CN1990062B - MRI/CT device guided high intensity ultrasound therapy system - Google Patents
MRI/CT device guided high intensity ultrasound therapy system Download PDFInfo
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Abstract
本发明属于超声治疗技术领域,涉及一种MRI/CT装置引导的高强度超声治疗系统,包括MRI/CT装置和可移动超声治疗设备,MRI/CT装置中包括有治疗床,可移动超声治疗设备中包括超声治疗单元,超声治疗单元包括有超声换能器,可移动超声治疗设备中还包括有患者容置单元、可移动单元,患者容置单元包括有床体和床体下的床体支撑装置,床体上开有小孔,超声换能器置于小孔下方的相应位置,床体支撑装置固定在可移动单元上,可移动单元采用滑轮机构,超声治疗单元与床体活动连接或固定连接,床体支撑装置上设有MRI/CT装置中的治疗床可以通过的孔路。本发明的超声治疗设备移动方便灵活,因此不需要来回搬动患者,减轻了患者治疗的痛苦。
The invention belongs to the technical field of ultrasonic treatment, and relates to a high-intensity ultrasonic treatment system guided by an MRI/CT device, which includes an MRI/CT device and a movable ultrasonic treatment device. The MRI/CT device includes a treatment bed and a movable ultrasonic treatment device. The ultrasonic treatment unit includes an ultrasonic treatment unit, and the ultrasonic treatment unit includes an ultrasonic transducer. The movable ultrasonic treatment equipment also includes a patient accommodation unit and a movable unit. The patient accommodation unit includes a bed body and a bed support under the bed body. device, the bed has a small hole, the ultrasonic transducer is placed at the corresponding position below the small hole, the bed support device is fixed on the movable unit, the movable unit adopts a pulley mechanism, and the ultrasonic treatment unit is movably connected with the bed or Fixedly connected, the bed supporting device is provided with a hole through which the treatment bed in the MRI/CT device can pass. The ultrasonic therapy equipment of the present invention is convenient and flexible to move, so the patient does not need to be moved back and forth, which reduces the pain of the patient's treatment.
Description
技术领域 technical field
本发明属于超声治疗技术领域,涉及一种MRI/CT装置引导的高强度超声治疗系统。The invention belongs to the technical field of ultrasonic treatment, and relates to a high-intensity ultrasonic treatment system guided by an MRI/CT device.
背景技术 Background technique
高强度聚焦超声治疗技术通过将超声波聚焦,可以在病灶上形成高强度、连续超声能量,从而产生瞬态高温效应(60℃~100℃)、空化效应、机械效应和声化效应,使细胞膜、核膜破裂、蛋白质凝固,选择性地使病灶组织凝固性坏死,以使病灶失去增殖、浸润和转移的能力。高强度聚焦超声治疗技术作为一种治疗肿瘤和其它疾病的新技术已经得到临床的认可,在临床上广泛应用于多种肿瘤和非肿瘤疾病的治疗。High-intensity focused ultrasound therapy technology can form high-intensity and continuous ultrasonic energy on the lesion by focusing the ultrasound, thereby producing transient high-temperature effects (60°C to 100°C), cavitation effects, mechanical effects, and sonochemical effects, making the cell membrane , Nuclear membrane rupture, protein coagulation, selective coagulation necrosis of the lesion tissue, so that the lesion loses the ability to proliferate, infiltrate and metastasize. As a new technology for the treatment of tumors and other diseases, high-intensity focused ultrasound therapy has been clinically recognized and is widely used in the treatment of various tumors and non-tumor diseases.
现有技术用于进行超声治疗的设备,比如上海爱申科技发展股份有限公司生产的“超声聚焦肿瘤消融机”等,在进行治疗时,患者被置于固定的治疗床上,利用置于患者上方的超声治疗装置对病灶进行治疗。在进行治疗前,一般是将患者从移动的床体送到超声治疗设备的治疗床上,需要搬动患者;在治疗之后,又需要将患者从超声治疗设备的治疗床搬送到移动床体上,送回病房,这样来回的搬动对于患者来说十分痛苦,并且也耽误了宝贵的治疗时间。The existing technology is used for ultrasonic treatment equipment, such as the "ultrasonic focused tumor ablation machine" produced by Shanghai Aishen Technology Development Co., Ltd., etc. During treatment, the patient is placed on a fixed treatment bed, and the patient is placed above the patient The ultrasonic therapy device treats the lesion. Before the treatment, the patient is generally sent from the mobile bed to the treatment bed of the ultrasonic treatment equipment, and the patient needs to be moved; after the treatment, the patient needs to be moved from the treatment bed of the ultrasonic treatment equipment to the mobile bed. Sending back to the ward, moving back and forth like this is very painful for the patient, and also delays precious treatment time.
发明内容 Contents of the invention
本发明所要解决的技术问题是针对现有技术中超声治疗设备的上述不足,提供一种不需要来回搬动患者又可以对患者进行高质量超声治疗的MRI/CT装置引导的高强度超声治疗系统。The technical problem to be solved by the present invention is to provide an MRI/CT device-guided high-intensity ultrasonic treatment system that does not need to move the patient back and forth and can perform high-quality ultrasonic treatment on the patient for the above-mentioned shortcomings of the ultrasonic treatment equipment in the prior art. .
解决本发明技术问题所采用的技术方案是该MRI/CT装置引导的高强度超声治疗系统包括MRI/CT装置和可移动超声治疗设备,所述MRI/CT装置中包括有治疗床,所述可移动超声治疗设备中包括超声治疗单元,超声治疗单元包括有超声换能器,其中,可移动超声治疗设备中还包括有患者容置单元、可移动单元,所述患者容置单元包括有床体和床体下的床体支撑装置,所述床体上开有小孔,超声换能器置于小孔下方的相应位置,所述床体支撑装置固定在可移动单元上,所述可移动单元采用滑轮机构,超声治疗单元与所述床体活动连接或固定连接,床体支撑装置上设有MRI/CT装置中的治疗床可以通过的孔路。The technical solution adopted to solve the technical problem of the present invention is that the high-intensity ultrasonic therapy system guided by the MRI/CT device includes an MRI/CT device and a movable ultrasonic therapy device, the MRI/CT device includes a treatment bed, and the movable The mobile ultrasonic treatment equipment includes an ultrasonic treatment unit, and the ultrasonic treatment unit includes an ultrasonic transducer, wherein the mobile ultrasonic treatment equipment also includes a patient accommodation unit and a movable unit, and the patient accommodation unit includes a bed and the bed supporting device under the bed, the bed is provided with a small hole, the ultrasonic transducer is placed at the corresponding position below the small hole, the bed supporting device is fixed on the movable unit, and the movable The unit adopts a pulley mechanism, and the ultrasonic therapy unit is movably connected or fixedly connected with the bed body, and the bed support device is provided with a hole through which the treatment bed in the MRI/CT device can pass.
其中,患者容置单元可包括有床体和床体下的床体支撑装置,床体支撑装置上有滑轨,床体下部有与滑轨配合的滑槽,床体可以在床体支撑装置上来回滑动,方便治疗过程中操作者进行手控操作。Wherein, the patient accommodating unit may include a bed body and a bed body support device under the bed body. There are slide rails on the bed body support device. Sliding up and down, it is convenient for the operator to perform manual operation during the treatment process.
为了能精确的控制超声换能器,对患者进行高质量的治疗,所述超声治疗单元还可包括有超声换能器的运动机构及其控制系统。In order to precisely control the ultrasonic transducer and provide high-quality treatment to patients, the ultrasonic treatment unit may further include a movement mechanism of the ultrasonic transducer and a control system thereof.
所述床体上开有小孔,超声换能器置于小孔下方的相应位置。A small hole is opened on the bed body, and the ultrasonic transducer is placed at a corresponding position below the small hole.
优选的是,所述小孔下部还有超声传导介质容纳装置,超声换能器置于该装置中,所述超声传导介质容纳装置中可充盈有脱气水。其中,超声传导介质容纳装置可采用开放式水囊。Preferably, there is an ultrasonic conducting medium containing device at the lower part of the small hole, the ultrasonic transducer is placed in the device, and the ultrasonic conducting medium containing device can be filled with degassed water. Wherein, the ultrasonic conduction medium containing device may adopt an open water bag.
由于超声治疗单元可与患者容置单元活动连接或固定连接,当超声治疗单元与患者容置单元活动连接时,如果需要移动该治疗设备,可将超声治疗单元从患者容置单元上拆下;治疗时再进行连接。Since the ultrasonic treatment unit can be movably or fixedly connected to the patient accommodation unit, when the ultrasonic treatment unit is movably connected to the patient accommodation unit, if the treatment equipment needs to be moved, the ultrasonic treatment unit can be removed from the patient accommodation unit; Reconnect during treatment.
也可以将超声换能器与其运动机构、控制系统的连接设置为固定连接,或可拆除连接。当其连接为可拆除式时,如将超声换能器设置于超声传导介质容纳装置中,在搬送患者时,需要移动该超声治疗设备,这时可将运动机构、控制系统与超声换能器的连接断开,并将之从患者容置单元上拆下;而进行治疗时,再与超声换能器进行连接。此外,运动机构与控制系统也可置于患者容置单元外部仅与超声换能器连接。The connection between the ultrasonic transducer and its motion mechanism and control system can also be set as a fixed connection or a detachable connection. When the connection is detachable, if the ultrasonic transducer is placed in the ultrasonic conductive medium containment device, the ultrasonic treatment equipment needs to be moved when the patient is transported. At this time, the movement mechanism, control system and ultrasonic transducer can be combined. Disconnect and remove it from the patient accommodating unit; reconnect with the ultrasound transducer for treatment. In addition, the motion mechanism and control system can also be placed outside the patient accommodation unit and only connected to the ultrasonic transducer.
所述患者容置单元上有能使诊断影像设备通过的孔路。所述孔路是为了便于CT机、MRI(Magnetic Resonance Imaging磁共振成像)装置等设备的治疗床通过,加强该超声治疗装置与诊断影像设备的兼容性。The patient accommodating unit has holes through which diagnostic imaging equipment can pass. The holes are used to facilitate the passage of treatment beds for equipment such as CT machines and MRI (Magnetic Resonance Imaging) devices, and to enhance the compatibility between the ultrasonic treatment device and diagnostic imaging equipment.
本发明可移动超声治疗设备将超声治疗装置和可移动机构进行了一体化设计,使得患者可直接容置于该设备上进行治疗,避免了来回移动和搬动床体对患者造成的痛苦,也节约了治疗时间。The mobile ultrasonic treatment equipment of the present invention has an integrated design of the ultrasonic treatment device and the movable mechanism, so that the patient can be directly accommodated on the equipment for treatment, avoiding the pain caused by moving back and forth and moving the bed body, and also Saves treatment time.
一种包括以上所述的可移动超声治疗设备的诊断影像设备引导的高强度超声治疗系统,包括诊断影像设备,可移动超声治疗设备的患者容置单元可置于诊断影像设备的影像成像区内。A diagnostic imaging equipment-guided high-intensity ultrasonic treatment system including the above-mentioned movable ultrasonic treatment equipment, including the diagnostic imaging equipment, the patient accommodating unit of the movable ultrasonic treatment equipment can be placed in the imaging area of the diagnostic imaging equipment .
该诊断影像设备引导的高强度超声治疗的系统可对患者进行更精确的治疗。其中,诊断影像设备可为B超机、CT机、X线机或MRI装置。由于在所述床体支撑装置上有能使诊断影像设备通过的孔路,所述孔路便于CT机、MRI(Magnetic Resonance Imaging磁共振成像)装置等设备的治疗床通过诊断影像设备,因此本发明诊断影像设备与可移动超声治疗设备之间的兼容性能良好。The system of high-intensity ultrasound therapy guided by the diagnostic imaging equipment can perform more precise treatment on patients. Wherein, the diagnostic imaging equipment can be a B-ultrasound machine, a CT machine, an X-ray machine or an MRI device. Since there is a hole on the bed support device through which diagnostic imaging equipment can pass, the hole is convenient for the treatment bed of equipment such as a CT machine and an MRI (Magnetic Resonance Imaging) device to pass through the diagnostic imaging equipment. The compatibility between the inventive diagnostic imaging equipment and the movable ultrasonic treatment equipment is good.
附图说明 Description of drawings
图1为本发明可移动超声治疗设备的结构示意图Fig. 1 is the structural representation of movable ultrasonic treatment equipment of the present invention
图2为本发明实施例1诊断影像设备引导的高强度超声治疗系统的结构示意图(可移动超声治疗设备与MRI/CT装置相结合)Fig. 2 is a schematic structural diagram of a high-intensity ultrasound treatment system guided by diagnostic imaging equipment in
图3为本发明实施例2诊断影像设备引导的高强度超声治疗系统的结构示意图(可移动超声治疗设备与X线机相结合)Fig. 3 is a schematic structural diagram of a high-intensity ultrasound treatment system guided by diagnostic imaging equipment in
图中:1-床体 2-床体支撑装置 3-小孔 4-超声换能器5-孔路 6-运动机构 7-控制系统 8-滑轮 9-水囊 10-MRI/CT装置 11-(MRI/CT)治疗床 12-X线机In the figure: 1-bed body 2-bed body support device 3-small hole 4-ultrasonic transducer 5-hole circuit 6-movement mechanism 7-control system 8-pulley 9-water bag 10-MRI/CT device 11- (MRI/CT) treatment bed 12-X-ray machine
具体实施方式 Detailed ways
如图1-3所示,本发明可移动超声治疗设备包括超声治疗单元和可移动机构,其中,超声治疗单元和可移动机构可结合为一体。As shown in Figures 1-3, the mobile ultrasonic treatment device of the present invention includes an ultrasonic treatment unit and a movable mechanism, wherein the ultrasonic treatment unit and the movable mechanism can be combined into one body.
可移动机构包括患者容置单元和可移动单元,患者容置单元固定在可移动单元上,超声治疗单元与患者容置单元活动连接或固定连接。超声治疗单元可采用超声换能器4,患者容置单元上有小孔3,超声换能器4位于小孔3下方与小孔3对应的位置。The movable mechanism includes a patient accommodating unit and a movable unit, the patient accommodating unit is fixed on the movable unit, and the ultrasonic treatment unit is movably connected or fixedly connected with the patient accommodating unit. The ultrasonic treatment unit can use an
患者容置单元包括床体1和床体1下部支撑床体1的床体支撑装置2,床体支撑装置2固定在可移动单元上,可移动单元可采用滑轮机构。The patient accommodating unit includes a
小孔3下部还可有超声传导介质容纳装置,该装置可采用开放式水囊9,其中充盈有流体,用作超声治疗的耦合剂以及冷却超声换能器所产生的热量,以保障高强度超声治疗的安全性和理想的治疗效果。The lower part of the
优选的是,本发明治疗设备还可包括有使超声换能器4作空间各向运动的运动机构6以及控制超声换能器4运动的控制系统7。所述运动机构6和控制系统7可设置为固定在本发明可移动超声治疗设备上,与超声换能器4固定连接;也可以设置在本发明可移动超声治疗设备外部,与超声换能器4形成可拆式连接。Preferably, the treatment device of the present invention may further include a
超声换能器4、运动机构6、控制系统7顺序连接,在控制系统7的控制下,运动机构6带动超声换能器4运动,使得超声换能器4所发射的超声波最恰当的聚焦到患者病灶处。The
为了对病灶的治疗前、中、后的情况进行了解,本发明治疗设备还可与诊断影像设备兼容,构成诊断影像设备引导的高强度超声治疗的系统。其中,诊断影像设备可为现有的B超机、CT机、X线机或MRI装置或将来出现的其它诊断影像设备。In order to understand the situation of the lesion before, during and after the treatment, the treatment equipment of the present invention can also be compatible with the diagnostic imaging equipment to form a high-intensity ultrasonic treatment system guided by the diagnostic imaging equipment. Wherein, the diagnostic imaging equipment can be an existing B-ultrasound machine, CT machine, X-ray machine or MRI device or other diagnostic imaging equipment that will appear in the future.
为了避免可移动超声治疗设备对诊断影像设备成像造成影响,可移动机构中的床体1及床体支撑装置2采用与诊断影像设备兼容的材料制成,为了更好地与诊断影像设备兼容,床体支撑装置2上有使诊断影像设备或其部件通过的孔路5。In order to avoid the impact of the movable ultrasonic treatment equipment on the imaging of the diagnostic imaging equipment, the
治疗时,在控制系统7的控制下,运动机构6带动超声换能器4运动,使超声换能器4所发射的超声波与诊断影像设备的成像区域在病灶治疗靶向区域交叉。During treatment, under the control of the
下面结合实施例及附图,对本发明作进一步详细叙述。Below in conjunction with embodiment and accompanying drawing, the present invention is further described in detail.
以下实施例为本发明的非限定性实施例。The following examples are non-limiting examples of the invention.
实施例1:Example 1:
如图1、2所示,本发明可移动的超声治疗设备包括超声治疗装置和可移动机构。其中,超声治疗装置包括超声换能器4及其运动机构6和控制系统7。可移动机构包括患者容置单元和可移动单元,本实施例中,患者容置单元包括床体1、床体1下部的床体支撑装置2。床体支撑装置2上有滑轨,床体1下部有与该滑轨配合的滑槽。可移动单元为安装在床体支撑装置2下部的滑轮8。As shown in Figures 1 and 2, the mobile ultrasonic treatment equipment of the present invention includes an ultrasonic treatment device and a movable mechanism. Wherein, the ultrasonic therapy device includes an
如图1所示,床体1向外伸出的一端开有小孔3,小孔3下部通过粘接等方式固定有超声传导介质容纳装置,本实施例中,超声传导介质容纳装置采用开放式柔性水囊9,其中充盈的流体为脱气水,超声换能器4置于水囊9中,脱气水用作超声治疗的耦合剂以及冷却超声换能器4所产生的热量。As shown in Fig. 1, a
超声换能器4、运动机构6、控制系统7依次连接,运动机构6、控制系统7固定连接在床体1的下部。在床体支撑装置2上留有诊断影像设备可以通过的孔路5。The
如图2所示,诊断影像设备与本发明可移动超声治疗设备构成本发明诊断影像设备引导下的高强度超声治疗系统。在本实施例中诊断影像设备为现有的MRI/CT装置10。As shown in Fig. 2, the diagnostic imaging equipment and the movable ultrasonic treatment equipment of the present invention constitute a high-intensity ultrasonic treatment system guided by the diagnostic imaging equipment of the present invention. In this embodiment, the diagnostic imaging equipment is an existing MRI/
为了避免本发明的超声治疗设备对MRI/CT装置10成像质量造成影响,本发明中的床体1及床体支撑装置2采用采用镍锌铜合金制成。In order to prevent the ultrasonic treatment equipment of the present invention from affecting the imaging quality of the MRI/
利用本发明可移动的高强度超声治疗设备进行超声治疗时,首先将患者置于床体1上,然后推动本发明治疗设备到MRI/CT装置10前,使MRI固有的治疗床11恰好穿过孔路5。在控制系统7的控制下,运动机构6带动超声换能器4运动,使超声换能器4所发射的超声波与MRI的成像区域在病灶治疗靶向区域交叉,进行治疗。When using the movable high-intensity ultrasonic treatment equipment of the present invention to perform ultrasonic treatment, the patient is first placed on the
实施例2:Example 2:
如图3所示,诊断影像设备与本发明可移动超声治疗设备构成本发明诊断影像设备引导的高强度超声治疗系统,其中诊断影像设备为X线机。As shown in Figure 3, the diagnostic imaging equipment and the movable ultrasonic treatment equipment of the present invention constitute a high-intensity ultrasonic treatment system guided by the diagnostic imaging equipment of the present invention, wherein the diagnostic imaging equipment is an X-ray machine.
本实施例的其它结构及治疗方式均与实施例1相同。Other structures and treatment methods of this embodiment are the same as those of
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| CN2005101374402A CN1990062B (en) | 2005-12-30 | 2005-12-30 | MRI/CT device guided high intensity ultrasound therapy system |
| PCT/CN2006/001717 WO2007076657A1 (en) | 2005-12-30 | 2006-07-17 | A movable ultrasound treatment device and a high intensity ultrasound treatment system guided by examination imaging device |
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| CN105054970B (en) * | 2015-08-27 | 2017-12-01 | 魏敏 | Multifunction supersonic examination couch |
| EP3362021B1 (en) * | 2015-10-14 | 2020-03-18 | Qfix Systems, LLC | Patient trolley and patient transfer device |
| US11737934B2 (en) | 2015-10-14 | 2023-08-29 | Qfix Systems, Llc | MRI compatible patient trolley |
| CN108013893A (en) * | 2016-11-03 | 2018-05-11 | 上海西门子医疗器械有限公司 | Ct apparatus with level altitude bed board |
| CN107296609B (en) * | 2017-06-16 | 2021-06-01 | 上海联影医疗科技股份有限公司 | A kind of medical imaging scanning positioning method, system and computer readable storage medium |
| CN110141804B (en) * | 2018-02-12 | 2024-05-28 | 重庆海扶医疗科技股份有限公司 | In vitro ultrasonic therapeutic equipment |
| CN111888669A (en) * | 2020-07-23 | 2020-11-06 | 韶关东阳光自动化设备有限公司 | A separate combined treatment bed for HIFU treatment apparatus |
| CN113457030A (en) * | 2021-08-04 | 2021-10-01 | 杨峂 | Focused ultrasound apparatus for renal nerve blocking |
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| US5897495A (en) * | 1993-03-10 | 1999-04-27 | Kabushiki Kaisha Toshiba | Ultrasonic wave medical treatment apparatus suitable for use under guidance of magnetic resonance imaging |
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| US5036855A (en) * | 1988-03-02 | 1991-08-06 | Laboratory Equipment, Corp. | Localization and therapy system for treatment of spatially oriented focal disease |
| CN2518532Y (en) * | 2002-01-15 | 2002-10-30 | 华中科技大学 | Series-parallel scanner for use in high-strength focusing ultrasonic knife |
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| US5897495A (en) * | 1993-03-10 | 1999-04-27 | Kabushiki Kaisha Toshiba | Ultrasonic wave medical treatment apparatus suitable for use under guidance of magnetic resonance imaging |
| JPH09294735A (en) | 1996-04-30 | 1997-11-18 | Shimadzu Corp | Medical sleeper |
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