CN101711700B - Magnetic resonance imaging (MRI) compatible needle knife - Google Patents

Magnetic resonance imaging (MRI) compatible needle knife Download PDF

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CN101711700B
CN101711700B CN2008101619776A CN200810161977A CN101711700B CN 101711700 B CN101711700 B CN 101711700B CN 2008101619776 A CN2008101619776 A CN 2008101619776A CN 200810161977 A CN200810161977 A CN 200810161977A CN 101711700 B CN101711700 B CN 101711700B
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needle knife
pin
needle
knife
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CN101711700A (en
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邓翔
韦石
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Siemens Corp
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Abstract

本发明提供了一种磁共振成像兼容针刀,包括:针刀柄、针刀身和针刀头;其中:所述针刀身和针刀头由顺磁性金属材料制成;并且,所述顺磁性金属材料之上涂覆有一层反磁性金属材料涂层。在本发明,由于所述反磁性金属材料涂层可以抵消外加磁场对所述顺磁性金属材料的磁化作用,因而所述顺磁性金属材料就不会导致磁共振设备的磁场畸变,同时也不会在扫描图像中产生伪迹。并且,由于所述顺磁性和反磁性金属材料均是由金属元素构成,因此可以保证所述针刀身和所述针刀头的机械特性,从而满足针刀手术的要求。

Figure 200810161977

The present invention provides a magnetic resonance imaging compatible needle knife, comprising: a needle knife handle, a needle knife body and a needle knife head; wherein: the needle knife body and the needle knife head are made of paramagnetic metal material; and, the paramagnetic A layer of diamagnetic metal material coating is coated on the metal material. In the present invention, since the diamagnetic metal material coating can counteract the magnetization effect of the external magnetic field on the paramagnetic metal material, the paramagnetic metal material will not cause the magnetic field distortion of the magnetic resonance equipment, and will not Artifacts are produced in scanned images. Moreover, since both the paramagnetic and diamagnetic metal materials are composed of metal elements, the mechanical properties of the needle knife body and the needle knife head can be guaranteed, thereby meeting the requirements of needle knife surgery.

Figure 200810161977

Description

一种磁共振成像MRI兼容针刀A magnetic resonance imaging MRI compatible needle knife

技术领域 technical field

本发明设计一种医疗器械,具体涉及一种磁共振成像MRI兼容针刀。The invention designs a medical device, in particular to an MRI compatible needle knife for magnetic resonance imaging.

背景技术 Background technique

中国专利98208305中公开了一种针刀。这种针刀在治疗疾病方面将西医的外科手术治疗方法和中医的针刺治疗方法有机地融为一体,将西医的开放性手术变成为闭合性手术。针刀手术既可达到切割、松解、剥离、清除病灶的目的,又无需切开皮肤和相关组织,也就避免了外科手术的后遗症和并发症的产生,从而成为可以直接应用于临床的、可操作的一种医疗技术。A kind of needle knife is disclosed among the Chinese patent 98208305. This acupotomy organically integrates the surgical treatment method of Western medicine and the acupuncture treatment method of Chinese medicine in the treatment of diseases, and turns the open operation of Western medicine into a closed operation. Needle-knife surgery can not only achieve the purpose of cutting, loosening, peeling, and clearing the lesion, but also does not need to cut the skin and related tissues, and avoids the sequelae and complications of surgery, thus becoming a clinically applicable, An operational medical technology.

但是,由于针刀手术这种闭合性手术的特点,医生在手术操作的过程中无法直接看到病灶,因而针刀手术需要医生具有丰富的生理解剖学知识和临床经验。为了辅助医生进行“可视化”的操作,从而降低针刀手术的风险性,磁共振成像导引(MRI guided)的针刀手术方式成为针刀医学领域一种重要的发展趋势。However, due to the characteristics of closed surgery such as needle-knife surgery, doctors cannot directly see the lesion during the operation, so needle-knife surgery requires doctors to have rich knowledge of physiological anatomy and clinical experience. In order to assist doctors to perform "visualized" operations and reduce the risk of needle-knife surgery, magnetic resonance imaging-guided (MRI-guided) needle-knife surgery has become an important development trend in the field of needle-knife medicine.

磁共振成像导引充分利用了磁共振成像良好的组织解剖结构分辨能力以及病变组织与正常组织的高对比度,通过快速成像技术对针刀手术过程进行全程实时监控,从而可以帮助医生随时了解并判断针刀与病灶及其周边重要血管和神经的位置关系,确定手术实施范围,进而达到实时监控手术疗效的目的。Magnetic resonance imaging guidance makes full use of the good tissue anatomical structure resolution ability of magnetic resonance imaging and the high contrast between diseased tissue and normal tissue. Through rapid imaging technology, the whole process of needle-knife surgery is monitored in real time, which can help doctors understand and judge at any time. The positional relationship between the acupotomy and the lesion and its surrounding important blood vessels and nerves determines the scope of the operation, and then achieves the purpose of real-time monitoring of the curative effect of the operation.

为了实施磁共振成像导引的针刀手术,手术用针刀应具有非磁特性(non-magnetic),以与磁共振设备兼容。但是,传统的针刀多是由不锈钢材料制成,这种针刀在用于磁共振成像导引的针刀手术时会导致磁共振设备的磁场畸变,影响磁共振成像的质量,并带来严重的核磁安全问题。为此,美国专利6,258,071中提出了一种由陶瓷材料制成的磁共振成像兼容针刀。陶瓷材料虽然具有非磁特性,但是质地比较脆硬,因此由陶瓷材料制成的针刀的机械性能并不理想。另外,美国专利5,730,732中提出了一种由316型不锈钢材料制成的磁共振成像兼容针刀。这种针刀的机械性能虽然能够满足要求,但是在用于磁共振成像时,仍会在扫描图像中、尤其是针刀头所在的位置上产生严重的伪迹(artefact),因而使医生无法对病灶区域进行很好地观察以及对针刀头的位置进行准确地判断。In order to perform magnetic resonance imaging-guided needle-knife surgery, the surgical needle-knife should have non-magnetic properties to be compatible with magnetic resonance equipment. However, traditional needle knives are mostly made of stainless steel. When this kind of needle knife is used for magnetic resonance imaging-guided needle-knife surgery, it will cause magnetic field distortion of the magnetic resonance equipment, affect the quality of magnetic resonance imaging, and bring Serious nuclear magnetic safety issues. To this end, US Patent No. 6,258,071 proposes an MRI-compatible needle knife made of ceramic material. Although ceramic materials have non-magnetic properties, their texture is relatively brittle and hard, so the mechanical properties of needle knives made of ceramic materials are not ideal. In addition, US Patent No. 5,730,732 proposes an MRI compatible needle knife made of 316 type stainless steel material. Although the mechanical properties of this needle knife can meet the requirements, when it is used for magnetic resonance imaging, it will still produce serious artifacts (artefact) in the scanned image, especially at the position of the needle knife head, so that doctors cannot Make a good observation of the lesion area and accurately judge the position of the needle knife head.

发明内容 Contents of the invention

有鉴于此,本发明的目的在于提供一种磁共振成像兼容针刀,一方面具有良好的机械性能,同时不会在扫描图像中产生伪迹。In view of this, the object of the present invention is to provide an MRI-compatible needle knife, which has good mechanical properties and does not produce artifacts in the scanned image.

本发明的上述目的通过以下的技术方案加以实现:一种磁共振成像兼容针刀,包括:针刀柄、针刀身和针刀头;其中:The above object of the present invention is achieved through the following technical solutions: a magnetic resonance imaging compatible needle knife, comprising: a needle knife handle, a needle knife body and a needle knife head; wherein:

所述针刀身和针刀头由顺磁性金属材料制成;并且,The needle blade body and the needle blade head are made of a paramagnetic metal material; and,

所述顺磁性金属材料之上涂覆有一层反磁性金属材料涂层。The paramagnetic metal material is coated with a layer of diamagnetic metal material coating.

根据本发明的针刀,其中,所述顺磁性金属材料为铂、镁、铝或钛,所述反磁性金属材料为金、银或铋。According to the needle knife of the present invention, the paramagnetic metal material is platinum, magnesium, aluminum or titanium, and the diamagnetic metal material is gold, silver or bismuth.

根据本发明的针刀,其中,所述针刀头处的所述反磁性金属材料涂层上具有一个缺口,所述针刀头在所述缺口处只由所述顺磁性金属材料制成。According to the needle knife of the present invention, there is a notch on the coating of the paramagnetic metal material at the needle knife head, and the needle knife head is only made of the paramagnetic metal material at the notch.

根据本发明的针刀,其中,所述缺口为一环绕所述针刀头的环形缺口。According to the needle knife of the present invention, the notch is an annular notch surrounding the needle knife head.

根据本发明的针刀,其中,所述针刀身为空心管状,并在所述针刀柄和所述针刀头两端具有开口。According to the needle knife of the present invention, the needle knife body is hollow tubular, and has openings at both ends of the needle knife handle and the needle knife head.

根据本发明的针刀,其中,所述针刀柄与针刀身可拆卸,并且所述针刀柄由塑料制成。According to the needle knife of the present invention, the needle knife handle and the needle knife body are detachable, and the needle knife handle is made of plastic.

根据本发明的针刀,其中,所述针刀柄与针刀身为一体,并且所述针刀柄也由所述顺磁性金属材料制成,所述顺磁性金属材料之上涂覆有所述反磁性材料金属涂层。According to the needle knife of the present invention, wherein, the needle knife handle is integrated with the needle knife body, and the needle knife handle is also made of the paramagnetic metal material, and the paramagnetic metal material is coated with the Metallic coating of diamagnetic material.

在本发明,所述针刀身和所述针刀头被设计为双层结构,所述反磁性金属材料涂层可以抵消外加磁场对所述顺磁性金属材料的磁化作用,因而所述顺磁性金属材料就不会导致磁共振设备的磁场畸变,同时也不会在扫描图像中产生伪迹。并且,由于所述顺磁性和反磁性金属材料均是由金属元素构成,因此可以保证所述针刀身和所述针刀头的机械特性,从而满足针刀手术的要求。In the present invention, the needle blade body and the needle blade head are designed as a double-layer structure, and the coating of the diamagnetic metal material can counteract the magnetization effect of the external magnetic field on the paramagnetic metal material, so that the paramagnetic metal material The material does not distort the magnetic field of the MRI system and does not produce artifacts in the scanned image. Moreover, since both the paramagnetic and diamagnetic metal materials are composed of metal elements, the mechanical properties of the needle knife body and the needle knife head can be guaranteed, thereby meeting the requirements of needle knife surgery.

附图说明 Description of drawings

以下将结合附图并通过具体实施例对本发明的目的及特征进行详细说明,这些具体实施历史说明性的,不具有限制性。The purpose and features of the present invention will be described in detail below in conjunction with the accompanying drawings and through specific embodiments. These specific implementations are illustrative and not restrictive.

图1为本发明实施例中的针刀结构示意图;Fig. 1 is a schematic diagram of the structure of a needle knife in an embodiment of the present invention;

图2为图1所示针刀的截面方向示意图;Fig. 2 is a schematic diagram of the cross-sectional direction of the needle knife shown in Fig. 1;

图3为图2中的A-A截面示意图;Fig. 3 is A-A sectional schematic diagram in Fig. 2;

图4为图2中的B-B截面示意图。Fig. 4 is a schematic cross-sectional view of B-B in Fig. 2 .

具体实施方式 Detailed ways

本发明的磁共振成像兼容针刀包括:针刀柄、针刀身和针刀头;其中,所述针刀身和针刀头由顺磁性(paramagnetism)金属材料制成;并且,所述顺磁性金属材料之上涂覆有一层反磁性(diamagnetism)金属材料涂层。The magnetic resonance imaging compatible needle knife of the present invention comprises: a needle knife handle, a needle knife body and a needle knife head; wherein, the needle knife body and the needle knife head are made of a paramagnetic (paramagnetism) metal material; and, the paramagnetic metal The material is coated with a layer of diamagnetism metal material coating.

在本发明中,为了使针刀与核磁共振设备兼容,同时保持针刀所需的机械特性,所述针刀身和所述针刀头被设计为上述的双层结构。这样,在进行磁共振成像导引的针刀手术时,进入成像区域的针刀身和针刀头上的所述反磁性金属材料涂层就会抵消外加磁场对所述顺磁性金属材料的磁化作用,因而所述顺磁性金属材料就不会导致磁共振设备的磁场畸变,同时也不会在扫描图像中产生伪迹。并且,由于所述顺磁性和反磁性金属材料均是由金属元素构成,因此可以保证所述针刀身和所述针刀头的机械特性,从而满足针刀手术的要求。In the present invention, in order to make the needle knife compatible with the nuclear magnetic resonance equipment while maintaining the required mechanical properties of the needle knife, the needle knife body and the needle knife head are designed as the above-mentioned double-layer structure. In this way, when performing magnetic resonance imaging-guided acupotomy surgery, the coating of the diamagnetic metal material on the needle-blade body and the needle-blade head entering the imaging area will cancel the magnetization of the paramagnetic metal material by an external magnetic field , so the paramagnetic metal material will not cause the magnetic field distortion of the magnetic resonance equipment, and will not produce artifacts in the scanned image. Moreover, since both the paramagnetic and diamagnetic metal materials are composed of metal elements, the mechanical properties of the needle knife body and the needle knife head can be guaranteed, thereby meeting the requirements of needle knife surgery.

在本发明的一个实施例中,如图1所示,针刀由针刀柄1、针刀身2和针刀头3三部分组成。其中,针刀身2和针刀头3的部分由顺磁性金属材料5制成,并且顺磁性金属材料5之上涂覆有反磁性金属材料涂层6。在本实施例中,顺磁性金属材料5可以由铂、镁、铝或钛元素构成,优选为钛金属,反磁性金属材料涂层6可以由金、银或铋元素构成,优选为铋涂层。In one embodiment of the present invention, as shown in FIG. 1 , the needle knife is composed of a needle knife handle 1 , a needle knife body 2 and a needle knife head 3 . Wherein, the needle blade body 2 and the needle blade head 3 are made of a paramagnetic metal material 5 , and a diamagnetic metal material coating 6 is coated on the paramagnetic metal material 5 . In this embodiment, the paramagnetic metal material 5 can be made of platinum, magnesium, aluminum or titanium, preferably titanium, and the diamagnetic metal coating 6 can be made of gold, silver or bismuth, preferably a bismuth coating .

在本实施例中,为了进一步帮助医生判断针刀头3所在的位置,在针刀头3处的反磁性金属材料涂层6上具有一个缺口7,针刀头3在缺口处7只由顺磁性金属材料5制成。这样,通过顺磁性金属材料5在外加磁场中表现出来的弱磁性,缺口7的位置在扫描图像上会显示为一个黑点,通过该黑点在扫描图像上的位置医生就可以得知针刀头3所在位置。作为针刀头3所在位置的一种识别方式,缺口7的形状可以是任意适当的形状,只要缺口7的位置在扫描图像上形成的黑点能够被医生分辨即可。在本实施例中,缺口7优选为一环绕针刀头3的环形缺口。图2、图3和图4中分别示出了图1所示针刀在针刀身2部分的A-A截面方向、针刀头3部分的B-B截面方向以及相应的截面示意图。In this embodiment, in order to further help the doctor judge the position of the needle cutter head 3, there is a gap 7 on the diamagnetic metal material coating 6 at the needle cutter head 3, and the needle cutter head 3 can only be moved along the notch 7. Magnetic metal material 5 is made. In this way, through the weak magnetism shown by the paramagnetic metal material 5 in the external magnetic field, the position of the notch 7 will be displayed as a black spot on the scanned image, and the doctor can know the needle knife through the position of the black spot on the scanned image. The position of head 3. As a way of identifying the position of the needle knife head 3, the shape of the notch 7 can be any appropriate shape, as long as the black spot formed on the scanned image at the position of the notch 7 can be distinguished by the doctor. In this embodiment, the notch 7 is preferably an annular notch surrounding the needle cutter head 3 . Fig. 2, Fig. 3 and Fig. 4 respectively show the A-A cross-sectional direction of the needle knife body 2 part, the B-B cross-sectional direction of the needle knife head 3 part and the corresponding cross-sectional schematic diagrams of the needle knife shown in Fig. 1 .

由于在针刀手术的过程中有时需要同时配合封闭、激光、化学等治疗,因此,本实施例中的针刀身3优选为空心管状,并在针刀柄1和针刀头3两端具有开口,这样,封闭药液、激光光线、化学药剂等就可以由针刀身3的管中被输送到病灶处。Since the acupotomy surgery sometimes needs to cooperate with sealing, laser, chemical and other treatments at the same time, therefore, the acupotomy body 3 in this embodiment is preferably hollow tubular, and has openings at both ends of the acupotomy handle 1 and the acupotomy head 3 , like this, sealing liquid medicine, laser light, chemical medicament etc. just can be transported to lesion place from the tube of needle blade body 3.

为了节约针刀的制造成本,同时由于针刀柄1在磁共振成像导引的针刀手术中不会进入成像区域,针刀柄1可以采用与针刀身2可拆卸的结构部件4,并由塑料制成,如图1中所示。针刀柄1与针刀身2间的可拆卸结构例如可以是插接、卡接或螺口连接等结构,针刀柄1的具体形状例如可以是椭圆形,水滴形或葫芦形等。In order to save the manufacturing cost of the needle-knife, and because the needle-knife handle 1 will not enter the imaging area in the needle-knife surgery guided by magnetic resonance imaging, the needle-knife handle 1 can use a structural component 4 that is detachable from the needle-knife body 2, and is composed of made of plastic, as shown in Figure 1. The detachable structure between the needle knife handle 1 and the needle knife body 2 can be, for example, a plug-in, clamping or screw connection structure, and the specific shape of the needle knife handle 1 can be, for example, oval, drop-shaped or gourd-shaped.

另外,可选的,针刀柄1也可以与针刀身2制成一体,此时针刀柄1也由顺磁性金属材料5制成,顺磁性金属材料5之上涂覆有反磁性材料金属涂层6,这样的结构可以使针刀具有更好的机械性能,同时使针刀柄1的部分不会受到外加磁场的磁力作用。In addition, optionally, the needle knife handle 1 can also be made into one body with the needle knife body 2. At this time, the needle knife handle 1 is also made of a paramagnetic metal material 5, and the paramagnetic metal material 5 is coated with a metal coating of a diamagnetic material. Layer 6, such a structure can make the needle knife have better mechanical properties, and at the same time prevent the part of the needle knife handle 1 from being affected by the magnetic force of the external magnetic field.

Claims (7)

1. a nuclear magnetic resonance compatible needle knife comprises: pin handle of a knife, pin blade and pin cutter head; It is characterized in that:
Said pin blade and pin cutter head are processed by the paramagnetic metal material; And,
Be coated with one deck diamagnetism metal material coating on the said paramagnetic metal material, said diamagnetism metal material coating is in order to offset the magnetization of externally-applied magnetic field to said paramagnetic metal material.
2. pin cutter as claimed in claim 1, wherein, said paramagnetic metal material is platinum, magnesium, aluminum or titanium, said diamagnetism metal material is gold, silver or bismuth.
3. according to claim 1 or claim 2 pin cutter wherein, has a breach on the said diamagnetism metal material coating at said pin cutter head place, and said pin cutter head is only processed by said paramagnetic metal material in said indentation, there.
4. pin cutter as claimed in claim 3, wherein, said breach is an annular breach around said pin cutter head.
5. according to claim 1 or claim 2 pin cutter, wherein, said pin blade is a hollow tubular, and has opening at said pin handle of a knife and said pin cutter head two ends.
6. according to claim 1 or claim 2 pin cutter, wherein, said pin handle of a knife and pin blade are detachable, and said pin handle of a knife is made of plastics.
7. according to claim 1 or claim 2 pin cutter, wherein, said pin handle of a knife and pin blade are one, and said pin handle of a knife also processed by said paramagnetic metal material, are coated with said antimagnetic material metal coating on the said paramagnetic metal material.
CN2008101619776A 2008-10-06 2008-10-06 Magnetic resonance imaging (MRI) compatible needle knife Expired - Fee Related CN101711700B (en)

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