoacoustic image generating apparatus also serving as a fixing member that is provided on an inner wall of the lumen and that fixes a distal end portion of the light guide member to the inner wall .
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WO2018056185A1 (en) * 2016-09-21 2018-03-29 富士フイルム株式会社 Photoacoustic measuring apparatus
JP6628891B2 (en) * 2016-09-21 2020-01-15 富士フイルム株式会社 Photoacoustic image generation device
WO2018056186A1 (en) * 2016-09-21 2018-03-29 富士フイルム株式会社 Photoacoustic measurement apparatus
WO2018061806A1 (en) * 2016-09-27 2018-04-05 富士フイルム株式会社 Object for insertion, photoacoustic measurement device comprising object for insertion, and method for manufacture of object for insertion
JPWO2018146925A1 (en) * 2017-02-10 2019-12-19 富士フイルム株式会社 Optical connector, photoacoustic generator, and method for manufacturing optical connector
JPWO2018146924A1 (en) * 2017-02-10 2020-01-09 富士フイルム株式会社 Optical connector and photoacoustic wave generator
WO2018146929A1 (en) 2017-02-10 2018-08-16 富士フイルム株式会社 Photo-acoustic image generation device
WO2018179966A1 (en) 2017-03-29 2018-10-04 富士フイルム株式会社 Ultrasonic diagnosis device
JPWO2018221384A1 (en) * 2017-05-31 2020-03-19 富士フイルム株式会社 Insert and photoacoustic measurement device provided with the insert
JP2019017411A (en) * 2017-07-11 2019-02-07 株式会社日立製作所 Photoacoustic type catheter system and photoacoustic type catheter control method
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