TR201410736A2 - Armpit zone helix. - Google Patents
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- TR201410736A2 TR201410736A2 TR2014/10736A TR201410736A TR201410736A2 TR 201410736 A2 TR201410736 A2 TR 201410736A2 TR 2014/10736 A TR2014/10736 A TR 2014/10736A TR 201410736 A TR201410736 A TR 201410736A TR 201410736 A2 TR201410736 A2 TR 201410736A2
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- armband
- armpit
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- 210000001165 lymph node Anatomy 0.000 claims abstract description 13
- 238000003384 imaging method Methods 0.000 abstract description 2
- 238000002595 magnetic resonance imaging Methods 0.000 description 13
- 238000001514 detection method Methods 0.000 description 11
- 206010028980 Neoplasm Diseases 0.000 description 5
- 210000000481 breast Anatomy 0.000 description 5
- 201000011510 cancer Diseases 0.000 description 5
- 210000004027 cell Anatomy 0.000 description 5
- 210000002751 lymph Anatomy 0.000 description 5
- 206010006187 Breast cancer Diseases 0.000 description 4
- 208000026310 Breast neoplasm Diseases 0.000 description 4
- 230000001926 lymphatic effect Effects 0.000 description 3
- 210000004324 lymphatic system Anatomy 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 238000002604 ultrasonography Methods 0.000 description 3
- 206010027476 Metastases Diseases 0.000 description 2
- 230000015572 biosynthetic process Effects 0.000 description 2
- 239000012530 fluid Substances 0.000 description 2
- 239000007788 liquid Substances 0.000 description 2
- 238000009607 mammography Methods 0.000 description 2
- 230000002285 radioactive effect Effects 0.000 description 2
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 238000002224 dissection Methods 0.000 description 1
- 238000011156 evaluation Methods 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 230000000670 limiting effect Effects 0.000 description 1
- 230000009401 metastasis Effects 0.000 description 1
- 230000001394 metastastic effect Effects 0.000 description 1
- 206010061289 metastatic neoplasm Diseases 0.000 description 1
- 230000035945 sensitivity Effects 0.000 description 1
- 230000008961 swelling Effects 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
Abstract
Koltukaltı bölgesindeki lenf nodlarının görüntülenmesini sağlayacak şekilde bir RF ünitesi (12) üzerinden bir konektör (11) ile MR cihazına bağlanan bir birincil sarmal kısmı (13) içeren bir MR sarmalı (10) olup özelliği, bahsedilen birincil sarmal kısmın (13) koltukaltı bölgesinde sabitlenmesini sağlayacak şekilde birincil sarmal kısmın (13) irtibatlandırıldığı en az bir birincil kol bandı (15) içermesidir.An MR helix (10) comprising a primary helix (13) connected to the MR device by a connector (11) via an RF unit (12) to allow imaging of the lymph nodes in the armpit region, characterized in that said primary helix (13) is secured in the armpit region. at least one primary arm band (15) to which the primary helical portion (13) is connected.
Description
TARI'FNAME KOLTUKALTI BOLGESf MR SARMALI TEKNfK ALAN Bulus, koltukalti bölgesindeki lenf nodlarinin görüntülenmesinde manyetik rezonans (MR) cihazinda kullanilan bir çesit MR sarmali ile ilgilidir. TARI'FNAME UNDERARM AREAf MR WRAPPED TECHNICAL FIELD The invention is magnetic resonance imaging of lymph nodes in the armpit region. It is related to the kind of MR helix used in the (MR) device.
ONCEKI' TEKNfK Günümüzde özellikle kadinlarda sik karsilasilan kanser türlerinden birisi meme kanseridir. Meme içerisinde olusan ve çogalan kanserli hücre meme içerisinde kitlelerin olusmasina sebep olabilmektedir. Kitleden ayrilan herhangi bir kanser hücresi kan yolu ya da lenf yolu ile vücuda yayilabilmektedir. Kanserli hücrelerin vücutta yayilmasi çogunlukla lenf yolu ile gerçeklesmektedir. Lenf yoluyla tasinarak vücuda yayilan kanser hücreleri yerlestikleri bölgede de çogalabilmekte ve yerlestikleri bölgede kitle olusumuna sebep olabilmektedirler. Meme kanserinde de kanserli hücrelerin yayilimi, memenin bagli bulundugu Ienfatik sistemde yakin oldugu bölgeye yani koltukalti bölgesine olmaktadir. ONCEKI' TECHNICAL Breast cancer is one of the most common types of cancer, especially in women. is cancer. Cancerous cell that is formed and multiplied in the breast can cause mass formation. Any cancer that separates from the mass cells can spread to the body via blood or lymph. cancerous cells Its spread throughout the body mostly occurs via the lymphatic route. transported through lymph Cancer cells that spread throughout the body can also multiply in the area where they are located, and They can cause mass formation in the region where they settle. Also in breast cancer the spread of cancerous cells is close in the lymphatic system to which the breast is attached. It happens to the area where it is, that is, to the armpit area.
Meme ve koltukalti bölgesinde kanserli kitlelerin saptanmasinda üç farkli islem söz konusudur. Mamografi ilk tercih edilen saptama yöntemidir. Mamografi ile primer lezyonlarin saptanmasi saglanabilirken lenfatik sistemdeki yayilmanin saptanmasi çogunlukla söz konusu degildir. Ultrason ile kitlelerin saptanmasi saglanabilmektedir. Ancak ultrasonografi manuel olarak gerçeklestirilmekte ve kismen sübjektif bir degerlendirme sunmaktadir. Kanserli kitlenin yaptigi metastatik lenf nodu degerlendirmesinde aksiller USG inceleme, büyük öneme sahip olmasina ragmen %35-82 düzeylerinde raporlanmis sensitivite ve yetersiz de olsa daha yüksek (%73-97] spesifite oranlari mevcuttur. Saptamalar sonucunda tespit edilen lenf nodlarina biyopsi yapilmakta ve pozitif bulgulara rastlanirsa koltukalti lenf nodlarinin hepsi (aksiller diseksiyonl çikartilmaktadir. Ancak lenf nodlarinin tümünün alinmasi, koldan gelen lenfatik sivi drenajini azalttigi için kolda sisme, güç ve hareket kaybi gibi rahatsizliklar meydana gelmektedir. Bu nedenle lenf nodlarinda metastaz olup olmadiginin ve varsa hangi lenf nodlarinda oldugunun saptanmasi gerekmektedir. Saptama için memedeki kanserli kitlelerin çevresine radyoaktif sivi enjekte edilmekte ve bu sivinin lenfatik sistemde yayilarak lenf nodlarina ulasmasi saglanmaktadir. Radyoaktif sivinin ulastigi ilk lenf nodlari (sentinell operasyon sirasinda tespit sonrasi çikarilarak incelenmekte ve metastaz olmadigi belirlendiginde yayilma yoktur denilmektedir. Ancak bu uygulamada %5- yanilma sözkonusu olmaktadir. There are three different processes in the detection of cancerous masses in the breast and armpit region. subject. Mammography is the first-choice detection method. Primary with mammography Detection of the spread in the lymphatic system can be achieved while detecting the lesions mostly not the case. Detection of masses with ultrasound can be provided. However, ultrasonography is performed manually and presents a partially subjective assessment. Metastatic of cancerous mass Axillary USG examination is of great importance in lymph node evaluation. Although sensitivity has been reported at the level of 35-82%, and although insufficient, it is more There are high (73-97%) specificity rates. lymph nodes are biopsied and if positive findings are found, axillary lymph All of the nodes are removed (with axillary dissection. However, the lymph nodes are Swelling, weakness in the arm, as removal of the whole reduces the lymphatic fluid drainage from the arm. and discomfort such as loss of movement occur. Therefore, lymph whether there are metastases in the nodes and if so in which lymph nodes needs to be detected. Surrounding cancerous masses in the breast for detection radioactive liquid is injected and this liquid spreads in the lymphatic system and lymphatic It is provided to reach the nodes. The first lymph nodes to which the radioactive fluid reaches (Sentinell is removed and examined during the operation after detection and metastasis is detected. When it is determined that there is no spread, it is said that there is no spread. However, in this application, 5%- falsification occurs.
Kanserli kitlelerin saptanmasinda son olarak ise manyetik rezonans (MRi ile görüntüleme yapilmaktadir. MR ile ultrasonda görünmeyen kitlelerin saptanmasi için çalisilmaktadir. Kitlelerin saptanmasini takiben de kitlelerin sekilsel olarak incelenmesiyle kanser teshisi yapilabilmektedir. MR ile kitlelerin görüntülenmesi saglanabilmektedir. Ancak MR öncelikli olarak meme dokusunun görünümünün elde edilmesini saglamaktadir. Koltukalti bölgesinin görünümü kitlelerin incelenmesine imkân taniyacak büyüklükte olmamaktadir. Koltukalti bölgesinin ayrica incelenmesi ve daha büyük bir görünümünün elde edilmesi plaka formlu MR sarmallari kullanilarak yapilabilmektedir. Ancak bu MR sarmallarinin kullanimi pratik degildir ve MR çekim sürelerinin oldukça uzatmaktadir. Yeni gelistirilen MR cihazlarinda koltukalti bölgesi için sabit olarak yapilandirilmis sarmallar da bulunmaktadir ancak mevcuttaki MR cihazlari için uygulanabilir bir durum söz konusu degildir. Finally, magnetic resonance imaging (MRi) is used to detect cancerous masses. viewing is in progress. Detection of masses that are not visible on ultrasound with MRI is being worked on. After the detection of the masses, the shape of the masses can be determined. cancer diagnosis can be made. Imaging of masses with MRI can be provided. However, MRI primarily shows the appearance of breast tissue. ensures its achievement. The appearance of the armpits of the masses is not large enough to allow analysis. of the armpit area further examination and obtaining a larger view of the plate form MRI can be made using spirals. However, the use of these MR coils impractical and prolongs MR acquisition times considerably. Newly developed MRI permanently configured coils for the underarm area but there is no applicable situation for existing MR devices. is not the subject.
Sonuç olarak, yukarida bahsedilen tüm sorunlar, ilgili teknik alanda bir yenilik yapmayi zorunlu hale getirmistir. As a result, all the above-mentioned problems are a novelty in the relevant technical field. does not make it mandatory.
BULUS UN KISA AÇIKLAMASI Mevcut bulus yukarida bahsedilen dezavantajlari ortadan kaldirmak ve ilgili teknik alana yeni avantajlar getirmek üzere, meme kanserinin leniatik sistemle yayilimi sonucunda koltukalti bölgesinde meydana gelmis kitlelerin saptanmasinda MR cihazlarinda kullanilmak üzere gelistirilmis bir MR sarmali ile ilgilidir. BRIEF DESCRIPTION OF THE INVENTION The present invention is designed to eliminate the above mentioned disadvantages and spread of breast cancer by the leniatic system to bring new advantages to the field. MRI is used in the detection of masses that occur in the armpit region as a result of It relates to an MR coil developed for use in devices.
Bulusun ana amaci, koltukalti bölgesindeki lenf nodlarinin sekilsel olarak incelenmesini saglayacak sekilde sadece koltukalti bölgesinin görünümünü elde etmek üzere gelistirilmis bir MR sarmali ortaya koymaktir. The main purpose of the invention is to shape the lymph nodes in the armpit region. Obtain a view of only the armpit area, allowing the examination of It is to present an MR spiral developed to
Bulusun bir diger amaci, meme kanserinin tespitinde kullanilan mevcuttaki tüm MR cihazlariyla uyumlu bir sekilde kullanilabilecek bir MR sarmali ortaya koymaktir. Another object of the invention is to address all available MRIs used in the detection of breast cancer. It is to present an MR coil that can be used in harmony with devices.
Bulusun bir diger amaci, koltukalti MR çekim sürelerini kisaltacak bir MR sarmali ortaya koymaktir. Another object of the invention is an MR coil that will shorten armpit MR acquisition times. is to reveal.
Yukarida bahsedilen ve asagidaki detayli anlatimdan ortaya çikacak tüm amaçlari gerçeklestirmek üzere mevcut bulus, koltukalti bölgesindeki lenf nodlarinin görüntülenmesini saglayacak sekilde bir RF ünitesi üzerinden bir konektör ile MR cihazina baglanan bir birincil sarmal kismi içeren bir MR sarmalidir. Buna göre söz konusu bulusun özelligi, bahsedilen birincil sarmal kismin koltukalti bölgesinde sabitlenmesini saglayacak sekilde birincil sarmal kismin irtibatlandirildigi en az bir birincil kol bandi içermesidir. All the above-mentioned purposes that will emerge from the detailed description below. The present invention is to perform the lymph nodes in the armpit region. MR with a connector over an RF unit to allow It is an MR coil containing a primary coil portion that connects to the device. Promise accordingly The particularity of the invention is in the axillary region of said primary helix. at least one to which the primary helix is connected so as to primary armband.
Bulusun tercih edilen bir diger yapilanmasi, bahsedilen birincil sarmal kismi civarinda saglanmis en az bir diger ikincil sarmal kismi içermesidir. Another preferred embodiment of the invention is said primary helix is that it contains at least one other secondary helix portion provided around it.
Bulusun tercih edilen bir diger yapilanmasi, bahsedilen birincil kol bandinin kendi üzerinde sabitlenmesini saglamak üzere birincil kol bandinin bir ucunda yapilandirilmis bir tutucu kisim içermesidir. Another preferred embodiment of the invention is that said primary armband itself at one end of the primary armband to secure it on includes a configured retainer.
Bulusun tercih edilen bir diger yapilanmasi, bahsedilen ikincil sarmal kismin koltukalti bölgesinde sabitlenmesini saglayacak sekilde ikincil sarmal kismin irtibatlandirildigi bahsedilen birincil kol bandina yeterince paralel olacak sekilde saglanmis en az bir ikincil kol bandi içermesidir. Another preferred embodiment of the invention is that said secondary helix of the secondary helix so as to ensure its fixation in the armpit area. be sufficiently parallel to said primary armband to which it is attached. includes at least one secondary armband provided.
Bulusun tercih edilen bir diger yapilanmasi, bahsedilen ikincil kol bandinin kendi üzerinde sabitlenmesini saglamak üzere ikincil kol bandinin bir ucunda yapilandirilmis bir tutucu kisim içermesidir. Another preferred embodiment of the invention is that said secondary armband itself at one end of the secondary armband to secure it on includes a configured retainer.
SEKILLERIN KISA AÇIKLAMASI Sekil 1'de bulus konusu MR sarmalinin genel görünümü verilmistir. BRIEF DESCRIPTION OF THE FIGURES In Figure 1, the general view of the subject of the invention MR helix is given.
SEKILLERDE VERILEN REFERANS NUMARALARI MR Sarmali 11 Konektör 111 Konektör Ucu 112 Konektör Kablosu 12 RF Ünitesi 13 Birincil Sarmal Kisim 14 l'kincil Sarmal Kisim Birincil Kol Bandi 151 Tutucu Kisim 16 l'kincil Kol Bandi 161 Tutucu Kisim BULUS UN DETAYLI AÇIKLAMASI Bu detayli açiklamada bulus konusu koltukalti bölgesi MR sarmali (10) sadece konunun daha iyi anlasilmasina yönelik hiçbir sinirlayici etki olusturmayacak örneklerle açiklanmaktadir. REFERENCE NUMBERS IN THE FIGURES MRI Coil 11 Connectors 111 Connector Tip 112 Connector Cable 12 RF Units 13 Primary Spiral Segment 14 l Secondary Spiral Section Primary Armband 151 Retaining Part 16 l Secondary Armband 161 Holder DETAILED DESCRIPTION OF THE INVENTION In this detailed description, the axillary region MR coil (10) which is the subject of the invention is only shall have no limiting effect on a better understanding of the subject. explained with examples.
Sekil 1'de koltukalti bölgesinin MR görünümünün elde edilmesinde kullanilan bulus konusu MR sarmalinin (10) görünümü yer almaktadir. Buna göre bahsedilen MR sarmali (10) bir konektör (11), bahsedilen konektör (11) ile iliskilendirilmis bir RF ünitesi (12), bahsedilen RF ünitesi (12) ile iliskilendirilmis bir birincil sarmal kismi (13) ve bir ikincil sarmal kismi (14) içermektedir. Bahsedilen birincil sarmal kismi (13) bir birincil kol bandi (15) ile ve bahsedilen ikincil sarmal kismi (14) bir ikincil kol bandi (16) ile iliskilendirilmistir. Bahsedilen birincil kol bandinin (15) bir ucunda bir tutucu kisim (151) ve bahsedilen ikincil kol bandinin (16) bir ucunda bir tutucu kisim (161) yapilandirilmistir. The invention used in obtaining the MR view of the armpit region in Figure 1 The view of the subject MR helix (10) is shown. Accordingly, the said MRI a coiled (10) connector (11), an RF associated with said connector (11) unit (12), a primary helix portion associated with said RF unit (12). (13) and a secondary helical portion (14). Said primary helix part (13) with a primary armband (15) and said secondary helix (14) with a secondary arm band (16) is associated with it. One end of said primary armband (15) retainer portion (151) and a retainer at one end of said secondary armband (16). section (161) is configured.
Konektör (11), bir konektör ucu (111) ile MR cihazina baglanmaktadir. Konektörün (11) RF ünitesi (12) ile baglantisi da bir konektör kablosu (112) vasitasiyla saglanmaktadir. RF ünitesi (12) birincil sarmal kismi (13) ve ikincil sarmal kismindan (14) radyo frekans sinyallerini almakta ve yorumlayarak konektör (11) üzerinden MR cihazina aktarmaktadir. Birincil sarmal kismi (13) ve ikincil sarmal kismi (14) ses dalgalarindaki proton degisimlerini algilayarak radyo frekans sinyalleri meydana getiren elektromanyetik yapilardir. The connector (11) is connected to the MR device with a connector lead (111). of the connector (11) Its connection with the RF unit (12) is also via a connector cable (112). is provided. RF unit (12) primary coil segment (13) and secondary coil The connector (11) receives and interprets radio frequency signals from the transfers it to the MR device. Primary helix segment (13) and secondary helix partial (14) radio frequency detection by detecting proton changes in sound waves Electromagnetic structures that generate signals.
MR sarmalinin (10) kullanilmasinda öncelikle birincil sarmal kismi (13) ve ikincil sarmal kismi (14) hastanin koltukalti bölgesinde konumlandirilacak sekilde MR sarmali (10) birincil kol bandi (15) ve ikincil kol bandi (16) ile hastanin koluna sabitlenmektedir. Birincil kol bandi (15) ve ikincil kol bandinin (16) genisligi hastanin kolunun genisligine göre bahsedilen tutucu kisimlar (151, 161) üzerinde kaydirilarak ayarlanabilmektedir. MR sarmalinda (10) üst üste konumlandirilmis iki adet kol bandinin kullanilmasi bahsedilen birincil sarmal kismi (13) ve ikincil sarmal kismi (14) hastanin koltuk alti bölgesinde gerekli olan bölgelere kolaylikla temas etmesinin saglanmasidir. Sarmal kismin iki adet olmasi ise tüm lenf nodlarinin detayli olarak görünümünün elde edilmesini saglayacak sekilde ayrintili olarak koltukalti alanin taranmasina imkân sunmaktir. In the use of the MR helix (10), primarily the primary helix portion (13) and the secondary helix MRI with the coil portion (14) positioned in the patient's armpit area the coil (10) is attached to the patient's arm with the primary armband (15) and the secondary armband (16) is fixed. Width of primary armband (15) and secondary armband (16) on the aforementioned retainer parts (151, 161) according to the width of the patient's arm can be adjusted by scrolling. Two superimposed on the MR helix (10) the use of a number of armbands, the said primary helix part (13) and the secondary helix part (14) easily touches the necessary areas in the patient's armpit area is to enable it. If there are two spiral parts, all lymph nodes are in detail so as to provide a detailed view of to allow scanning of the armpit area.
MR sarmalinin (10) kola adapte edilmesinin ardindan hasta MR cihazina uzanmaktadir ve bahsedilen konektör ucu (111) ile MR sarmalinin (10) MR cihazina baglantisi yapilmaktadir. Koltukalti bölgesi MRiinin alinmasi 5-6 dakika sürmektedir. Bu süre içerisinde birincil sarmal kismi (13) ve ikincil sarmal kismi (14) koltukalti bölgesinin görüntüsünün elde edilmesi amaciyla radyo frekans sinyalleri üreterek bu sinyalleri RF ünitesine (12) göndermektedir. RF ünitesi (12) de mevcut sinyalleri bahsedilen konektör kablosu (112) ve konektör (11) üzerinden MR cihazina ileterek MR cihazinda koltukalti bölgesinin görünümünün olusturulmasini saglamaktadir. After the MR coil (10) is adapted to the arm, the patient is connected to the MR device. extends and extends the MR coil (10) with said connector end (111). is connected to the device. Taking an underarm MRI 5-6 minutes in progress. During this time, the primary helix segment (13) and the secondary helix segment (14) radio frequency signals to obtain an image of the armpit area generates and sends these signals to the RF unit (12). RF unit (12) also available MR signals via said connector cable (112) and connector (11) to create the appearance of the armpit area in the MR device by transmitting it to the it provides.
MR cihazindan sadece koltukalti bölgesinin görünümünün bulundugu görüntüler elde edilebilmektedir. Taranan alan küçük oldugundan söz konusu MR görüntüleri daha detayli görünümler sunmaktadir. Koltukalti bölgesine iliskin görünümlerde lenf nodlari belirgin bir sekilde görülebilmektedir. Lenf nodlarinin sekil ve yapilarinin incelenmesi ile kanserli kitlelerin tespiti yapilabilmektedir. Dolayisiyla bulus konusu MR sarmalinin (10) kullanilmasiyla birlikte daha önceden detayli görünümleri elde edilemeyen lenf nodlarinin incelenmesi kolaylasmaktadir. MR sarmalinin (10) hastanin koltukalti bölgesine adapte edilmesi pratiktir. MR çekim süreci mevcutta kullanilan sarmallarla yapilan çekimlere kiyasla daha kisadir. Uygulama sirasinda birincil sarmal kismi (13] ve ikincil sarmal kisminda (14l kayma meydana gelmediginden tekrarli çekimlere gerek kalmamaktadir. Ayrica bulus konusu MR sarmallari (10] çok fazla bir masrafa gerek kalmaksizin tüm MR cihazlarina adapte edilebilmektedir. Images with only the view of the armpit area from the MR device can be obtained. Because the scanned area is small, the MR images in question It offers more detailed views. Lymph in views related to the armpit area nodes are clearly visible. The shape and structure of lymph nodes Cancerous masses can be detected by examination. Therefore, the subject of the invention With the use of the MR helix (10), detailed views can be obtained beforehand. Examination of undetectable lymph nodes becomes easier. MR helix (10) It is practical to adapt the patient to the armpit area. MRI process available is shorter compared to shots with helices used. During the application a shift occurs in the primary helix (13] and the secondary helix (14l). There is no need for repeated shots as it does not come. In addition, the subject of the invention is MR Coils (10) can be adapted to all MR devices without much expense. can be achieved.
Bulusun koruma kapsami ekte verilen istemlerde belirtilmis olup kesinlikle bu detayli anlatimda örnekleme amaciyla anlatilanlarla sinirli tutulamaz. Zira teknikte uzman bir kisinin, bulusun ana temasindan ayrilmadan yukarida anlatilanlar isiginda benzer yapilanmalar ortaya koyabilecegi açiktir. The scope of protection of the invention is stated in the appended claims and it is absolutely detailed explanation cannot be limited to what is told for the purpose of illustration. Because in technique what has been described above by a specialist without departing from the main theme of the invention It is clear that similar structuring can occur in the light of this.
Claims (5)
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