CN108785691A - A kind of artificial tubercle and localization method carrying out detection and localization to minimal disease - Google Patents
A kind of artificial tubercle and localization method carrying out detection and localization to minimal disease Download PDFInfo
- Publication number
- CN108785691A CN108785691A CN201810739130.5A CN201810739130A CN108785691A CN 108785691 A CN108785691 A CN 108785691A CN 201810739130 A CN201810739130 A CN 201810739130A CN 108785691 A CN108785691 A CN 108785691A
- Authority
- CN
- China
- Prior art keywords
- artificial
- nodules
- nodule
- lesions
- tiny
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K49/00—Preparations for testing in vivo
- A61K49/04—X-ray contrast preparations
- A61K49/0433—X-ray contrast preparations containing an organic halogenated X-ray contrast-enhancing agent
- A61K49/0438—Organic X-ray contrast-enhancing agent comprising an iodinated group or an iodine atom, e.g. iopamidol
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/02—Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
- A61B6/03—Computed tomography [CT]
- A61B6/032—Transmission computed tomography [CT]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/12—Arrangements for detecting or locating foreign bodies
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K49/00—Preparations for testing in vivo
- A61K49/04—X-ray contrast preparations
- A61K49/0409—Physical forms of mixtures of two different X-ray contrast-enhancing agents, containing at least one X-ray contrast-enhancing agent which is not a halogenated organic compound
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Medical Informatics (AREA)
- General Health & Medical Sciences (AREA)
- High Energy & Nuclear Physics (AREA)
- Optics & Photonics (AREA)
- Radiology & Medical Imaging (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Pathology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Physics & Mathematics (AREA)
- Biophysics (AREA)
- Epidemiology (AREA)
- Theoretical Computer Science (AREA)
- Pulmonology (AREA)
- Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
Abstract
一种对微小病灶进行定位检测的人造结节,人造结节为一种化学混合物固化构成,在紧邻微小病灶旁或包围微小病灶形成的硬化结节,并且是在CT断层扫描中清晰可见的人造结节。通过在指定微小病灶区域实施注射人造结节液体混合物,在紧邻微小病灶旁或包围微小病灶形成一个硬化结节,并在CT断层扫描中清晰可见的人造结节,根据CT断层扫描定位数据进行微小病灶的精准定位。A kind of artificial nodules for localization detection of tiny lesions. The artificial nodules are formed by solidification of a chemical mixture. They are hardened nodules formed next to or surrounding tiny lesions, and are clearly visible in CT tomography. nodules. By injecting the artificial nodule liquid mixture in the designated micro lesion area, a sclerotic nodule is formed next to or surrounding the micro lesion, and the artificial nodule is clearly visible in the CT tomographic scan. Precise localization of the lesion.
Description
技术领域technical field
本发明涉及到一种肿瘤微小病灶的定位方法,具体涉及到一种利用人造结节定位肿瘤微小病灶的定位方法及人造结节,主要用于对微小病灶检测定位。属医学检测技术领域。The invention relates to a method for locating tiny tumor lesions, in particular to a method for locating tiny tumor lesions by using artificial nodules and the artificial nodules, which are mainly used for detecting and locating tiny lesions. It belongs to the technical field of medical detection.
背景技术Background technique
肿瘤是当今威胁人类健康的重大疾病之一。早发现、早治疗是当前的研究热点。但各种原因仍使大多数患者发现时已属晚期。肿瘤产生转移,病人则患有不治之症。据报道当前我国每年新发现肿瘤400多万,死亡280万。其中约70%左右的肿瘤是源于上皮发生的恶性肿瘤,医学上称为癌症。大多数人对癌症都有恐惧心理。Tumor is one of the major diseases threatening human health today. Early detection and early treatment are current research hotspots. However, for various reasons, most patients are still diagnosed at an advanced stage. The tumor metastasizes, and the patient suffers from an incurable disease. According to reports, more than 4 million new tumors are newly discovered in my country every year, and 2.8 million people die. About 70% of the tumors are malignant tumors originating from the epithelium, which are called cancers in medicine. Most people have a fear of cancer.
随着CT扫描的大量开展,许多微小病灶被发现。当这些微小病灶定性困难或者被怀疑恶性病灶时,需要进行病灶切除,获得明确诊断,达到疾病早期诊断与治疗之目的。由于这些病灶生长部位、大小、硬度等多种原因可以导致术中定位困难,影响精准切除。如果能精准定位这些病灶将有利于手术精准切除。With the extensive development of CT scans, many tiny lesions were found. When these small lesions are difficult to characterize or suspected to be malignant lesions, lesion resection is required to obtain a definite diagnosis and achieve the purpose of early diagnosis and treatment of the disease. Due to various reasons such as the growth location, size, and hardness of these lesions, intraoperative positioning is difficult, which affects accurate resection. Accurate localization of these lesions will facilitate accurate surgical resection.
当前对微小病灶定位方法繁多。主要有:术中肉眼观察、手术器械表面滑动定位、术中手指触诊定位、术中胸腔镜B超探头定位、术中CT定位、术前CT引导定位。包括:亚甲蓝注射、经皮穿刺放置微弹簧圈、经皮穿刺Hookwire定位、放射示踪剂注射、影像辅助导航。然而这些方法都存在检测方法复杂,操作难度大,致使微小病灶定位方法繁杂、成本较高。因为目前缺少一种简单、可靠、通用性广的微小病灶定位方法,因此研究新方法定位微小病灶是解决微小病灶精准手术切除的关键。Currently, there are various methods for locating small lesions. Mainly include: intraoperative naked eye observation, surgical instrument surface sliding positioning, intraoperative finger palpation positioning, intraoperative thoracoscopic B-ultrasound probe positioning, intraoperative CT positioning, and preoperative CT guided positioning. Including: methylene blue injection, percutaneous microcoil placement, percutaneous Hookwire positioning, radiotracer injection, and image-assisted navigation. However, these methods all have complex detection methods and high operational difficulties, resulting in complicated and costly methods for locating tiny lesions. Because there is currently a lack of a simple, reliable, and versatile method for locating small lesions, research on new methods for locating small lesions is the key to precise surgical resection of small lesions.
通过专利检索没发现有与本发明相同技术的专利文献报道,与本发明有一定关系的专利主要有以下几个:No patent literature reports on the same technology as the present invention have been found through patent retrieval, and the patents that have a certain relationship with the present invention mainly include the following:
1、专利号为CN201210022812.7,名称为“用于组织修复和生物人造组织工程的细胞片及其制备方法” 的发明专利,该专利公开了一种用于组织修复和生物人造组织工程的细胞片。所述细胞片包含处理的干细胞,所述干细胞被包埋其自分泌的细胞外基质(ECM)中并形成细胞片。所述细胞片通过以下过程形成:分离干细胞,扩增干细胞,并用生物因子或导致生物因子产生的因子处理干细胞,从而在体外诱导干细胞分化、产生细胞外基质并形成细胞片。所述细胞片被用作促进组织修复的生物活性材料或无细胞材料,或用于形成用于组织置换的生物人造器官。本发明的细胞片无需使用支架递送细胞。所述细胞片促进体内细胞移植并提供一定的张力机械强度,用于承受组织修复过程中的早期机械负荷。1. The patent number is CN201210022812.7, and the invention patent titled "Cell sheet for tissue repair and bioartificial tissue engineering and its preparation method" discloses a cell for tissue repair and bioartificial tissue engineering piece. The cell sheet contains treated stem cells that are embedded in their autocrine extracellular matrix (ECM) and form a cell sheet. The cell sheet is formed by isolating stem cells, expanding the stem cells, and treating the stem cells with a biological factor or a factor that causes the production of a biological factor, thereby inducing differentiation of the stem cells in vitro, producing an extracellular matrix, and forming a cell sheet. The cell sheets are used as bioactive or cell-free materials to promote tissue repair, or to form bioartificial organs for tissue replacement. The cell sheets of the present invention do not require the use of scaffolds to deliver cells. The cell sheet facilitates cell engraftment in vivo and provides tensile mechanical strength for withstanding early mechanical loads during tissue repair.
2、专利申请号为CN200410045121.4,名称为“具有偶联到B细胞表位上的人造T辅助细胞表位的分枝合成肽免疫原构建体” 发明专利,该专利公开了一种多种不同类型的新型非线性的、分枝的合成肽免疫原构建体。每一个构建体使用不同的人工Th表位。所述Th表位以MAP形式连接到B表位上,用来诱导靶向其所连接的B表位的抗体。这些新型肽免疫原构建体引发高效价的特异地靶向所述B表位的抗体,并产生可测量的生物效力结果。本发明的组合物可以用于制备疫苗,以针对感染性疾病产生 免疫保护,或用于免疫疗法治疗由于正常生理过程的失调导致的病症,或用于免疫疗法治疗癌症,以及干预和修饰正常生理过程。2. The patent application number is CN200410045121.4, and the title is "branched synthetic peptide immunogen construct with artificial T helper cell epitope coupled to B cell epitope" invention patent, which discloses a variety of Different types of novel non-linear, branched synthetic peptide immunogen constructs. Each construct uses a different artificial Th epitope. The Th epitope is linked to the B epitope in the form of MAP, which is used to induce antibodies targeting the B epitope to which it is linked. These novel peptide immunogen constructs elicit high titers of antibodies specifically targeting the B epitope and produce measurable biological efficacy results. The composition of the present invention can be used for the preparation of vaccines to produce immune protection against infectious diseases, or for immunotherapy to treat diseases caused by disorders of normal physiological processes, or for immunotherapy to treat cancer, as well as to intervene and modify normal physiological processes. process.
3、专利申请号为CN02807665.6,名称为“ 从人造血干细胞分化的CD8α+淋巴树突细胞和分化方法”的发明专利,该专利公开了一种CD8α+免疫表型的淋巴树突细胞, 其是从人造血干细胞分化而来。另一方面,提供了一种分化淋巴树突细胞的方法,该方法包括分两步培养人造血干细胞,第一步在含有GM-CSF的第一种培养基中,接着在含有IFN-γ的第二种培养基中。另一个方面,提供了一种用于免疫治疗的药物组合物,其包括治疗有效量的树突细胞。另一个方面,提供了一种在哺乳动物中治疗免疫相关疾病的方法,它包括以对治疗该疾病有效的量将淋巴树突细胞对需要其治疗的受试者给药。3. The patent application number is CN02807665.6, and the invention patent titled "CD8α+ lymphoid dendritic cells differentiated from human hematopoietic stem cells and differentiation method" discloses a CD8α+ immunophenotype of lymphoid dendritic cells, It is differentiated from human hematopoietic stem cells. In another aspect, there is provided a method for differentiating lymphoid dendritic cells, the method comprising culturing human hematopoietic stem cells in two steps, the first step being in a first medium containing GM-CSF, followed by culturing in a medium containing IFN-γ in the second medium. In another aspect, a pharmaceutical composition for immunotherapy is provided, which includes a therapeutically effective amount of dendritic cells. In another aspect, there is provided a method of treating an immune-related disease in a mammal comprising administering lymphoid dendritic cells to a subject in need thereof in an amount effective to treat the disease.
4、专利号为CN201210009890.3, 名称为“用于鉴定肿瘤细胞或肿瘤组织的CREPT抗体”的发明专利,该专利公开了一种用于鉴定肿瘤细胞或肿瘤组织的CREPT抗体。提供了用于检测CREPT蛋白的试剂在如下(a)或(b)或(c)中的应用:(a)辅助鉴定肿瘤细胞;(b)辅助鉴定肿瘤组织;(c)辅助鉴定肿瘤患者。本发明发现CREPT基因在肿瘤细胞系的表达水平远高于正常细胞中的表达水平,在肿瘤组织中的表达水平远远高于癌旁组织和正常组织。4. The patent number is CN201210009890.3, and the invention patent titled "CREPT antibody for identifying tumor cells or tumor tissues" discloses a CREPT antibody for identifying tumor cells or tumor tissues. Provided is the application of the reagent for detecting CREPT protein in the following (a) or (b) or (c): (a) assisting in identifying tumor cells; (b) assisting in identifying tumor tissues; (c) assisting in identifying tumor patients. The present invention finds that the expression level of CREPT gene in tumor cell line is much higher than that in normal cells, and the expression level in tumor tissue is much higher than that in paracancerous tissue and normal tissue.
上述这些专利虽然有的涉及到了肿瘤细胞或肿瘤组织的鉴定和分析,有的涉及到了人造辅助细胞,并提出了一些改进的技术方案,但通过仔细阅读发现,这些专利并未涉及对微小病灶定位,而且直接采用这些检测或鉴定方法来进行对微小病灶定位是不行的,所以如何准确对微小病灶定位尚有待进一步研究。Although some of the above-mentioned patents involve the identification and analysis of tumor cells or tumor tissues, some involve artificial auxiliary cells, and some improved technical solutions have been proposed, but after careful reading, it is found that these patents do not involve the positioning of small lesions. , and it is not feasible to directly use these detection or identification methods to locate small lesions, so how to accurately locate small lesions remains to be further studied.
发明内容:Invention content:
本发明的目的在于针对现有对微小病灶定位所存在的问题,提出一种新的对微小病灶定位方法,该种新的对微小病灶定位方法可以简单、可靠、通用性广的对微小病灶进行定位。The purpose of the present invention is to propose a new method for locating tiny lesions in view of the existing problems in locating tiny lesions. This new method for locating tiny lesions can perform simple, reliable and versatile position.
为了达到这一目的,本发明的技术实施方案是提供一种对微小病灶进行定位检测的人造结节,人造结节为一种化学混合物固化构成,在紧邻微小病灶旁或包围微小病灶形成的硬化结节,并且是在CT断层扫描中清晰可见的人造结节。In order to achieve this goal, the technical embodiment of the present invention is to provide an artificial nodule for positioning detection of tiny lesions. The artificial nodule is formed by solidification of a chemical mixture, and the hardening formed next to or surrounding the tiny lesions Nodules, and are artificial nodules that are clearly visible on CT tomography.
进一步地,所述的化学混合物是二种或二种以上化合物混合后形成的;Further, the chemical mixture is formed by mixing two or more compounds;
进一步地,所述的化合物为液态或是粉针剂化合物,混合后为液态注射剂,在注射入指定微小病灶区域后,在紧邻微小病灶旁或包围微小病灶快速形成结节。Further, the compound is a liquid or powder injection compound, which is mixed into a liquid injection, and after being injected into the designated micro lesion area, nodules are rapidly formed next to or surrounding the micro lesion.
进一步地,所述的化合物包括各种液态或是粉针剂的医用高分子材料,包括各类无毒单体或聚合物,如甲基氯硅烷、苯基氯硅烷、氰基丙烯酸酯类化合物、α-氰基丙烯酸辛酯、聚乙烯,并采用氨基酸类聚合物作为催化剂,包括酸性聚氨基酸、聚氨基酸、氨基酸共聚物,如2-氰基-2-丙烯酸丁酯。Further, the compounds include various liquid or powder injection medical polymer materials, including various non-toxic monomers or polymers, such as methylchlorosilane, phenylchlorosilane, cyanoacrylate compounds, α-octyl cyanoacrylate, polyethylene, and amino acid polymers as catalysts, including acidic polyamino acids, polyamino acids, amino acid copolymers, such as 2-cyano-2-butyl acrylate.
进一步地,所述的化学混合物内包含有CT扫描强化对比剂,CT扫描强化对比剂包括含碘有机化合物。Further, the chemical mixture contains an enhanced contrast agent for CT scan, and the enhanced contrast agent for CT scan includes an iodine-containing organic compound.
进一步地,所述的化学混合物内含有增色剂,在化学混合物中添加增色剂以利进行微小病灶定位时,更明显感知人造结节的位置。Further, the chemical mixture contains a color enhancer, and when the color enhancer is added to the chemical mixture to facilitate the localization of tiny lesions, the position of artificial nodules can be more clearly perceived.
一种利用上述人造结节对微小病灶进行定位的方法,通过在指定微小病灶区域实施注射人造结节液体混合物,在紧邻微小病灶旁或包围微小病灶形成一个硬化结节,并在CT断层扫描中清晰可见的人造结节,根据CT断层扫描定位数据进行微小病灶的精准定位。A method for locating tiny lesions using the above-mentioned artificial nodules, by injecting a liquid mixture of artificial nodules in the designated area of the tiny lesions to form a sclerotic nodule next to or surrounding the tiny lesions, and in a CT tomographic scan Clearly visible artificial nodules, precise positioning of tiny lesions based on CT tomographic positioning data.
进一步地,所述的在指定微小病灶区域实施注射人造结节液体混合物是在常规检测发现微小病灶区域后,在所发现的微小病灶区域注射人造结节液体混合物,人造结节液体混合物在紧邻微小病灶旁或包围微小病灶形成一个硬化结节。Further, the injection of the artificial nodule liquid mixture in the designated micro lesion area is to inject the artificial nodule liquid mixture in the found micro lesion area after routine testing finds the micro lesion area, and the artificial nodule liquid mixture is in the vicinity of the micro lesion area. A sclerotic nodule forms next to or surrounding tiny lesions.
进一步地,所述的在CT断层扫描中清晰可见的人造结节是人造结节液体混合物在紧邻微小病灶旁或包围微小病灶形成一个硬化结节后,再通过CT断层扫描人造结节。Further, the artificial nodules that are clearly visible in CT tomography are artificial nodules that are artificially scanned by CT tomography after the liquid mixture of artificial nodules forms a hardened nodule next to or surrounding the tiny lesions.
进一步地,所述的根据CT断层扫描定位数据进行微小病灶的精准定位是在通过CT断层扫描人造结节后,通过观察人造结节的显微坐标判断微小病灶的精准位置。Further, the precise positioning of the tiny lesions according to the positioning data of the CT tomography is to judge the precise position of the tiny lesions by observing the microscopic coordinates of the artificial nodules after the artificial nodules are scanned by the CT tomography.
进一步地,所述的人造结节包括以下步骤:Further, the artificial nodules include the following steps:
1)对指定区域进行低剂量CT扫描确定微小病灶部位及微小病灶部位在体表的基本投影点,并计算进针深度与角度;1) Perform a low-dose CT scan on the designated area to determine the basic projection points of the small lesions and the small lesions on the body surface, and calculate the depth and angle of the needle;
2)选择人造结节液体混合物;2) Select artificial nodule liquid mixture;
3)向指定区域实施注射人造结节液体混合物,并让人造结节液体混合物形成一个硬化结节,且为在CT断层扫描中清晰可见的人造结节;3) Inject the artificial nodule liquid mixture into the designated area, and let the artificial nodule liquid mixture form a hardened nodule, which is clearly visible in the CT scan;
4)用CT断层扫描指定区域寻找出人造结节;4) Use CT tomography to find artificial nodules in the designated area;
5)根据CT断层扫描的结果,用坐标数据确定人造结节的位置,从而对微小病灶的精准位置进行定位。5) According to the results of CT tomography, coordinate data is used to determine the position of artificial nodules, so as to locate the precise position of tiny lesions.
本发明的优点在于:The advantages of the present invention are:
本发明通过在微小病灶处设置人造结节,利用人造结节进行微小病灶的精准位置进行定位,具有以下一些优点:The present invention sets artificial nodules at tiny lesions and utilizes artificial nodules to locate the precise position of tiny lesions, which has the following advantages:
1)利用人造结节进行微小病灶的精准位置进行定位准确,可以准确确定微小病灶的位置,便于进行定位检测;1) Use artificial nodules to accurately locate the precise location of tiny lesions, which can accurately determine the location of tiny lesions and facilitate positioning detection;
2)该种微小病灶的定位检测方法实施方便,将人造结节液体混合物调配好后,注射到指定区域,即可进行检测;2) The localization and detection method of this kind of tiny lesions is easy to implement. After the artificial nodule liquid mixture is prepared, it is injected into the designated area, and the detection can be carried out;
3)人造结节制作方便,费用低,通用性广,便于推广采用。3) The artificial nodules are easy to manufacture, low in cost, wide in versatility, and easy to popularize and adopt.
具体实施方式:Detailed ways:
下面结合实施例对本发明作进一步的详细说明。很显然,所描述的实施例仅仅是本发明的一部分实施例,而不是全部的实施例;可以理解的是,此处所描述的具体实施例仅用于解释本发明,而非对本发明的限定,任何基于本发明的原理,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其它实施例,都属于本发明保护的范围。The present invention will be described in further detail below in conjunction with embodiment. Obviously, the described embodiments are only a part of the embodiments of the present invention, rather than all embodiments; it can be understood that the specific embodiments described here are only used to explain the present invention, rather than limit the present invention, Any other embodiments obtained by persons of ordinary skill in the art based on the principle of the present invention without creative efforts fall within the protection scope of the present invention.
实施例一Embodiment one
一种对微小病灶进行定位检测的人造结节,人造结节为一种化学混合物固化构成,在紧邻微小病灶旁或包围微小病灶形成的硬化结节,并且是在CT断层扫描中清晰可见的人造结节。A kind of artificial nodules for localization detection of tiny lesions. The artificial nodules are formed by solidification of a chemical mixture. They are hardened nodules formed next to or surrounding tiny lesions, and are clearly visible in CT tomography. nodules.
所述的化学混合物是二种化合物混合后的形成的;The chemical mixture is formed by mixing two compounds;
所述的化合物为液态或是粉针剂化合物,混合后为液态注射剂,在注射入指定微小病灶区域后,在紧邻微小病灶旁或包围微小病灶快速形成结节。The compound is a liquid or powder injection compound, which is mixed into a liquid injection, and after being injected into a designated area of a small lesion, nodules are rapidly formed next to or surrounding the small lesion.
所述的化合物包括各种液态或是粉针剂的医用高分子材料,高分子材料为氰基丙烯酸酯类化合物与α-氰基丙烯酸辛酯混合物,按照任意比例进行配比,并采用氨基酸类聚合物作为催化剂;催化剂的添加量为氰基丙烯酸酯类化合物与α-氰基丙烯酸辛酯混合物的1-3%重量百分比。The compound includes various liquid or powder injection medical polymer materials. The polymer material is a mixture of cyanoacrylate compounds and α-octyl cyanoacrylate. The compound is used as a catalyst; the addition amount of the catalyst is 1-3% by weight of the mixture of cyanoacrylate compound and α-octyl cyanoacrylate.
所述的化学混合物内包含有CT扫描强化对比剂,CT扫描强化对比剂为含碘有机化合物;含碘有机化合物的添加量为化学混合物总质量的1-2%。The chemical mixture contains an enhanced contrast agent for CT scanning, and the enhanced contrast agent for CT scanning is an iodine-containing organic compound; the added amount of the iodine-containing organic compound is 1-2% of the total mass of the chemical mixture.
所述的化学混合物内含有增色剂,增色剂为亚甲蓝;亚甲蓝的添加量为化学混合物总质量的1-2%。在化学混合物中添加增色剂以利进行微小病灶定位时,更明显感知人造结节的位置。The chemical mixture contains a color enhancer, which is methylene blue; the amount of the methylene blue added is 1-2% of the total mass of the chemical mixture. When a color enhancer is added to the chemical mixture to facilitate the localization of small lesions, the position of artificial nodules can be more clearly perceived.
一种利用上述人造结节对微小病灶进行定位的方法,通过在指定微小病灶区域实施注射人造结节液体混合物,在紧邻微小病灶旁或包围微小病灶形成一个硬化结节,并在CT断层扫描中清晰可见的人造结节,根据CT断层扫描定位数据进行微小病灶的精准定位。A method for locating tiny lesions using the above-mentioned artificial nodules, by injecting a liquid mixture of artificial nodules in the designated area of the tiny lesions to form a sclerotic nodule next to or surrounding the tiny lesions, and in a CT tomographic scan Clearly visible artificial nodules, precise positioning of tiny lesions based on CT tomographic positioning data.
所述的在指定微小病灶区域实施注射人造结节液体混合物是在常规检测发现微小病灶区域后,在所发现的微小病灶区域注射人造结节液体混合物,人造结节液体混合物在紧邻微小病灶旁或包围微小病灶形成一个硬化结节。The injection of the artificial nodule liquid mixture in the designated small lesion area is to inject the artificial nodule liquid mixture in the small lesion area found after the routine detection of the small lesion area, and the artificial nodule liquid mixture is placed next to the small lesion area or A sclerotic nodule surrounded by tiny lesions.
所述的在CT断层扫描中清晰可见的人造结节是人造结节液体混合物在紧邻微小病灶旁或包围微小病灶形成一个硬化结节后,再通过CT断层扫描人造结节。The artificial nodules that are clearly visible in CT tomographic scanning are artificial nodules that are scanned by CT tomographic scanning after the liquid mixture of artificial nodules forms a sclerotic nodule adjacent to or surrounding tiny lesions.
所述的根据CT断层扫描定位数据进行微小病灶的精准定位是在通过CT断层扫描人造结节后,通过观察人造结节的显微坐标判断微小病灶的精准位置。The precise positioning of the tiny lesions according to the positioning data of the CT tomography is to judge the precise position of the tiny lesions by observing the microscopic coordinates of the artificial nodules after the artificial nodules are scanned by the CT tomography.
所述的人造结节包括以下步骤:Described artificial nodule comprises the following steps:
1)对指定区域进行低剂量CT扫描确定微小病灶部位及微小病灶部位在体表的基本投影点,并计算进针深度与角度;1) Perform a low-dose CT scan on the designated area to determine the basic projection points of the small lesions and the small lesions on the body surface, and calculate the depth and angle of the needle;
2)选择人造结节液体混合物;2) Select artificial nodule liquid mixture;
3)向指定区域实施注射人造结节液体混合物,并让人造结节液体混合物形成一个硬化结节,且为在CT断层扫描中清晰可见的人造结节;3) Inject the artificial nodule liquid mixture into the designated area, and let the artificial nodule liquid mixture form a hardened nodule, which is clearly visible in the CT scan;
4)用CT断层扫描指定区域寻找出人造结节;4) Use CT tomography to find artificial nodules in the designated area;
5)根据CT断层扫描的结果,用坐标数据确定人造结节的位置,从而对微小病灶的精准位置进行定位。5) According to the results of CT tomography, coordinate data is used to determine the position of artificial nodules, so as to locate the precise position of tiny lesions.
实施例二Embodiment two
实施例二与实施例医德原理是一样的,只是所选取的形成人造结节的化合物的成分有所不同,为一种对微小病灶进行定位检测的人造肺结节,人造肺结节为一种化学混合物固化构成,在紧邻微小病灶旁或包围微小病灶形成的硬化结节,并且是在CT断层扫描中清晰可见的人造肺结节。The principle of medical ethics in Example 2 is the same as that in Example 2, except that the composition of the selected compound to form artificial nodules is different. It is an artificial pulmonary nodule for positioning and detecting tiny lesions. A hardened nodule formed next to or surrounding tiny lesions, formed by solidification of chemical mixture, is an artificial pulmonary nodule clearly visible on CT tomography.
所述的化学混合物是三种化合物混合后的形成的;The chemical mixture is formed by mixing three compounds;
所述的化合物为液态与粉针剂化合物的混合,混合后为液态注射剂,在注射入指定微小病灶区域后,在紧邻微小病灶旁或包围微小病灶快速形成结节。The compound is a mixture of a liquid compound and a powder injection compound, which is a liquid injection after being mixed. After being injected into a designated micro lesion area, nodules are rapidly formed next to or surrounding the micro lesion.
所述的化合物为氰基丙烯酸酯类化合物、α-氰基丙烯酸辛酯和甲基氯硅烷,按照任意配比;并采用氨基酸的线型聚合物作为催化剂。进一步地,所述的化学混合物内包含有含碘有机化合物CT扫描强化对比剂。The compound is cyanoacrylate compound, α-octyl cyanoacrylate and methylchlorosilane in any proportion; and a linear polymer of amino acid is used as a catalyst. Further, the chemical mixture contains an iodine-containing organic compound CT scan enhancement contrast agent.
进一步地,所述的化学混合物内含有荧光增色剂,在化学混合物中添加增色剂以利进行微小病灶定位时,更明显感知人造肺结节的位置。Further, the chemical mixture contains a fluorescent color enhancer, and when the color enhancer is added to the chemical mixture to facilitate the localization of small lesions, the position of the artificial pulmonary nodule can be more clearly perceived.
一种利用上述人造肺结节对微小病灶进行定位的方法,通过在指定微小病灶区域实施注射人造肺结节液体混合物,在紧邻微小病灶旁或包围微小病灶形成一个硬化结节,并在CT断层扫描中清晰可见的人造肺结节,根据CT断层扫描定位数据进行微小病灶的精准定位。A method for locating tiny lesions using the aforementioned artificial pulmonary nodules, by injecting a liquid mixture of artificial lung nodules in the designated area of the tiny lesions to form a sclerotic nodule next to or surrounding the tiny lesions, and showing the results on CT tomography The artificial lung nodules that are clearly visible in the scan can be precisely positioned for tiny lesions based on the positioning data of CT tomography.
所述的在指定微小病灶区域实施注射人造肺结节液体混合物是在常规检测发现微小病灶区域后,在所发现的微小病灶区域注射人造肺结节液体混合物,人造肺结节液体混合物在紧邻微小病灶旁或包围微小病灶形成一个硬化结节。The injection of the artificial pulmonary nodule liquid mixture in the designated small lesion area is to inject the artificial pulmonary nodule liquid mixture in the small lesion area found after the routine detection of the small lesion area, and the artificial pulmonary nodule liquid mixture is placed next to the small lesion area. A sclerotic nodule forms next to or surrounding tiny lesions.
所述的在CT断层扫描中清晰可见的人造肺结节是人造结节液体混合物在紧邻微小病灶旁或包围微小病灶形成一个硬化结节后,再通过CT断层扫描人造肺结节。The artificial pulmonary nodules that are clearly visible in CT tomographic scanning are artificial pulmonary nodules that are scanned by CT tomographic scanning after the liquid mixture of artificial nodules forms a sclerotic nodule adjacent to or surrounding tiny lesions.
所述的根据CT断层扫描定位数据进行微小病灶的精准定位是在通过CT断层扫描人造肺结节后,通过观察人造肺结节的显微坐标判断微小病灶的精准位置。The precise positioning of the tiny lesions according to the CT tomographic positioning data is to judge the precise position of the tiny lesions by observing the microscopic coordinates of the artificial pulmonary nodules after the CT tomographic scanning of the artificial pulmonary nodules.
所述的人造肺结节定位包括以下步骤:Described artificial pulmonary nodule localization comprises the following steps:
1)对指定区域进行低剂量扫描确定微小病灶部位及微小病灶部位在体表的基本投影点,并计算进针深度与角度;1) Perform low-dose scanning on the designated area to determine the small lesions and the basic projection points of the small lesions on the body surface, and calculate the depth and angle of the needle;
2)选择氰基丙烯酸酯类化合物、α-氰基丙烯酸辛酯和甲基氯硅烷作为人造肺结节液体混合物;并在液体混合物中加注有含碘有机化合物和荧光增色剂;各种成份共0.4ml均匀混合在一起;2) Select cyanoacrylate compounds, α-octyl cyanoacrylate and methylchlorosilane as the liquid mixture of artificial lung nodules; and add iodine-containing organic compounds and fluorescent color enhancers in the liquid mixture; various ingredients A total of 0.4ml is evenly mixed together;
3)用1ml注射液抽吸人造肺结节液体混合物,向指定区域实施注射人造肺结节液体混合物0.3ml,并让人造肺结节液体混合物形成一个硬化结节,且为在CT断层扫描中清晰可见的人造结节;3) Aspirate the artificial pulmonary nodule liquid mixture with 1ml of injection, inject 0.3ml of the artificial pulmonary nodule liquid mixture into the designated area, and let the artificial pulmonary nodule liquid mixture form a hardened nodule, which is in the CT tomographic scan Clearly visible artificial nodules;
4)注射人造肺结节液体混合物30秒后开始CT扫描,并测量人造肺结节与肺微小病灶相关数据;4) Start CT scanning 30 seconds after injecting the liquid mixture of artificial pulmonary nodules, and measure the data related to artificial pulmonary nodules and pulmonary microlesions;
5)根据CT断层扫描的结果,用坐标数据确定人造肺结节的位置,从而对微小病灶的精准位置进行定位。5) According to the results of CT tomography, coordinate data is used to determine the position of artificial pulmonary nodules, so as to locate the precise position of tiny lesions.
本发明的优点在于:The advantages of the present invention are:
本发明通过在微小病灶处设置人造结节,利用人造结节进行微小病灶的精准位置进行定位,具有以下一些优点:The present invention sets artificial nodules at tiny lesions and utilizes artificial nodules to locate the precise position of tiny lesions, which has the following advantages:
4)利用人造结节进行微小病灶的精准位置进行定位准确,可以准确确定微小病灶的位置,便于进行定位检测;4) Using artificial nodules to accurately locate the precise position of tiny lesions can accurately determine the position of tiny lesions, which is convenient for positioning detection;
5)该种微小病灶的定位检测方法实施方便,将人造结节液体混合物调配好后,注射到指定区域,即可进行检测;5) The localization and detection method of this kind of tiny lesions is easy to implement. After the artificial nodule liquid mixture is prepared, it is injected into the designated area, and the detection can be carried out;
人造结节制作方便,费用低,通用性广,便于推广采用。The artificial nodule is convenient to manufacture, low in cost, wide in versatility, and easy to popularize and adopt.
Claims (10)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201810739130.5A CN108785691A (en) | 2018-07-06 | 2018-07-06 | A kind of artificial tubercle and localization method carrying out detection and localization to minimal disease |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201810739130.5A CN108785691A (en) | 2018-07-06 | 2018-07-06 | A kind of artificial tubercle and localization method carrying out detection and localization to minimal disease |
Publications (1)
Publication Number | Publication Date |
---|---|
CN108785691A true CN108785691A (en) | 2018-11-13 |
Family
ID=64075553
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN201810739130.5A Pending CN108785691A (en) | 2018-07-06 | 2018-07-06 | A kind of artificial tubercle and localization method carrying out detection and localization to minimal disease |
Country Status (1)
Country | Link |
---|---|
CN (1) | CN108785691A (en) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN110680930A (en) * | 2019-09-09 | 2020-01-14 | 中南大学湘雅二医院 | Method for forming micro-accessible artificial nodules using chemical mixture and mixture |
Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN1192654A (en) * | 1995-07-27 | 1998-09-09 | 微治疗公司 | Novel embolizing compositions |
CN102178978A (en) * | 2011-03-18 | 2011-09-14 | 广州白云医用胶有限公司 | Medical adhesive and preparation method of medical adhesive |
CN104645356A (en) * | 2015-01-30 | 2015-05-27 | 复旦大学 | X-ray developing thermotropic hydrogel and preparation method thereof |
CN104689344A (en) * | 2015-02-03 | 2015-06-10 | 东南大学 | Image preparation applied to early rapid detection of Alzheimer's disease and multi-mode imaging of early rapid detection |
CN204971632U (en) * | 2015-06-24 | 2016-01-20 | 张涛 | Biological glue syringe suitable for small tubercle operation location in lung |
CN105517581A (en) * | 2013-09-06 | 2016-04-20 | 生物兼容英国有限公司 | Radiopaque polymers |
-
2018
- 2018-07-06 CN CN201810739130.5A patent/CN108785691A/en active Pending
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN1192654A (en) * | 1995-07-27 | 1998-09-09 | 微治疗公司 | Novel embolizing compositions |
CN102178978A (en) * | 2011-03-18 | 2011-09-14 | 广州白云医用胶有限公司 | Medical adhesive and preparation method of medical adhesive |
CN105517581A (en) * | 2013-09-06 | 2016-04-20 | 生物兼容英国有限公司 | Radiopaque polymers |
CN104645356A (en) * | 2015-01-30 | 2015-05-27 | 复旦大学 | X-ray developing thermotropic hydrogel and preparation method thereof |
CN104689344A (en) * | 2015-02-03 | 2015-06-10 | 东南大学 | Image preparation applied to early rapid detection of Alzheimer's disease and multi-mode imaging of early rapid detection |
CN204971632U (en) * | 2015-06-24 | 2016-01-20 | 张涛 | Biological glue syringe suitable for small tubercle operation location in lung |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN110680930A (en) * | 2019-09-09 | 2020-01-14 | 中南大学湘雅二医院 | Method for forming micro-accessible artificial nodules using chemical mixture and mixture |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
Parker et al. | Polarographic electrode study of tumor oxygenation in clinically localized prostate cancer | |
Ohnishi et al. | Small hepatocellular carcinoma: treatment with US-guided intratumoral injection of acetic acid. | |
CN102735752B (en) | Tumor-targeting living body multimodality imaging method based on gold nano-clusters | |
JP2007500251A5 (en) | ||
WO2007024601A2 (en) | Methods for intraoperative organotypic nerve mapping | |
US20190125903A1 (en) | Upar targeting peptide for use in peroperative optical imaging of invasive cancer | |
CN108135996A (en) | To the antismallpox vaccine for the treatment of of cancer | |
CN103330948A (en) | A tumor-targeted in vivo rapid fluorescence imaging method for rare earth metal nanoclusters | |
CN108721649B (en) | Design, synthesis and application of tumor-targeted near-infrared fluorescence imaging agent | |
CN108785691A (en) | A kind of artificial tubercle and localization method carrying out detection and localization to minimal disease | |
US20230417754A1 (en) | Near infrared-ii probes as high affinity targeting imaging agents and uses thereof | |
Suzuki et al. | Ultrasonically guided staging splenic tissue core biopsy in patients with non‐Hodgkin's lymphoma | |
US20160136308A1 (en) | Methods and apparatuses for the localization and treatment of disease such as cancer | |
CN106148533A (en) | Mark for esophageal squamous cell carcinoma diagnosis and treatment | |
Qin et al. | Quantitative study of the growth of experimental hepatic tumors in rats by using magnetic resonance imaging | |
Nautiyal et al. | Routine and ultrasound guided FNAC of intra abdominal lumps-a comparative study | |
CA3015981C (en) | Injection composition for labeling lesion | |
Akamatsu et al. | Development and evaluation of a needle for percutaneous ethanol injection therapy. | |
CN110025374A (en) | A kind of multiple spot Needle localization mechanism based on radiofrequency ablation among hepatocellular carcinoma patients | |
CN115487321A (en) | Contrast agent for cervical cancer ultrasonic contrast and preparation method thereof | |
Kan et al. | Stress test of contrast-enhanced US with phenylephrine in a rabbit VX2 liver tumor model: differentiating benign periablational enhancement from residual tumor after radiofrequency ablation | |
CN117715661A (en) | Pridinosa for NIRF imaging | |
CN108743975B (en) | Design, synthesis and application of near-infrared fluorescence imaging agent of targeting tumor VEGFR-3 molecule | |
US8691183B2 (en) | Means for the detection and treatment of prostate cells | |
CN105214103B (en) | For malignant tumour and the metal ion reagent and image preparation of the quick detection of cardiovascular and cerebrovascular relevant disease early stage and multi-modality imaging |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
PB01 | Publication | ||
PB01 | Publication | ||
SE01 | Entry into force of request for substantive examination | ||
SE01 | Entry into force of request for substantive examination | ||
RJ01 | Rejection of invention patent application after publication | ||
RJ01 | Rejection of invention patent application after publication |
Application publication date: 20181113 |