JPWO2007023878A1 - Treatment system - Google Patents

Abstract

The treatment system according to the present invention includes a probe that is brought into contact with a subject, and diagnostic information that is connected to the probe and applies predetermined energy for diagnosis to the treatment site of the subject by the probe. An image diagnostic apparatus for imaging a medical device, a treatment apparatus connected to the probe and treating the treatment site by generating heat with a predetermined energy to be used for treatment, and a response time of heat generation by the treatment device. Setting means for setting, control means for controlling the imaging timing of the diagnostic information of the treatment site by the diagnostic imaging apparatus and the timing of each treatment by the therapeutic apparatus corresponding to the response time set by the setting means; Is provided.

Description

  The present invention relates to a treatment system for displaying an image obtained by diagnosing a treatment site of a subject with an image diagnostic apparatus and treating the displayed image of the treatment site with a treatment apparatus.

In the treatment system, the image diagnosis apparatus and the treatment apparatus are connected so as to be able to transmit and receive signals, and the image diagnosis apparatus is controlled by an operation panel provided in the treatment apparatus.
On the other hand, an ultrasonic diagnostic apparatus is frequently used for one of the image diagnostic apparatuses because of the following items.
(1) Easy to transport.
(2) Imaging can be obtained in real time.
(3) The medium uses ultrasonic waves that are less invasive than X-rays.
The ultrasonic diagnostic apparatus transmits an ultrasonic wave via a probe brought into contact with the subject, and an ultrasonic image (B, M mode image or Doppler mode image) based on a reflected echo signal from the subject Are subjected to scan conversion, and the scan-converted ultrasonic image is displayed on the monitor.

As the other treatment apparatus, an ultrasonic treatment apparatus is frequently used for the reasons (1), (3) and the like.
The ultrasonic treatment apparatus irradiates an ultrasonic wave focused on a treatment site in a subject via a treatment probe, and vibrates and treats the treatment site with the irradiated ultrasonic wave. There are two types of ultrasonic therapy devices called High-Intensity Focused Ultrasound (HIFU) and Low-Intensity Focused Ultrasound (LIFU). HIFU treats the lesion by heat denaturing it by heating with high energy vibration, and LIFU enhances the effect of the drug administered by low energy vibration to treat the lesion. To do.

In the treatment system, the diagnosis of the image diagnostic apparatus and the treatment of the treatment apparatus are alternately performed on the treatment site, and the treatment apparatus is treated while confirming the state of the treatment site by the image diagnosis apparatus. It was.
Specifically, a treatment period by the treatment apparatus is set in units of several seconds, a treatment stop period is provided during the treatment period of several seconds, and diagnosis is performed by the image diagnostic apparatus during the stop period, and the state of the treatment site Had confirmed. (For example, Patent Document 1)
Japanese Unexamined Patent Publication No. 2000-229098

However, Patent Document 1 does not consider the influence of heat diffusion to the peripheral site of the treatment site, and there is no consideration of appropriately controlling the amount of heat required for the treatment site.
The objective of this invention is providing the treatment system which can control appropriately the calorie | heat amount which an operator requires to a treatment site | part.

  The treatment system according to the present invention includes a probe that is brought into contact with a subject, and diagnostic information that is connected to the probe and applies predetermined energy for diagnosis to the treatment site of the subject by the probe. An image diagnostic apparatus for imaging a medical device, a treatment apparatus connected to the probe and treating the treatment site by generating heat with a predetermined energy to be used for treatment, and a response time of heat generation by the treatment device. Setting means for setting, control means for controlling the imaging timing of the diagnostic information of the treatment site by the diagnostic imaging apparatus and the timing of each treatment by the therapeutic apparatus corresponding to the response time set by the setting means; , Provided.

  According to the present invention, it is possible to appropriately control the amount of heat required by the surgeon to the treatment site.

It is a figure which shows one Embodiment of the treatment system of this invention. FIG. 2 is a diagram showing an example of functional blocks of the treatment system of FIG. 2 is a time chart showing an example of control timings of a treatment period and a diagnosis period of the treatment system of FIG. FIG. 2 is a diagram showing an example of an image displayed on a treatment monitor and a diagnostic monitor of the treatment system of the treatment system of FIG. FIG. 2 is a diagram showing an example of setting a region of interest to be observed before or after treatment in the treatment system of FIG. FIG. 2 is a diagram showing one form of a treatment plan image in the ultrasonic treatment apparatus in the treatment system of FIG.

Explanation of symbols

  1 Ultrasonic probe, 2 Image diagnostic equipment (Ultrasonic diagnostic equipment), 3 Treatment equipment (Ultrasonic treatment equipment), 4 Signal cable, 5 Local area network (LAN) cable, 6 Hardware real-time (RT) Cable, 7 Operation panel, 11 Diagnostic (D) transducer array, 12 Treatment (T) transducer array, 20 Diagnostic control circuit, 21 Ultrasonic beam control circuit, 25 Diagnostic monitor, 30 Treatment control circuit, 31 Irradiation control circuit, 32 treatment monitors

An embodiment of a treatment system of the present invention will be described with reference to the drawings.
FIG. 1 is a block diagram showing an embodiment of a treatment system according to the present invention.
In the treatment system, the image diagnosis apparatus 2 and the treatment apparatus 3 are connected so as to be able to send and receive signals, and the image diagnosis apparatus 2 is controlled by an operation panel 7 provided in the image diagnosis apparatus 2.

Here, an ultrasonic diagnostic apparatus will be described as an example of the image diagnostic apparatus 2, and an ultrasonic therapeutic apparatus will be described as an example of the therapeutic apparatus 3.
The treatment system includes an ultrasonic diagnostic apparatus 2 and an ultrasonic treatment apparatus 3 connected to the ultrasonic probe 1 by a signal cable 4, a LAN cable 5, and hardware / RT / cable 6.

The ultrasonic probe 1 is formed by arranging a diagnostic (D) array 11 formed by arranging a plurality of diagnostic ultrasonic transducers and a plurality of therapeutic ultrasonic transducers. The treatment (T) array 12 is stacked. The diagnosis (D) array 11 sends the ultrasonic wave by bringing the ultrasonic probe 1 into contact with the subject 101 and receives the reflected echo signal from the subject 101. The ultrasonic transmission frequency of the diagnosis (D) array 11 is set to 1.5 MHz, for example, in order to obtain a diagnostic image having an image quality for diagnosis.
The ultrasonic transmission frequency of the treatment (T) array 12 is selected from frequencies of 300 kHz to 800 kHz that are suitable for treatment.

  Here, in the example of FIG. 1, the ultrasound probe 1 is placed in the range of the irradiation field 10 from the skull acoustic window of the temple portion having no interlamellar layer and good ultrasonic transmission at the head of the subject. The blood volume distribution status of the sample 101 is monitored. This monitored blood volume distribution is useful information for treating thrombotic sites near the middle cerebral artery and Willis's ring with ultrasound for cerebral thrombolysis.

The ultrasonic probe 1 having such a configuration is connected to the ultrasonic diagnostic apparatus 2 and the ultrasonic treatment apparatus 3 via the cable 4, the connector CON-D, and the connector CON-T, respectively. In this connection mode, the cable 4 from the ultrasound probe 1 is first connected to the ultrasound diagnostic apparatus 2 via the connector CON-D, and further from the connector CON-D to the ultrasound treatment apparatus 3 the connector CON Connected via -T. The reason for this connection is that the ultrasonic diagnostic device 2 is more susceptible to the sensitivity to impedance matching to the wavelength of the ultrasonic signal, so the length of the signal cable 4 that transmits and receives with the ultrasonic diagnostic device 2 is reduced. This is because it is necessary to make it as short as possible.
This connection has an effect that it is easy to ensure the sensitivity of the ultrasonic wave of the ultrasonic diagnostic apparatus and it is difficult to receive noise from the ultrasonic therapy apparatus.

The ultrasonic diagnostic apparatus 2 has the following components.
The ultrasonic beam control circuit 21 transmits ultrasonic waves from the diagnostic (D) array 11 of the ultrasonic probe 1 and performs control for receiving a reflected echo signal via the diagnostic (D) array 11. . The received reflected echo signal is sent to the diagnostic control circuit 20 connected to the ultrasonic beam control circuit 21. The diagnostic control circuit 20 scan-converts the transmitted reflected echo signal into a diagnostic image (B mode or M mode image). In addition to creating diagnostic image information, the diagnostic control circuit 20 forms, for example, a two-dimensional blood flow distribution or a time-varying waveform by Doppler processing. The diagnostic image scan-converted by the diagnostic control circuit 20 is input to the diagnostic monitor 25, and the diagnostic image is displayed on the diagnostic monitor 25. The diagnostic image in this case is a tomographic image within the range of the ultrasonic field 10 irradiated from the diagnostic (D) array 11 of the ultrasonic probe 1 shown in FIG. The operation panel 7 is connected to the ultrasonic diagnostic apparatus 2 and the ultrasonic treatment apparatus 3 by the operator, so that the ultrasonic diagnostic apparatus 2 and the ultrasonic treatment apparatus 3 can be operated.

The ultrasonic therapy apparatus 3 has the following components.
The treatment control circuit 30 is connected to the operation panel 7 so that signals can be transmitted and received. The treatment control circuit 30 transmits treatment ultrasonic waves based on information input by the operator on the operation panel 7. The irradiation control circuit 31 connected to the treatment control circuit 30 so as to be able to send and receive signals is driven. The operation panel 7 also serves as a monitor. The irradiation control circuit 31 operates the treatment (T) array 12 of the ultrasonic probe 1 to transmit ultrasonic waves into the subject 101.

  The ultrasonic diagnostic apparatus 2 and the ultrasonic therapeutic apparatus 3 configured as described above are configured so that the diagnostic control circuit 20 of the ultrasonic diagnostic apparatus 2 and the therapeutic control circuit 30 of the ultrasonic therapeutic apparatus 3 are a local area network (LAN). Connected with LAN cable 5 through the interface. In addition, the hardware RT interface cable 6 is connected to the hardware RT interface 202 arranged in the ultrasonic diagnostic apparatus 2 and the hardware RT interface 302 arranged in the ultrasonic therapy apparatus 3. This connection is configured so that the ultrasonic diagnostic apparatus 2 and the ultrasonic treatment unit 3 can communicate with each other at high speed.

  The LAN interface is connected to a standard OS (operating system) such as Windows (registered trademark) and is operated with a standard protocol such as TCP / IP. Further, the communication between the hardware RT interfaces 202 and 302 generates and transmits a signal of an imaging start / stop timing from an image frame timing in real time. In general, an operation based on a protocol in a standard OS is a group of programs written in a program language, so that the execution speed of the program is slower than that of a group of programs written in a machine language. Therefore, the communication between the hardware RT interfaces 202 and 302 can be executed at a higher speed than the OS standard protocol by executing a protocol described in a language described in a machine language, for example.

  Here, the LAN interface is instructed by the OS on the ultrasonic diagnostic apparatus 2 side so that the ultrasonic irradiation for treatment in the ultrasonic therapeutic apparatus 3 does not operate simultaneously with the ultrasonic irradiation for diagnosis in the ultrasonic diagnostic apparatus 2. To function. The hardware RT interface functions so as to command the start and stop of ultrasonic irradiation for treatment in the ultrasonic treatment apparatus 3 from the hardware. The LAN interface is recognized as an OS-dependent interface, and the hardware RT interface is recognized as an OS-independent interface.

FIG. 2 is a diagram illustrating an example of functional blocks of the treatment system of FIG.
In the ultrasonic diagnostic apparatus 2, a reflected echo signal from the array transducer 11 of the ultrasonic probe 1 is input to the transmission / reception beam former unit 212 via the transmission / reception unit 211. The signal from the transmission / reception beamformer unit 212 is subjected to signal processing by the tomographic image processing unit 221 and input to the scan conversion memory 23 so that an image is reconstructed. A signal from the transmission / reception beamformer unit 212 is input to a Doppler signal processing unit 222, and information such as blood flow is displayed so as to be superimposed on the image. A signal from the scan conversion memory 23 is output to the display device 25 via the video output circuit 24.

  On the other hand, the ultrasonic therapy apparatus 3 includes a control unit 303 that is driven based on information from the operation panel 7 including the touch panel display device 35, and an irradiation output unit 31 that is connected to the treatment applicator 4 by the control unit 303. Is to control. The treatment applicator 4 is configured to treat a subject using wave energy other than ultrasound, that is, RF, μ wave, laser, or the like.

  In the ultrasonic diagnostic apparatus 2 and the ultrasonic treatment apparatus 3, the diagnostic control circuit 20 of the ultrasonic diagnostic apparatus 2 and the treatment control circuit 30 of the ultrasonic treatment apparatus 3 are connected by a LAN cable 5 via LAN interfaces 201 and 301. The The ultrasonic diagnostic apparatus 2 and the ultrasonic treatment apparatus 3 are connected via a hardware RT interface 202 disposed in the ultrasonic diagnostic apparatus 2 and a hardware RT interface 302 disposed in the ultrasonic treatment unit 3. Connected with hardware RT interface cable 6. The ultrasonic diagnostic apparatus 2 and the ultrasonic treatment unit 3 are configured to be able to communicate with each other.

  The LAN interfaces 201 and 301 are connected to a standard OS and are operated with a standard protocol such as TCP / IP. In addition, the communication between the hardware RT interfaces 202 and 302 can generate and transmit an imaging start / stop timing signal in real time from an image frame timing.

  FIG. 3 shows timings of ultrasonic irradiation by the diagnosis (D) array 11 driven by the ultrasonic diagnostic apparatus 2 and ultrasonic irradiation by the treatment (T) array 12 driven by the ultrasonic treatment unit.

  The upper part of FIG. 3 shows the timing of the diagnosis (D) and treatment (T) beams, the lower part provides a treatment pause time for the treatment (T) timing, and transmits the diagnostic beam during the pause period. The received signal is taken in at the timing of the TV synchronization signal to obtain a real-time name diagnosis image. As is clear from this figure, the ultrasonic irradiation by the diagnosis (D) array 11 and the ultrasonic irradiation by the treatment (T) array 12 are alternately performed. That is, the diagnosis period T (D) in which the ultrasonic irradiation by the diagnosis (D) array 11 is performed and the treatment period T (T) in which the ultrasonic irradiation by the treatment (T) array 12 is performed are alternately repeated. It has become. The ultrasonic irradiation by the diagnosis (D) array 11 is set to 30 s, for example, and the ultrasonic irradiation by the treatment (T) array 12 is set to 120 s, for example.

Here, the reason why the ultrasonic irradiation by the treatment (T) array 12 is set to a relatively long time, for example, 120 s, is that the tissue must be heated using the thermal action of the wave.
In addition, the human body has a thermal balance effect that diffuses the heat generated by the treatment device and returns it to its original body temperature. This heat balance action includes “heat transfer” in which heat is transferred from the treatment site to other living tissues and “circulation” by inflow and outflow of infusion such as blood and lymph. “Heat transfer” depends on the specific heat of the living tissue to be thermally conducted, and “circulation” acts on thermal diffusion depending on the amount of heat and the speed of movement of the circulating fluid. If the thermal diffusion is not controlled so as to be regarded as an event that occurs in a time unit of several seconds, the surgeon cannot adjust the energy of the treatment apparatus.

Therefore, the operation panel 7 sets the response time of the heat generated by the treatment device (3), and the diagnosis control circuit 20 and the treatment control circuit 30 correspond to the response time set by the operation panel 7 in the treatment site. The diagnostic information imaging by the ultrasonic diagnostic apparatus 2 and the timing of performing the treatment by the treatment apparatus (3) are controlled.
Specifically, the operation panel 7 sets the response time based on specific heat information of the treatment site and a region around the treatment site.
As a result, it is possible to control the treatment energy with higher accuracy reflecting the specific heat information of the treatment region and the region around the treatment region.

In addition, the operation panel 7 sets the response time for the treatment site and the region around the site based on fluid information in the body of the subject.
Accordingly, it is possible to control the treatment energy with higher accuracy in which fluid information (for example, blood flow information) in the body of the subject regarding the treatment site and the region around the site is reflected.

  As described above, it takes time until the temperature increased by heating is recovered by heat dissipation or blood flow, so it is convenient to provide a resting time before ultrasonic irradiation by the next treatment (T) array. ing. Incidentally, in normal treatment, ultrasonic irradiation by the treatment (T) array 12 requires about 30 minutes as an integrated value.

  And in this embodiment, as shown in an enlarged circle in FIG. 3, during the treatment period T (T) (hereinafter sometimes referred to as the original treatment period in this specification), A pause time for ultrasonic irradiation by the treatment (T) array 12 is provided. In addition, it is configured to perform ultrasonic irradiation by the diagnosis (D) array 11 within the pause time. The ultrasonic irradiation by the diagnosis (D) array 11 is for monitoring the treatment target site (affected site). Here, the pause time is set to a value of 1/10 s or less (here, over 30 ms). This range of downtime is generally tissue heating. This is because it has been confirmed that the cooling characteristics are not greatly affected.

  Note that the television synchronization signal that is the basis of the display timing of the diagnostic measure is shown. Reference numeral 251 attached thereto indicates a frame start, and reference numeral 254 indicates a frame end. Within the ON time between the frame start 251 and the frame end 254, the treatment (T) beam is stopped and the diagnosis (D) beam is transmitted and received.

  Thus, the time of ultrasonic irradiation by the diagnosis (D) array 11 during the treatment period should be set to be significantly shorter than the time of ultrasonic irradiation by the diagnosis (D) array 11 during the diagnosis period. become. For this reason, the image created based on the ultrasonic irradiation by the diagnosis (D) array 11 is a partial region of the tissue to be examined, and it is necessary that the sensitivity region (ROI) is positioned in this region. It becomes. This is because the ability to observe the ROI being treated is extremely effective in treatment.

  From this, the operation of the diagnostic (D) array of the ultrasound probe 1 during the treatment period T (T), the start time Tα and the operation time Tθ are the treatment pause time considering the rise and fall A shorter time is set. This is because the start time Tα and the operation time Tθ do not consider noise due to the rise and fall of the ultrasonic therapy apparatus 3.

FIG. 4 shows an example of a display image displayed on the treatment monitor 32 and the diagnosis monitor 25 in diagnosis and treatment in the ultrasonic apparatus configured as described above. 4 (a) shows a display image displayed on the treatment monitor 32, and FIGS. 4 (b) and 4 (c) show display images displayed on the diagnostic monitor 25. FIG.
In each of these drawings, the ultrasonic probe 1 is drawn for convenience in addition to the monitor surface, and the positional relationship of the ultrasonic probe 1 with respect to the subject tissue 101 displayed on the monitor is shown. It is clear.

FIG. 4 (a) is a treatment plan image planned by the ultrasonic treatment apparatus 3, and a T beam pattern (treatment beam pattern) 103 is displayed against a subject tissue 101 including an ROI. The T beam pattern 103 is displayed as information on the intensity, depth of focus, and irradiation angle of the ultrasonic beam for treatment is input.
That is, the T-beam pattern 103 is composed of an elongated pattern displayed superimposed on a path connecting the ultrasound probe 1 and the affected area ROI, and the longitudinal direction of this pattern coincides with the direction of the ultrasound beam. It is supposed to be.

  In addition, the T beam pattern 103 is divided into a plurality of relatively small regions from the distal end side corresponding to the position of the ultrasonic probe 1 to the opposite end thereof in the longitudinal direction. Each area is displayed with a color. This color is determined in advance in association with the intensity of the ultrasonic wave, and the intensity of the ultrasonic beam in each divided area of the T beam pattern 103 can be determined by the color assigned to the area. It has become.

That is, the ultrasonic diagnostic apparatus 2 generates energy path information that acts on the treatment site, and the diagnostic monitor 25 displays the generated path information in association with the image of the treatment site. Specifically, the diagnostic monitor 25 displays the generated route information superimposed on the image of the treatment site.
The correspondence between the ultrasonic intensity of the actual treatment beam from each color in the T beam pattern 103 can be easily grasped by displaying the ultrasonic intensity on the same display surface as the treatment monitor 32.

FIG. 4B is an image displayed on the diagnostic monitor 25 of the ultrasonic diagnostic apparatus 2, in which the subject tissue 101 including the ROI is displayed.
The display in this case consists of an image created based on the reflected echo signal of the ultrasound emitted from the diagnosis (D) array 11 in the ultrasound probe 1. Here, the period of ultrasonic irradiation from the diagnostic (D) array 11 in the ultrasonic probe 1 corresponds to the period during which the diagnostic (D) beam is irradiated in FIG.
4C is an image displayed on the diagnostic monitor 25 of the ultrasonic diagnostic apparatus 2 as in FIG. 4B, and is an image displayed during treatment.

That is, during the treatment, an image created based on the reflected echo signal of the ultrasound irradiated from the diagnosis (D) array 11 of the ultrasound probe 1 in a relatively short time (30 ms in this embodiment). It consists of a display. At this time, the ultrasonic irradiation for that purpose is suspended from the treatment (T) array of the ultrasonic probe 1 even during the treatment.
Further, the diagnostic monitor 25 can confirm a portion to be treated from now on by displaying a portion of the treatment site where the next treatment is performed.
Moreover, the diagnostic monitor 25 can confirm the already treated part by displaying the part where the treatment was performed before the treatment part.

  As shown in Fig. 4 (c), most of the diagnostic images during treatment are not displayed in the area of the diagnostic monitor, but can be displayed in the ROI and monitor the treatment status in the ROI. Will be able to.

  FIG. 5 shows only the position of the ultrasound probe 1 in the image displayed as the treatment plan image on the treatment monitor, more precisely the irradiation position O of the ultrasound from the ultrasound probe 1 and the ROI. Show. Here, the ROI is displayed by marking or the like on the displayed tomographic image, and the coordinates (for example, XY coordinates) of the marked part at this point are automatically displayed in the circular area, for example. To be calculated.

  In the ultrasonic diagnostic apparatus 2, in the ultrasonic beam scanning from the ultrasonic probe 1, the angle α in the direction from the beam scanning start direction to the irradiation with the ROI and the irradiation with the ROI are irradiated. The angle θ in the direction from the above-mentioned direction to the time when the irradiation in the affected area ROI is canceled is calculated. Such calculation is performed by using the position coordinates O (Xo, Yo) of the ultrasonic probe 1, and the contact coordinates P (Xp, Yp), Q (with the ROI of each tangent line lowered from the coordinates O to the ROI side. Xq, Yq) can be easily calculated.

Then, the operation start time Tα of the diagnosis (D) array of the ultrasound probe 1 during the treatment period T (T) is set to a value corresponding to the angle α described above, and the operation time Tθ of the diagnosis (D) array Is set to a value corresponding to the angle θ.
In this way, the operation panel 7 sets a partial region of the treatment site with a region of interest having an arbitrary shape. Thereby, a therapeutic ultrasonic wave can be transmitted to an appropriate irradiation range.
The ultrasound apparatus configured as described above provides a slight rest period during the treatment period of the ultrasound treatment apparatus, and obtains at least an image of the affected part being treated using the rest period. For this reason, it becomes possible to monitor the change state of the site to be treated in real time even during treatment.

  In the above-described embodiment, an ultrasonic apparatus configured to irradiate a subject with ultrasonic waves in both diagnosis and treatment has been described. However, it goes without saying that the present invention can also be applied to an apparatus that irradiates, for example, ultrasonic waves in diagnosis and irradiates, for example, μ waves or RF in treatment. That is, the applicator 4 is configured to treat a subject using wave energy other than ultrasonic waves, that is, RF, μ wave, laser, or the like.

  The apparatus having such a configuration has a difference in that the ultrasonic treatment unit 3 treats the subject and does not use ultrasonic waves, and the basic operation is the same as shown in FIG. Yes. For this reason, when the treatment applicator 8 is, for example, an RF treatment device, a rest period is provided during the treatment period by the RF treatment device, and the affected part ROI is obtained from the reflected echo signal obtained by the ultrasonic probe 1 during the rest period. Images can be obtained.

  FIG. 6 shows an image displayed on the display device 25 thus obtained. The displayed image is obtained in an irradiation field in a narrow range centered on the affected area ROI. The ultrasonic diagnostic apparatus 2 generates puncture needle information for puncturing the treatment site, and the pre-diagnosis monitor 25 displays the generated puncture needle information in association with the image of the treatment site. Thereby, it is possible to observe the state where the puncture needle 105 is stuck in the ROI, that is, the state of treatment.

  In addition to ultrasonic diagnostic equipment, diagnostic imaging equipment functions to image lesion types and tissues, such as X-ray or X-ray CT equipment that excels in bone visualization, and MRI equipment that excels in soft tissue such as the brain. A superior one can be selected as appropriate.

  In addition to ultrasonic therapy devices, the therapeutic devices are transcutaneous radiofrequency ablation devices (Radio Frequency Ablation: RFA), microwave therapy devices, and laser treatments that are not easily affected by ultrasound, such as ultrasound therapy devices. An apparatus etc. can also be selected suitably. These treatment devices treat radiotherapy, microwaves, lasers, etc. by applying radiation, heating the treatment site using heat generation, and the treatment method is the same as the ultrasonic treatment device.

Claims (15)

A probe that contacts the subject;
An image diagnostic apparatus connected to the probe and imaging diagnostic information by applying a predetermined energy for diagnosis to a treatment site of the subject by the probe;
A treatment device connected to the probe and treating the treatment site by generating heat with a predetermined energy to be used for treatment to the treatment site;
Setting means for setting a response time of fever by the treatment device;
Control means for controlling the imaging timing of the diagnostic information by the image diagnostic apparatus and the treatment timing of the treatment by the therapeutic apparatus corresponding to the response time set by the setting means;
A treatment system comprising:   2. The treatment system according to claim 1, wherein the setting unit sets the response time based on specific heat information of the treatment site and a region around the treatment site.   2. The treatment system according to claim 1, wherein the setting means sets the response time according to fluid information in the body of the subject with respect to the treatment site and a region around the site. Comprising display means for displaying an image imaged by the diagnostic imaging apparatus;
2. The setting means comprises an input means for setting a display area for obtaining diagnostic information of at least a part of the treatment site of the subject for the image displayed by the display means. 4. The treatment system according to any one of items 1 to 3. The setting means sets a first treatment period in which treatment is performed by the treatment apparatus, and further sets a treatment suspension period in which treatment is suspended and a second treatment period in which treatment is performed during the first treatment period. And
5. The control means according to claim 1, wherein the diagnostic information of the subject is imaged by performing a diagnosis with the image diagnostic apparatus during the treatment suspension period set by the setting means. The treatment system according to.   6. The treatment system according to claim 1, wherein the display unit displays a part of the treatment site where the next treatment is performed.   6. The treatment system according to claim 1, wherein the display unit displays a part of the treatment site that has been treated before.   The said control means produces | generates the path | route information of the energy made to act with respect to the said treatment site | part, and the said display means displays the produced | generated path | route information matched with the image of the said treatment site | part, It is characterized by the above-mentioned. Item 6. The treatment system according to any one of Items 1 to 5.   9. The treatment system according to claim 8, wherein the association between the generated route information and the image of the treatment site superimposes the route information and the treatment site.   11. The treatment system according to claim 6, wherein the setting unit sets a partial region of the treatment site with a region of interest having an arbitrary shape.   The control means generates puncture needle information for puncturing the treatment site, and the display means displays the generated puncture needle information in association with an image of the treatment site. Item 12. The treatment system according to any one of Items 1 to 11.   The control means includes a diagnosis control unit built in the diagnostic imaging apparatus, a treatment control unit built in the treatment apparatus, and a LAN cable that connects the diagnosis control unit and the treatment control unit to a local area network (LAN). 2. The treatment system according to claim 1, wherein:   13. The treatment system according to claim 12, wherein the control unit further includes a signal communication cable that is faster than the LAN cable for transmitting and receiving a switching timing signal between the diagnosis control unit and the treatment control unit.   The communication by the LAN cable and the signal communication cable is performed through an interface on which the diagnostic imaging apparatus and the treatment apparatus depend on an operating system and an interface on which the operating system does not depend on the interface that depends on the operating system. The treatment in the apparatus is configured to be operated by the operating system on the diagnostic imaging apparatus side so that the diagnostic imaging apparatus does not operate at the same time, and the interface independent of the operating system is the start of the therapy in the therapeutic apparatus. 14. The treatment system according to claim 13, wherein the treatment system is configured to command stop from hardware.   The diagnostic imaging apparatus is an ultrasonic diagnostic apparatus, and the cable connects the probe and a first connector unit provided in the ultrasonic diagnostic apparatus, and further the first connector unit and the treatment 15. The treatment system according to claim 1, wherein the treatment system is connected to a second connector portion provided in the apparatus.

Images