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CN114376625A - Biopsy data visualization system and biopsy device - Google Patents

Biopsy data visualization system and biopsy device Download PDF

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Publication number
CN114376625A
CN114376625A CN202210041585.6A CN202210041585A CN114376625A CN 114376625 A CN114376625 A CN 114376625A CN 202210041585 A CN202210041585 A CN 202210041585A CN 114376625 A CN114376625 A CN 114376625A
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biopsy
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real
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tissue
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李晨光
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Saien Medical Technology Lianyungang Co ltd
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Shanghai Lisheng Medical Technology Co ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
    • A61B10/02Instruments for taking cell samples or for biopsy
    • A61B10/0233Pointed or sharp biopsy instruments
    • A61B10/0266Pointed or sharp biopsy instruments means for severing sample
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577Ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00791Temperature
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00904Automatic detection of target tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0231Characteristics of handpieces or probes
    • A61B2018/0262Characteristics of handpieces or probes using a circulating cryogenic fluid
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0293Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques using an instrument interstitially inserted into the body, e.g. needle
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046Tracking techniques
    • A61B2034/2065Tracking using image or pattern recognition
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2068Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis using pointers, e.g. pointers having reference marks for determining coordinates of body points

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Abstract

The present application relates to a biopsy data visualization system and a biopsy device, the biopsy data visualization system comprising a computer control system, and: a tissue marker for marking a lesion location; the radiography system is used for radiography of the focus tissues, acquiring focus position images and biopsy sampling image data in real time and sending the focus position images and the biopsy sampling image data to the computer control system; the temperature sensing system is used for acquiring the real-time temperature of the lesion tissue and/or the cutting sleeve and/or the cryogenic cooling adhesion probe and sending the real-time temperature to the computer control system; a display for receiving and displaying the lesion location image and biopsy sampling image data and real-time temperature data. Through the radiography and the temperature monitoring of the focus tissue, the action, the temperature parameter and the like in the biopsy process can be visually processed, so that a doctor can obtain effective data feedback, know the position of the focus tissue in real time and carry out the operation process of biopsy sampling on the focus, and the accuracy of low-temperature biopsy sampling is improved.

Description

活检数据可视化系统和活检装置Biopsy data visualization system and biopsy device

技术领域technical field

本申请涉及数据可视化技术领域,尤其涉及一种活检数据可视化系统和活检装置。The present application relates to the technical field of data visualization, and in particular, to a biopsy data visualization system and a biopsy device.

背景技术Background technique

活检或活组织检查是用于诊断患者的癌症肿块、初步恶化情况以及其他疾病和紊乱的一种重要手段。A biopsy, or biopsy, is an important tool for diagnosing a patient's cancerous mass, initial deterioration, and other diseases and disorders.

在现有的活检技术中,采用低温活检针的方式对病灶组织进行活检取样的技术手段,较为普及。一般采用具有液态致冷剂的附着探针,进行旋转取芯活检,如公开号为CN100571649C的专利技术中,提供了一种具有液态致冷剂附着探针的旋转取芯活检装置。该装置包括探针,探针具有允许外科医生在活检过程期间在病灶组织中固定可疑块体或肿块的构造;该探针设有刚性管和锋利的末梢;为了将肿块固定到该探针上,外科医生利用该末梢刺穿该肿块;压缩气体通过冷却剂供给管道系统,将冷风输送到在活检器具内,并通过探针刚性管内延伸的管道系统引导冷却剂达到该末梢,以冷却该末梢,然后该肿块被附着在冷却的探针上;最后通过取芯器的切割套管取得肿块样芯。Among the existing biopsy techniques, the technique of sampling the lesion tissue by means of a low-temperature biopsy needle is relatively popular. Generally, an attached probe with liquid cryogen is used to perform rotary coring biopsy. For example, a patented technology with a publication number of CN100571649C provides a rotary core biopsy device with a liquid cryogen attached probe. The device includes a probe having a configuration that allows a surgeon to immobilize a suspicious mass or mass in focal tissue during a biopsy procedure; the probe is provided with a rigid tube and a sharpened tip; for securing the mass to the probe , the surgeon uses the tip to pierce the mass; compressed gas is passed through the coolant supply ductwork, delivering cool air into the biopsy instrument, and through the ductwork extending within the probe's rigid tube to direct the coolant to the tip to cool the tip , and then the mass was attached to the cooled probe; finally the mass-like core was obtained through the cutting cannula of the corer.

申请人在对该进行技术实施过程中,发现其存在如下技术问题:During the technical implementation process, the applicant found the following technical problems:

在活检过程期间中,利用探针在病灶组织对可疑块体或肿块进行固定的阶段,以及利用末梢刺穿该肿块进行取样的阶段中,无论是对器械的物力性数据值和运动特征,还是对病灶组织的病理性症状,并没有进行实时监控和反馈,使得取样过程得不到有效数据反馈。因此,针对此情况,有必要对其进行可视化处理,便于取样处理过程,提高取样准确性。During the biopsy procedure, the probe is used to fix the suspicious mass or mass in the focal tissue, and in the stage of sampling the mass with the tip piercing, whether it is the physical data value and motion characteristics of the device, or There is no real-time monitoring and feedback on the pathological symptoms of the lesion tissue, so that no effective data feedback can be obtained during the sampling process. Therefore, in view of this situation, it is necessary to visualize it to facilitate the sampling process and improve the sampling accuracy.

发明内容SUMMARY OF THE INVENTION

有鉴于此,本申请提出了一种活检数据可视化系统和活检装置,已解决上述公开专利的技术缺陷。In view of this, the present application proposes a biopsy data visualization system and a biopsy device, which have solved the technical defects of the above-mentioned published patents.

本申请第一方面提出一种活检数据可视化系统,包括计算机控制系统,还包括:A first aspect of the present application proposes a biopsy data visualization system, including a computer control system, and further including:

组织标记物,用于标记病灶位置;Tissue markers to mark the location of lesions;

造影系统,用于对病灶组织造影,实时获取病灶位置图像和活检取样图像数据,并发送至所述计算机控制系统;an imaging system, used for imaging the lesion tissue, acquiring the lesion position image and biopsy sampling image data in real time, and sending it to the computer control system;

温度传感系统,用于获取病灶组织和/或切割套管和/或低温冷却附着探针的实时温度,并发送至所述计算机控制系统;a temperature sensing system for acquiring the real-time temperature of the lesion tissue and/or the cutting cannula and/or the cryogenically cooled attachment probe, and sending it to the computer control system;

显示器,用于接收并显示所述病灶位置图像和活检取样图像数据以及实时温度数据;a display for receiving and displaying the image of the lesion position, the image data of the biopsy sampling and the real-time temperature data;

所述造影系统、温度传感系统和显示器分别通信连接所述计算机控制系统。The imaging system, the temperature sensing system and the display are respectively connected to the computer control system in communication.

作为本申请的一种可选实施方案,可选地,所述组织标记物的材质为在所述造影系统探照下被显像的材料。As an optional embodiment of the present application, optionally, the material of the tissue marker is a material that is imaged under the exploration of the contrast system.

作为本申请的一种可选实施方案,可选地,所述造影系统包括:As an optional embodiment of the present application, optionally, the imaging system includes:

图像采集模块,用于实时采集并发送造影图像;The image acquisition module is used for real-time acquisition and transmission of angiography images;

图像处理模块,用于接收所述造影图像,并通过图像预处理算法对所述造影图像进行预处理,获得预处理造影图像;以及,通过对所述预处理造影图像进行图像数字加密,并发送;an image processing module, configured to receive the angiography image, and preprocess the angiography image through an image preprocessing algorithm to obtain a preprocessed angiography image; ;

图像储存模块,用于接收并储存所述数字加密图像,且通过数字加密通道将所述数字加密图像发送至所述计算机控制系统。The image storage module is used for receiving and storing the digital encrypted image, and sending the digital encrypted image to the computer control system through a digital encryption channel.

作为本申请的一种可选实施方案,可选地,所述温度传感系统包括:As an optional embodiment of the present application, optionally, the temperature sensing system includes:

温度检测芯片,设于所述病灶组织和/或切割套管和/或低温冷却附着探针上,用于对应获取实时温度数据,并发送;A temperature detection chip, which is arranged on the lesion tissue and/or the cutting cannula and/or the cryogenically cooled attachment probe, and is used for corresponding acquisition and transmission of real-time temperature data;

通讯芯片,与所述温度检测芯片电连接,用于接收所述实时温度数据,并将所述实时温度数据发送至所述计算机控制系统。The communication chip is electrically connected with the temperature detection chip, and is used for receiving the real-time temperature data and sending the real-time temperature data to the computer control system.

本申请第二方面提出一种活检装置,包括外壳和气动系统,所述气动系统设于所述外壳内,还包括:A second aspect of the present application provides a biopsy device, comprising a housing and a pneumatic system, wherein the pneumatic system is arranged in the housing, and further includes:

上述所述的活检数据可视化系统,用于实时图像造影,指导活检取样;The above-mentioned biopsy data visualization system is used for real-time image angiography to guide biopsy sampling;

低温冷却附着探针,用于在所述活检数据可视化系统辅助下,运动至病灶位置并将所述病灶进行低温冷却固定;A cryogenically cooled attachment probe, used for moving to the position of the lesion with the assistance of the biopsy data visualization system, and performing cryogenic cooling and fixing of the lesion;

切割套管,用于在所述活检数据可视化系统辅助下,运动至被固定病灶位置并进行低温活检取样;a cutting cannula for moving to the fixed lesion position and performing low-temperature biopsy sampling with the assistance of the biopsy data visualization system;

所述低温冷却附着探针同轴活动于所述切割套管内,并通过所述气动系统驱动。The cryogenic cooling attachment probe coaxially moves in the cutting sleeve and is driven by the pneumatic system.

作为本申请的一种可选实施方案,可选地,还包括:As an optional embodiment of the present application, optionally, it also includes:

输送针,用于在所述活检数据可视化系统辅助下,将所述活检数据可视化系统中的组织标记物输送至所述病灶组织位置;以及,在活检完毕后,在所述活检数据可视化系统辅助下,将所述活检数据可视化系统中的组织标记物从所述病灶组织位置移出至体表外。a delivery needle for delivering tissue markers in the biopsy data visualization system to the lesion tissue position with the assistance of the biopsy data visualization system; and, after the biopsy is completed, with the assistance of the biopsy data visualization system Next, the tissue markers in the biopsy data visualization system are removed from the lesion tissue location to the outside of the body surface.

作为本申请的一种可选实施方案,可选地,所述输送针或所述输送针的针尖部位的材质,为在所述活检数据可视化系统的造影系统探照下被显像的材料。As an optional embodiment of the present application, optionally, the material of the delivery needle or the needle tip portion of the delivery needle is a material that is visualized under the detection of the contrast system of the biopsy data visualization system.

作为本申请的一种可选实施方案,可选地,还包括:As an optional embodiment of the present application, optionally, it also includes:

活检器具,密封配合在所述外壳的安装腔内,所述切割套管密封配合于所述切割套管内;a biopsy tool, which is sealed and fitted in the installation cavity of the housing, and the cutting sleeve is sealed and fitted in the cutting sleeve;

罐筒,固设于所述外壳上;a canister, which is fixed on the outer shell;

压缩气罐,配合于所述罐筒内,;a compressed air tank, fitted in the tank;

阀组,设于固设于外壳上,其输入端与所述压缩气罐连接、输出端与所述气动系统连接。The valve group is fixed on the casing, the input end is connected with the compressed air tank, and the output end is connected with the pneumatic system.

作为本申请的一种可选实施方案,可选地,还包括:As an optional embodiment of the present application, optionally, it also includes:

刺穿销连接器,设于所述罐筒与所述阀组之间的通道处,所述压缩气罐的气体出口配合在所述刺穿销连接器上;a piercing pin connector, which is arranged at the channel between the canister and the valve group, and the gas outlet of the compressed air tank is fitted on the piercing pin connector;

在所述压缩气罐配合于所述罐筒内时,通过所述刺穿销连接器刺穿所述压缩气罐的气体出口,将压缩气体释放至所述阀组中。When the compressed gas canister is fitted into the canister, the gas outlet of the compressed gas canister is pierced through the piercing pin connector to release the compressed gas into the valve group.

作为本申请的一种可选实施方案,可选地,所述气动系统为伺服驱动系统,包括计算机控制系统、电池、马达和齿轮箱,电池分别电连接所述计算机控制系统和马达,所述马达连接所述齿轮箱,所述输出端设于所述齿轮箱上且保持匀速转动。As an optional embodiment of the present application, optionally, the pneumatic system is a servo drive system, including a computer control system, a battery, a motor and a gear box, and the battery is electrically connected to the computer control system and the motor, respectively, and the The motor is connected to the gear box, and the output end is arranged on the gear box and keeps rotating at a constant speed.

本申请的技术效果:Technical effects of this application:

本方案包括计算机控制系统,以及:组织标记物,用于标记病灶位置;造影系统,用于对病灶组织造影,实时获取病灶位置图像和活检取样图像数据,并发送至所述计算机控制系统;温度传感系统,用于获取病灶组织和/或切割套管和/或低温冷却附着探针的实时温度,并发送至所述计算机控制系统;显示器,用于接收并显示所述病灶位置图像和活检取样图像数据以及实时温度数据。通过组织标记物对病灶定位,以及对病灶组织造影显像和温度监测,可以将活检过程的动作和温度参数等进行可视化处理,使得医生得到有效数据反馈,实时知道病灶组织位置以及对病灶进行活检取样的操作过程,提高低温活检取样的准确性。This solution includes a computer control system, and: tissue markers for marking the position of the lesion; an imaging system for imaging the lesion tissue, acquiring image data of the lesion position and biopsy sampling in real time, and sending them to the computer control system; temperature; a sensing system for acquiring real-time temperature of the lesion tissue and/or cutting cannula and/or cryogenically cooled attachment probe and sending to the computer control system; a display for receiving and displaying the lesion location image and biopsy Sampling image data as well as real-time temperature data. Using tissue markers to locate the lesion, as well as imaging and temperature monitoring of the lesion tissue, the actions and temperature parameters of the biopsy process can be visualized, so that doctors can get effective data feedback, know the location of the lesion tissue in real time, and perform biopsy of the lesion. The sampling operation process improves the accuracy of cryogenic biopsy sampling.

附图说明Description of drawings

包含在说明书中并且构成说明书的一部分的附图与说明书一起示出了本申请的示例性实施例、特征和方面,并且用于解释本申请的原理。The accompanying drawings, which are incorporated in and constitute a part of the specification, illustrate exemplary embodiments, features and aspects of the application and together with the description, serve to explain the principles of the application.

图1示出本申请活检数据可视化系统的组成示意图;Fig. 1 shows the composition schematic diagram of the biopsy data visualization system of the present application;

图2示出本申请置于组织标记物的结构示意图;Fig. 2 shows the structural schematic diagram of the present application placed on the tissue marker;

图3示出本申请活检针的剖视结构示意图。FIG. 3 shows a schematic cross-sectional structure diagram of the biopsy needle of the present application.

具体实施方式Detailed ways

以下将参考附图详细说明本申请的各种示例性实施例、特征和方面。附图中相同的附图标记表示功能相同或相似的元件。尽管在附图中示出了实施例的各种方面,但是除非特别指出,不必按比例绘制附图。Various exemplary embodiments, features and aspects of the present application will be described in detail below with reference to the accompanying drawings. The same reference numbers in the figures denote elements that have the same or similar functions. While various aspects of the embodiments are shown in the drawings, the drawings are not necessarily drawn to scale unless otherwise indicated.

其中,需要理解的是,术语“中心”、“纵向”、“横向”、“长度”、“宽度”、“上”、“下”、“前”、“后”、“左”、“右”、“竖直”、“水平”、“顶”、“底”、“内”、“外”、“顺时针”、“逆时针”、“轴向”、“径向”、“周向”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本发明或简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本发明的限制。Among them, it should be understood that the terms "center", "portrait", "horizontal", "length", "width", "top", "bottom", "front", "rear", "left", "right" ", "Vertical", "Horizontal", "Top", "Bottom", "Inner", "Outer", "Clockwise", "Counterclockwise", "Axial", "Radial", "Circumferential" The orientation or positional relationship indicated by "" etc. is based on the orientation or positional relationship shown in the accompanying drawings, and is only for the convenience of describing the present invention or simplifying the description, rather than indicating or implying that the indicated device or element must have a specific orientation, a specific orientation, or a specific orientation. The orientation configuration and operation of the device should not be construed as a limitation of the present invention.

此外,术语“第一”、“第二”仅用于描述目的,而不能理解为指示或暗示相对重要性或者隐含指明所指示的技术特征的数量。由此,限定有“第一”、“第二”的特征可以明示或者隐含地包括一个或者更多个该特征。在本发明的描述中,“多个”的含义是两个或两个以上,除非另有明确具体的限定。In addition, the terms "first" and "second" are only used for descriptive purposes, and should not be construed as indicating or implying relative importance or implying the number of indicated technical features. Thus, a feature defined as "first" or "second" may expressly or implicitly include one or more of that feature. In the description of the present invention, "plurality" means two or more, unless otherwise expressly and specifically defined.

在这里专用的词“示例性”意为“用作例子、实施例或说明性”。这里作为“示例性”所说明的任何实施例不必解释为优于或好于其它实施例。The word "exemplary" is used exclusively herein to mean "serving as an example, embodiment, or illustration." Any embodiment described herein as "exemplary" is not necessarily to be construed as preferred or advantageous over other embodiments.

另外,为了更好的说明本申请,在下文的具体实施方式中给出了众多的具体细节。本领域技术人员应当理解,没有某些具体细节,本申请同样可以实施。在一些实例中,对于本领域技术人员熟知的方法、手段、元件和电路未作详细描述,以便于凸显本申请的主旨。In addition, in order to better illustrate the present application, numerous specific details are given in the following detailed description. It should be understood by those skilled in the art that the present application may be practiced without certain specific details. In some instances, methods, means, components and circuits well known to those skilled in the art have not been described in detail so as not to obscure the subject matter of the present application.

实施例1Example 1

本技术,通过对病灶组织置于一个组织标记物对病灶定位,以及对病灶组织造影显像和温度监测,可以将病灶组织位置、活检过程的动作和温度参数等进行可视化处理,使得医生得到有效数据反馈,实时知道病灶组织位置以及对病灶进行活检取样的操作过程,提高低温活检取样的准确性。This technology, by placing the lesion tissue on a tissue marker to locate the lesion, as well as imaging and temperature monitoring of the lesion tissue, can visualize the location of the lesion tissue, the action and temperature parameters of the biopsy process, etc., so that doctors can effectively Data feedback, real-time knowledge of the location of the lesion tissue and the operation process of biopsy sampling of the lesion, improve the accuracy of low temperature biopsy sampling.

如图1所示,本申请提供本申请第一方面提出一种活检数据可视化系统,包括计算机控制系统,还包括:As shown in FIG. 1 , the present application provides a biopsy data visualization system proposed in the first aspect of the present application, including a computer control system, and also includes:

组织标记物,用于标记病灶位置;组织标记物可以是金属Ti,其容易被造影系统进行探测到,便于成像,以此显示病灶组织的具体位置。通过置于组织标记物,可以避免后期治疗时病灶重新定位,通过诸如超声、磁共振成像(MRI)或x射线的成像系统,可以检测到标记位置,定位活检。如图2所示,柱状且外表面带有勾刺的组织标记物101,通过一根输送针102,置于病灶103内。本实施例,组织标记物的具体形状,本处不进行限制。The tissue marker is used to mark the location of the lesion; the tissue marker can be metal Ti, which is easily detected by the imaging system and facilitates imaging, thereby displaying the specific location of the lesion tissue. By placing a tissue marker, repositioning of the lesion during later treatment can be avoided, and with imaging systems such as ultrasound, magnetic resonance imaging (MRI) or x-ray, the location of the marker can be detected and a biopsy can be located. As shown in FIG. 2 , a cylindrical tissue marker 101 with a barb on its outer surface is placed in the lesion 103 through a delivery needle 102 . In this embodiment, the specific shape of the tissue marker is not limited here.

造影系统,用于对病灶组织造影,实时获取病灶位置图像和活检取样图像数据,并发送至所述计算机控制系统;造影系统,主要用于对病灶组织的组织标记物进行显像,通过将显像图像发送至计算机控制系统处理后,发送至显示器进行实时显示,便于医生实时知道病灶组织的位置。此外,造影系统还对多件过程中的步骤,进行显像,可以对输送针置于组织标记物的搓成,以及对活检的切割套管、探针等,进行实时造影。因此,对应的,需要将切割套管的尖端以及附着探针的穿刺段末梢,采用特殊的能够造影识别的材质。本实施例,优选金属钛。这样就可以使用造影系统,对活检的前后阶段皆进行造影,实现可视化活检操作,便于医生识别位置,精准活检。The imaging system is used for imaging the lesion tissue, acquires the lesion position image and biopsy sampling image data in real time, and sends it to the computer control system; the imaging system is mainly used for imaging the tissue markers of the lesion tissue, After the image is sent to the computer control system for processing, it is sent to the monitor for real-time display, so that the doctor can know the location of the lesion tissue in real time. In addition, the imaging system also performs imaging on the steps in multiple processes, and can perform real-time imaging on the rubbing of the delivery needle placed on the tissue marker, as well as the cutting cannula and probe of the biopsy. Therefore, correspondingly, the tip of the cutting cannula and the tip of the puncture segment to which the probe is attached need to be made of special materials that can be identified by angiography. In this embodiment, metal titanium is preferred. In this way, the imaging system can be used to perform imaging before and after the biopsy to realize the visualization of the biopsy operation, which is convenient for doctors to identify the location and perform accurate biopsy.

温度传感系统,用于获取病灶组织和/或切割套管和/或低温冷却附着探针的实时温度,并发送至所述计算机控制系统;本实施例,需要实时了解到病灶组织、活检针等的温度数值,便于对活检过程中的一系列操作所需要的温度环境进行把控。比如,病灶组织的温度的获取,可以让医生知道病灶组织处的病理温度,便于操控启动系统输出冷却气体的冷却时间,改变冷却时间等;对切割套管和/或低温冷却附着探针的实时温度的监测,可以便于判断取样设施对病灶组织进行取样的温度是否合适,避免冷却温度不足影响细胞活性。温度传感系统,本处需要微小的温度检测芯片设施或者温度传感探头等,只要满足活检所需要的温度检测即可。A temperature sensing system, used to acquire the real-time temperature of the lesion tissue and/or the cutting cannula and/or the cryogenically cooled attachment probe, and send it to the computer control system; in this embodiment, it is necessary to know the lesion tissue and biopsy needle in real time It is convenient to control the temperature environment required for a series of operations in the biopsy process. For example, the acquisition of the temperature of the lesion tissue can let the doctor know the pathological temperature of the lesion tissue, which is convenient to control the cooling time of the output cooling gas of the activation system, change the cooling time, etc.; The monitoring of temperature can facilitate the judgment of whether the temperature of the sampling facility for sampling the lesion tissue is appropriate, and avoid insufficient cooling temperature to affect cell activity. The temperature sensing system requires tiny temperature detection chip facilities or temperature sensing probes, etc., as long as it meets the temperature detection required for biopsy.

显示器,用于接收并显示所述病灶位置图像和活检取样图像数据以及实时温度数据;造影系统对活检过程的影响数据,通过计算机处理后,发送至显示器进行显示,便于医生实时了解活检过程的具体信息,精准对病灶进行活检取样。The display is used to receive and display the image of the lesion position, biopsy sampling image data and real-time temperature data; the impact data of the imaging system on the biopsy process is processed by the computer and sent to the display for display, so that the doctor can know the specific details of the biopsy process in real time. Information, accurate biopsy sampling of lesions.

所述造影系统、温度传感系统和显示器分别通信连接所述计算机控制系统。The imaging system, the temperature sensing system and the display are respectively connected to the computer control system in communication.

作为本申请的一种可选实施方案,可选地,所述组织标记物的材质为在所述造影系统探照下被显像的材料。本实施例,组织标记物优选为Ti。As an optional embodiment of the present application, optionally, the material of the tissue marker is a material that is imaged under the exploration of the contrast system. In this embodiment, the tissue marker is preferably Ti.

作为本申请的一种可选实施方案,可选地,所述造影系统包括:As an optional embodiment of the present application, optionally, the imaging system includes:

图像采集模块,用于实时采集并发送造影图像;The image acquisition module is used for real-time acquisition and transmission of angiography images;

图像处理模块,用于接收所述造影图像,并通过图像预处理算法对所述造影图像进行预处理,获得预处理造影图像;以及,通过对所述预处理造影图像进行图像数字加密,并发送;an image processing module, configured to receive the angiography image, and preprocess the angiography image through an image preprocessing algorithm to obtain a preprocessed angiography image; ;

图像储存模块,用于接收并储存所述数字加密图像,且通过数字加密通道将所述数字加密图像发送至所述计算机控制系统。The image storage module is used for receiving and storing the digital encrypted image, and sending the digital encrypted image to the computer control system through a digital encryption channel.

本实施例,造影系统优选超声成像系统,图像采集模块为超声成像系统的图像数据采集设施,可以为压电换能器、电子电路和处理芯片等组成的采集电路,通过处理芯片,利用图像预处理算法对所述造影图像进行预处理,获得预处理造影图像;以及,通过对所述预处理造影图像进行图像数字加密,并发送。压电换能器、电子电路和处理芯片的具体规格和选择,本处不限制,由用户自行根据需要求进行组合选择即可,处理芯片的接口,同样不进行限制。In this embodiment, the imaging system is preferably an ultrasonic imaging system, and the image acquisition module is an image data acquisition facility of the ultrasonic imaging system, which can be an acquisition circuit composed of a piezoelectric transducer, an electronic circuit, and a processing chip. The processing algorithm preprocesses the angiography image to obtain the preprocessed angiography image; and performs digital image encryption on the preprocessed angiography image, and sends the image. The specific specifications and selection of piezoelectric transducers, electronic circuits, and processing chips are not limited here, and users can choose the combination according to their own needs. The interface of the processing chip is also not limited.

图像处理模块,可以通过图像处理软件代替,通过图像预处理算法对所述造影图像进行预处理,获得预处理造影图像;以及,通过对所述预处理造影图像进行图像数字加密,并发送;图像储存模块采用电子储存设施即可,可以是ROM或者云储存,本处不限制。The image processing module, which can be replaced by image processing software, preprocesses the angiography image through an image preprocessing algorithm to obtain a preprocessed angiography image; and performs digital image encryption on the preprocessed angiography image, and sends the image; The storage module may use an electronic storage facility, which may be ROM or cloud storage, which is not limited here.

医疗用的图像数据,为保密数据,因此,采用图像数字加密的技术,对处理图像进行处理,并保存。在终端设施需要调用这些图像资料时,需要通过权限认证和数字加密解密方式进行获取,权限认证和解密获取数字加密图像的方式,本处不进行详赘。The medical image data is confidential data, therefore, the image digital encryption technology is used to process and save the processed image. When the terminal facility needs to call these image materials, it needs to be obtained through authority authentication and digital encryption and decryption. The method of authority authentication and decryption to obtain digital encrypted images will not be described in detail here.

作为本申请的一种可选实施方案,可选地,所述温度传感系统包括:As an optional embodiment of the present application, optionally, the temperature sensing system includes:

温度检测芯片,设于所述病灶组织和/或切割套管和/或低温冷却附着探针上,用于对应获取实时温度数据,并发送;A temperature detection chip, which is arranged on the lesion tissue and/or the cutting cannula and/or the cryogenically cooled attachment probe, and is used for corresponding acquisition and transmission of real-time temperature data;

通讯芯片,与所述温度检测芯片电连接,用于接收所述实时温度数据,并将所述实时温度数据发送至所述计算机控制系统。The communication chip is electrically connected with the temperature detection chip, and is used for receiving the real-time temperature data and sending the real-time temperature data to the computer control system.

本实施例,在所述病灶组织的组织标记物上、切割套管的切割末端和低温冷却附着探针的末端上,皆安装一个温度检测芯片,分别获取各自工作时的温度;同时附着一个通讯芯片,对温度数据进行实时发送,通讯芯片的具体选择由用户决定,本处不限制。In this embodiment, a temperature detection chip is installed on the tissue marker of the lesion tissue, the cutting end of the cutting cannula, and the end of the cryogenically cooled attachment probe, respectively, to obtain the respective working temperatures; at the same time, a communication chip is attached. The chip transmits the temperature data in real time. The specific choice of the communication chip is determined by the user, which is not limited here.

本实施例,若是采用超声成像系统,可以采用配套的DICOM(医学数字成像和通信)进行通信。In this embodiment, if an ultrasonic imaging system is used, the supporting DICOM (Digital Imaging and Communication in Medicine) may be used for communication.

本发明的各模块或各步骤可以用通用的计算装置来实现,它们可以集中在单个的计算装置上,或者分布在多个计算装置所组成的网络上,可选地,它们可以用计算装置可执行的程序代码来实现,从而,可以将它们存储在存储装置中由计算装置来执行,或者将它们分别制作成各个集成电路模块,或者将它们中的多个模块或步骤制作成单个集成电路模块来实现。这样,本发明不限制于任何特定的硬件和软件结合。Each module or each step of the present invention can be implemented by a general-purpose computing device, and they can be centralized on a single computing device, or distributed on a network composed of multiple computing devices. Executed program code so that they can be stored in a storage device and executed by a computing device, or they can be fabricated separately into individual integrated circuit modules, or multiple modules or steps in them into a single integrated circuit module. to fulfill. As such, the present invention is not limited to any particular combination of hardware and software.

因此,本发明通过组织标记物对病灶定位,以及对病灶组织造影显像和温度监测,可以将活检过程的动作和温度参数等进行可视化处理,使得医生得到有效数据反馈,实时知道病灶组织位置以及对病灶进行活检取样的操作过程,提高低温活检取样的准确性。Therefore, the present invention locates the lesion through tissue markers, as well as angiographic imaging and temperature monitoring of the lesion tissue, so that the action and temperature parameters of the biopsy process can be visualized, so that the doctor can obtain effective data feedback and know the location of the lesion tissue and the temperature in real time. The operation process of biopsy sampling of lesions improves the accuracy of low temperature biopsy sampling.

实施例2Example 2

基于实施例1的活检数据可视化系统,本实施例,结合公开号为CN100571649C所公开的技术,将所述活检数据可视化系统配合使用在其活检中。Based on the biopsy data visualization system of Embodiment 1, in this embodiment, the biopsy data visualization system is used in the biopsy in combination with the technology disclosed in Publication No. CN100571649C.

本申请第二方面提出一种活检装置,包括外壳1和气动系统,所述气动系统设于所述外壳1内。A second aspect of the present application proposes a biopsy device, which includes a housing 1 and a pneumatic system, wherein the pneumatic system is provided in the housing 1 .

如图3所示,本实施例,活检装置还包括:As shown in Figure 3, in this embodiment, the biopsy device further includes:

上述所述的活检数据可视化系统,用于实时图像造影,指导活检取样;The above-mentioned biopsy data visualization system is used for real-time image angiography to guide biopsy sampling;

低温冷却附着探针,用于在所述活检数据可视化系统辅助下,运动至病灶103位置并将所述病灶进行低温冷却固定;A cryogenically cooled attachment probe, used for moving to the position of the lesion 103 with the assistance of the biopsy data visualization system, and performing cryogenic cooling and fixing of the lesion;

切割套管17,用于在所述活检数据可视化系统辅助下,运动至被固定病灶103位置并进行低温活检取样;The cutting cannula 17 is used to move to the position of the fixed lesion 103 and perform low-temperature biopsy sampling with the assistance of the biopsy data visualization system;

所述低温冷却附着探针同轴活动于所述切割套管内,并通过所述气动系统驱动。The cryogenic cooling attachment probe coaxially moves in the cutting sleeve and is driven by the pneumatic system.

作为本申请的一种可选实施方案,可选地,还包括:As an optional embodiment of the present application, optionally, it also includes:

输送针102,用于在所述活检数据可视化系统辅助下,将所述活检数据可视化系统中的组织标记物101输送至所述病灶103组织位置;以及,在活检完毕后,在所述活检数据可视化系统辅助下,将所述活检数据可视化系统中的组织标记物从所述病灶组织位置移出至体表外。输送针102的具体类型,本处不限制。The delivery needle 102 is used for delivering the tissue marker 101 in the biopsy data visualization system to the tissue position of the lesion 103 with the assistance of the biopsy data visualization system; and, after the biopsy is completed, in the biopsy data With the aid of the visualization system, the tissue markers in the biopsy data visualization system are removed from the lesion tissue location to the outside of the body surface. The specific type of delivery needle 102 is not limited here.

作为本申请的一种可选实施方案,可选地,所述输送针或所述输送针的针尖部位的材质,为在所述活检数据可视化系统的造影系统探照下被显像的材料。优选为Ti。As an optional embodiment of the present application, optionally, the material of the delivery needle or the needle tip portion of the delivery needle is a material that is visualized under the detection of the contrast system of the biopsy data visualization system. Preferably it is Ti.

作为本申请的一种可选实施方案,可选地,还包括:As an optional embodiment of the present application, optionally, it also includes:

活检器具16,密封配合在所述外壳1的安装腔内,所述切割套管17密封配合于所述活检器具16内;The biopsy tool 16 is sealingly fitted in the installation cavity of the housing 1, and the cutting sleeve 17 is sealingly fitted within the biopsy tool 16;

罐筒5,固设于所述外壳上;The canister 5 is fixed on the casing;

压缩气罐18,配合于所述罐筒5内,;The compressed air tank 18 is matched in the tank barrel 5;

阀组15,设于固设于外壳1上,其输入端与所述压缩气罐18连接、输出端与所述气动系统连接。The valve group 15 is fixed on the casing 1, its input end is connected to the compressed air tank 18, and its output end is connected to the pneumatic system.

作为本申请的一种可选实施方案,可选地,还包括:As an optional embodiment of the present application, optionally, it also includes:

刺穿销连接器4,设于所述罐筒与所述阀组之间的通道处,所述压缩气罐的气体出口配合在所述刺穿销连接器上;The piercing pin connector 4 is arranged at the channel between the canister and the valve group, and the gas outlet of the compressed air tank is fitted on the piercing pin connector;

在所述压缩气罐配合于所述罐筒内时,通过所述刺穿销连接器刺穿所述压缩气罐的气体出口,将压缩气体释放至所述阀组中。When the compressed gas canister is fitted into the canister, the gas outlet of the compressed gas canister is pierced through the piercing pin connector to release the compressed gas into the valve group.

如图3所示,本实施例,外壳1上还设有:As shown in Figure 3, in this embodiment, the casing 1 is also provided with:

进气端10,设于所述外壳1右端,通过管路与所述活检器具16的活塞缸体连通,为驱动所述附着探针的运动提供空气动力;进气通过活塞缸体转化,转换为丝杆的运动力,使得丝杆气体通过所述进气端10进入所述活塞缸体,带动所述丝杆运动。通过气流循环,可以实现丝杆的往复运动。The intake end 10, located at the right end of the housing 1, communicates with the piston cylinder of the biopsy instrument 16 through a pipeline, and provides aerodynamic force for driving the movement of the attached probe; It is the movement force of the screw rod, so that the screw rod gas enters the piston cylinder through the intake end 10 and drives the screw rod to move. Through the air circulation, the reciprocating motion of the screw can be realized.

进气孔,设于所述活检器具16上,通过管路将冷却剂供给管道系统输出的冷却液引导至所述附着探针内;冷却气体一部分通过阀组分配而用于附着探针的冷却,一部分通过阀组分配而用于切割套管的气动动力,附着探针进而进入病灶103组织进行冷却取样。The air inlet is provided on the biopsy tool 16, and the cooling liquid output from the coolant supply pipeline system is guided into the attachment probe through the pipeline; a part of the cooling gas is distributed through the valve group for cooling the attachment probe , part of the pneumatic power used to cut the cannula distributed through the valve group, attach the probe and then enter the lesion 103 tissue for cooling sampling.

阀门6,设于所述阀组15上,其上并联有第一进气管3和第二进气管7;其中,所述第一进气管3的出气端接入所述外壳1内且与附着探针上的进气口连通,提供所述附着探针的冷却气体;所述第二进气管7与所述进气端10连接,提供所述切割套管的气动气体;阀组15的出口,由一个电机带动的螺杆进行启闭,开启后,气体经过气管8到达阀门6,并分配至第一进气管3和第二进气管7,再有各自的气体循环系统进行冷却、引导,所述第一进气管3的出气端接入所述外壳1内且与所述进气口连通,提供所述附着探针的冷却气体;所述第二进气管7与所述进气端10连接,提供所述附着探针的气动气体。气管8,连接在所述阀组15和所述阀门6之间。The valve 6 is arranged on the valve group 15, on which a first intake pipe 3 and a second intake pipe 7 are connected in parallel; wherein, the outlet end of the first intake pipe 3 is connected to the casing 1 and is attached to the The air inlet on the probe is connected to provide cooling gas for the attached probe; the second air inlet pipe 7 is connected to the air inlet end 10 to provide the pneumatic gas for the cutting sleeve; the outlet of the valve group 15 , the screw driven by a motor is opened and closed. After opening, the gas reaches the valve 6 through the gas pipe 8, and is distributed to the first intake pipe 3 and the second intake pipe 7, and then has their own gas circulation system for cooling and guiding, so The air outlet end of the first air inlet pipe 3 is connected to the housing 1 and communicated with the air inlet to provide cooling gas for the attached probe; the second air inlet pipe 7 is connected to the air inlet end 10 , providing the pneumatic gas for the attached probe. The air pipe 8 is connected between the valve group 15 and the valve 6 .

作为本申请的一种可选实施方案,可选地,所述气动系统为伺服驱动系统,包括计算机控制系统、电池、马达和齿轮箱,电池分别电连接所述计算机控制系统和马达,所述马达连接所述齿轮箱,所述输出端设于所述齿轮箱上且保持匀速转动。As an optional embodiment of the present application, optionally, the pneumatic system is a servo drive system, including a computer control system, a battery, a motor and a gear box, and the battery is electrically connected to the computer control system and the motor, respectively, and the The motor is connected to the gear box, and the output end is arranged on the gear box and keeps rotating at a constant speed.

气动系统的具体结构和配套气动设施,参见上述公开专利,本处不再赘述。For the specific structure of the pneumatic system and the supporting pneumatic facilities, please refer to the above-mentioned published patent, which will not be repeated here.

使用实施例1所述的活检数据可视化系统是,将对应的温度传感芯片和通信芯片等,预先加工安装在图3中活检装置的对应部件上,配合造影系统和显示器等,进行低温活检取样即可;期间,根据温度数据调整低温冷却气体的输出和温度即可。Using the biopsy data visualization system described in Example 1, the corresponding temperature sensor chips and communication chips are pre-processed and installed on the corresponding components of the biopsy device in Figure 3, and the imaging system and display are used to perform low-temperature biopsy sampling. That’s all it takes; during this period, the output and temperature of the cryogenic cooling gas can be adjusted according to the temperature data.

以上已经描述了本申请的各实施例,上述说明是示例性的,并非穷尽性的,并且也不限于所披露的各实施例。在不偏离所说明的各实施例的范围和精神的情况下,对于本技术领域的普通技术人员来说许多修改和变更都是显而易见的。本文中所用术语的选择,旨在最好地解释各实施例的原理、实际应用或对市场中的技术的改进,或者使本技术领域的其它普通技术人员能理解本文披露的各实施例。Various embodiments of the present application have been described above, and the foregoing descriptions are exemplary, not exhaustive, and not limiting of the disclosed embodiments. Numerous modifications and variations will be apparent to those of ordinary skill in the art without departing from the scope and spirit of the described embodiments. The terminology used herein was chosen to best explain the principles of the various embodiments, the practical application or improvement over the technology in the marketplace, or to enable others of ordinary skill in the art to understand the various embodiments disclosed herein.

Claims (10)

1. A biopsy data visualization system, comprising a computer control system, and further comprising:
a tissue marker for marking a lesion location;
the radiography system is used for radiography of the focus tissues, acquiring focus position images and biopsy sampling image data in real time and sending the focus position images and the biopsy sampling image data to the computer control system;
the temperature sensing system is used for acquiring the real-time temperature of the lesion tissue and/or the cutting sleeve and/or the cryogenic cooling adhesion probe and sending the real-time temperature to the computer control system;
a display for receiving and displaying the lesion location image and biopsy sampling image data and real-time temperature data;
the radiography system, the temperature sensing system and the display are respectively in communication connection with the computer control system.
2. The biopsy data visualization system of claim 1, wherein the tissue marker is of a material that is visualized under the contrast system.
3. The biopsy data visualization system of claim 1, wherein the visualization system comprises:
the image acquisition module is used for acquiring and sending the photographic image in real time;
the image processing module is used for receiving the contrast image and preprocessing the contrast image through an image preprocessing algorithm to obtain a preprocessed contrast image; and digitally encrypting the preprocessed contrast image and transmitting the image;
and the image storage module is used for receiving and storing the digital encrypted image and sending the digital encrypted image to the computer control system through a digital encryption channel.
4. The biopsy data visualization system of claim 1, wherein the temperature sensing system comprises:
the temperature detection chip is arranged on the focal tissue and/or the cutting sleeve and/or the cryogenic cooling adhesion probe and is used for correspondingly acquiring and sending real-time temperature data;
and the communication chip is electrically connected with the temperature detection chip and is used for receiving the real-time temperature data and sending the real-time temperature data to the computer control system.
5. The utility model provides a biopsy device, includes shell and pneumatic system, pneumatic system locates in the shell, its characterized in that still includes:
the biopsy data visualization system of any one of claims 1-4, for real-time image visualization, guiding biopsy sampling;
the cryogenically-cooled adhesion probe is used for moving to a focus position and cryogenically cooling and fixing the focus under the assistance of the biopsy data visualization system;
the cutting sleeve is used for moving to the position of the fixed lesion and carrying out low-temperature biopsy sampling under the assistance of the biopsy data visualization system;
the cryogenic cooling adhesion probe is coaxially and movably arranged in the cutting sleeve and is driven by the pneumatic system.
6. The biopsy device of claim 5, further comprising:
a delivery needle for delivering a tissue marker in the biopsy data visualization system to the focal tissue location with the assistance of the biopsy data visualization system; and after the biopsy is finished, moving the tissue marker in the biopsy data visualization system out of the body surface from the lesion tissue position with the assistance of the biopsy data visualization system.
7. The biopsy device of claim 6, wherein the delivery needle or the tip portion of the delivery needle is made of a material that is visualized under the contrast system of the biopsy data visualization system.
8. The biopsy device of claim 6 or 7, further comprising:
a biopsy instrument sealingly fitted within the mounting cavity of the housing, the cutting cannula sealingly fitted within the cutting cannula;
the tank is fixedly arranged on the shell;
the compressed gas tank is matched in the tank cylinder;
the valve group is arranged and fixedly arranged on the shell, the input end of the valve group is connected with the compressed gas tank, and the output end of the valve group is connected with the pneumatic system.
9. The biopsy device of claim 8, further comprising:
a pierce pin connector provided at a passage between the canister and the valve block, a gas outlet of the compressed gas tank being fitted on the pierce pin connector;
releasing compressed gas into the valve block by the pierce pin connector piercing a gas outlet of the compressed gas tank when the compressed gas tank is mated within the canister.
10. The biopsy device of claim 8, wherein the pneumatic system is a servo-driven system, and comprises a computer control system, a battery, a motor, and a gear box, the battery is electrically connected to the computer control system and the motor, respectively, the motor is connected to the gear box, and the output end is disposed on the gear box and keeps rotating at a constant speed.
CN202210041585.6A 2022-01-14 2022-01-14 Biopsy data visualization system and biopsy device Pending CN114376625A (en)

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