KR101818654B1 - Endoscopy based Fusion Medical Imaging System - Google Patents
Endoscopy based Fusion Medical Imaging System Download PDFInfo
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- KR101818654B1 KR101818654B1 KR1020150185327A KR20150185327A KR101818654B1 KR 101818654 B1 KR101818654 B1 KR 101818654B1 KR 1020150185327 A KR1020150185327 A KR 1020150185327A KR 20150185327 A KR20150185327 A KR 20150185327A KR 101818654 B1 KR101818654 B1 KR 101818654B1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/04—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
- A61B1/043—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances for fluorescence imaging
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00002—Operational features of endoscopes
- A61B1/00025—Operational features of endoscopes characterised by power management
- A61B1/00027—Operational features of endoscopes characterised by power management characterised by power supply
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00002—Operational features of endoscopes
- A61B1/00043—Operational features of endoscopes provided with output arrangements
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00064—Constructional details of the endoscope body
- A61B1/00071—Insertion part of the endoscope body
- A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/06—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
- A61B1/0615—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements for radial illumination
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Abstract
The present invention relates to an endoscopic probe which is disposed at a cable end of an endoscope probe and has an image camera for determining an anatomical position of the lesion; And a gamma ray measuring sensor for detecting a biochemical position of the lesion.
Description
The present invention relates to a fusion medical imaging device, and more particularly, to an endoscopic fusion medical imaging device.
Due to the development of medical technology, small surgical scars and rapid recovery are leading to an increasing number of minimally invasive procedures such as endoscopic surgery, laparoscopic surgery and robot surgery. In the current minimally invasive surgery, the medical staff judge the lesion and the surgical site by Endoscopy, and conduct a lot of research to develop a diagnostic device with improved accuracy by fusing an endoscope with other imaging devices such as ultrasound have.
A related prior art is Korean Patent Publication No. 1020140104798 (published on Apr. 29, 201, entitled Capsule Endoscope for Optical and Ultrasound Mechanics Therapy Using Magneticity).
It is an object of the present invention to provide an endoscopic-based, convergent medical imaging apparatus capable of performing precise surgery by determining the biochemical position of the tumor and determining the location of the lesion in multiple.
According to an aspect of the present invention, there is provided an endoscopic-based fusion medical imaging device, including: an image camera disposed at a cable end of an endoscopic probe and for determining an anatomical position of a lesion; And a gamma ray measuring sensor for detecting the biochemical position of the lesion.
The endoscope-based convergence medical imaging device may further include a power supply unit capable of supplying power to the gamma ray measurement sensor, wherein the power source may be applied to the gamma ray measurement sensor through at least the cable of the endoscope probe.
The endoscope-based convergent medical imaging apparatus further includes a controller for image-processing and reconstructing a signal generated from the image camera and the gamma-ray measurement sensor, wherein the signal generated from the image camera and the gamma- To the control unit.
The endoscopic-based fusion medical imaging device may further include a display unit for visually outputting image data implemented by the control unit. The display unit may include at least one selected from a monitor, a smart phone, a smart pad, a smart watch, and a smart glasses.
In the endoscopic-based fusion medical imaging apparatus, the gamma ray measuring sensor measures the amount of gamma rays at the imaging site to determine the biochemical position of the lesion, and limits the direction and the diffusion of the gamma ray to locally limit the range to be measured A collimator, a scintillator for emitting fluorescence by the action of gamma rays incident from the collimator, and a detector for detecting photons from fluorescence generated from the scintillator.
In the endoscopic-based fusion medical imaging device, the gamma ray measuring sensor simultaneously measures the amount and position of the gamma ray at the imaging site to determine the biochemical position of the lesion. The position-sensitive type (fluorescence) And a detector for detecting photons from the fluorescence generated from the scintillator.
In the endoscopic-based convergent medical imaging device, the detector may include an Avalanche Photodiode (APD), a Geiger-Mode APD (GM-APD), a Silicon (SiPM) PhotoMultiplier), PIN diodes, CdTe detectors or CdZeTe detectors.
According to another aspect of the present invention, there is provided an endoscopic-based fusion medical imaging device including: an image camera disposed at a cable end of an endoscopic probe and for determining an anatomical position of a lesion; And a gamma ray measuring sensor for detecting a biochemical position of the lesion, wherein the gamma ray measuring sensor includes a detector having a structure in which pixels arrayed in a matrix of a plurality of pixels capable of sensing a single photon are arrayed, A plurality of pixels constituting the pixel group of the pixels are commonly connected.
In the endoscopic-based fusion medical imaging device, the gamma ray measuring sensor further includes a scintillator disposed on the detector, the scintillator generating photons from fluorescence by the action of a gamma ray, Each single scintillator can be divided into a gamma ray and a partition wall blocking the movement of the photons.
In the endoscopic-based fusion medical imaging device, the gamma ray measuring sensor further includes a scintillator disposed on the detector, the scintillator generating photons from fluorescence caused by the action of a gamma ray, wherein the scintillator comprises a plurality of arrayed pixels It may have a single scintillator structure corresponding to the whole.
In the endoscopic based medical imaging device, the gamma ray measuring sensor further includes a collimator disposed on the scintillator, the collimator capable of locally limiting a range to be measured by limiting the direction and diffusion of the gamma ray, May have a structure in which a single collimator corresponding to the pixel group is arrayed.
In the endoscopic based medical imaging device, the gamma ray measuring sensor further includes a collimator disposed on the scintillator, the collimator capable of locally limiting a range to be measured by limiting the direction and diffusion of the gamma ray, May have a structure in which a single collimator corresponding to each of the pixels is arrayed.
According to another aspect of the present invention, there is provided an endoscopic-based fusion medical imaging device including: an image camera disposed at a cable end of an endoscopic probe and for determining an anatomical position of a lesion; And a gamma ray measuring sensor for detecting a biochemical position of the lesion, wherein the gamma ray measuring sensor includes a detector having a structure in which pixels arrayed in a matrix of a plurality of pixels capable of sensing a single photon are arrayed, The one pixel group may provide different sensing output values depending on the position where the single photon is sensed among the plurality of pixels constituting the pixel group of the one pixel group.
Wherein the gamma ray measuring sensor further comprises a scintillator disposed on the detector for generating photons from fluorescence by the action of a gamma ray, wherein the scintillator comprises a single Each single scintillator can be divided into a gamma ray and a partition wall blocking the movement of the photons.
In the endoscopic-based fusion medical imaging device, the gamma ray measuring sensor further includes a scintillator disposed on the detector, the scintillator generating photons from fluorescence by the action of a gamma ray, Each single scintillator can be divided into a gamma ray and a partition wall blocking the movement of the photons.
In the endoscopic-based fusion medical imaging device, the gamma ray measuring sensor further includes a scintillator disposed on the detector, the scintillator generating photons from fluorescence caused by the action of a gamma ray, wherein the scintillator comprises a plurality of arrayed pixels It may have a single scintillator structure corresponding to the whole.
In the endoscopic based medical imaging device, the gamma ray measuring sensor further includes a collimator disposed on the scintillator, the collimator capable of locally limiting a range to be measured by limiting the direction and diffusion of the gamma ray, May have a structure in which a single collimator corresponding to the pixel group is arrayed.
In the endoscopic based medical imaging device, the gamma ray measuring sensor further includes a collimator disposed on the scintillator, the collimator capable of locally limiting a range to be measured by limiting the direction and diffusion of the gamma ray, May have a structure in which a single collimator corresponding to each of the pixels is arrayed.
According to the embodiment of the present invention as described above, an anatomical position of a tumor is determined using an endoscope, and a biochemical position is determined using a gamma ray measuring sensor, The endoscopic fusion medical imaging device can be implemented. Of course, the scope of the present invention is not limited by these effects.
FIG. 1 is a conceptual diagram illustrating the configuration of an endoscopic-based fusion medical imaging device according to an embodiment of the present invention.
FIG. 2 is a diagram illustrating an endoscope probe in which an image camera and a gamma ray measurement sensor are disposed as part of an endoscopic-based fusion medical imaging apparatus according to an embodiment of the present invention.
3 is an enlarged schematic diagram of an end portion of an endoscope probe constituting a part of an endoscope-based fusion medical imaging apparatus according to an embodiment of the present invention.
4 is an enlarged diagram schematically showing an end portion of an endoscope probe according to a comparative example of the present invention.
5A to 5H are diagrams illustrating various examples of a gamma ray measuring sensor constituting a part of an endoscopic-based fusion medical imaging apparatus according to an embodiment of the present invention.
FIG. 6 is an exemplary diagram illustrating a surgical navigation screen using an endoscopic-based fusion medical imaging device according to an embodiment of the present invention.
Hereinafter, embodiments of the present invention will be described in detail with reference to the accompanying drawings. It should be understood, however, that the invention is not limited to the disclosed embodiments, but may be embodied in many different forms and should not be construed as limited to the embodiments set forth herein. Rather, these embodiments are provided so that this disclosure will be thorough and complete, Is provided to fully inform the user. Also, at least some of the components may be exaggerated or reduced in size for convenience of explanation. Like numbers refer to like elements throughout the drawings.
It is to be understood that throughout the specification, when an element such as a layer or a region is referred to as being "on" another element, the element may be directly "on" It will be understood that there may be other intervening components. On the other hand, when an element is referred to as being "directly on" another element, it is understood that there are no other elements intervening therebetween.
Also, terms indicating relative positions such as "top" or "bottom" can be used to describe the positional relationship of certain elements to other elements as illustrated in the figures. Further, it will be understood that these relative terms are intended to include not only the directions depicted in the Figures, but also the different directions of the components. For example, if an element is turned over in the figures, the elements depicted as being on the upper surface of the other elements will have a direction on the lower surface of the other elements. Thus, the example "top" may include both "under" and "top" directions depending on the particular orientation of the figure.
FIG. 1 is a conceptual illustration of the configuration of an endoscopic-based medical imaging device according to an embodiment of the present invention. FIG. 2 is a block diagram of an endoscope-based medical imaging device according to an embodiment of the present invention. FIG. 3 is an enlarged view of an end portion (P in FIG. 2) of an endoscope probe constituting a part of an endoscope-based fusion medical imaging apparatus according to an embodiment of the present invention. FIG.
1 to 3, an endoscopic-based fusion
According to the present invention, in performing Minimally Invasive Surgery, an endoscope including the
The gamma ray detected by the gamma
Although the gamma
The endoscopic-based fusion
For example, assuming that the gamma
Although it is shown in FIG. 1 that one
The endoscopic-based fusion
For example, assuming that the gamma
The endoscopic-based fusion
4 is an enlarged diagram schematically showing an end portion of an endoscope probe according to a comparative example of the present invention.
Referring to FIG. 4, an endoscope probe according to a comparative example of the present invention includes an end P of a
FIGS. 5A to 5F are diagrams illustrating various examples of a gamma ray measuring sensor constituting a part of an endoscopic-based fusion medical imaging apparatus according to an embodiment of the present invention.
5A to 5F, a gamma
By limiting the direction and diffusion of the radiation, the collimator can locally limit the range to be measured so that the spatial position information can be obtained. The collimator can constitute various examples of gamma ray measurement sensor 150 (156a in Figure 5a, 156b in Figure 5b, 156e in Figure 5e).
The scintillator emits fluorescence by the action of a gamma ray incident from the collimator. The scintillator can constitute various examples of the gamma ray measurement sensor 150 (154a in Figure 5a, 154b in Figure 5b, 154c in Figure 5c, 154d in Figure 5d, 154e in Figure 5e, 154f in Figure 5f).
The detector detects photons from the fluorescence generated from the scintillator. The detector may constitute various examples of the gamma ray measurement sensor 150 (152a in FIG. 5A, 152b in FIG. 5B, 152c in FIG. 5C, 152d in FIG. 5D, 152e in FIG. 5E, 152f in FIG. The detector 152 may include avalanche photodiode (APD), Geiger-Mode APD (GM-APD), Silicon PhotoMultiplier (SiPM), PIN diodes, CdTe Detector, a CdZeTe detector, or a detector for other gamma ray measurements. The structure of the silicon photochromatic exhaust consists of several thousand Geiger mode Avalanch photodiode structures connected in parallel, each operating in Geiger mode.
Hereinafter, a gamma
Referring to FIG. 5A, the gamma
The gamma
The gamma
Referring to FIG. 5B, the gamma
The gamma
The gamma
Referring to FIG. 5C, the gamma
Referring to FIG. 5D, the gamma
The gamma
Referring to FIG. 5E, the gamma
The gamma
The gamma
Referring to FIG. 5F, the gamma
Referring to FIG. 5G, the gamma
The gamma
The gamma
Referring to FIG. 5H, the gamma
The gamma
The gamma
The gamma
Referring to FIG. 6, a gamma
FIG. 6 is an exemplary diagram illustrating a surgical navigation screen using an endoscopic-based fusion medical imaging device according to an embodiment of the present invention.
Referring to FIG. 6, there is shown a surgical navigation screen in which an anatomical image of a lesion implemented using the
Up to this point, an endoscopic-based fusion
While the present invention has been described with reference to exemplary embodiments thereof, it is to be understood that the invention is not limited to the disclosed exemplary embodiments, but, on the contrary, is intended to cover various modifications and equivalent arrangements included within the spirit and scope of the appended claims. Accordingly, the true scope of the present invention should be determined by the technical idea of the appended claims.
Claims (19)
/ RTI >
The gamma ray measuring sensor includes a collimator for locating the biochemical position of the lesion by measuring the amount of gamma ray at the photographing site and locally limiting the range to be measured by limiting the direction and diffusion of the gamma ray, And a detector for detecting photons from the fluorescence generated from the scintillator, wherein the scintillator comprises:
The detector may comprise a photodiode, including an Avalanche Photodiode (APD), a Geiger-Mode APD (GM-APD), a Silicon PhotoMultiplier (SiPM)
Endoscopic - based convergent medical imaging device.
And a power supply unit capable of supplying power to the gamma ray measurement sensor, wherein the power source is applied to the gamma ray measurement sensor through at least the cable of the endoscope probe.
And a control unit for image-processing and reconstructing a signal generated from the image camera and the gamma-ray measurement sensor, wherein the signal generated from the image camera and the gamma-ray measurement sensor is transmitted to the control unit through at least the cable of the endoscope probe Endoscopic fusion medical imaging device delivered.
The image data implemented by the controller is a navigation image combined with an anatomical image of a lesion implemented using the image camera and a biochemical image of the lesion implemented using the gamma ray measurement sensor,
Further comprising a display unit for visually outputting image data implemented by the control unit.
Wherein the display unit includes at least one selected from a monitor, a smart phone, a smart pad, a smart watch, and a smart glasses.
/ RTI >
The gamma ray measuring sensor measures a biochemical position of a lesion by simultaneously measuring the amount and position of a gamma ray at a photographed region and includes a position sensitive type structure scintillator which emits fluorescence by the action of a gamma ray, And a detector for detecting photons from the fluorescence emitted from the base,
The detector may comprise a photodiode, including an Avalanche Photodiode (APD), a Geiger-Mode APD (GM-APD), a Silicon PhotoMultiplier (SiPM)
Endoscopic - based convergent medical imaging device.
The gamma ray measuring sensor includes a detector having a structure in which pixels arrayed in a plurality of pixels capable of sensing a single photon are arrayed, wherein a plurality of pixels constituting one pixel group are commonly connected, ,
The detector may comprise a photodiode, including an Avalanche Photodiode (APD), a Geiger-Mode APD (GM-APD), a Silicon PhotoMultiplier (SiPM)
Endoscopic - based convergent medical imaging device.
The gamma ray measuring sensor further comprises a scintillator disposed on the detector, the scintillator generating photons from fluorescence by action of gamma rays,
Wherein the scintillator is arrayed in a single scintillator corresponding to each of the pixel groups, and each single scintillator is divided into gamma rays and a partition wall that blocks the movement of the photons.
The gamma ray measuring sensor further comprises a scintillator disposed on the detector, the scintillator generating photons from fluorescence by action of gamma rays,
Wherein said scintillator has a single scintillator structure corresponding to all of a plurality of arrayed pixel groups.
Wherein the gamma ray measuring sensor further comprises a collimator disposed on the scintillator, the collimator being capable of locally limiting a range to be measured by limiting the direction and diffusion of gamma rays, wherein the collimator comprises a single An endoscopic-based convergent medical imaging device having a structure in which collimators are arrayed.
Wherein the gamma ray measuring sensor further comprises a collimator disposed on the scintillator, the collimator being capable of locally limiting a range to be measured by limiting the direction and diffusion of gamma rays, wherein the collimator comprises a single collimated Wherein the body is arranged in an array.
Wherein the gamma ray measuring sensor includes a detector having a structure in which pixels arrayed in a plurality of pixels capable of sensing a single photon are arrayed, wherein a gamma ray measuring sensor is disposed at a position where the single photon is sensed from among a plurality of pixels constituting one pixel group The one pixel group provides different sensing output values,
The detector may comprise a photodiode, including an Avalanche Photodiode (APD), a Geiger-Mode APD (GM-APD), a Silicon PhotoMultiplier (SiPM)
Endoscopic - based convergent medical imaging device.
The gamma ray measuring sensor further comprises a scintillator disposed on the detector, the scintillator generating photons from fluorescence by action of gamma rays,
Wherein the scintillator is arrayed in a single scintillator corresponding to each of the pixels, and each single scintillator is divided into gamma rays and a partition wall that blocks the movement of the photons.
The gamma ray measuring sensor further comprises a scintillator disposed on the detector, the scintillator generating photons from fluorescence by action of gamma rays,
Wherein the scintillator is arrayed in a single scintillator corresponding to each of the pixel groups, and each single scintillator is divided into gamma rays and a partition wall that blocks the movement of the photons.
The gamma ray measuring sensor further comprises a scintillator disposed on the detector, the scintillator generating photons from fluorescence by action of gamma rays,
Wherein said scintillator has a single scintillator structure corresponding to all of a plurality of arrayed pixel groups.
Wherein the gamma ray measuring sensor further comprises a collimator disposed on the scintillator, the collimator being capable of locally limiting a range to be measured by limiting the direction and diffusion of gamma rays, wherein the collimator comprises a single An endoscopic-based convergent medical imaging device having a structure in which collimators are arrayed.
Wherein the gamma ray measuring sensor further comprises a collimator disposed on the scintillator, the collimator being capable of locally limiting a range to be measured by limiting the direction and diffusion of gamma rays, wherein the collimator comprises a single collimated Wherein the body is arranged in an array.
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Citations (3)
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JP2003000594A (en) * | 2001-06-21 | 2003-01-07 | Anzai Medical Kk | Medical imaging system |
JP3720055B2 (en) * | 1995-04-28 | 2005-11-24 | ケア・ワイズ・メディカル・プロダクツ・コーポレーション | Apparatus and method for determining spatial coordinates using radiolabeled tissue |
KR101408138B1 (en) * | 2013-03-14 | 2014-06-17 | 한국원자력연구원 | Print type radiation image sensor, radiation imaging device having the same and method of manufacturing the same |
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JP3720055B2 (en) * | 1995-04-28 | 2005-11-24 | ケア・ワイズ・メディカル・プロダクツ・コーポレーション | Apparatus and method for determining spatial coordinates using radiolabeled tissue |
JP2003000594A (en) * | 2001-06-21 | 2003-01-07 | Anzai Medical Kk | Medical imaging system |
KR101408138B1 (en) * | 2013-03-14 | 2014-06-17 | 한국원자력연구원 | Print type radiation image sensor, radiation imaging device having the same and method of manufacturing the same |
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