TW202038858A - Parkinson disease diagnosis system - Google Patents
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- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
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Abstract
Description
本發明係有關於一種診斷系統,特別是指一種量化病程情況、相對準確、高效率的完成帕金森氏症診斷,輔助醫療人員對帕金森氏症患者做治療判斷的帕金森診斷系統。 The invention relates to a diagnosis system, in particular to a Parkinson's diagnosis system that quantifies the course of the disease, completes the diagnosis of Parkinson's disease with relative accuracy and high efficiency, and assists medical personnel in making treatment judgments for patients with Parkinson's disease.
帕金森氏症(Parkinson disease,PD.)不再只是一種常見的中老年人慢性退化性神經變性疾病,“不死的癌症”帕金森氏症也慢慢向年輕化發展,其病因是由於腦中黑質紋狀體多巴胺能神經元的病症,由此而引起紋狀體多巴胺含量顯著性減少而產生的症狀。帕金森氏症的主要表現可為多動形式、姿勢平衡失穩、震顫、肌肉性僵直等身體症狀,以及嗅覺減退、睡眠障礙、便秘等生理症狀。2015年統計中國270萬帕金森氏症病患,患病率隨年齡增加而升高,也隨著飲食文化以及環境污染而有向年紀輕的人口推進,這樣將給家庭、社會均帶來巨大的經濟負擔。 Parkinson’s disease (PD.) is no longer just a common chronic degenerative neurodegenerative disease in middle-aged and elderly people. The “immortal cancer” Parkinson’s disease is also gradually becoming younger and younger. The cause is the brain The symptoms of dopaminergic neurons in the substantia nigra striatum, which cause a significant decrease in the content of dopamine in the striatum. The main manifestations of Parkinson's disease can include physical symptoms such as hyperactivity, postural balance instability, tremor, and muscle stiffness, as well as physiological symptoms such as hyposmia, sleep disturbance, and constipation. In 2015, a total of 2.7 million people with Parkinson’s disease in China were counted. The prevalence increased with age. It was also promoted to the younger population due to dietary culture and environmental pollution. This will bring huge benefits to families and society. Economic burden.
目前社會存在病患多、醫生少、診斷耗時長、無法早發現、早診斷、早治療,帕金森氏症的早期診斷和病程分析並非易事。尤其對帕金森氏症運動症狀的評估方式通常國際上採用的是帕金森氏症評定量表UPDRS、MDS-UPDRS為病患進行病情評估,每個醫生通過人工觀察,就病患完成指定動作的流暢程度進行評分和綜合病情評定。完整的一套流程 耗時耗力,增加醫生負擔,且因醫生不同精神狀況存在著誤差性,即使同一名醫生不同時間做出的判斷也並不一定相同,診斷結果受主觀影響大,影響整個診斷資料過程,因此,發明人提出了一種新的方案來解決這個問題。 At present, there are many patients, few doctors, long diagnosis, early detection, early diagnosis, and early treatment. Early diagnosis and course analysis of Parkinson's disease are not easy. In particular, the evaluation method of Parkinson’s disease motor symptoms is usually the Parkinson’s disease rating scale UPDRS and MDS-UPDRS to evaluate the patient’s condition. Each doctor conducts manual observation and completes the specified actions for the patient. The fluency is scored and comprehensive disease assessment. A complete set of processes It is time-consuming and labor-intensive, increasing the burden on doctors, and due to different mental conditions of doctors, there are errors, even if the judgments made by the same doctor at different times are not necessarily the same, the diagnosis result is subjectively affected and affects the entire diagnosis data process, so , The inventor proposed a new solution to solve this problem.
有鑑於習用有上述缺點,發明人乃針對前述缺點研究改進之道,終於有本發明產生。 In view of the above-mentioned shortcomings of conventional use, the inventor researched and improved ways to address the above-mentioned shortcomings, and finally came to the present invention.
本發明主要目的在於,提供一種量化病程情況的帕金森診斷系統。 The main purpose of the present invention is to provide a Parkinson's diagnosis system that quantifies the course of the disease.
本發明次要目的在於,提供一種相對準確、高效率的完成帕金森氏症診斷的帕金森診斷系統。 The secondary purpose of the present invention is to provide a relatively accurate and efficient Parkinson's disease diagnosis system.
本發明再一目的在於,提供一種輔助醫療人員對帕金森氏症患者做治療判斷的帕金森診斷系統。 Another object of the present invention is to provide a Parkinson's diagnosis system that assists medical personnel in making treatment judgments for patients with Parkinson's disease.
為達成上述目的及功效,本發明所採行的技術手段包括:一位移資訊採集模組、一控制分析模組與一即時動作模組,其中: In order to achieve the above objectives and effects, the technical means adopted by the present invention include: a displacement information collection module, a control analysis module and a real-time action module, among which:
所述位移資訊採集模組,其包括一定位單元與一資訊採集模組,資訊採集模組感應定位單元的位置獲取一位移資訊並對外傳輸; The displacement information acquisition module includes a positioning unit and an information acquisition module. The information acquisition module senses the position of the positioning unit to acquire displacement information and transmit it to the outside;
所述控制分析模組預設帕金森氏症診斷分析軟體,其與前述資訊採集模組電性連接,接收單位時間內的位移資訊、或對比分析多個時間區間的位移資訊,運算處理並產生一診斷資訊與一控制訊號對外傳輸; The control analysis module presets Parkinson’s disease diagnostic analysis software, which is electrically connected to the aforementioned information collection module, receives displacement information per unit time, or compares and analyzes displacement information in multiple time intervals, calculates, processes and generates External transmission of a diagnosis information and a control signal;
所述即時動作模組與前述控制分析模組電性連接,接收並依據控制訊號產生對應的動作。 The real-time action module is electrically connected to the aforementioned control analysis module, receives and generates corresponding actions according to the control signal.
藉此,在患者肢體的指定位置配戴定位單元,進入資訊採集模組的採集範圍內,以便資訊採集模組來採集定位單元,即患者肢體的位移資訊;資訊採集模組採集的位移資訊返饋至控制分析模組,通過帕金森氏症診斷分析軟體處理後,即可量化患者的病程情況,供醫護人員做診斷參考使用;由於此時的診斷過程不再依賴人工,所以,其可以有效排除主觀因素等帶來的干擾,從而提高帕金森氏症診斷的準確度和效率等;同時,因為控制分析模組連接有即時動作模組,所以醫護人員此時還可控制其對患者做治療動作,從而使用效果更佳;又因為有位移資訊採集模組即時採集患者當前的病程情況,所以醫護人員可以根據即時動態診斷結果清晰的瞭解在哪些軀體部位,進行何種程度的治療對患者更加有效(不同患者病症不同,治療方式位置差異),從而本發明的使用效果更佳。 In this way, the positioning unit is worn at the designated position of the patient's limbs and enters the collection range of the information collection module, so that the information collection module can collect the positioning unit, that is, the displacement information of the patient's limbs; the displacement information collected by the information collection module is returned It is fed to the control analysis module and processed by Parkinson’s disease diagnostic analysis software to quantify the patient’s disease course for medical staff to make a diagnosis reference; since the diagnosis process at this time no longer relies on manual labor, it can be effective Eliminate the interference caused by subjective factors, so as to improve the accuracy and efficiency of Parkinson's disease diagnosis; at the same time, because the control analysis module is connected with the real-time action module, the medical staff can also control it to treat the patient at this time Action, so that the use effect is better; and because there is a displacement information collection module to collect the patient’s current course of disease in real time, medical staff can clearly understand which body parts and the degree of treatment are more effective for the patient based on the real-time dynamic diagnosis results. It is effective (different patients have different symptoms and different treatment methods), so the use effect of the present invention is better.
依上述結構,其中該定位單元包括但不限定是具區別標識的識別器或可供光學辨識的光學識別器。 According to the above structure, the positioning unit includes, but is not limited to, a discriminator with a distinctive mark or an optical discriminator for optical recognition.
依上述結構,其中該資訊採集模組包括至少一個或一個以上的攝像單元。 According to the above structure, the information collection module includes at least one or more camera units.
依上述結構,其中該移資訊採集模組包括固定定位單元並使與穿戴至肢體的穿戴固定機構,所述穿戴固定機構包括但不限定指套、魔術貼、黏膠片、彈性網套或用以將物品配戴至肢體的結構。 According to the above structure, the mobile information collection module includes a fixed positioning unit and a wearing fixing mechanism for wearing to the limbs, and the wearing fixing mechanism includes, but is not limited to, finger cots, Velcro, adhesive tape, elastic mesh cover or Wear the item to the structure of the limb.
依上述結構,其中該位移資訊採集模組包括固定於穿戴固定機構並採集三維向量的運動採集模組,所述運動採集模組包括但不限定陀螺儀、角度感測器、速度感測器或用以產生三維向量變化的感測器。 According to the above structure, the displacement information collection module includes a motion collection module that is fixed to the wearable fixing mechanism and collects three-dimensional vectors. The motion collection module includes but is not limited to a gyroscope, an angle sensor, a speed sensor, or A sensor used to generate three-dimensional vector changes.
依上述結構,其中該即時動作模組包括至少一個或一個以上 可釋放微電流的電極元件,或至少一個或一個以上可釋放光刺激的光療元件。 According to the above structure, the real-time action module includes at least one or more Electrode elements capable of releasing micro currents, or at least one or more phototherapy elements capable of releasing light stimulation.
依上述結構,其中該述控制分析模組電性連接一遠端通訊模組,所述遠端通訊模組包括但不限定有線傳輸或無線傳輸。 According to the above structure, the control analysis module is electrically connected to a remote communication module, and the remote communication module includes but is not limited to wired transmission or wireless transmission.
為使本發明的上述目的、功效及特徵可獲得更具體的瞭解,依各附圖說明如下: In order to obtain a more detailed understanding of the above-mentioned purposes, effects and features of the present invention, the descriptions are as follows according to the drawings:
1‧‧‧位移資訊採集模組 1‧‧‧Displacement information collection module
11‧‧‧定位單元 11‧‧‧Positioning unit
111‧‧‧識別器 111‧‧‧Recognizer
112‧‧‧光學識別器 112‧‧‧Optical Recognizer
12‧‧‧資訊採集模組 12‧‧‧Information Collection Module
121‧‧‧攝像單元 121‧‧‧Camera unit
13‧‧‧運動採集模組 13‧‧‧Motion acquisition module
14‧‧‧穿戴固定機構 14‧‧‧Wearing fixing mechanism
141‧‧‧微控制模組 141‧‧‧Micro control module
142‧‧‧微處理器 142‧‧‧Microprocessor
143‧‧‧A/D轉換器 143‧‧‧A/D converter
2‧‧‧控制分析模組 2‧‧‧Control Analysis Module
3‧‧‧即時動作模組 3‧‧‧Real-time action module
31‧‧‧電極元件 31‧‧‧Electrode element
32‧‧‧光療元件 32‧‧‧Light therapy element
33‧‧‧微控制器 33‧‧‧Microcontroller
331‧‧‧單晶片 331‧‧‧Single chip
4‧‧‧遠端通訊模組 4‧‧‧Remote communication module
第1圖是本發明較佳實施例的方塊圖一。 Figure 1 is a block diagram of a preferred embodiment of the present invention.
第2圖是本發明較佳實施例的方塊圖二。 Figure 2 is a second block diagram of the preferred embodiment of the present invention.
請參閱全部附圖所示,可知本發明的結構主要包括:位移資訊採集模組1、控制分析模組2、即時動作模組3、與遠端通訊模組4,其中:
Please refer to all the drawings. It can be seen that the structure of the present invention mainly includes: a displacement information collection module 1, a
所述位移資訊採集模組1包括一定位單元11、一資訊採集模組12、一運動採集模組13與一穿戴固定機構14,其中:
The displacement information collection module 1 includes a
所述定位單元11配戴在患者的肢體上,其包括但不限定是具區別標識的識別器111,例如塗覆有高反射塗層的片/塊,或可供光學辨識的光學識別器112,例如紅外線發射器、塗覆有發光塗料的的片/塊、發光晶體等。
The
所述資訊採集模組12感應前述定位單元11的位置獲取一位移資訊並對外傳輸,在一個較佳的實施例中,資訊採集模組12包括至少一個或一個以上的攝像單元121,攝像單元121可選擇CCD攝像頭組成,使用時,
為保證能高效、精確地獲取對應的位移資訊,可多個攝像單元121共同使用,且視界相互交叉疊置。
The
所述運動採集模組13用於採集患者三維向量,包括但不限定陀螺儀、角度感測器、速度感測器或用以產生三維向量變化的感測器,運動採集模組13回饋至後述控制分析模組2的一三維向量資訊,可用於配合前述位移資訊使用,以便醫護人員對患者在各個姿態下的震顫情況等做分析,從而診斷效果更佳。
The
所述穿戴固定機構14固定定位單元11使與配戴在患者肢體上的指定位置,其包括但不限定指套、魔術貼、黏膠片、彈性網套或用以將物品配戴至肢體的結構;以及,穿戴固定機構14包括一微控制器141,其包括一微處理器142和一A/D轉換器143,並與運動採集模組13電性連接。
The wearing
所述控制分析模組2預設帕金森氏症診斷分析軟體,其與前述資訊採集模組12電性連接,接收位移資訊、或對比分析多個時間段的位移資訊運算處理並產生一診斷資訊與一控制訊號對外傳輸;在一個較佳的實施例中,控制分析模組2可選擇電腦,其內預設帕金森氏症診斷分析軟體程式;帕金森氏症分析軟體基於帕金森氏症評定量表UPDRS、MDS-UPDRS設置,除了分析處理前述位移資訊、三維向量資訊,得到各個定位單元11的(例如:X、Y、Z軸)位移量外,還設有以下功能和作用:
The
A、截取一單位時間(例如1分鐘、2分鐘、3分鐘等固定間隔周期的時間),計算單位時間內定位元單元11的振動頻率,即得到患者的震顫頻率;
A. Intercept a unit time (for example, 1 minute, 2 minutes, 3 minutes, etc.), and calculate the vibration frequency of the
B、結合時間參數生成監測動態曲線,以便長期觀察等; B. Combine time parameters to generate monitoring dynamic curves for long-term observation, etc.;
C、根據動態曲線計算出定位單元11的振動幅度,即得到患者的震顫強度;
C. Calculate the vibration amplitude of the
D、計算定位單元11在單位時間內各個振動週期的耗時,或計算動態曲線各個波形的面積,以得到患者震顫快慢的資訊,例如要考慮到患者帕金森氏症有肢體僵直表現,存在想邁出一步,實際卻未邁出的問題;
D. Calculate the time consumption of each vibration cycle of the
E、對比多組A-D的資料資訊,診斷不同時間段(治療前、後)患者的震顫情況,得到治療評價。 E. Compare the data information of multiple groups of A-D, diagnose the tremor of patients at different time periods (before and after treatment), and get treatment evaluation.
所述即時動作模組3與前述控制分析模組2電性連接,接收並依據控制訊號產生對應的動作,其包括多個可釋放微電流的電極元件31、或可進行光刺激的光學元件32;電極元件31可選擇電極針或電極片,而光療元件32可選擇UV光療燈或雷射發射器;即時動作模組3可通過黏膠、吸盤等附著在使用者的肢體上,進一步可由醫護人員固定於使用者的各個穴位上。應注意的是,複數個電極元件31通過導線總成於一個或多個微控制器33,微控制器33進一步包括:與前述控制分析模組2電性連接的一單晶片331,並依據控制訊號做治療控制。
The real-
所述遠端通訊模組4與控制分析模組2電性連接,其包括但不限定有線傳輸或無線傳輸,在一個較佳實施例中,控制分析模組2為電腦時,遠端通訊模組4可以是無線網卡、WIFI模組或藍牙模組,此時醫護人員可遠端對患者進行診斷治療等。
The
藉此,患者將固定有定位單元11的穿戴固定機構14配戴在肢體指定位置,穿戴固定機構14以指套為例,此時定位單元11可以採用粘接的方式固定於指套外,接著患者進入資訊採集模組12的視界範圍中,並根
據醫囑靜止或動作;此時資訊採集模組12以攝像單元121為例跟蹤採集定位單元11的視頻圖像,並作為位移資訊輸出到後述的控制分析模組2,以便控制分析模組2接收處理位移資訊後量化患者的病症,為醫務人員的診斷提供參考;因為有資訊採集模組12即時採集患者當前的病程情況,所以在控制分析模組2控制實施即時動作模組3動作後,醫護人員可以根據即時動態的診斷結果清晰瞭解在哪些軀體部位,進行何種程度的治療對患者更加有效(不同患者病症不同,治療方式位置差異),從而本發明的使用效果更佳。
In this way, the patient wears the wearing
本發明除上述效果外,還可以通過即時採集返饋的方式,給予患者直觀的診斷評估,讓患者瞭解自己所處的狀態,使患者瞭解治療的效果;同時可早發現早診斷早治療,對帕金森氏症的病程延緩、控制疾病症狀能起到極大的幫助。 In addition to the above-mentioned effects, the present invention can also provide patients with intuitive diagnosis and evaluation through real-time collection of feedback, so that patients can understand their own state, and patients can understand the effects of treatment; at the same time, early detection and early diagnosis and treatment can be performed. Delaying the course of Parkinson's disease and controlling the symptoms of the disease can greatly help.
綜上所述,本發明具備下列技術特徵與效益: In summary, the present invention has the following technical features and benefits:
1、在患者將定位單元11固定於肢體上,並進入位移資訊採集模組1的採集範圍後,可以由位移資訊採集模組1採集定位單元11(患者肢體移動)的位移資訊,並返饋到控制分析模組2,由控制分析模組2根據位移資訊對患者的帕金森氏症病程作出診斷;上述診斷過程不再依賴人工,有效排除主觀因素等帶來的干擾,從而提高帕金森氏症診斷的準確度和效率等;
1. After the patient fixes the
同時,因為本發明的肢體信息獲取方式是:主動在肢體上配戴基準指示點(即定位單元11)供資訊採集模組12感測,所以更具備下列優勢:
At the same time, because the limb information acquisition method of the present invention is to actively wear a reference indicator point (ie positioning unit 11) on the limb for the
1-1、因為有定位單元11做明確參考,或作為基點,所以本發
明的分析系統相對于現有的部分運動信息採集方式,其不必再每次重新分析目標的輪廓,計算肢體的中心點基點位置來做後續位移信息計算基礎,所以即便患者的肢體初始時就在震顫,數據處理難度也相對較低,這使得本發明的實現難度和成本大幅降低,且能有效提高診斷效率和精度;
1-1. Because there is positioning
1-2、由於本發明可以將定位單元11作為肢體位移信息的基點,所以醫護人員可以根據需求,人工手動固定定位單元11到所需測試的肢體位置,完成測試點選擇,從而方便醫護人員完成診斷工作;
1-2. Since the present invention can use the
1-3、由於本發明可以將定位單元11作為肢體位移信息的基準指示點,醫護人員只需記錄每次位移到定點的固定位置,即可根據需求,在治療前、後期等時間段,分別將其固定在肢體上的相對應位置,以在測試形成多組對比數據,方便醫護人員診斷,驗證治療效果等。
1-3. Since the present invention can use the
2、控制分析模組2連接有即時動作模組3,可以實現對患者做出治療,且可根據即時回饋的診斷結果,判斷當前治療效果。
2. The
3、控制分析模組2連接有遠端通訊模組4,從而必要時,醫護人員可以通過本發明遠端對患者做診斷、治療,從而本發明的使用效果更佳。
3. The
本發明的帕金森診斷系統確實為一具新穎性及進步性的發明,爰依法提出申請發明專利;惟上述說明的內容,僅為本發明的較佳實施例說明,舉凡依本發明的技術手段與範疇所延伸的變化、修飾、改變或等效置換者,亦皆應落入本發明的專利申請範圍內。 The Parkinson’s diagnostic system of the present invention is indeed a novel and progressive invention. An application for a patent for invention was filed in accordance with the law; however, the content of the above description is only a description of the preferred embodiments of the present invention. Any changes, modifications, alterations or equivalent replacements extended by the scope shall also fall within the scope of the patent application of the present invention.
1‧‧‧位移資訊採集模組 1‧‧‧Displacement information collection module
11‧‧‧定位單元 11‧‧‧Positioning unit
12‧‧‧資訊採集模組 12‧‧‧Information Collection Module
13‧‧‧運動採集模組 13‧‧‧Motion acquisition module
2‧‧‧控制分析模組 2‧‧‧Control Analysis Module
3‧‧‧即時動作模組 3‧‧‧Real-time action module
4‧‧‧遠端通訊模組 4‧‧‧Remote communication module
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