WO2005107599A1 - 生体模擬ファントム - Google Patents
生体模擬ファントム Download PDFInfo
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- WO2005107599A1 WO2005107599A1 PCT/JP2004/018552 JP2004018552W WO2005107599A1 WO 2005107599 A1 WO2005107599 A1 WO 2005107599A1 JP 2004018552 W JP2004018552 W JP 2004018552W WO 2005107599 A1 WO2005107599 A1 WO 2005107599A1
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- Prior art keywords
- phantom
- gel
- biological simulation
- fine particles
- simulation phantom
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/48—Diagnostic techniques
- A61B8/485—Diagnostic techniques involving measuring strain or elastic properties
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/58—Testing, adjusting or calibrating the diagnostic device
- A61B8/587—Calibration phantoms
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T428/00—Stock material or miscellaneous articles
- Y10T428/24—Structurally defined web or sheet [e.g., overall dimension, etc.]
- Y10T428/24942—Structurally defined web or sheet [e.g., overall dimension, etc.] including components having same physical characteristic in differing degree
- Y10T428/24983—Hardness
Definitions
- the present invention relates to a medical image diagnostic technique, and more particularly to a biological simulation phantom used for a medical image diagnostic apparatus that visualizes a disease by using a difference in shear elastic modulus (hardness) of a living body. .
- Imaging diagnostic modalities such as X-ray CT, MRI, and ultrasonic diagnostic equipment have long been indispensable tools in medical practice. These are images of differences in CT value, spin relaxation time, and acoustic impedance in a living body, respectively, and since these differences in physical properties exclusively reflect the structure of a living body, Called “imaging.” On the other hand, imaging of a part that is functionally different even if it is structurally the same tissue is called “functional imaging”.
- PET Positron Emission Tomography
- elastic imaging which is a technique for imaging differences in hardness in tissues, is used as functional imaging at the tissue level. No. This is to obtain information obtained by palpation of a doctor using a diagnostic device. Stiffness is an important factor that reflects tissue characteristics such as canceration, so that lumps may lead to early detection in breast cancers. If an image of the hardness of a minute part can be imaged by a diagnostic device, it is possible to diagnose a disease state that cannot be understood by palpation, such as detection of arterial sclerosis.
- the hardness examined by palpation is expressed as a rigidity (shear modulus).
- shear modulus is one of the physical quantities that it is difficult to measure accurately, and the power of elastic imaging to show its true value.Since it is an early disease that is difficult to distinguish with normal diagnostic images, the absolute elastic modulus is By determining the relative elastic modulus instead of the value, it is possible to sufficiently visualize the diseased area Therefore, clinically, the method of making a diagnosis based on the relative elastic modulus is the mainstream.
- Such elasticity imaging provides a new diagnostic method that has never existed before, and its spread requires a biological simulation phantom for training an operator, demonstrating the method, or examining the method. .
- Conventionally known elastic imaging phantoms are based on existing ultrasonic tomographic imaging phantoms.
- Gels using high molecules such as agar or gelatin can be used as a graphite or the like.
- the basic structure is a mixture of powders.
- the gel has a structure in which solvent molecules are present in a bound state in a polymer network, and is apparently a solid. Hydrate gels using water as the solvent have almost the same acoustic properties as water and soft tissues of living organisms, and can be considered to acoustically simulate living organisms.
- the hardness of the gel can be easily controlled by changing the production conditions such as the concentration of the polymer, the hydration gel is an excellent material for the elastic imaging phantom.
- thermoreversible gel A gel using agar or gelatin is called a thermoreversible gel, and reversibly changes into a sol (a state with high fluidity) and a gel (a state with low fluidity) by heating and cooling.
- sol a state with high fluidity
- gel a state with low fluidity
- Non-patent document 1 1996 IEEE ULTRASONICS SYMPOSIUM, p.1193-1196
- Patent Document 1 JP-A-8-10254 Disclosure of the Invention Problems to be Solved by the Invention
- thermoreversible gel In the preparation of a thermoreversible gel, it is necessary to introduce a scatterer into the gel in a sol state, that is, in a high temperature state, and then to cool it for gelation.
- the sol-to-gel transition occurs at about 30-50 ° C for agar and about 20-40 ° C for gelatin, and when the scatterer is introduced into the sol, the temperature is about 70 ° C, which is sufficiently higher than the gelation temperature. Need to keep at temperature. At a high temperature of about 70 ° C, the vapor pressure of water is high, so evaporation evaporates and it is difficult to control the concentration accurately.
- Non-Patent Document 2 To solve the problem of low mechanical strength, a method using a polybutyl alcohol gel as in the above-described conventional example (Non-Patent Document 2) has been proposed.
- gel networks are formed by the interaction between polymers caused by a change in the three-dimensional structure of the polymers due to a decrease in temperature from the sol state.
- polybutyl alcohol gel free water in the solution freezes due to a temperature drop from the sol state, and water separates from the polymer chain, so that the distance between the polybutyl alcohol molecules decreases and the molecular weight decreases.
- a gel network is formed by a hydrogen bond between them.
- the gel network grows by repeated reheating and freezing, resulting in a strong gel structure.
- using a polyvinyl alcohol gel as a material makes it possible to prepare a phantom that is mechanically stronger than a thermoreversible gel such as agar or gelatin.
- polybutyl alcohol gel has a network formed by weak bonds as compared with covalent bonds called hydrogen bonds, so it has higher mechanical strength than completely thermoreversible gel, but it changes over time.
- a network is formed by a weak bond as a chemical bond such as intermolecular interaction or hydrogen bond.
- a gel formed by strong bonds such as covalent bonds is called a chemical gel.
- the present invention has been made in view of the above points, and an object of the present invention is to provide a biological simulation phantom technology that can control the intensity and hardness of an ultrasonic echo and is excellent in stability. I do.
- the present inventors have used a chemical gel to form a network structure by a chemical bond having a strength equivalent to a covalent bond or a covalent bond between polymer chains, and It has been found that it is effective to use a gel obtained by a preparation method in which a process in which a molecule is obtained by polymerization of a monomer and a process in which polymer chains are combined to form a network by simultaneously proceeding.
- the scatterer By linking the polymers by a covalent bond, the low stability, which is a problem in the physical gel, is solved. Furthermore, by simultaneously performing the polymerization process and the network formation process, the scatterer can be dispersed in a low-viscosity monomer (low-molecule) solution, and the scatterer can be uniformly and reproducibly dispersed in the gel. It is possible to do. Further, unlike the physical gel, since the heating and cooling steps are not included, the scatterer concentration can be set strictly.
- the chemical gel used in the present invention forms a network at the same time as the monomer is polymerized.
- the polymer is represented by the following general formula (Chemical Formula 1) (where R and R are the same or different hydrogen, an alkyl group having 20 or less carbon atoms,
- the polymerization reaction used for preparing the gel in the present invention include a polycondensation reaction, a thermal polymerization reaction, a radiation polymerization reaction, a photopolymerization reaction, and a plasma polymerization reaction.
- a polymerization initiator in some cases is added to a mixed solution of a monomer that is a main component of a polymer chain containing two or more functional groups and a crosslinking monomer containing three or more functional groups.
- the cross-linking monomer is selected according to the monomer serving as the main component of the polymer chain, and when using the above-mentioned polyacrylamide derivative monomer, ⁇ , ⁇ ′-methylenebis (acrylamide) is particularly suitable.
- the powder is mixed with a highly viscous polymer solution so that sedimentation can be prevented to some extent.
- scatterers are mixed with a low viscosity monomer solution and gelling is performed, it is particularly important to prevent sedimentation. It becomes. Assuming a 'spherical' monodispersion, the settling velocity of the particles in the fluid is
- the sedimentation velocity of particles of 40 microns in diameter and specific gravity in water is 1.6 ⁇ / 3. Assuming that Gerui-dani takes 10 minutes, it will sink about 6 cm I will. On the other hand, when the diameter is 4 microns, the sedimentation velocity is 16 nm / s, and the sedimentation distance in 10 minutes is about 0.6 mm, which is almost negligible. Since the gelation time varies depending on the shape and size of the phantom, the optimum size of the scatterer differs depending on the target phantom.
- the specific gravities of solid particles of metals, metal oxides, carbon particles, and spherical polymers that can be used as scatterers are generally in the range of 115.
- the material of the scatterer used in the present invention is not particularly limited as long as it is a solid having low water solubility.However, from the viewpoint of mechanical stability, oxide fine particles such as titanium oxide, alumina oxide, and silicon oxide, tungstate, nickel, Metal particles such as molybdenum and the like, and resin particles such as polyethylene particles, polyethylene hollow spheres and polystyrene hollow spheres are preferable.
- the biological simulation phantom of the present invention is a biological simulation phantom composed of a plurality of portions having different hardness and ultrasonic echo characteristics, wherein the plurality of portions bind a liquid with a polymer skeleton. It includes a gel structure and a solid scatterer.
- the gel structure includes a polyacrylamide derivative represented by the following chemical formula.
- R and R are hydrogen, an alkyl group having 20 or less carbon atoms, or an
- the oxide fine particles include any one of titanium oxide, alumina oxide, and silicon oxide.
- the solid scatterer includes at least one kind of metal particles.
- the solid scatterer includes at least one kind of resin particles.
- the resin particles include at least one of polyethylene particles, polyethylene hollow spheres, and polystyrene hollow spheres.
- the living body simulation phantom according to the present invention includes a first portion, and a second portion provided in the first portion and having a different hardness and / or ultrasonic echo intensity from the first portion. And the first portion and the second portion form a gel structure by a covalent bond between polymer chains or a chemical bond having a strength corresponding to the covalent bond, and the gel structure It is characterized by including solid scatterers dispersed therein and having different hardness and ultrasonic echo intensity from each other.
- the method for manufacturing a biological simulation phantom according to the present invention is provided in the first portion and the first portion, wherein the first portion has hardness and / or ultrasonic echo characteristics different from those of the first portion.
- R and R are hydrogen, an alkyl group having 20 or less carbon atoms, or an
- an ultrasonic echo intensity and hardness can be controlled, and a biological simulation phantom technology excellent in stability can be realized.
- a female mold 1 (here, a rectangular parallelepiped) having a desired size and shape as shown in FIG. 1 and a phantom as shown in FIG.
- a male mold 3 having a shape obtained by extending a desired planar shape (here, a circle) corresponding to a portion having different acoustic or elastic characteristics in the axial direction is prepared.
- a desired planar shape here, a circle
- FIG. 1 2-1, 2-2, and 2-3 are recesses for fixing the male mold 3 to the female mold 1 and are engaged with the fixing part 4.
- the shape of the male mold 3 can also be configured so that the recess 2 and the end of the male mold 3 can be screwed to each other.
- male type 3 was fixed to female type 1 (here, an example using three male types 3 is shown), and a 40% acrylamide stock solution (390 g of acrylamide 80 ml of 10 g of ⁇ , ⁇ '-methylenebisacrylamide in 1000 ml of distilled water and 12.5 g of fine particles of titanium oxide (for example, P-25 from Nippon Aerodil Co., Ltd.) are made up to 500 ml with distilled water. Degas with stirring for 30 minutes.
- a 40% acrylamide stock solution 390 g of acrylamide 80 ml of 10 g of ⁇ , ⁇ '-methylenebisacrylamide in 1000 ml of distilled water and 12.5 g of fine particles of titanium oxide (for example, P-25 from Nippon Aerodil Co., Ltd.) are made up to 500 ml with distilled water. Degas with stirring for 30 minutes.
- APS Ammonium PerSulfite
- TEMED ⁇ , ⁇ , ⁇ ', ⁇ ',-Tetramethylethylenediamine
- FIG. 4 shows an ultrasonic tomographic image (a) and an elasticity imaging image (b) of a biological simulated phantom according to the present invention prepared and prepared by changing the hardness while maintaining the same ultrasonic echo intensity as compared to the outside.
- An example is shown below.
- the higher the ultrasonic echo intensity the whiter the image.
- the elastic imaging image the harder the image, the whiter the image.
- the three circular regions with different brightness on the ultrasonic tomographic image were harder than the surroundings and almost the same in each case on the elasticity imaging image. From this result, it can be seen that the hardness and ultrasonic echo intensity can be controlled by the present phantom.
- a polygon such as a triangle and a quadrangle, an ellipse, and the like can be used in addition to a circle.
- acrylamide can be obtained by converting 2_ (dimethylamino) ethyl methacrylate, 2-dimethylaminoethynolemethacrylate, 2_acrylamide-2_methylpropanesulfonic acid, N-atalyloylaminoethoxyethanol, N-atalyloylaminopropanol, -A similar phantom could be prepared by changing to one of methylolatalinoleamide.
- a similar phantom could be prepared by changing titanium oxide to at least one of silicon oxide, aluminum oxide, graphite, polystyrene fine particles, and polyethylene fine particles.
- male type 3 was fixed to female type 1 (here, three male types 3 were used).
- a 40% acrylamide stock solution (390 g of atalinoleamide, 10 g of ⁇ ) was used.
- FIG. 5 shows an example of an ultrasonic tomographic image (a) and an elastic imaging image (b) of the created biological phantom of the present invention.
- an ultrasonic tomographic image the higher the ultrasonic echo intensity, the whiter the image.
- the elasticity imaging image the harder the image, the whiter the image.
- Three circular regions with different brightness on the ultrasound tomographic image had the same hardness on the elasticity imaging image. From this result, it can be seen that the hardness and the ultrasonic echo intensity can be controlled by this phantom.
- a polygon other than a circle a polygon such as a triangle and a quadrangle, an ellipse, and the like can be used.
- acrylamide can be obtained by converting 2- (dimethylamino) ethyl methacrylate, 2_dimethylaminoethynolemethatalylate, 2_acrylamide-2_methylpropanesulfonic acid, N-atalyloyl
- a similar phantom could be prepared by changing to one of aminoethoxyethanol, N-atalyloylaminopropanol, and N-methylolacrylamide.
- a similar phantom could be prepared by changing titanium oxide to at least one of silicon oxide, aluminum oxide, graphite, polystyrene fine particles, and polyethylene fine particles.
- a female mold 1 (here, a rectangular parallelepiped) having the desired size and shape as shown in FIG. 1 as in the two-dimensional display phantom, and FIG.
- the male mold 5 was fixed to the female mold 1, and a 40% acrylamide stock solution (390 g of acrylamide, 10 g of ⁇ , ⁇ ′-methylenebisacrylamide was made up to 1000 ml with distilled water. 80 ml and 12.5 g of titanium oxide fine particles (Nippon Aerosil Co., Ltd., P-25) are made up to 500 ml with distilled water, and deaerated while stirring for 30 minutes.
- a 40% acrylamide stock solution 390 g of acrylamide, 10 g of ⁇ , ⁇ ′-methylenebisacrylamide was made up to 1000 ml with distilled water.
- 80 ml and 12.5 g of titanium oxide fine particles (Nippon Aerosil Co., Ltd., P-25) are made up to 500 ml with distilled water, and deaerated while stirring for 30 minutes.
- Dispersion made up to 25 ml (B) Dispersion made up to 3 ml of acrylamide stock solution and 0.6 g of titanium oxide fine particles with distilled water to 25 ml with distilled water, (C) 3 ml of acrylamide stock solution and titanium oxide fine particles O.Olg with distilled water Degas the three types of dispersions, each of which was made up to 25 ml with stirring, while stirring each for 5 minutes, add 0.25 ml of APS and 0.01 ml of TEMDE, and add auxiliary males to each hole after the male mold 5 was removed. Cover with mold 6 and gel.
- the auxiliary male mold 6 was removed and the dispersion of 4 ml of acrylamide stock solution and 12.5 g of titanium oxide fine particles in 25 ml of distilled water was removed while stirring for 5 minutes. Add 0.25 ml of APS and TEMDEO.Olml, cover and gel. After gelation, remove the gel from female mold 1. In this way, a three-dimensional display phantom can be manufactured.
- a cone such as a triangular pyramid, a quadrangular pyramid, or a cone other than a sphere, It can be an ellipsoid or the like.
- acrylamide can be obtained by converting 2- (dimethylamino) ethyl methacrylate, 2-dimethylaminoethyl methacrylate, 2-acrylamido-2-methylpropanesulfonic acid, N-atalyloylaminoethoxyethanol, N-atalyloylamino
- a similar phantom could be prepared by changing to one of propanol and N-methylolacrylamide.
- a similar phantom could be prepared by changing titanium oxide to at least one of silicon oxide, aluminum oxide, graphite, polystyrene fine particles, and polyethylene fine particles.
- a two-dimensional elastic modulus distribution display phantom having a region inside which is harder than the surroundings and has the same ultrasonic brightness as the surroundings will be described.
- a female mold 1 of the same type as in the first embodiment and a male mold 7 shown in Fig. 8 are used.
- the male type 7 was fixed to the female type 1 and 80% of a 40% acrylamide stock solution (390 g of acrylamide, 10 g of N, N-methylenebisacrylamide made up to 1000 ml with distilled water) and acid 12.5 g of silicon silicide particles (Aerosil 200, manufactured by Nippon Aerosil Co., Ltd.) is made up to 500 ml with distilled water, and deaeration is performed for 30 minutes while stirring.
- a 40% acrylamide stock solution 390 g of acrylamide, 10 g of N, N-methylenebisacrylamide made up to 1000 ml with distilled water
- acid 12.5 g of silicon silicide particles (Aerosil 200, manufactured by Nippon Aerosil Co., Ltd.) is made up to 500 ml with distilled water, and deaeration is performed for 30 minutes while stirring.
- FIG. 10 shows an ultrasonic tomographic image (a) and an elasticity imaging image (b) of the prepared gel.
- acrylamide was prepared by converting 2- (dimethylamino) ethyl methacrylate, 2_dimethylaminoethynolemethatalylate, 2_acrylamido-2-methylpropanesulfonic acid, N-atalyloyl aminoethoxyethanol, N-atalyloyla Similar phantoms could be prepared by changing to one of minopropanol and N-methylolatalinoleamide. Also, the same phantom could be prepared by changing the silicon oxide to at least one of titanium oxide, aluminum oxide, graphite, polystyrene fine particles, and polyethylene fine particles.
- the intensity and hardness of the ultrasonic echo can be controlled, and are used for evaluation of an elastic imaging apparatus, training of an operator, or demonstration of elastic imaging. be able to.
- FIG. 1 is a view showing an example of a female mold used for manufacturing a biological simulation phantom according to a first embodiment of the present invention (Example 1).
- FIG. 2 is a view showing an example of a male mold used for manufacturing a living body phantom according to the first embodiment of the present invention (Example 1).
- FIG. 3 is a view showing an example of a combination of a female mold and a male mold used for manufacturing a living body phantom according to the first embodiment of the present invention (Example 1).
- FIG. 4 is a view showing an example of an ultrasonic tomographic image ( a ) and an elasticity imaging image (b) of the biological simulation phantom according to the first embodiment of the present invention (Example 1).
- FIG. 5 is a diagram showing an example of an ultrasonic tomographic image (a) and an elastic imaging image (b) of a biological simulation phantom according to a second embodiment of the present invention (Example 2).
- FIG. 6 shows an auxiliary female mold used for manufacturing a biological simulation phantom according to a third embodiment of the present invention. (Example 3) which shows an example of Example.
- FIG. 7 is a view showing an example of a combination of a female mold and an assisting male mold used for manufacturing a biological simulation phantom according to a third embodiment of the present invention (Example 3).
- FIG. 8 is a view showing an example of a male mold used for manufacturing a biological simulation phantom according to a fourth embodiment of the present invention (Example 4).
- FIG. 9 is a view showing an example of a combination of a female mold and a male mold used for manufacturing a biological simulation phantom according to a fourth embodiment of the present invention (Example 4).
- FIG. 10 is a view showing an example of an ultrasonic tomographic image (a) and an elastic imaging image (b) of a living body simulating phantom according to a fourth embodiment of the present invention (Example 4).
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Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
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JP2006512916A JP4648310B2 (ja) | 2004-05-11 | 2004-12-13 | 生体模擬ファントム及びその製造方法 |
US11/596,044 US7943231B2 (en) | 2004-05-11 | 2004-12-13 | Organism simulative phantom |
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JP2004140811 | 2004-05-11 | ||
JP2004-140811 | 2004-05-11 |
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WO2005107599A1 true WO2005107599A1 (ja) | 2005-11-17 |
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PCT/JP2004/018552 WO2005107599A1 (ja) | 2004-05-11 | 2004-12-13 | 生体模擬ファントム |
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US (1) | US7943231B2 (ja) |
JP (1) | JP4648310B2 (ja) |
WO (1) | WO2005107599A1 (ja) |
Cited By (6)
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EP2281508A1 (en) * | 2008-04-25 | 2011-02-09 | Hitachi Medical Corporation | Ultrasonic diagnostic device |
JP2013056100A (ja) * | 2011-09-09 | 2013-03-28 | Canon Inc | 光音響整合材 |
WO2013077077A1 (ja) * | 2011-11-22 | 2013-05-30 | 株式会社アドバンテスト | 生体光計測用ファントム、ファントム積層体およびファントムの製造方法 |
WO2013099787A1 (ja) * | 2011-12-28 | 2013-07-04 | 株式会社日立製作所 | 生体模擬ファントムおよび校正装置 |
EP3496073A1 (en) | 2017-12-07 | 2019-06-12 | Ricoh Company, Ltd. | Ultrasonic inspection phantom and method of manufacturing same |
JP2021525157A (ja) * | 2018-05-21 | 2021-09-24 | ビオモデックス エス エイ エスBiomodex S.A.S. | エコー源性器官レプリカおよび付加的製造システムを使用した製造方法 |
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US20100047752A1 (en) * | 2006-12-21 | 2010-02-25 | Koninklijke Philips Electronics N.V. | Anatomically and functionally accurate soft tissue phantoms and method for generating same |
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US8845538B2 (en) | 2008-04-25 | 2014-09-30 | Hitachi Medical Corporation | Ultrasonic diagnostic apparatus |
JP2013056100A (ja) * | 2011-09-09 | 2013-03-28 | Canon Inc | 光音響整合材 |
WO2013077077A1 (ja) * | 2011-11-22 | 2013-05-30 | 株式会社アドバンテスト | 生体光計測用ファントム、ファントム積層体およびファントムの製造方法 |
JPWO2013077077A1 (ja) * | 2011-11-22 | 2015-04-27 | 株式会社アドバンテスト | 生体光計測用ファントム、ファントム積層体およびファントムの製造方法 |
WO2013099787A1 (ja) * | 2011-12-28 | 2013-07-04 | 株式会社日立製作所 | 生体模擬ファントムおよび校正装置 |
EP3496073A1 (en) | 2017-12-07 | 2019-06-12 | Ricoh Company, Ltd. | Ultrasonic inspection phantom and method of manufacturing same |
US11076839B2 (en) | 2017-12-07 | 2021-08-03 | Ricoh Company, Ltd. | Ultrasonic inspection phantom and method of manufacturing same |
JP2021525157A (ja) * | 2018-05-21 | 2021-09-24 | ビオモデックス エス エイ エスBiomodex S.A.S. | エコー源性器官レプリカおよび付加的製造システムを使用した製造方法 |
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US7943231B2 (en) | 2011-05-17 |
US20080261009A1 (en) | 2008-10-23 |
JP4648310B2 (ja) | 2011-03-09 |
JPWO2005107599A1 (ja) | 2008-03-21 |
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