CN209828004U - A New Stereotactic Radiation Therapy System - Google Patents
A New Stereotactic Radiation Therapy System Download PDFInfo
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- CN209828004U CN209828004U CN201920159520.5U CN201920159520U CN209828004U CN 209828004 U CN209828004 U CN 209828004U CN 201920159520 U CN201920159520 U CN 201920159520U CN 209828004 U CN209828004 U CN 209828004U
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- 238000009199 stereotactic radiation therapy Methods 0.000 title claims description 4
- 238000001959 radiotherapy Methods 0.000 claims abstract description 18
- 230000033001 locomotion Effects 0.000 claims abstract description 7
- 230000000694 effects Effects 0.000 claims 2
- 230000001225 therapeutic effect Effects 0.000 claims 2
- 238000002560 therapeutic procedure Methods 0.000 claims 2
- 239000002689 soil Substances 0.000 claims 1
- 238000005299 abrasion Methods 0.000 abstract 1
- 230000002285 radioactive effect Effects 0.000 description 8
- 238000000034 method Methods 0.000 description 6
- 238000010521 absorption reaction Methods 0.000 description 4
- 206010028980 Neoplasm Diseases 0.000 description 3
- 230000009286 beneficial effect Effects 0.000 description 3
- 238000009434 installation Methods 0.000 description 3
- 229910017052 cobalt Inorganic materials 0.000 description 2
- 239000010941 cobalt Substances 0.000 description 2
- GUTLYIVDDKVIGB-UHFFFAOYSA-N cobalt atom Chemical compound [Co] GUTLYIVDDKVIGB-UHFFFAOYSA-N 0.000 description 2
- 230000005855 radiation Effects 0.000 description 2
- 208000003174 Brain Neoplasms Diseases 0.000 description 1
- GUTLYIVDDKVIGB-OUBTZVSYSA-N Cobalt-60 Chemical compound [60Co] GUTLYIVDDKVIGB-OUBTZVSYSA-N 0.000 description 1
- 229910052770 Uranium Inorganic materials 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- 230000004807 localization Effects 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 238000012423 maintenance Methods 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 150000002739 metals Chemical class 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 238000002720 stereotactic body radiation therapy Methods 0.000 description 1
- WFKWXMTUELFFGS-UHFFFAOYSA-N tungsten Chemical compound [W] WFKWXMTUELFFGS-UHFFFAOYSA-N 0.000 description 1
- 229910052721 tungsten Inorganic materials 0.000 description 1
- 239000010937 tungsten Substances 0.000 description 1
- -1 tungsten and uranium Chemical class 0.000 description 1
- JFALSRSLKYAFGM-UHFFFAOYSA-N uranium(0) Chemical compound [U] JFALSRSLKYAFGM-UHFFFAOYSA-N 0.000 description 1
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Abstract
Description
技术领域technical field
本实用新型一种新型立体定向放射治疗系统,属于放疗治疗技术领域。The utility model relates to a novel stereotactic radiotherapy system, which belongs to the technical field of radiotherapy.
背景技术Background technique
放射治疗(简称放疗)是肿瘤治疗方法中重要的一种,精准放疗是放疗领域的重要发展方向。而立体定向放射治疗(SRS/SBRT)是精准放疗的一个重要组成部分,包括对肿瘤靶区及正常或危机器官的精确定位,和高剂量少分次的照射技术。越来越多的临床证明立体定向放射治疗的好处。根据RTOG临床研究数据,预计未来10年,立体定向放射治疗技术在脑癌中的利用率将增加108%;在体部肿瘤中的利用率将增加144% 。Radiation therapy (referred to as radiotherapy) is an important method of tumor treatment, and precision radiotherapy is an important development direction in the field of radiotherapy. Stereotactic radiotherapy (SRS/SBRT) is an important part of precision radiotherapy, including precise positioning of tumor targets and normal or crisis organs, and high-dose and less-fractionated irradiation techniques. The benefits of stereotactic radiation therapy are increasingly clinically demonstrated. According to RTOG clinical research data, it is estimated that in the next 10 years, the utilization rate of stereotactic radiotherapy technology in brain cancer will increase by 108%; the utilization rate in body tumors will increase by 144%.
目前实现立体定向放射治疗技术的常用方法为:1)伽马刀技术;2)基于直线加速器的立体定向放疗设备;3)质子或重离子线放疗。其中,由于伽马刀具有技术简单成熟,故障率极低,维护简单,操作简单,国产化程度高等优点,在我国得到了广泛的应用。At present, the common methods to achieve stereotactic radiotherapy are: 1) Gamma Knife technology; 2) Stereotactic radiotherapy equipment based on linear accelerator; 3) Proton or heavy ion radiotherapy. Among them, the Gamma Knife has been widely used in my country because of its simple and mature technology, extremely low failure rate, simple maintenance, simple operation, and high degree of localization.
陀螺刀的硬件主体结构主要有滚筒、机头、治疗床三部分组成。滚筒可绕设备等中心进行360°旋转,通常称为公转。机头安装在滚筒上,可通过马达驱动进行旋转,通常称为自转。机头的一侧安装有钴60治疗头,通过调整治疗头的安装角度,实现治疗头输出的射线束与机头自驱动机构线成一固定角度。设备工作时,机头随滚筒进行旋转的同时,治疗头也随机头进行旋转,即陀螺旋转。The main structure of the hardware of the gyro knife is mainly composed of three parts: the drum, the machine head, and the treatment bed. The drum can rotate 360° around the isocenter of the equipment, commonly known as revolution. The machine head is mounted on the drum and can be driven by a motor to rotate, usually called autorotation. A cobalt 60 treatment head is installed on one side of the handpiece. By adjusting the installation angle of the treatment head, the ray beam output by the treatment head and the self-driving mechanism line of the handpiece form a fixed angle. When the equipment is working, while the head rotates with the drum, the treatment head also rotates with the head, that is, the gyro rotates.
经过长期实际应用发现,目前陀螺刀存在以下不足:1、由于治疗头的陀螺旋转角度为固定角度,导致照射路径可调节范围小,不能根据实际临床要求来调节入射角度;2、由于机头旋转速度恒定,当滚筒旋转速度较快时,治疗头陀螺旋转的步进间隙会比较大,不利于减小周围正常组织剂量,不利于提升焦皮比;3、治疗头安装在机头的一侧,由于治疗头使用钨和铀等高密度金属,导致治疗头质量很大,所以机头两侧重量负载不平衡,机头旋转精度不足,磨损较大。After long-term practical application, it is found that the current gyro knife has the following shortcomings: 1. Because the gyro rotation angle of the treatment head is a fixed angle, the adjustable range of the irradiation path is small, and the incident angle cannot be adjusted according to actual clinical requirements; 2. Due to the rotation of the head The speed is constant. When the drum rotates faster, the step gap of the gyro rotation of the treatment head will be relatively large, which is not conducive to reducing the dose of surrounding normal tissues and improving the focal skin ratio; 3. The treatment head is installed on one side of the machine head , Because the treatment head uses high-density metals such as tungsten and uranium, the mass of the treatment head is very large, so the weight load on both sides of the head is unbalanced, the rotation accuracy of the head is insufficient, and the wear is relatively large.
实用新型内容Utility model content
本实用新型克服了现有技术存在的不足,提供了一种新型立体定向放射治疗系统,增加射线的入射角度范围,提升了焦皮比和焦点剂量率,而且机头两侧重量负载平衡,提高机头旋转精度,减小设备磨损。The utility model overcomes the deficiencies in the prior art and provides a novel stereotactic radiotherapy system, which increases the incident angle range of rays, improves the focal-to-skin ratio and focal dose rate, and balances the weight and load on both sides of the machine head, improving The rotation accuracy of the machine head reduces equipment wear.
为了解决上述技术问题,本实用新型采用的技术方案为:一种新型立体定向放射治疗系统,包括底座、旋转滚筒、托盘、转盘、治疗头机架和治疗头,所述旋转滚筒活动设置在底座上,且所述旋转滚筒能随自身中心轴线在底座上做圆周运动,所述托盘呈“土”字型固定设置在旋转滚筒内侧壁上,且所述托盘的平面与旋转滚筒中心轴线平行,所述转盘套装在托盘上,且位于托盘的两个托板之间,且所述转盘的自转轴线与旋转滚筒中心轴在一个平面上且相互垂直,所述转盘在自身驱动机构作用下能在托盘进行自转,两个所述治疗头机架对称设置在转盘上,且所述治疗头机架的下端位于托盘的下端面下方,所述治疗头机架的下端均活动设置有治疗头,所述治疗头通过调节结构设置在治疗头机架上,所述调节结构用于确保治疗头的射线一直聚集在旋转滚筒中心轴线和转盘自转轴线的交汇处,并能调整治疗头射线与转盘自转轴线之间的夹角。In order to solve the above technical problems, the technical solution adopted by the utility model is: a novel stereotactic radiotherapy system, including a base, a rotating drum, a tray, a turntable, a treatment head frame and a treatment head, and the rotating drum is movably arranged on the base above, and the rotating drum can make a circular motion on the base along with its own central axis, the tray is fixedly arranged on the inner wall of the rotating drum in the shape of "earth", and the plane of the tray is parallel to the central axis of the rotating drum, The turntable is set on the tray and is located between the two pallets of the tray, and the rotation axis of the turntable is on the same plane as the central axis of the rotating drum and is perpendicular to each other. Under the action of its own driving mechanism, the turntable can The tray rotates, and the two treatment head frames are symmetrically arranged on the turntable, and the lower end of the treatment head frame is located below the lower end surface of the tray, and the lower ends of the treatment head frames are all movable with treatment heads, so The treatment head is arranged on the treatment head frame through an adjustment structure, and the adjustment structure is used to ensure that the rays of the treatment head are always gathered at the intersection of the central axis of the rotating drum and the rotation axis of the turntable, and can adjust the rays of the treatment head and the rotation axis of the turntable angle between.
所述调节结构的结构包括弧形导轨、齿轮、驱动器、导向块和架体,所述弧形导轨固定设置在治疗头机架内,所述弧形导轨的弧度与旋转滚筒的弧度相等,且所述弧形导轨的圆心与旋转滚筒在弧形导轨所在截面的圆心重合,所述弧形导轨的内侧设置有弧形齿条,所述齿轮匹配的啮合在弧形齿条上,所述架体活动设置在治疗头机架上,所述架体用于将齿轮限定在弧形齿条上,且所述架体的一端通过弧形的导向块活动设置在弧形导轨的后侧,所述架体的另一端设置治疗头,所述架体设置有驱动器,所述驱动器与齿轮连接,用于驱动齿轮沿弧形齿条移动。The structure of the adjustment structure includes an arc guide rail, a gear, a driver, a guide block and a frame body, the arc guide rail is fixedly arranged in the treatment head frame, the arc of the arc guide rail is equal to the arc of the rotating drum, and The center of the arc-shaped guide rail coincides with the center of the circle of the section where the arc-shaped guide rail is located. The inner side of the arc-shaped guide rail is provided with an arc-shaped rack, and the gears are matched and meshed on the arc-shaped rack. The body is movably arranged on the frame of the treatment head, the frame is used to limit the gear on the arc rack, and one end of the frame is movably arranged on the rear side of the arc guide rail through the arc guide block, so The other end of the frame body is provided with a treatment head, and the frame body is provided with a driver, and the driver is connected with a gear for driving the gear to move along the arc-shaped rack.
所述驱动器为步进电机或伺服电机,所述步进电机或伺服电机与控制模块电连接,通过控制模块控制步进电机或伺服电机精准动作,实现对治疗头的实时精准转动。The driver is a stepping motor or a servo motor, and the stepping motor or the servo motor is electrically connected to the control module, and the control module controls the precise movement of the stepping motor or the servo motor to realize real-time and precise rotation of the treatment head.
两个所述治疗头均通过各自的步进电机或伺服电机同步或非同步对治疗头射线与转盘自转轴线之间的夹角进行调整,以实现该角度在一定范围内的任意调节。The two treatment heads adjust the included angle between the radiation of the treatment head and the rotation axis of the turntable synchronously or asynchronously through their respective stepping motors or servo motors, so as to realize the arbitrary adjustment of the angle within a certain range.
本实用新型与现有技术相比具有的有益效果是:本实用新型将现有的单治疗头升级为双治疗头,将治疗头在机头上的安装方式由固定式改为可移动式,通过驱动电机,实现治疗头的陀螺旋转角度在一定范围内任意调节,增加射线的入射角度范围,更好地满足临床治疗要求;由于机头旋转速度恒定,当滚筒旋转速度较快时,由于机头上按照有双治疗头,治疗头陀螺旋转的步进间隙会缩小一半,有利于减小周围正常组织剂量,有助于提升焦皮比;在机头两侧对称地安装两个治疗头,在不增加钴源装源量的前提下,增加了准直孔的数量,降低了放射源柱的高度,由于放射源高度与放射源的自吸收成指数关系,所以可大大减小放射源柱的自吸收,提高了焦点剂量率;机头两侧重量负载平衡,提高机头旋转精度,减小设备磨损。Compared with the prior art, the utility model has the beneficial effects that: the utility model upgrades the existing single treatment head to a double treatment head, and changes the installation method of the treatment head on the machine head from a fixed type to a movable type. By driving the motor, the gyro rotation angle of the treatment head can be adjusted arbitrarily within a certain range, increasing the incident angle range of the ray, and better meeting the clinical treatment requirements; due to the constant rotation speed of the head, when the drum rotation speed is fast, due to the machine According to the double treatment head on the head, the step gap of the gyro rotation of the treatment head will be reduced by half, which is beneficial to reduce the dose of surrounding normal tissues and help to improve the focal skin ratio; two treatment heads are installed symmetrically on both sides of the machine head, On the premise of not increasing the amount of cobalt source, the number of collimation holes is increased, and the height of the radioactive source column is reduced. Since the height of the radioactive source is exponentially related to the self-absorption of the radioactive source, the radioactive source column can be greatly reduced. The self-absorption improves the focal dose rate; the weight and load balance on both sides of the machine head improves the rotation accuracy of the machine head and reduces equipment wear.
附图说明Description of drawings
下面结合附图对本实用新型做进一步的说明。Below in conjunction with accompanying drawing, the utility model is described further.
图1为本实用新型的结构示意图。Fig. 1 is the structural representation of the utility model.
图2为本实用新型中调节结构的示意图。Fig. 2 is a schematic diagram of the adjustment structure in the utility model.
图中:1为底座、2为旋转滚筒、3为托盘、4为转盘、5为治疗头机架、6为治疗头、7为调节结构、71为弧形导轨、72为齿轮、73为驱动器、74为导向块、75为架体、76为弧形齿条。In the figure: 1 is the base, 2 is the rotating drum, 3 is the tray, 4 is the turntable, 5 is the treatment head frame, 6 is the treatment head, 7 is the adjustment structure, 71 is the arc guide rail, 72 is the gear, 73 is the driver , 74 is a guide block, 75 is a frame body, and 76 is an arc rack.
具体实施方式Detailed ways
如图1、图2所示,本实用新型一种新型立体定向放射治疗系统,包括底座1、旋转滚筒2、托盘3、转盘4、治疗头机架5和治疗头6,所述旋转滚筒2活动设置在底座1上,且所述旋转滚筒2能随自身中心轴线在底座1上做圆周运动,所述托盘3呈“土”字型固定设置在旋转滚筒2内侧壁上,且所述托盘3的平面与旋转滚筒2中心轴线平行,所述转盘4套装在托盘3上,且位于托盘3的两个托板之间,且所述转盘4的自转轴线与旋转滚筒2中心轴在一个平面上且相互垂直,所述转盘4在自身驱动机构作用下能在托盘3进行自转,两个所述治疗头机架5对称设置在转盘4上,且所述治疗头机架5的下端位于托盘3的下端面下方,所述治疗头机架5的下端均活动设置有治疗头6,所述治疗头6通过调节结构7设置在治疗头机架5上,所述调节结构7用于确保治疗头6的射线一直聚集在旋转滚筒2中心轴线和转盘4自转轴线的交汇处,并能调整治疗头6射线与转盘4自转轴线之间的夹角。As shown in Figures 1 and 2, a novel stereotactic radiotherapy system of the present invention includes a base 1, a rotating drum 2, a tray 3, a turntable 4, a treatment head frame 5 and a treatment head 6, and the rotating drum 2 It is movably arranged on the base 1, and the rotating drum 2 can make a circular motion on the base 1 along with its own central axis. The plane of 3 is parallel to the central axis of the rotating drum 2, the turntable 4 is set on the tray 3, and is located between the two pallets of the tray 3, and the rotation axis of the turntable 4 is in a plane with the central axis of the rotating drum 2 and perpendicular to each other, the turntable 4 can rotate on the tray 3 under the action of its own drive mechanism, and the two treatment head frames 5 are symmetrically arranged on the turntable 4, and the lower end of the treatment head frame 5 is located on the tray Below the lower end surface of 3, the lower end of the treatment head frame 5 is provided with a treatment head 6, and the treatment head 6 is arranged on the treatment head frame 5 through an adjustment structure 7, and the adjustment structure 7 is used to ensure the treatment The rays of the head 6 are always gathered at the intersection of the central axis of the rotating drum 2 and the rotation axis of the turntable 4, and the angle between the rays of the treatment head 6 and the rotation axis of the turntable 4 can be adjusted.
所述调节结构7的结构包括弧形导轨71、齿轮72、驱动器73、导向块74和架体75,所述弧形导轨71固定设置在治疗头机架5内,所述弧形导轨71的弧度与旋转滚筒2的弧度相等,且所述弧形导轨71的圆心与旋转滚筒2在弧形导轨71所在截面的圆心重合,所述弧形导轨71的内侧设置有弧形齿条76,所述齿轮72匹配的啮合在弧形齿条76上,所述架体75活动设置在治疗头机架5上,所述架体75用于将齿轮72限定在弧形齿条76上,且所述架体75的一端通过弧形的导向块74活动设置在弧形导轨71的后侧,所述架体75的另一端设置治疗头6,所述架体75设置有驱动器73,所述驱动器73与齿轮72连接,用于驱动齿轮72沿弧形齿条76移动。The structure of the adjustment structure 7 includes an arc guide rail 71, a gear 72, a driver 73, a guide block 74 and a frame body 75, and the arc guide rail 71 is fixedly arranged in the treatment head frame 5, and the arc guide rail 71 The arc is equal to the arc of the rotary drum 2, and the center of the arc guide rail 71 coincides with the center of circle of the rotary drum 2 at the section where the arc guide rail 71 is located, and the arc rack 76 is arranged inside the arc guide rail 71, so Said gear 72 is matched and engaged on the arc rack 76, said frame body 75 is movably arranged on the treatment head frame 5, said frame body 75 is used to limit the gear 72 on the arc rack 76, and the One end of the frame body 75 is movably arranged on the rear side of the arc guide rail 71 through an arc-shaped guide block 74, the other end of the frame body 75 is provided with a treatment head 6, and the frame body 75 is provided with a driver 73, and the driver 73 is connected with the gear 72 for driving the gear 72 to move along the arc rack 76 .
所述驱动器73为步进电机或伺服电机,所述步进电机或伺服电机与控制模块电连接,通过控制模块控制步进电机或伺服电机精准动作,实现对治疗头6的实时精准转动。The driver 73 is a stepping motor or a servo motor, and the stepping motor or the servo motor is electrically connected to the control module, and the control module controls the precise movement of the stepping motor or the servo motor to realize the real-time precise rotation of the treatment head 6 .
两个所述治疗头6均通过各自的步进电机或伺服电机同步或非同步对治疗头6射线与转盘4自转轴线之间的夹角进行调整,以实现该角度在一定范围内的任意调节。The two treatment heads 6 adjust the included angle between the radiation of the treatment head 6 and the rotation axis of the turntable 4 synchronously or asynchronously through their respective stepping motors or servo motors, so as to realize the arbitrary adjustment of the angle within a certain range .
本实用新型在保持目前的滚筒结构不变,在机头两侧对称地安装两个治疗头,两个治疗头通过丝杠和导轨安装在机头上。通过马达可驱动两个治疗头同步调整治疗头射线与机头自驱动机构线所成的角度,以实现该角度在一定范围内任意调节。The utility model keeps the current drum structure unchanged, and two treatment heads are symmetrically installed on both sides of the machine head, and the two treatment heads are installed on the machine head through leading screws and guide rails. The two treatment heads can be driven by the motor to adjust the angle formed by the treatment head rays and the self-driving mechanism line of the handpiece synchronously, so that the angle can be adjusted arbitrarily within a certain range.
本实用新型将现有的单治疗头升级为双治疗头,将治疗头在机头上的安装方式由固定式改为可移动式,通过驱动电机,实现治疗头的陀螺旋转角度在一定范围内任意调节,增加射线的入射角度范围,更好地满足临床治疗要求;由于机头旋转速度恒定,当滚筒旋转速度较快时,由于机头上按照有双治疗头,治疗头陀螺旋转的步进间隙会缩小一半,有利于减小周围正常组织剂量,有助于提升焦皮比;在机头两侧对称地安装两个治疗头,在不增加钴源装源量的前提下,增加了准直孔的数量,降低了放射源柱的高度,由于放射源高度与放射源的自吸收成指数关系,所以可大大减小放射源柱的自吸收,提高了焦点剂量率;机头两侧重量负载平衡,提高机头旋转精度,减小设备磨损。The utility model upgrades the existing single treatment head to a double treatment head, changes the installation method of the treatment head on the machine head from a fixed type to a movable type, and realizes that the gyro rotation angle of the treatment head is within a certain range by driving the motor Arbitrary adjustment to increase the incident angle range of rays to better meet the clinical treatment requirements; due to the constant rotation speed of the machine head, when the drum rotates at a faster speed, the machine head will follow the stepping steps of the gyro rotation of the treatment head due to the dual treatment heads on the machine head The gap will be reduced by half, which is beneficial to reduce the dose of surrounding normal tissues and improve the focal-to-skin ratio; two treatment heads are installed symmetrically on both sides of the handpiece, which increases the precision without increasing the amount of cobalt source. The number of straight holes reduces the height of the radioactive source column. Since the height of the radioactive source is exponentially related to the self-absorption of the radioactive source, it can greatly reduce the self-absorption of the radioactive source column and increase the focal dose rate; the weight on both sides of the machine head Load balance improves the rotation accuracy of the machine head and reduces equipment wear.
上面结合附图对本实用新型的实施例作了详细说明,但是本实用新型并不限于上述实施例,在本领域普通技术人员所具备的知识范围内,还可以在不脱离本实用新型宗旨的前提下作出各种变化。The above embodiments of the utility model have been described in detail in conjunction with the accompanying drawings, but the utility model is not limited to the above-mentioned embodiments. Make various changes below.
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