JP7221285B2 - 切除縁を術中に評価するための画像化方法およびシステム - Google Patents

切除縁を術中に評価するための画像化方法およびシステム Download PDF

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JP7221285B2
JP7221285B2 JP2020523716A JP2020523716A JP7221285B2 JP 7221285 B2 JP7221285 B2 JP 7221285B2 JP 2020523716 A JP2020523716 A JP 2020523716A JP 2020523716 A JP2020523716 A JP 2020523716A JP 7221285 B2 JP7221285 B2 JP 7221285B2
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JP2021501883A5 (enExample
JP2021501883A (ja
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セント.ジョン,マイエ
サディック,ジョージ
テイラー,ザッカリー
グランドフェスト,ウォレン
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University of California San Diego UCSD
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0071Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence by measuring fluorescence emission
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0077Devices for viewing the surface of the body, e.g. camera, magnifying lens
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0082Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/44Detecting, measuring or recording for evaluating the integumentary system, e.g. skin, hair or nails
    • A61B5/441Skin evaluation, e.g. for skin disorder diagnosis
    • A61B5/444Evaluating skin marks, e.g. mole, nevi, tumour, scar
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4866Evaluating metabolism
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4887Locating particular structures in or on the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N21/00Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
    • G01N21/17Systems in which incident light is modified in accordance with the properties of the material investigated
    • G01N21/25Colour; Spectral properties, i.e. comparison of effect of material on the light at two or more different wavelengths or wavelength bands
    • G01N21/27Colour; Spectral properties, i.e. comparison of effect of material on the light at two or more different wavelengths or wavelength bands using photo-electric detection ; circuits for computing concentration
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N21/00Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
    • G01N21/62Systems in which the material investigated is excited whereby it emits light or causes a change in wavelength of the incident light
    • G01N21/63Systems in which the material investigated is excited whereby it emits light or causes a change in wavelength of the incident light optically excited
    • G01N21/64Fluorescence; Phosphorescence
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3904Markers, e.g. radio-opaque or breast lesions markers specially adapted for marking specified tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3937Visible markers
    • A61B2090/3941Photoluminescent markers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2505/00Evaluating, monitoring or diagnosing in the context of a particular type of medical care
    • A61B2505/05Surgical care
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/02Operational features
    • A61B2560/0223Operational features of calibration, e.g. protocols for calibrating sensors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0233Special features of optical sensors or probes classified in A61B5/00
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/04Arrangements of multiple sensors of the same type
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N21/00Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
    • G01N21/62Systems in which the material investigated is excited whereby it emits light or causes a change in wavelength of the incident light
    • G01N21/63Systems in which the material investigated is excited whereby it emits light or causes a change in wavelength of the incident light optically excited
    • G01N21/64Fluorescence; Phosphorescence
    • G01N21/6408Fluorescence; Phosphorescence with measurement of decay time, time resolved fluorescence

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Biophysics (AREA)
  • Chemical & Material Sciences (AREA)
  • Immunology (AREA)
  • General Physics & Mathematics (AREA)
  • Biochemistry (AREA)
  • Analytical Chemistry (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Dermatology (AREA)
  • Mathematical Physics (AREA)
  • Theoretical Computer Science (AREA)
  • Spectroscopy & Molecular Physics (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Obesity (AREA)
  • Investigating, Analyzing Materials By Fluorescence Or Luminescence (AREA)
  • Investigating Or Analysing Biological Materials (AREA)
JP2020523716A 2017-11-01 2018-11-01 切除縁を術中に評価するための画像化方法およびシステム Active JP7221285B2 (ja)

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US201762580383P 2017-11-01 2017-11-01
US62/580,383 2017-11-01
PCT/US2018/058806 WO2019089998A1 (en) 2017-11-01 2018-11-01 Imaging method and system for intraoperative surgical margin assessment

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JP2021501883A JP2021501883A (ja) 2021-01-21
JP2021501883A5 JP2021501883A5 (enExample) 2021-12-09
JP7221285B2 true JP7221285B2 (ja) 2023-02-13

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US (1) US20200323431A1 (enExample)
EP (1) EP3704482A4 (enExample)
JP (1) JP7221285B2 (enExample)
KR (1) KR20200083512A (enExample)
CN (1) CN111433603B (enExample)
WO (1) WO2019089998A1 (enExample)

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EP3523054A4 (en) 2016-10-04 2020-06-03 The Regents of The University of California MULTI-FREQUENCY HARMONIC ACOUSTOGRAPHY FOR TARGET IDENTIFICATION AND BOUNDARY DETECTION
WO2020245726A1 (en) 2019-06-03 2020-12-10 Merunova Pty Ltd. Mri post-processing systems and methods
WO2021034838A1 (en) * 2019-08-20 2021-02-25 Intuitive Surgical Operations, Inc. Systems and a method for directing an imaging device to detect fluorescence and for determining a lifetime of the fluorescence
WO2021211668A1 (en) 2020-04-14 2021-10-21 The Regents Of The University Of California Method and system for selective spectral illumination for optical image guided surgery
WO2021222629A1 (en) * 2020-04-29 2021-11-04 The Regents Of The University Of California System and method for dynamic optical contrast imaging
WO2024060018A1 (en) * 2022-09-20 2024-03-28 Juan Liu Non-invasive method for detection, visualization and/or quantification of an endogenous fluorophore such as melanin in a biological tissue

Citations (5)

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JP2005504561A (ja) 2001-03-01 2005-02-17 トラスティーズ・オブ・ダートマウス・カレッジ 蛍光寿命分光計(fls)および病変組織の検出方法
JP2009258746A (ja) 2001-07-06 2009-11-05 Palantyr Research Llc 撮像システムおよび逆空間光学設計を用いる方法
JP2010233843A (ja) 2009-03-31 2010-10-21 Olympus Medical Systems Corp 診断支援装置
JP2015508905A (ja) 2012-03-02 2015-03-23 ザ リージェンツ オブ ザ ユニヴァーシティー オブ カリフォルニアThe Regents Of The University Of California 時間分解蛍光画像化およびパルス成形のためのシステムおよび方法
JP2015128427A (ja) 2010-01-20 2015-07-16 イー・エム・デイー・ミリポア・コーポレイシヨン 細胞画像取得および遠隔モニタリングシステム

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US20120302892A1 (en) * 2005-07-25 2012-11-29 Niyom Lue Portable optical fiber probe-based spectroscopic scanner for rapid cancer diagnosis
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JP2005504561A (ja) 2001-03-01 2005-02-17 トラスティーズ・オブ・ダートマウス・カレッジ 蛍光寿命分光計(fls)および病変組織の検出方法
JP2009258746A (ja) 2001-07-06 2009-11-05 Palantyr Research Llc 撮像システムおよび逆空間光学設計を用いる方法
JP2010233843A (ja) 2009-03-31 2010-10-21 Olympus Medical Systems Corp 診断支援装置
JP2015128427A (ja) 2010-01-20 2015-07-16 イー・エム・デイー・ミリポア・コーポレイシヨン 細胞画像取得および遠隔モニタリングシステム
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Publication number Publication date
CN111433603B (zh) 2022-08-02
EP3704482A4 (en) 2021-08-18
KR20200083512A (ko) 2020-07-08
US20200323431A1 (en) 2020-10-15
EP3704482A1 (en) 2020-09-09
JP2021501883A (ja) 2021-01-21
WO2019089998A1 (en) 2019-05-09
CN111433603A (zh) 2020-07-17

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