KR20200083512A - 수술 중의 외과적 마진 평가를 위한 이미징 방법 및 시스템 - Google Patents

수술 중의 외과적 마진 평가를 위한 이미징 방법 및 시스템 Download PDF

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KR20200083512A
KR20200083512A KR1020207015037A KR20207015037A KR20200083512A KR 20200083512 A KR20200083512 A KR 20200083512A KR 1020207015037 A KR1020207015037 A KR 1020207015037A KR 20207015037 A KR20207015037 A KR 20207015037A KR 20200083512 A KR20200083512 A KR 20200083512A
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image
target anatomy
fov
collapsed
fluorescence
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Korean (ko)
Inventor
메이 에스티. 존
조지 사디크
자카리 테일러
워렌 그런드페스트
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더 리전츠 오브 더 유니버시티 오브 캘리포니아
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Publication of KR20200083512A publication Critical patent/KR20200083512A/ko
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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)
KR1020207015037A 2017-11-01 2018-11-01 수술 중의 외과적 마진 평가를 위한 이미징 방법 및 시스템 Ceased KR20200083512A (ko)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
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

Publications (1)

Publication Number Publication Date
KR20200083512A true KR20200083512A (ko) 2020-07-08

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KR1020207015037A Ceased KR20200083512A (ko) 2017-11-01 2018-11-01 수술 중의 외과적 마진 평가를 위한 이미징 방법 및 시스템

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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

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US5467767A (en) * 1991-11-25 1995-11-21 Alfano; Robert R. Method for determining if tissue is malignant as opposed to non-malignant using time-resolved fluorescence spectroscopy
EP1372483A2 (en) * 2001-03-01 2004-01-02 Trustees of Dartmouth College Fluorescence lifetime spectrometer (fls) and methods of detecting diseased tissues
JP2005534946A (ja) * 2001-07-06 2005-11-17 パランティア リサーチ,エルエルシー 撮像システムおよび逆空間光学設計を用いる方法
US7116437B2 (en) * 2001-09-14 2006-10-03 Dmetrix Inc. Inter-objective baffle system
US20120302892A1 (en) * 2005-07-25 2012-11-29 Niyom Lue Portable optical fiber probe-based spectroscopic scanner for rapid cancer diagnosis
US8770203B2 (en) * 2008-07-14 2014-07-08 Immunolight, Llc. Advanced methods and systems for treating cell proliferation disorders
JP5415805B2 (ja) * 2009-03-31 2014-02-12 オリンパスメディカルシステムズ株式会社 診断支援装置
CN105907634B (zh) * 2010-01-20 2018-09-07 Emd密理博公司 细胞图像捕捉和远程监控方法
JP6389763B2 (ja) * 2012-03-02 2018-09-12 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
GB201205607D0 (en) * 2012-03-29 2012-05-16 Ltd Technopath Distrib A fluorescence microtitre plate reader
CN107072505B (zh) * 2014-04-05 2021-03-12 手术感应设备公司 用于组织氧合的绘制的装置、系统和方法
US10712272B2 (en) * 2016-09-27 2020-07-14 Trustees Of Tufts College System and method for assessing cellular metabolic activity

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Publication number Publication date
CN111433603B (zh) 2022-08-02
EP3704482A4 (en) 2021-08-18
US20200323431A1 (en) 2020-10-15
EP3704482A1 (en) 2020-09-09
JP2021501883A (ja) 2021-01-21
WO2019089998A1 (en) 2019-05-09
JP7221285B2 (ja) 2023-02-13
CN111433603A (zh) 2020-07-17

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