CN106308839A - CT (computed tomography) compatible breathing training and autonomous adjusting device and using method thereof - Google Patents
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Abstract
本发明公开一种CT兼容呼吸训练及自主调节装置及其使用方法,属于医疗设备领域,包括呼吸检测装置(1)、头戴式显示器(2)、处理终端(3),所述呼吸检测装置(1)和头戴式显示器(2)分别与处理终端(3)电连接。本发明是为解决受检者呼吸节律紊乱、闭气不佳、每次闭气深度不一及检查过程中所面临的非必要性辐射损伤等问题而提供一种操作简单、安全实用的CT兼容呼吸训练及自主调节装置。该装置实现人工智能显示,受检者在舒适的情况下戴上显示装置进行呼吸训练并自主适应调节成规律的呼吸后进行成像,而非CT设备适应受检者的实时呼吸。
The invention discloses a CT-compatible breathing training and self-adjusting device and its use method, belonging to the field of medical equipment, including a breathing detection device (1), a head-mounted display (2), and a processing terminal (3). The breathing detection device (1) and the head-mounted display (2) are respectively electrically connected to the processing terminal (3). The present invention provides a simple, safe and practical CT-compatible breathing training to solve the problems of the subject's respiratory rhythm disorder, poor breath-holding, different breath-holding depths each time, and unnecessary radiation damage during the examination process. and self-regulating devices. The device realizes artificial intelligence display, and the subject wears the display device under comfortable conditions to perform breathing training and automatically adjusts to regular breathing before imaging, instead of CT equipment adapting to the real-time breathing of the subject.
Description
技术领域technical field
本发明涉及一种医疗设备及其用法,特别涉及CT兼容呼吸训练及自主调节装置及其使用方法。The invention relates to a medical device and its usage, in particular to a CT-compatible breathing training and self-adjusting device and its usage method.
背景技术Background technique
CT增强扫描过程中每一期相的扫描范围均根据定位像进行定位且需要病人多次屏气,特殊部位检查需利用呼吸门控进行成像,特别是在心脏血管上,如先心病血管成像、冠脉成像等在临床上广泛应用,胸腹部增强扫描及胸腹部血管成像,如胸部CT增强扫描、全腹部CT增强扫描、肺动脉成像、夹层动脉瘤成像、肝脏血管成像等已成为临床常规检查。此类检查技术要求在检查前对受检者进行呼吸训练以保证成像质量。受检者很难确保整个检查过程中呼吸的一致性,在检查过程中常出现呼吸节律紊乱、闭气不佳、每次闭气深度不一,导致图像模糊、错层、扫描范围不足或过多,直接影响图像质量,同时也对患者造成非必要性辐射损伤。据文献报道,西门子公司推出的CT flash扫描技术可解决受检者闭气不佳的问题,但利用flash扫描技术只有收缩期或舒张期单期成像而非呼吸门控技术的收缩期和舒张期双期成像,图像质量欠佳。During enhanced CT scanning, the scanning range of each phase is positioned according to the positioning image and the patient needs to hold his breath for many times. Special parts need to be imaged with respiratory gating, especially in the heart and blood vessels, such as congenital heart disease angiography, coronary angiography, etc. Thoracic and abdominal enhanced scans and thoracoabdominal vascular imaging, such as enhanced chest CT scan, whole abdominal CT enhanced scan, pulmonary artery imaging, dissecting aneurysm imaging, and liver angiography, have become routine clinical examinations. This type of examination technique requires breathing training for the examinee before the examination to ensure the image quality. It is difficult for the examinee to ensure the consistency of breathing during the entire examination process. During the examination process, respiratory rhythm disorder, poor apnea, and different apnea depths often occur during the examination process, resulting in blurred images, misaligned layers, and insufficient or excessive scanning range. It affects the image quality, and also causes unnecessary radiation damage to the patient. According to literature reports, the CT flash scanning technology launched by Siemens can solve the problem of poor breath retention of the subjects, but the flash scanning technology only has single-phase systolic or diastolic imaging instead of dual systolic and diastolic imaging of respiratory gating technology. Long-term imaging, the image quality is poor.
有鉴于此,如何有效地控制受检者的呼吸,又能保证受检者舒适安全受检且成像质量高,已成为本领域亟待解决的问题。In view of this, how to effectively control the breathing of the subject and ensure the comfort and safety of the subject and high imaging quality has become an urgent problem to be solved in this field.
发明内容Contents of the invention
本发明是为解决受检者呼吸节律紊乱、闭气不佳、每次闭气深度不一及检查过程中所面临的非必要性辐射损伤等问题而提供一种操作简单、安全实用的CT兼容呼吸训练及自主调节装置。该装置实现人工智能显示,受检者在舒适的情况下戴上显示装置进行呼吸训练并自主适应调节成规律的呼吸后进行成像,而非CT设备适应受检者的实时呼吸。The present invention provides a simple, safe and practical CT-compatible breathing training to solve the problems of the subject's respiratory rhythm disorder, poor breath-holding, different breath-holding depths each time, and unnecessary radiation damage during the examination process. and self-regulating devices. The device realizes artificial intelligence display, and the subject wears the display device under comfortable conditions to perform breathing training and self-adapts to regular breathing for imaging, instead of CT equipment adapting to the real-time breathing of the subject.
为达到上述目的,本发明采用的技术方案如下:In order to achieve the above object, the technical scheme adopted in the present invention is as follows:
CT兼容呼吸训练及自主调节装置,包括呼吸检测装置、头戴式显示器、处理终端,所述呼吸检测装置和头戴式显示器分别与处理终端电连接。The CT-compatible breathing training and self-adjusting device includes a breathing detection device, a head-mounted display, and a processing terminal, and the breathing detection device and the head-mounted display are respectively electrically connected to the processing terminal.
优选的,所述头戴式显示器为眼镜显示器。Preferably, the head-mounted display is a glasses display.
优选的,所述头戴式显示器为头盔显示器。Preferably, the head-mounted display is a helmet-mounted display.
进一步的,所述头戴式显示器与处理终端无线连接。Further, the head-mounted display is wirelessly connected to the processing terminal.
进一步的,所述呼吸检测装置与处理终端无线连接。Further, the breath detection device is wirelessly connected to the processing terminal.
优选的,所述处理终端以外周门控的方式与CT检测仪器连接,处理终端与CT检测仪器的心率呼吸检测器电连接,所述心率呼吸检测器设有电极片。Preferably, the processing terminal is connected to the CT detection instrument in a peripheral gating manner, and the processing terminal is electrically connected to the heart rate and respiration detector of the CT detection instrument, and the heart rate and respiration detector is provided with electrode sheets.
CT兼容呼吸训练及自主调节装置的检测方法,包括以下步骤:A detection method for a CT-compatible breathing training and self-adjusting device, comprising the following steps:
第一步,应用呼吸检测装置采集受检者N个周期的呼吸波形图,所述呼吸波形图为呼吸强度随着呼吸时间变化的波形图,所述呼吸强度既胸腔内外气压差,所述N≥5,所述呼吸波形图为:In the first step, the breath detection device is used to collect the breath waveforms of N cycles of the subject. The breath waveforms are waveforms of breathing intensity changing with breathing time. The breathing intensity is the difference between the pressure inside and outside the chest cavity, and the N ≥5, the respiratory waveform diagram is:
y=f(t) (Ⅰ)y=f(t) (I)
其中t为一个呼吸周期内的呼吸时间,y为呼吸强度;Where t is the breathing time in a breathing cycle, and y is the breathing intensity;
第二步,将第一步采集的数据输入处理终端处理得到背景呼吸波形图:The second step is to input the data collected in the first step into the processing terminal for processing to obtain the background respiratory waveform:
yb=x·g(t) (Ⅱ)y b = x g(t) (II)
其中yb为背景呼吸波形图中的呼吸强度,x为修正常数,0.9≤x≤1.1;Where y b is the breathing intensity in the background breathing waveform, x is a correction constant, 0.9≤x≤1.1;
第三步,将第二步得到的背景呼吸波形图输入头戴式显示器指导受检者呼吸,同时将背景呼吸波形图用于CT检测脉冲序列的检测数据收集;In the third step, the background respiration waveform obtained in the second step is input into the head-mounted display to guide the subject to breathe, and at the same time, the background respiration waveform is used for the detection data collection of the CT detection pulse sequence;
所述第三步中,背景呼吸波形图作为标准波形显示在头戴式显示器上,同时将由CT检测仪器上的心率呼吸监测器检测的实时呼吸波形显示在头戴式显示器上,以指导受检者呼吸,心率呼吸监测器连接有电极片,检测时,电极片贴在受检者的胸口。In the third step, the background respiratory waveform is displayed on the head-mounted display as a standard waveform, and the real-time respiratory waveform detected by the heart rate and respiration monitor on the CT detection instrument is displayed on the head-mounted display to guide the subject The heart rate and breathing monitor is connected with electrode sheets, and the electrode sheets are attached to the chest of the subject during detection.
优选的,所述第二步中,Preferably, in the second step,
首先通过N个呼吸周期的总时间计算得到单个呼吸周期的平均呼吸时间:First, the average breathing time of a single breathing cycle is calculated by the total time of N breathing cycles:
其中tp为平均一个呼吸周期的呼吸时间,ti为第i个呼吸周期的呼吸时间;Among them, t p is the breathing time of an average breathing cycle, and t i is the breathing time of the i-th breathing cycle;
再利用平均时间将每个呼吸周期的呼吸波形图进行时间归一化处理:Then use the average time to normalize the respiratory waveform of each respiratory cycle:
其中yi为第i个呼吸周期时间归一化处理后的呼吸强度;Among them, y i is the respiratory intensity after normalization of the i-th respiratory cycle time;
然后再将时间归一化处理后的N个呼吸波形图进行平均得到背景呼吸波形图:Then average the N respiration waveforms after time normalization processing to obtain the background respiration waveform:
所述yb为(Ⅱ)中的yb。The y b is y b in (II).
进一步的,所述第二步与第三步之间还可以增加步骤a:Further, step a can also be added between the second step and the third step:
训练受检者的呼吸方式,使受检者连续不少于三个呼吸周期的实时呼吸波形图与背景呼吸波形图的呼吸强度误差≤最大呼吸强度的10%,所述最大呼吸强度为背景呼吸波形图的最大呼吸强度。Train the breathing pattern of the subject so that the breathing intensity error between the real-time breathing waveform diagram and the background breathing waveform diagram of the subject not less than three consecutive breathing cycles is ≤ 10% of the maximum breathing intensity, and the maximum breathing intensity is background breathing The maximum breath intensity of the waveform.
本发明具有以下有益效果:The present invention has the following beneficial effects:
1.本发明操作简单,安全实用。1. The present invention is easy to operate, safe and practical.
2.使用本发明的受检者能够自主调整获得规律的呼吸后进行磁共振成像,而非磁共振适应受检者未做调整的实时呼吸进行成像。2. Using the present invention, the subject can self-adjust to obtain regular respiration before performing magnetic resonance imaging, instead of using the non-magnetic resonance imaging to adapt to the subject's unadjusted real-time respiration for imaging.
3.本发明能够保证受检者受检的舒适性,无任何压力装置于体表。3. The present invention can ensure the comfort of the subject to be tested without any pressure device on the body surface.
4.本发明能够提高涉及磁共振屏气成像或呼吸门控成像技术的应用成功率,而非单一某部位的或某技术的的成功率,涵盖范围广泛。4. The present invention can improve the application success rate of magnetic resonance breath-hold imaging or respiratory gating imaging technology, rather than the success rate of a single part or a certain technology, covering a wide range.
5.本发明能够提高图像质量,指导临床对症精准治疗。5. The present invention can improve image quality and guide clinical symptomatic and precise treatment.
附图说明Description of drawings
图1为本发明检测方法第一步的示意图;Fig. 1 is the schematic diagram of the first step of detection method of the present invention;
图2为本发明检测方法第a步的示意图;Fig. 2 is the schematic diagram of the first step of detection method of the present invention;
图3为本发明检测方法第三步的示意图;Fig. 3 is the schematic diagram of the third step of the detection method of the present invention;
图4为检测流程示意图;Figure 4 is a schematic diagram of the detection process;
图中:1-呼吸检测装置、2-头戴式显示器、3-处理终端、4-CT检测仪器、41-心率呼吸监测器、42-电极片。In the figure: 1-respiration detection device, 2-head-mounted display, 3-processing terminal, 4-CT detection instrument, 41-heart rate and respiration monitor, 42-electrode sheet.
具体实施方式detailed description
为了使本发明的目的、技术方案及优点更加清楚明白,以下结合附图,对本发明进行进一步详细说明。In order to make the object, technical solution and advantages of the present invention clearer, the present invention will be further described in detail below in conjunction with the accompanying drawings.
如图1所示,CT兼容呼吸训练及自主调节装置,包括呼吸检测装置1、头戴式显示器2、处理终端3,呼吸检测装置1和头戴式显示器2分别与处理终端3电连接,头戴式显示器2为眼镜显示器,头戴式显示器2与处理终端3无线连接,呼吸检测装置1与处理终端3无线连接,处理终端3以外周门控的方式与CT检测仪器4连接,处理终端与CT检测仪器的心率呼吸检测器电连接,所述心率呼吸检测器设有电极片。As shown in Figure 1, CT is compatible with breathing training and self-adjusting devices, including a breathing detection device 1, a head-mounted display 2, and a processing terminal 3. The breathing detection device 1 and the head-mounted display 2 are respectively electrically connected to the processing terminal 3, and the head The wearable display 2 is a glasses display, the head-mounted display 2 is wirelessly connected to the processing terminal 3, the breathing detection device 1 is wirelessly connected to the processing terminal 3, the processing terminal 3 is connected to the CT detection instrument 4 in the manner of peripheral gate control, and the processing terminal and the processing terminal 3 are connected wirelessly. The heart rate and respiration detector of the CT detection instrument is electrically connected, and the heart rate and respiration detector is provided with electrode sheets.
当然,眼镜显示器也可以由头盔显示器、VR眼镜、谷歌眼镜等代替。Of course, the glasses display can also be replaced by a helmet display, VR glasses, Google glasses, etc.
如图2所示,CT兼容呼吸训练及自主调节装置的检测方法,包括以下步骤:As shown in Figure 2, the detection method of CT compatible breathing training and self-adjusting device includes the following steps:
第一步,应用呼吸检测装置1采集受检者N个周期的呼吸波形图,呼吸波形图为呼吸强度随着呼吸时间变化的波形图,呼吸强度既胸腔内外气压差,N≥5,呼吸波形图为:The first step is to use the respiratory detection device 1 to collect the respiratory waveform of the subject for N periods. The respiratory waveform is the waveform of the respiratory intensity changing with the breathing time. The respiratory intensity is the pressure difference between the inside and outside of the thoracic cavity. Pictured:
y=f(t) (Ⅰ)y=f(t) (I)
其中t为一个呼吸周期内的呼吸时间,y为呼吸强度;Where t is the breathing time in a breathing cycle, and y is the breathing intensity;
第二步,将第一步采集的数据输入处理终端3处理得到背景呼吸波形图:In the second step, input the data collected in the first step into the processing terminal 3 for processing to obtain the background respiratory waveform:
yb=x·g(t) (Ⅱ)y b = x g(t) (II)
其中yb为背景呼吸波形图中的呼吸强度,x为修正常数,0.9≤x≤1.1,Where y b is the breathing intensity in the background breathing waveform, x is a correction constant, 0.9≤x≤1.1,
首先通过N个呼吸周期的总时间计算得到单个呼吸周期的平均呼吸时间:First, the average breathing time of a single breathing cycle is calculated by the total time of N breathing cycles:
其中tp为平均一个呼吸周期的呼吸时间,ti为第i个呼吸周期的呼吸时间;Among them, t p is the breathing time of an average breathing cycle, and t i is the breathing time of the i-th breathing cycle;
再利用平均时间将每个呼吸周期的呼吸波形图进行时间归一化处理:Then use the average time to normalize the respiratory waveform of each respiratory cycle:
其中yi为第i个呼吸周期时间归一化处理后的呼吸强度;Among them, y i is the respiratory intensity after normalization of the i-th respiratory cycle time;
然后再将时间归一化处理后的N个呼吸波形图进行平均得到背景呼吸波形图:Then average the N respiration waveforms after time normalization processing to obtain the background respiration waveform:
yb为(Ⅱ)中的yb;y b is y b in (II);
步骤a:训练受检者的呼吸方式,使受检者连续不少于三个呼吸周期的实时呼吸波形图与背景呼吸波形图的呼吸强度误差≤最大呼吸强度的10%,最大呼吸强度为背景呼吸波形图的最大呼吸强度,如果实时呼吸波形图与背景呼吸波形图总存在一定偏差,可以通过修正常数x对背景呼吸波形图进行调整;Step a: Train the breathing pattern of the subject so that the breathing intensity error between the real-time breathing waveform diagram and the background breathing waveform diagram of the subject not less than three consecutive breathing cycles is ≤ 10% of the maximum breathing intensity, and the maximum breathing intensity is the background The maximum respiratory intensity of the respiration waveform. If there is always a certain deviation between the real-time respiration waveform and the background respiration waveform, the background respiration waveform can be adjusted by modifying the constant x;
第三步,将第二步得到的背景呼吸波形图输入头戴式显示器2指导受检者呼吸,同时将背景呼吸波形图用于CT检测脉冲序列的检测数据收集,第三步中,背景呼吸波形图作为标准波形显示在头戴式显示器2上,同时将由CT检测仪器4上的心率呼吸监测器41检测的实时呼吸波形显示在头戴式显示器2上,以指导受检者呼吸,心率呼吸监测器41连接有电极片42,检测时,电极片42贴在受检者的胸口。In the third step, input the background respiration waveform obtained in the second step into the head-mounted display 2 to instruct the subject to breathe, and at the same time use the background respiration waveform for the detection data collection of the CT detection pulse sequence. In the third step, the background respiration The waveform diagram is displayed on the head-mounted display 2 as a standard waveform, and the real-time respiratory waveform detected by the heart rate and respiration monitor 41 on the CT detection instrument 4 is displayed on the head-mounted display 2 at the same time, so as to instruct the subject to breathe, heart rate and respiration The monitor 41 is connected with an electrode sheet 42, and the electrode sheet 42 is attached to the chest of the subject during detection.
当然,本发明还可有其它多种实施例,在不背离本发明精神及其实质的情况下,熟悉本领域的技术人员可根据本发明作出各种相应的改变和变形,但这些相应的改变和变形都应属于本发明所附的权利要求的保护范围。Certainly, the present invention also can have other multiple embodiments, without departing from the spirit and essence of the present invention, those skilled in the art can make various corresponding changes and deformations according to the present invention, but these corresponding changes All changes and modifications should belong to the scope of protection of the appended claims of the present invention.
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